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Posts by David Young58

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Hey everyone.

I'm running a few days behind schedule, but here I am at the 11-month mark. Here is my current progress report.

Honestly, I’m pretty happy with how things are looking. If I’m being optimistic, I’m hoping to see just a little more coverage popping up around the crown area soon. From what I’ve read online, the crown can take anywhere from 12 to 18 months to fully settle. Even if nothing major changes from here on out, I still feel like the procedure was a total success.

https://ibb.co/xM0ts6F
https://ibb.co/YBctfdJ
https://ibb.co/DrnBYWT
https://ibb.co/xDFP5Ry
https://ibb.co/17vs3Q7

https://ibb.co/59JwH0b

https://ibb.co/fNFpXXp
Anthony Brooks49 said:I totally get where you're coming from; almost everyone has that one thing they consider absolutely essential.
Honestly, that price seems way too high for me, because I know plenty of people who have gone to Turkey or Mexico, and it looks like a great deal for at least six times less money. It’s important to me to get this done too, but if I’m being real, I could never justify dropping that kind of cash on something like this.
Just tell me, what’s actually the difference between your hair and someone who had their procedure done in Turkey? I see half of Germany heading over there, and from my perspective—since I’m no expert—it looks perfectly fine. I want to go to Turkey, but the more I read about it, the more I start second-guessing myself. I’m not saying I want the absolute cheapest option at $1,000 or $1,200, but I feel like you can find some solid clinics for around $2,100.

Look, there’s no guarantee there will ever be a difference between two high-quality surgeries performed by the same type of specialist. A "budget" surgery and an ultra-premium one can turn out equally incredible.
The real question is: do you want someone ripping 4 or 5 thousand grafts out of your donor area in some discount clinic without any peace of mind that everything is going to turn out okay?
I chose a clinic that’s renowned as one of the best in the world. People who are actually respected in this field charge premium prices for a reason.

At the end of the day, it's your call. I don't want to derail this specific thread, though; we have a general discussion thread for all these types of topics.

Of course, tons of people head to Turkey. But if you’re going to go, at least go to a reputable clinic. From what I can see, your main priority is finding the lowest price, and I think you're making a mistake right out of the gate. That’s just my personal opinion, no shade intended.
Rachel Brooks63 said:Honestly, I’m genuinely happy for you 👍 (and look, I’m being dead serious here—no sarcasm or trolling intended, I truly mean it!)

Thanks, man.👍
Rachel Brooks63 said:Honestly, do you personally feel like it was worth it? Like, we're talking maybe $15 or so—but looking at the results now, how does it feel internally? In terms of your self-confidence and just that feeling when you're walking down the street, would you say it paid off?

In other words, let's set the price aside for a second. When you look back on the whole process, did it actually deliver what you were hoping for? And I don't mean just the hairline itself, let's be clear, I'm not asking about that 😉 )

Absolutely. To put it simply, I’m a different man. It feels like I’m living in a completely different movie.
To be honest, I don't care nearly as much about how my hair looks or holds up over time (at least in the short term), but I can finally focus on actually living my life normally.

The cost was never the issue for me; I just saved up steadily, being smart and careful about it. Once the money was spent, I didn't even feel like I'd lost a significant amount. I had a goal, I achieved it, and that's that.
Jonathan Thompson6 said:It looks amazing. If you don't mind me asking, what did this whole endeavor end up costing you?

Hey there.

Each graft runs about $3. That would put the total somewhere around $19,500.
However, since they know I'm coming from the EU—which isn't exactly in the heart of Western Europe—I managed to score a bit of a discount.
I’m not going to throw out an exact number, though. We had a private agreement, and I intend to honor that both publicly and privately.

There's also a chance I might get a partial refund if I agree to post the final results on certain forums, but we can cross that bridge when we get to it.

Bottom line: the whole procedure was insanely expensive.😵
https://ibb.co/pntmFq8

https://ibb.co/TcNk3R5

https://ibb.co/pntmFq8

https://ibb.co/HzpwQfV

https://ibb.co/DWmM0J5

Alright, here are some updated shots now that it's been 8 months since I switched over to AT&T.

I'm still feeling pretty iffy about the crown situation, so I'm going to give it another 4 months to hit that full 12-month mark before I give my final verdict.

As for everything else regarding growth, I'm actually quite happy with how things are looking. It'll be interesting to see if there's any late-stage improvement in this last third of the timeline.
Status update after 5 months and 2 weeks

Interior shots with plenty of natural light
https://ibb.co/z7v1Fp1
https://ibb.co/Yp1N4Vz
https://ibb.co/dmC7xnp
https://ibb.co/kMzw8ZP

More interior views, showing what it looks like with less light

https://ibb.co/3761SVs
https://ibb.co/f0gScYM
https://ibb.co/Tv32pFf
https://ibb.co/6J33XH6
https://ibb.co/8jqPjW3
I’m guessing the next big update from AT&T will drop around the start of month five—so, mid-November.

Just a heads-up, these photos were taken right after blow-drying, before I touched them with a comb.

https://ibb.co/7g2pZXt

https://ibb.co/YyCrNBn

https://ibb.co/44JqLFj

https://ibb.co/JKY7tyz

https://ibb.co/gwNdG0Y

https://ibb.co/544rcwy

https://ibb.co/CBZQrbZ

So, here’s where things stand at the 3.5-month mark (105 days post-op).

The area surrounding the scar is still looking pretty red and shows up noticeably under my hair, especially around the corners. I've also got some lingering shock loss on the right temple side. There's a chance I might end up needing a few camouflage grafts there later on to fill things out, but we'll cross that bridge when we get to it.

Currently waiting to hear back from Dr. North regarding a few questions about my progress and some info on my DHT levels.
https://ibb.co/XL4fC3M
https://ibb.co/cxpFYCN
https://ibb.co/PCbvjvC
https://ibb.co/C520Ryn
https://ibb.co/b3WnC7T

It's been 98 days since the surgery.

I’d say the growth has officially kicked in, though as you'd expect, it’s moving at a pretty modest, slow pace right now.

I really appreciate everyone chiming in with their comments—thanks for keeping it real and not sugarcoating things too much.

Just a heads up, these photos were taken under direct lighting.
Day 38

Here are a few shots of the donor area

https://ibb.co/Z1n4mZy

https://ibb.co/87V1TJm

https://ibb.co/MSrZ3Ym

https://ibb.co/60ydMFv

I’m trying to get a good look at how things are settling with this temporary tuft, so don't let the top section throw you off too much

The donor site is looking pretty short right now.

If anyone has some constructive feedback, please, lay it on me.

I have to admit, I honestly have no idea what my donor area would look like if I had gone the FUE route...
Thomas Hernandez81 said:Thanks for the posts. Honestly, I’ll probably end up needing a transplant myself one day, so this is a great insight.

Whatever the outcome ends up being—and I truly believe it’ll be great—you can always touch up the density later by doing a beard transplant. Over time, the hair structure changes and starts feeling more like natural head hair, so it works as an excellent filler.

Check out this result:



If you ever need a quick fix, just grab a little beard work done in Turkey and you're set.

Personally, I don't think it's necessary to fly all the way to Switzerland and drop that kind of cash. They're a bit overpriced for my taste, but hey, when you're in this situation, you go with whatever makes you feel secure, so I totally get it.

Hey there.

Look, since I had 6k grafts done via FUT.
Each follicle cost me about $3.
It doesn't really matter that this was in Switzerland. $3 is pretty much the standard rate at some top-tier clinics. For example, Bruno Ferreira, who a colleague of mine is seeing, went from $2.50 to $3 per graft. Some clinics charge $4 or even more.
Of course, FUT is cheaper.
But I also got a bit of a discount because of the EU market.
For instance, Human Rights Watch in Turkey is currently around $2.50 or $2.70 per graft. I can't remember exactly.

Yeah, I know how the beard thing goes. In my case, the beard is a total mix of light yellow, brownish, black... everything, man.

But yeah, definitely something to think about for the future.
Just a quick recap of everything I’ve been through over the last 20 days.

Day 1

Right after my first post-op checkup confirmed that everything was looking solid, I was actually in a pretty great mood for a little while.

Unfortunately, that same afternoon, I had to head over to Germany. And I say "unfortunately" because even though the accommodations were decent, the travel was an absolute nightmare. It was nearly a two-hour trek because there wasn't a direct line from San Francisco to where I was staying. Between the heat, the stressful transit, and just being on edge, I was a total wreck. Just me, solo, with zero help—man, what a mess...

Once I finally settled into the new place, that sense of emptiness hit me again. Those intrusive thoughts started circling back: was I making the right call, or did I just screw up?

Day 2

A good portion of my head was swollen, which honestly wasn't surprising given how intense the hair transplant session was. All that increased blood circulation tends to trigger a heavy feverish feeling, but you just have to push through the swelling and survive the day. It’s definitely not a walk in the park.

Personally, I think that second post-op day following the AT&T procedure was the absolute lowest point of the whole process. On top of the physical discomfort, the emotional instability hadn't really let up, and dealing with all that while your head is throbbing from swelling... yeah. 🙂

Days 3-4 post-op.

Thankfully, the swelling finally started to subside. By day three things were looking up, and by day four, I felt even better.
The best part was that I finally started feeling positive again. That restless anxiety just kind of evaporates once you realize the hardest part is officially behind you.

Days 5-12

The incision from the AT&T didn't really ache, but I would occasionally feel some tightness and a dull sensation on the right side of the cut above my ear.

I think it wasn't until night six or seven that I could finally sleep at a normal angle instead of propped up at 45 degrees. You just have to wait for the swelling to go down.
I’ve never been much of a deep sleeper anyway. I kept waking up early during those first ten days or so, but it wasn't a huge deal.

I started wearing a hat on day seven and began taking short walks. My diet stayed pretty much the same as before.

Day 13 post-op

They removed the clips. I ended up having 68 grafts. The process is a bit painful, but nothing too extreme.
The doctors told me I did an excellent job keeping both the incision and the recipient area clean.

They gave my head a thorough wash, and surprisingly, they actually shaved the transplanted hair.

I have a little tiny wound from the grafts on the right side above my ear, but that should heal up fine.

Day 15

I've arrived in NYC, and I'll be here for about 7 months or so.

I'm going in to get some stitches removed in a couple of days, and then I'll take some new photos.

NYC is awesome, except for the fact that I'm broke, haha.

I'm not entirely sure when it started, but it looks like shedding has begun. When I lightly run my hand over my head—even though it's all cropped short—I can see a few hairs popping through.

My scalp is still a bit reddish in spots, but nothing major. To the touch, the skin feels like mine again, though some areas are still slightly numb, but that's just part of the healing process.

I'm staying incredibly positive. I haven't hit the "ugly duckling" phase yet, but hey, there's plenty of time for that, haha.
Samuel Lee8 said:David Young58, everything looks really great—clean, professional, and well-executed. I’m feeling a little anxious, though. 😁

Regarding what you said about the new hairline not perfectly matching where the hairpiece used to sit, I honestly don't think that's much of an issue.
-In the future, it would probably be a good move to grow your hair out a bit longer (maybe 2 inches) all over.
That way, you get better density and a lower hairline look.

The only thing is, you're heading into the toughest stretch now, which is going to last just over three months.
-That's until the transplanted hair sheds and the new stuff starts growing in.
Shock loss is definitely on the table.
Those three months are going to feel like the longest of your life.

You might be able to speed things up slightly if you start using some Minoxidil solution.

If you can manage to post photos of how things look at the 3, 4, 6, and 12-month marks, that would be awesome.


Hey there, man.

I agree with you—it shouldn't be a problem that the hairline doesn't follow the exact same line as the old hairpiece.

But honestly, it's incredibly close. What I really love about this hairline is that there isn't a harsh transition moving toward the temples.

In my opinion, the hairline was placed exactly where it should be.

A few major highlights:

1. A soft transition with no weirdly protruding or obvious receding corners (granted, the forehead is a bit higher).
2. The density at the hairline is insanely good—about 65cm2.
3. By positioning it slightly differently, I saved a massive amount of grafts for the other areas.
4. Having slightly longer hair and a 3D pattern suggests I'll end up in the same or even better shape than I had with the hairpiece (not to mention how much more natural it looks).

The hairline is a total graft-hog; it’s incredible.

North and Laura told me that to get a real hairline and drop it down by about half an inch, you need to prep around 1,000 grafts.
More or less, everyone should be aiming for those kinds of units. Just putting it out there in case anyone needs the info, though most of you probably already know.

I ended up with just over 350 individual grafts, which is technically below average. Even so, my graft count provided so much satisfaction in the end. Luckily, these guys are skilled enough to harvest grafts with such precision that it's nothing short of amazing.

I'm planning on keeping my hair a bit longer. But I have to be smart about this and try to navigate the transition from the hairpiece to my new permanent style smoothly.

Man, that hairpiece was heavy... seriously indescribable.
I'm fully aware of the next three months ahead. On one hand, I'm glad I'll be halfway through my post-op recovery in Germany by then. It's not a huge chunk of time, but any progress helps.

If anyone has suggestions for night shifts in the States, or anything involving working with smaller teams, hit me up.

Of course, I plan on posting photos so everyone else can see the progress—to see if it all made sense and whether the final result is crappy, good, solid, or absolutely fantastic.
I have to admit, having a brand-new hairline feels incredibly surreal.
If you look back at my previous photos, you can see that weird strip of pale skin that hasn't seen any sun exposure yet—that’s exactly where my hairpiece used to sit.
It’s pretty obvious right now that the new hairline doesn't perfectly align with the old hairpiece; it’s sitting a bit higher up.
That said, I'm really hoping that once things start growing in, everything will level out and look more natural. If that happens, I’ll consider this whole AT&T procedure a total win.
When I wash my hair and check the new hairline while it's still wet, it actually looks like it blends in perfectly with what I already have.

I sent my latest progress shots over to the doctor today, and he assured me that everything is looking exactly as it should.

Starting tomorrow—which marks day 8 post-op—I’m moving up to washing my hair once a day. I should be able to use a bit more pressure when massaging the recipient area to help break up those scabs.

It’s such a strange, interesting sensation to finally touch my scalp again, especially that crown area I lost so many years ago. Now, it's back.

Of course, I'm just working within the limits of what could actually be covered.

Recovery is moving along nicely so far. Next stop: getting these clips removed and heading in for the post-op checkup.
The Donor Area

https://ibb.co/Jcnh5s2

https://ibb.co/h1BwLdb

https://ibb.co/0Fp7NL7

The next round of photos will be on June 30th, once I finally get these battery terminals off.

There’s a very good chance I’ll end up selling some parts right after that, too.
1 day post-op. Just finished washing my hair

https://ibb.co/XLDx0hn
https://ibb.co/KVHyVfZ
https://ibb.co/KhjWgWx
A little update for you guys, including some higher-quality shots

My hair loss situation right before the surgery, taken on the morning of June 16th

https://ibb.co/CwM50TQ
https://ibb.co/0ZLmMbs
https://ibb.co/PGvwtqv
I have to admit, after finishing my HTA, I was pretty wiped out. If I recall correctly, the last testimonials regarding HTA on this forum were probably back in 2017.

That post-op feeling is actually quite interesting. I went through a phase of total disproportion.
One minute you’re in that "happy phase"—thinking the solution is finally within reach, moving from live consultations to the actual surgery itself...

And then, strangely enough, I hit a bit of a low. I remember walking around San Francisco the evening after the second part of the procedure (once the HTA was wrapped up) and just feeling depressed, dissatisfied, or whatever you want to call it...

The most common thoughts that kick in are: Was all of this even worth it? How is it going to look? Did they do it right? What about the Hairline? And so on.

I had that exact feeling on my first day post-op when I went in for my check-up and hair wash. I was given a post-op kit—nothing massive, but it doesn't need to be—along with instructions on how to behave and, more importantly, how to maintain hygiene.

On that first day post-op, I arrived in a small town near Columbus, close to Blumberg.

If anyone needs a very affordable place with an awesome host, I can highly recommend Phillip. He’s a great guy; he’s already driven me to the store for groceries twice and helps me out with just about everything I need.

By that first day post-op, the swelling in my forehead had already started to take hold.
When you start swelling up while also dealing with those intrusive, negative thoughts... it isn't exactly pleasant.

Luckily, I managed to shake off those useless thoughts and that mental funk by the next day. I’d say that period of insecurity was very brief, maybe a day and a half at most.

But by the morning of day two post-op, something even worse was waiting for me.

When I woke up, I felt incredibly strange, right on the edge of having a fever or the flu, or something like that.
Obviously, you aren't burning up, but that increased blood flow in your head is something you just can't prepare for.
I realized something wasn't right with my head, and visually, things were looking pretty rough.
When I looked in the mirror, I really had something to see.
My head had basically taken on rhomboid dimensions.
Aside from a heavily swollen forehead, the swelling had migrated down to my eyes, so my cheeks were completely puffed out from the eyes toward my ears. I looked like a diamond.
Thankfully, the swelling didn't continue its journey down under my eyes.

Roughly...

https://ibb.co/R6WP77N

https://ibb.co/6wPv6w2

Given that I underwent a gigasection just two days ago, it’s not surprising. But it was very, very uncomfortable.

Day two post-op was the most physically demanding for me. In terms of pure discomfort, it felt worse than day one and two of the HTA.

Fortunately, all that shit is slowly passing.

By the third day, the swelling had decreased significantly.

By the fourth day, my cheeks looked okay, and the forehead swelling was much less intense.

By day five, I was almost back to normal, and by day six—which is today, as I write this—I am completely fine.

I still feel like the skin on my forehead is a bit soft and baggy because it lacks the usual tension of normal skin, but it feels like I've cleared the worst of it.

Also, the incision in the donor area doesn't have that thick swelling it had on days two and three. I still feel plenty of tightness around the cut, but those should vanish in about seven days. Plus, I'm not taking ibuprofen anymore.

Currently, my post-op care involves gently massaging the recipient zone with the shampoo I was given starting from day three, while using stronger, circular motions on the donor area. It hurts a little, but nothing major.

Throughout the entire recovery, I've been eating normally, though I'm avoiding overexerting myself.

Starting tomorrow, which is day seven post-op, I plan to start wearing a hat and taking short walks around the neighborhood.

P.S. Luckily, I don't have that itchy sensation I was so worried about.

Every now and then, I get some tingling or a slight itch, but fortunately, it passes very quickly. This happens in both the donor and recipient zones.

Day six looks good to me. My mood is in a good place. Our boys are still holding strong at 1/8. That's where things stand for now.
June 17, 2021

Day 2, Phase 2

I arrived at the clinic at the usual time. The morning routine kicked off with prep work—tablets, lying on my stomach, getting the strips ready. We tackled the left side first, then moved to the right.

Left strip = 1,700 grafts

Right strip = 1,800 grafts

Everything I mentioned in my previous post still applies to today. I spent the morning sitting up while Dr. Laura Sever handled a huge chunk of the midscalp mostly by herself. I kept my mouth shut and didn't chat too much; I didn't think it was smart to be constantly questioning things and getting in the doctor's way. She did mention, however, that she’d be placing a high concentration of three-unit and four-unit grafts in the midscalp area. To create that visual illusion—basically making the newly recreated hairline and the areas behind it look more natural—it's obvious that the hairline and midscalp need to project a higher sense of density. That makes the midscalp a critical zone.

Most of the left strip was done under Laura's direct supervision, though two technicians jumped in to assist her toward the end (I believe they were still working on the right strip simultaneously).

Break time: lunch, some Ibuprofen, and a little something to help me relax—I can't remember the name of the pill.

Back in the chair. The right strip ended up being slightly larger. Given the massive total number of grafts we were dealing with, the whole day turned out to be quite long.

I have to admit, my back started acting up, and my neck got pretty stiff, so I had to ask for a few breaks.
It took quite a while before the doctor finally moved from the midscalp over to the crown. The technicians were helping out there as well.
Once the primary plan was executed, we moved into the "stick and place" phase.

In this stage, any remaining available grafts are placed in specific spots the doctor deems necessary. Think of it as the final "touch-up" phase.

I had about 50 units left over (among other things), so they used those to slightly beef up the hairline.

Finally, once everything was wrapped up, the aftercare instructions were the same as Day 1. I was given my solution, a Bandan, and scheduled for a one-day post-op checkup.

I headed back to the hotel and went for a short walk. Sleeping was a bit harder and definitely less comfortable. I had been warned that the pain would likely be stronger than the first night, but honestly, it wasn't that bad. I’d rate it about a 2.5 out of 5 on a scale of discomfort.

The only thing is, due to the lack of sleep, the stress, the adrenaline, and just pure exhaustion, I’m feeling pretty wiped out. I'll write a separate post about that.

The following day, May 18, I showed up for my follow-up. The doctor took all the necessary photos, we washed both the donor and recipient areas, and they explained how I should behave over the coming days.

Since I had the procedure on Wednesday and Thursday, the doctor told me that the window leading up to Sunday is absolutely critical, especially regarding potential injury.

From Monday—which is today, as I'm writing this—the grafts should be fully accepted thanks to the body's internal healing processes. I've already started monitoring the recipient zone a bit more closely today.

All in all, here is the recap:

382 single grafts - 6.08% = 382 hairs
2271 double grafts - 36.19% = 4,542 hairs
3027 triple grafts - 48.24% = 9,081 hairs
594 quadruple grafts - 9.49% = 2,376 hairs

6,274 total grafts = 16,381 hairs

Average hairs per graft = 2.61

On the Hattingen Clinic website, they state their average is 2.2 hairs per graft.

What can I say?

The initial estimate of 5,000 possible FU through FUT proved to be spot on. Kudos to Dr. Sever for that. The prediction that I'd have over 5,500—maybe even up to 6,000—after the first strip also turned out to be correct. Credit to Dr. Laura for that accuracy.

The surgery was split over two days. In the end, we were talking about a "Gigasesion."
I know people will have questions about the survival rate because this is an absolutely massive amount of hair.

Laura assured me that I can be confident the survival rate will safely be above 90%.

When I asked Sever, he told me the incision width would be a maximum of 3 millimeters, if not even smaller.

I tried to dig a little deeper into the details. I've attempted to describe the FUT process below (of course, I'm just a layman like the rest of you), hoping that maybe this might help someone else out.
Listen guys, if you're considering going for an HT and you find yourself at a high Norwood stage, don't be too quick to dismiss FUT.

I'm currently waiting on some photos from Dr. Sever, which he took right after my 1-post-op day.

Also, I have my clip removal scheduled for June 30th, so that should provide some fresh photos.

I'll be posting updates here regularly, including photos at the 3, 4, 6, and 8-month marks, and so on.

I'm just hoping the HT turns out well. I'm not looking for absolute perfection.

According to their plan, the density will break down like this:

50+ for the hairline
30+ for the midscalp (covering most of areas 3 and 4)
Around 30 for the crown

I don't have the typical presentation you see all over the internet. I'll have to ask the doctor to measure the exact area covered by the HT. Based on my own measurements, it was definitely around 180 cm², but looking at it visually now, it seems like some additional areas are included, so we could easily be looking at 200 cm²+ total.
A simple calculation of 6000+/200+ gives me a clear idea of the graft density per square centimeter.