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My journey & experience sourcing a second hair transplant in London, UK. Dr's, Clinic's and results.

U

UnicornHorn

member
Hello,

I am a 39 yr old male living in London. I started receding in my early 20's which caused a fair to high degree of distress. At 28, I had a hair transplant with Crown Clinic. Dr Shahmalak placed 1100 grafts at my hairline via FUT. MY recessions at that age were quite limited, and the procedure restored my hairline very well, and I was thoroughly happy with the results.

Some years after this (having had no further recessions due to Propecia) I started a family and have now had two children. I took many years off medication during this period and my recessions have been quite extensive. This has led to a situation where my natural hairline has receded quite far behind my grafts, leaving gaps, and the lack of hair behind the grafts has led to them looking far less natural than they did when they had hair behind them. It is amazing how long you can manipulate haircuts and hair styling when you have some grafts at the front... but recently I reached the point where I had enough and decided in very short order to get a second procedure to sort this out.

I have seen three clinics so far; Wimpole (Dr May), Farjo (Dr Williams), and Westminster (Dr Rogers). All of them were great. I believe all three would be perfectly capable of producing a good result. However, Dr Greg Williams was engaged and involved during the consultation to a degree that was incomparable to the others. He performed numerous assessments and displayed integrity and honesty. His background as the head of a hospital burn unit in London also gives me much confidence, and there are many people and places praising this him online. Westminster and Wimpole suggested 1400-1500 grafts. Farjo have suggested 2000. I am proceeding with Farjo and have booked in for 2000 FUE in a few weeks. I will attend their Manchester clinic.

Dr Williams plan is to improve the existing transplanted hairline by placing 200 or so singles in front. The remaining 1800 will build up the gaps and thinning sections behind the transplanted hairline. Additionally, I have request some grafts at the temporal peaks as my hairline there is very straight, and I hope the addition of some some, single grafts here will serve to reduce the size appearance of my forehead a little. Dr Williams has agreed to this, though he was insistent that it must be subtle and gentle, otherwise this can lead to issues.

My transplant is booked for early April but I am on the cancelation list (which is very active due to Covid) so may well be in sooner. I will report honestly about all aspects of my experience and follow through all the way until one year post op.

The photos below were taken recently under fluorescent tube bulbs and I had moved my hair to expose the losses as much as possible (the opposite of what I do normally...)

Any questions welcome. I hope this thread will help people.
 

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A

akawonderkid

member
Congrats on booking surgery mate. Farjo clinic had my in for a consultation but then phoned me and said keep on finasteride for a bit and they will cancel my appointment which I appreciated.
They could've easily lied to me and told me to spend 100quid on a consultation to tell me the exact same thing
 
D

djkillab

Valued member
Hello,

I am a 39 yr old male living in London. I started receding in my early 20's which caused a fair to high degree of distress. At 28, I had a hair transplant with Crown Clinic. Dr Shahmalak placed 1100 grafts at my hairline via FUT. MY recessions at that age were quite limited, and the procedure restored my hairline very well, and I was thoroughly happy with the results.

Some years after this (having had no further recessions due to Propecia) I started a family and have now had two children. I took many years off medication during this period and my recessions have been quite extensive. This has led to a situation where my natural hairline has receded quite far behind my grafts, leaving gaps, and the lack of hair behind the grafts has led to them looking far less natural than they did when they had hair behind them. It is amazing how long you can manipulate haircuts and hair styling when you have some grafts at the front... but recently I reached the point where I had enough and decided in very short order to get a second procedure to sort this out.

I have seen three clinics so far; Wimpole (Dr May), Farjo (Dr Williams), and Westminster (Dr Rogers). All of them were great. I believe all three would be perfectly capable of producing a good result. However, Dr Greg Williams was engaged and involved during the consultation to a degree that was incomparable to the others. He performed numerous assessments and displayed integrity and honesty. His background as the head of a hospital burn unit in London also gives me much confidence, and there are many people and places praising this him online. Westminster and Wimpole suggested 1400-1500 grafts. Farjo have suggested 2000. I am proceeding with Farjo and have booked in for 2000 FUE in a few weeks. I will attend their Manchester clinic.

Dr Williams plan is to improve the existing transplanted hairline by placing 200 or so singles in front. The remaining 1800 will build up the gaps and thinning sections behind the transplanted hairline. Additionally, I have request some grafts at the temporal peaks as my hairline there is very straight, and I hope the addition of some some, single grafts here will serve to reduce the size appearance of my forehead a little. Dr Williams has agreed to this, though he was insistent that it must be subtle and gentle, otherwise this can lead to issues.

My transplant is booked for early April but I am on the cancelation list (which is very active due to Covid) so may well be in sooner. I will report honestly about all aspects of my experience and follow through all the way until one year post op.

The photos below were taken recently under fluorescent tube bulbs and I had moved my hair to expose the losses as much as possible (the opposite of what I do normally...)

Any questions welcome. I hope this thread will help people.
How much is it costing please if u don't mind me asking?
 
Bigmac

Bigmac

Administrator
Staff member
Thanks for sharing your story and adding the pictures. It’s a shame you lost ground when you dropped Propecia while starting your family but putting things into perspective, your family come first. Are you back on the Propecia now?
I think I would have went for the higher graft number of 2000. Did the consults/doctors mention what your donor density is?
Dr Williams plan sounds good. I’m sure you’ll end up being happy once grown out.
April probably seems a long time away from now but it will soon pass. Maybe you’ll get lucky with a cancellation.
I’ll look forward to hearing all about the surgery when it’s done.
All the best.
Bm.
 
Doc1

Doc1

Valued member
I had Greg Williams do mine just over a month ago. I can thoroughly recommend him. You have chosen well. He is ethical, honest and will over deliver. You are in safe hands.
 
Y

Yoo

member
Good luck mate, I think you’ve made a good decision. The Manchester clinic is great, you’ll be in good hands there. If you need stay the night before, there’s a premier inn virtually next door.
 
Kevboy

Kevboy

Valued member
Do you have any before and after pictures from the hair surgery with Dr Shamalak? Seeing how much ground you lost between the surgery and the break from meds while starting a family will show how beneficial the meds are.
 
U

UnicornHorn

member
Congrats on booking surgery mate. Farjo clinic had my in for a consultation but then phoned me and said keep on finasteride for a bit and they will cancel my appointment which I appreciated.
They could've easily lied to me and told me to spend 100quid on a consultation to tell me the exact same thing
Thanks mate - yes they clearly seem to have a lot of integrity. The booking got moved forward today to 2nd March! so only a week to go
 
U

UnicornHorn

member
How much is it costing please if u don't mind me asking?
No not at all. It is 7K FUT or 9K FUE. I am going for the FUE. It is a lot more than I had planned to spend but I am actually really pleased to be getting it done somewhere I feel will deliver the best possible result.
 
U

UnicornHorn

member
Thanks for sharing your story and adding the pictures. It’s a shame you lost ground when you dropped Propecia while starting your family but putting things into perspective, your family come first. Are you back on the Propecia now?
I think I would have went for the higher graft number of 2000. Did the consults/doctors mention what your donor density is?
Dr Williams plan sounds good. I’m sure you’ll end up being happy once grown out.
April probably seems a long time away from now but it will soon pass. Maybe you’ll get lucky with a cancellation.
I’ll look forward to hearing all about the surgery when it’s done.
All the best.
Bm.
Thanks BM. Yes, when someone thinks they can move more hair into the area, it is hard to turn it down and go for the lower amount! My donor is pretty good. Dr Williams said he can comfortably harvest the 2000 whilst leaving some for the future if necessary. I actually got a call from Farjo today and it has been moved forward to March 2nd - so next week! Very exciting.

Will take photos on the day so there's a full photographic log through to it growing in. They said they will also do some temporary Micro Pigmentation on the old FUT scar as I will be shaving my head to grade zero.
 
U

UnicornHorn

member
I had Greg Williams do mine just over a month ago. I can thoroughly recommend him. You have chosen well. He is ethical, honest and will over deliver. You are in safe hands.
Thanks very much D1 - that's good to hear. That's the exact impression I got from him.
 
U

UnicornHorn

member
Good luck mate, I think you’ve made a good decision. The Manchester clinic is great, you’ll be in good hands there. If you need stay the night before, there’s a premier inn virtually next door.
Thanks Yoo. That's good to hear. Yes, I will be staying as kick off is at 7.30 am on the day. I'll check out the Premier Inn.
 
U

UnicornHorn

member
Do you have any before and after pictures from the hair surgery with Dr Shamalak? Seeing how much ground you lost between the surgery and the break from meds while starting a family will show how beneficial the meds are.
Sorry I'm afraid not. However, the grafts were placed right in front of my hairline with no gap whatsoever. The natural hair butted right up behind the grafts with no visible gap at all. At that age I had no loss or thinning at all other than in the front hairline.
 
Bigmac

Bigmac

Administrator
Staff member
Thanks BM. Yes, when someone thinks they can move more hair into the area, it is hard to turn it down and go for the lower amount! My donor is pretty good. Dr Williams said he can comfortably harvest the 2000 whilst leaving some for the future if necessary. I actually got a call from Farjo today and it has been moved forward to March 2nd - so next week! Very exciting.

Will take photos on the day so there's a full photographic log through to it growing in. They said they will also do some temporary Micro Pigmentation on the old FUT scar as I will be shaving my head to grade zero.

That’s great they’ll SMP the old FUT scar. This will help with the post op healing stage. Having it moved forward is good news, get the ball rolling.
Wishing you all the best.
 
Kevboy

Kevboy

Valued member
Sorry I'm afraid not. However, the grafts were placed right in front of my hairline with no gap whatsoever. The natural hair butted right up behind the grafts with no visible gap at all. At that age I had no loss or thinning at all other than in the front hairline.
This next one will restore you back to your former glory.
 
U

UnicornHorn

member
That’s great they’ll SMP the old FUT scar. This will help with the post op healing stage. Having it moved forward is good news, get the ball rolling.
Wishing you all the best.
Yes I was glad they said they could do that. I am a bit worried about itching out the grafts at night. Do you know of any way to defend against doing this?
 
Bigmac

Bigmac

Administrator
Staff member
Do you regularly scratch your head during the night while sleeping? For the first day or so you’ll be spraying solution on the recipient area, most people don't get that much sleep during this time. Others have went to bed wearing gloves or socks. You can check with the clinic about sleeping with a surgical cap on, the ones similar to shower caps.
 
U

UnicornHorn

member
Do you regularly scratch your head during the night while sleeping? For the first day or so you’ll be spraying solution on the recipient area, most people don't get that much sleep during this time. Others have went to bed wearing gloves or socks. You can check with the clinic about sleeping with a surgical cap on, the ones similar to shower caps.
No I dont, but I remember my head being very itchy after my first transplant, and I woke up one morning itching the recipient area and panicked a bit. I dont think it did any damage that time, but remains a concern that I may do it again this time. Yes, I'll speak to the Dr and clinic about it. Hopefully the solution will help and i'll ask about a cap. I will definitely cut and file down my nails, just incase, and I am considering whether I can tie my hands together with a ribbon/dressing gown belt. I have read that some people use antihistamines to stop itching but i understand these restrict blood supply so not that keen on the idea.
 
Bigmac

Bigmac

Administrator
Staff member
It’ll be good to hear what the doctor suggests. Itching in the recipient area usually begins when the healing kicks in. By then, your grafts are secure. The risk from scratching after that is breaking the skin and possibly the area becoming infected. These instances are rare.
 
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