Gaz (Gc83uk) can you give us an update.

[cocacola]

Seems pretty good, obviously pictures are not at the same hair lenght. The preop is looking longer and darker. The hair density is not the highest for your hair overall. The positive thing is that your frontal area where you were bald before, has pretty much the same density as your mid scalp and crown area.

How long since you had the procedure done?

[aim4hair]

Aim4hair i think i have never seen your hst case, did u post any pictures in the past?

here is before/after pic taken with samsung galaxy cam under direct sun light, the before was taken in 2011 and the after was taken today:

[Skywalker]

nothing new here... i think they evaluate each case separately just like they evaluate the number of grafts each can get in one session.
When i did my HST i was clearly told that they will inform me once the donor visibly start getting thinner, and then it's up to me if i want to continue or not.
one of the man selling point for HST beside regeneration is being scarless, and they guarantee that your donor will look untouched after HST. now when they feel your donor will start looking visibly thinner or there is a chance to develop some scars, they will tell you and it's up to you whether you wanna continue or not.

Yup, this seems a sensible and cautious approach to me that some other clinics would do well to follow.

[cocacola]

Aim4hair i think i have never seen your hst case, did u post any pictures in the past?

[aim4hair]

nothing new here... i think they evaluate each case separately just like they evaluate the number of grafts each can get in one session.
When i did my HST i was clearly told that they will inform me once the donor visibly start getting thinner, and then it's up to me if i want to continue or not.
one of the man selling point for HST beside regeneration is being scarless, and they guarantee that your donor will look untouched after HST. now when they feel your donor will start looking visibly thinner or there is a chance to develop some scars, they will tell you and it's up to you whether you wanna continue or not.

[FearTheLoss]

It doesn't make sense to do such claims. We saw gcuk donor after 3 operations ( first 2 were smaller tho) and there is no difference for the naked eye. With saunders we didnt have any close up pics for pre-op and post 3 op to make any assumptions. However if you find any recent pic of him, i dont see any scarring or gaps.

Now, how all of a sudden if these 2 individuals do one more, it will suddenly become a visible difference? This is the part i don't get.

they never said that for GC...just they didn't recommend saunders to do another...he could do another and be fine, but they want to be on the safe side

[cocacola]

It doesn't make sense to do such claims. We saw gcuk donor after 3 operations ( first 2 were smaller tho) and there is no difference for the naked eye. With saunders we didnt have any close up pics for pre-op and post 3 op to make any assumptions. However if you find any recent pic of him, i dont see any scarring or gaps.

Now, how all of a sudden if these 2 individuals do one more, it will suddenly become a visible difference? This is the part i don't get.

[FearTheLoss]

also, saunder's donor area was shit already so they don't want to push it....

[FearTheLoss]

5300 grafts (saunders) and he has had, let's say 75% regeneration so he lost a little over 1400 grafts...and if he were to go into HST #4 he would be about 1800-ish grafts lost...and they don't want to chance it not being perfect looking when shaven to the bone...

[cocacola]

I still cant understand this thing. Its like u do 1 to 3 procedures nothing happens. Then you do the 4th and bam its noticeable.

[Arashi]

I've gotten an answer from Kristel too, regarding my question about the max 3 HST's. She explained it like this: They advise to do 3 HST's. After this, density in donor might visibly drop, hence they evaluate the donor at this point and make a plan from thereon.

So it seems they're saying that you generally can get 3 HST's without any visible density loss in donor and after that, results really vary from patient to patient and they have to evaluate at that point.

I guess we just really need documentation of your next surgery, Gaz, like you suggested. Make sure you have a zillion pre-op photo's of every single graft on your scalp. That's the only way I see our answers really getting a satisfactory answer.

[gc83uk]

Just carrying on the thread with another question I put to Deborah a few days ago...

Q: The 15 - 20% which we lose each time what is the actual reason for this?

A: Some hairs are in a resting stage. We know this percentage is around 15-20%. When they are in this stage the group of hairs becomes much smaller and the thereby (theoretically) have the possibility that even with our small needle (0.6mm) that we take all the tissue out (like an FUE). This is theoretically. In the day to day practice, the regrowth is much higher.

The questions are basic, but I'll most probably get more technical and focus on why some of the regrown grafts are only regrowing as 1 hair when to begin with it was two and if that is a part of the 15-20%. I'll probably also show her the petri dish photo to get her thoughts on why the extracted doubles are now singles.

[gc83uk]

Deborah has returned my email again simply saying:

Yes, I think that is reasonable. It’s hard for me to say about what you have lost (its different in every client, never more than 15 to 20%) but I think that is reasonable as well. Sometimes we see hardly anything at the donor area.

[gc83uk]

Is that the real reason why NSN left the forums never to return? Hope the guy's OK, and I understand why he apparently hasn't contacted Dr Nigam again (supposedly).

I take it you're utterly unconvinced by Dr Nigam, BTW?

No I'm not utterly unconvinced, but I still need convincing. I actually think he is on to something, but it's a waiting game to see how the likes of Toms results turn out.

[Pentarou]

What really happened was Nigam posted his name and NSN was pissed. We used to exchange emails a fair bit before that name was even posted by Nigam, and the email handle was the same name as Nigam used, so that tell you everything!

Lucky for him the name is quite common, so I don't think it's that big a deal, but it could have been very embarrassing if his name was unique!

Is that the real reason why NSN left the forums never to return? Hope the guy's OK, and I understand why he apparently hasn't contacted Dr Nigam again (supposedly).

I take it you're utterly unconvinced by Dr Nigam, BTW?