Hi I'm from Mexico, I´m 27 years old (March 1980) I'm interested in a FUE hair transplant with Dr. Alexander or Dr Keene, which one do you recomend me? how much is the cost per graft? ($4 - 5$) I started loosing hair about 21 or 22 years old. I want to know if you can give me an aprox of the cost of the transplant. I have alot of hair on the back and on ths sides of my head, my problem is the front and upper side of my head. I hope you can understand me, I have to travel to Phoenix or Tucson to see you so I want to know an aprox cost of the hair transplant. I attach you some pictures of me, some are with dry hair other with wet hair. My hair is very fine.

I will be very grateful for your information, I hope you can understand my english.

Geohenr,

Welcome to our community. Dr. Keene and Dr. Alexander are both excellent doctors and on the coalition: http://www.hairlosslearningcenter.org/hair-loss-content...s/our_physicians.asp

I see you are 27 years old? Are you on finasteride or minoxodil to try to control your loss? If so, how long have you been on it?

Consider trying medication for at least 6 months to a year BEFORE jumping into surgery. Medication can help minimize shockloss.

Read more about shockloss here:

Help, I look worse than I did before surgery (SHOCKLOSS)

http://hair-restoration-info.com/eve/forums?a=tpc&s=569...1094723&r=2421094723

Before considering cost, consider reading the following threads:

What should I consider when researching hair transplantation?

http://hair-restoration-info.com/eve/forums?a=tpc&s=569...071019713#5071019713

Typical cost per graft is between $4 and $5 per graft and then discounted after 2000 grafts to about $2.50 depending on the clinic.

Big difference between your wet and dry photos. Based on what I'm seeing, however, assuming you go with a conservative hairline, I'd think 3000-4000 grafts would be a good start. Depending on the density of your existing native hair, the doctor won't want to densely pack too many grafts in an area with a lot of native hair to minimize shockloss.

Also, consider using our Graft Estimate Calculator found here: http://www.hairlosslearningcenter.org/hair-loss-content/mm/introa.html

I hope this helps.

Falc

Geohenr,

I agree with Falc, but personally I believe that sometimes it is just best to throw in the towel and accept that you are likely going to lose more hair. I would take the meds as outlined by Falc, however I believe that you will likely lose the majority of the current hair that you have in the hairline so the surgeon should just blast away with as many Fu as possible. Expect to need 3000+ for starters if this approach is taken. Also Fue is too expensive and for your needs I believe that you want Fus which will be a better price and likely better in the long run.

NN

NN,

Though I agree that he may lose more hair - since there is a good amount of miniaturization going on, I don't know that "blasting" the area is the best route. I think some of that hair could be preserved with finasteride, potentially anyway.

Falc

Falc,

Tough call really. I see it both ways. I do believe however that the thought should be that it is likely to go. There are 3 ways of looking:

1. "Blast" away with a high number of Fu and if the native hair does fall out he is in good shape anyways.

2. Take a conservative approach and possibly the native hair hangs on for awhile and he is content. This would likely save some money for the short run.

3. Take the conservative approach and if he loses his native hair he is bummed out about his results because the net gain is minimal.



Its kind of a crap shoot really isn't it? This is the most challenging thing for those of us with native hair still. Very interesting decision and I think it comes down to a "gut" call by the physician and patient.

Like you said, try meds and observe what happens and then make the decision. Who knows really?

NN

The pictures can be pretty deceiving. Just looking at the pics with your hair combed forward, it really does not look like you have that much loss at all from the side view. Only the straight forward shot do I see that there is indeed loss and minization of hair.

I'd be interested to hear what the doctors recommend for your particular situation. I cannot tell if the miniturized hairs at the very front, though thin but still long enough to give some sort of coverage, can still be saved with finasteride or something.



NervousNelly,

When you say "blasting", do you mean transplanting over the existing native hair with as many FU as possible WITHOUT WORRYING about TRANSECTING the miniturized hair?

Thanks so much all for your answer (falceros, NervousNelly and rp1979).

I sent the pictures to Dr. Alexander and Dr. Keene. Really 3000 or more grafts?? I thought I will only need 1000 grafts. I dont really loose to much hair, I dont know if I dont see it or what, but when I shower or in my pillow there are not hair. Again thanks alot for your answer and keep telling me what do you think. I hope more people post too.

Hi

Those guysare right.. Start your meds as you can probably keep what you have and regrow a little. Yes, indeed you would need 4000 or so grafts for good coverage..
Most newbies always think they needs less ( as I did) then they have a procedure and see it takes about 2000 grafts to make a dent in hairloss..

Good luck

In looking at the pics, I believe that he has very good donor, and has experienced 70-80% loss in the frontal zone.

Given that he is 27, I expect that IF propecia/minox work it will work from the mid-scalp area back, and really be of no consequence in the frontal zone. (opinion only)

In saying that, I believe rebuilding the hairline and frontal core with 2500-3000 grafts is the best option at this time.

I suspect that Dr. Alexander will comeback with something in this range (2000-3000)-- I believe he actually posted a patient of his with similar loss where he used 2800? grafts and really made a difference in the appearance of the hairline/frontal core.

rp-- NN isn't saying flagrantly disregard existing native hair, but he is also saying be realistic (look at age/level of loss) so either attack it in one shot, or be unhappy with 1000-1500 grafts and have to go in for another.

Anyway, this is just my opinion--- until Dr. Alexander gets a look, it is a bit of a guess.

Take Care,
J

Bienvenido amigo,
Viendo tus fotos creo que el B Spot tiene razon. Si trabajas nada mas con la parte delante, unos 2500 a 3000 te hace falta. Es recomendable usar una medicina finasteride o minoxidil o las dos para la parte atras.

Al mismo tiempo, he visto a Dr. Keene usar menos y al mismo tiempo conseguir un resultado bueno. Tal vez unos 2000 se podia usar en ese caso.

Si miras mis fotos puedes ver que he consegido bastante densidad con el segundo transpante de mil grafts. Es segun tus deseos.

Really though.....I thought Gorp was a show off when he posted that hairline. Now I see he is a bi-lingual show off. Probably can do math too.

Here we go again. The meds. Sorry guys. Over a 100,000 internet posts about people seeking help because of side effects. Propecia is toxic, but all these guys here, although very knowing rush in with a standard boilerplate response to get on meds. He's going to need 6,000 grafts. Three appointments with Dr. Keene. Or two with Hasson. This med thing is all wrong. I hope it becomes a major issue and quick. The drug companies must love this site and should be paying dearly because 99% of us are gung ho drugs.

They are expensive and toxic. They have ZERO to do with genetic correction. So YOU ARE GOING BALD.

I know. You guys are already tired of me attaching to every post with this. But look at it from my point of view. Every post to a newbie starts with the med regimen. A 27 year-old that starts Propecia will spend more on the drug than on 6500 grafts in his lifetime. The only difference is there's no way to know what the meds are doing unless your pecker starts to shrivel.

You cannot start a lifetime regimen of a toxic substance at age 21, no more than you should go for the transplants.

No offense to the Doctors that post here or belong to the coalition but I wouldn't aska doctor his opinion necessarily. They are heavily subsidized in some way by pharmas. It it an economy and industry unto itself. Give this some serious thought guys because more data is on the way and the I TOLD YOU SOs and regrets will follow. Don't let your pregnant wife even touch the tabs, but you go ahead and swallow it. Chemicals What's it all about?

LOL Bezane,

I might agree with you somewhat on the finasteride, but is a little topical Minox really going to kill you?

BTW - I haven't experienced the srivelled dick thing, EVER. So I'm not sure what you're referring to there

You would think that at 51, I'd be the first to experience sides. But nothing, absolutely nothing. Sex is still as strong as ever.

Thanks so much again for all your comments (falceros, NervousNelly, rp1979, Mrjb, the B Spot, Gorpy, bezane) special thanks to Gorpy for his SPANISH comment.

I already sent my pictures to Dr. Alexander and Dr Keene, I'm waiting for their answer I hope will be soon.

Keep telling me everything you think it might help me I really appreciate all your coments and the time you take to do it.

I will keep you inform on what both of the doctors answer me

Thanks

Hey G...me and Gorp went to Keene. I'm happy. I like Tucson, if that matters. I didn't take Gorp's advice on hotel accomodations and should have. But they are a no frills office and that I happen to like.

quote:

I like Tucson, if that matters.

He's not going sightseeing! : )

I just had a HT with Dr. Keene. I am still waiting for the results to come to fruition so I am holding off the complete evaluation but the actual HT procedure went well and it cost me 5700 dollars for 1500 grafts and I have a lot more hair then you.

I think you need well into the 3000 graft range for starters and then you will need more grafts later when the little hair you have left falls out.

The drugs are something I am also thinking about. I work in the health care field and know drugs are not without side effects. Most people take them with full confidence that their doctor knows best. Just look at all the problems people have later when they discover that the drugs they were taking cause a slew of health problems later on. By then the drug company has made a lot of money and doesnt mind paying off the lawsuits. Cost of doing business. It's quite a racket these drug companies and their doctor whores have got going. All the politicians are paid off too.

Hello Georhenr,

It appears that you will need approximately 2500-3000 grafts. I feel that this will provide you with excellent coverage and results that you will be extremely pleased with. I would recommend starting Propecia though, it really will save the hair you have and reverse the miniaturization in the front. I have seen way too many patients choosing not to go on the medication and lose the non-transplanted hair and be upset that they did not take Propecia. In response to some of the quotes I read regarding the ethics behind the medication, the physicians in no way get kickbacks from the drug companies, in fact I have personally talked to doctors that state that they would never recommend that a patient take Propecia because they would rather have them get multiple surgeries. If anything the doctor loses money; it really is in the best interest of the patient. I have grown up in this industry and watched how it has evolved since the introduction of Propecia; it has literally revolutionized the entire field of hair restoration. Before people would run out of donor area and be left with utter disappointment on how they looked, or they would get a surgery every two or three years, personally I would not want to get surgeries throughout my life, but this is a personal choice that the individual must decide, it is our job just to educate, if the doctor does not he or she is not living up to their Hippocratic oath.

I would like to speak with you personally about your case and so you can call me personally at the office or via email.

Hey NikkiJ. You should just post your phone number and a price list. To be honest I know Dr. Alexander. I doubt he would want his sales people posting professional advice without a disclaimer on a private forum board.

I would hate to see the future of this board turn into a poaching zone for salespeople.

Let's also look at the view that he probably needs a lot more grafts to be done. So why bother with the Propecia.

Also try Hasson & Wong. Just a short plane trip. Way better than Alexander. Cheaper. And if you live in Arizona also check out Keene. Base on the thousands of posts here about them and the few about Alexander I would say that there's no comparison.

Just my opinion of course Nikki.

PS The website at Hasson & Wong is jaw dropping by the way. Just check it out.

And based on PIC #16 I doubt the drugs will do much, but go ahead and 3000 grafts will give you very light full coverage.

quote:

Originally posted by bezane:
Hey NikkiJ. You should just post your phone number and a price list. To be honest I know Dr. Alexander. I doubt he would want his sales people posting professional advice without a disclaimer on a private forum board.

I would hate to see the future of this board turn into a poaching zone for salespeople.

Let's also look at the view that he probably needs a lot more grafts to be done. So why bother with the Propecia.

Also try Hasson & Wong. Just a short plane trip. Way better than Alexander. Cheaper. And if you live in Arizona also check out Keene. Base on the thousands of posts here about them and the few about Alexander I would say that there's no comparison.

Just my opinion of course Nikki.

PS The website at Hasson & Wong is jaw dropping by the way. Just check it out.

And based on PIC #16 I doubt the drugs will do much, but go ahead and 3000 grafts will give you very light full coverage.

Bizane, Are you kidding? Are you telling me that Joetronic is not a salesman for Hasson & wong?
And you a salseman for Keene?

Geonhnr was inquiring about Dr. Alexander, hence the responsible post by Nikki to offer a consultation.

Dr. Aleaxander is a highly regarded member of the coaltion of ultra refined hair transplants.

For you to say one surgeon is better than another for a potential hairtransplant patient is irresponsible. We dont all want the same approach! One doctor is not right for everbody & that is why I always recommend several doctors.


Propecia is recommended by every coaltion Dr. on this forum.

Dr. Alexander is one of the elite in a small group of surgeons.

What proof do you have that he is inferior to any other coaltion surgeon?

You need to retract your irresponsible statement & stop playing favorites!

One size does not fit all...

quote:

PS The website at Hasson & Wong is jaw dropping by the way. Just check it out.

So is the Bosley tv commercial, does that make them better?