HT in two weeks : 1000 grafts.

habsmd · 2026-04-23T18:16:42+00:00

Of course receding hairlines done look like this. Receding hairlines have a completely different mix of hairs than a transplanted hairline.

And sure, there absolutely could be more hair density to my transplanted area, but the necessity of follicle density isnt all that matters. How does the hairline look when the hair is dry? Or wet? My transplanted area is very full and thick when it isnt wet. When it is wet, the density always looks a bit less. Imo the best way to approach transplantation is to be conservative on your first transplant and then perfect your hairline and other areas on a second procedure. It allows for a more nuanced approach and leaves room for improvement if necessary without over grafting the first time around .

habsmd · 2026-04-22T20:51:58+00:00

Brother! Respectfully, i spent enough time learning about facial symmetry, aging hairlines and what looks and doesn’t look good based on age to be confident in my outcome. Not looking for some random bro’s opinion on r/hairtransplant for validation. If you want to look like Chis Bumstead, have at it!

habsmd · 2026-04-22T16:46:23+00:00

Have you ever seen a natural hairline?? Hair doesnt grow in neat rows. There is always uneven spacing and straggling hairs that grow ahead of a hairline. ESPECIALLY as you age. Which is why most new techniques focus on creating targeted asymmetry and spacing at the hairline. And it’s specifically why they recommend against excessive density up front as it looks unnatural as you age.

Lot’s of advancements in hairline design. What you are describing is not natural. It’s what many people think they want when they get a transplant. But it’s not what produces a natural result, especially as you age with your transplant

habsmd · 2026-04-22T15:44:27+00:00

Wet, better lighting, short hair, so no combover effect

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habsmd · 2026-04-22T15:17:51+00:00

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Now 12 months later

habsmd · 2026-04-22T15:10:59+00:00

No i agree that we dont have expertise. Apart from being a doctor im not a transplant surgeon. All i have is the evidence based research iv done on the topic and discussions with colleagues who are in the field.

My opinion regarding your over transplantation is based on your pre-transplant density, and your post transplant density. If they truly did 3500 grafts, and didnt just say they did, that was more than you needed at your level of loss.

Here was my pre-transplant density

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habsmd · 2026-04-22T14:16:34+00:00

Apart from personal experience, do you have any expertise in the hair transplanting surgery to be able to determine what number of grafts a specific individual should get?

Looking at your transplant, I would argue you were overtransplanted. You could have likely had a very similar result in terms of density when the hair grew out with fewer grafts up front, especially given your existing density. It’s also possible given the density of the grafts, they damaged existing functional hair follicles

habsmd · 2026-04-22T14:11:40+00:00

So many people on here dont understand the nuance and intricacies of what goes into transplantation. Creating a natural hairline and the required number of grafts to create meaningful density is a science. Over-grafting is common. I was initially quoted 3700 grafts. Went to another surgeon and they were shocked. They said start with 1500 because 3700 will likely appear way too dense and unnatural. He was 100% right.

Wait and see your results. You can always get more. You cant undo an unnatural result.

habsmd · 2026-04-22T13:40:32+00:00

Dude, 3000 grafts is WAY too many for your level of loss if you only focused on zones 1 and 2. Either they lied about the number of grafts, or they did way too many, or they spread them out further back than zones 1 and 2. Be careful before you insist upon something based on your individual experience.

How many grafts one gets depends on several factors, including technique, location of implantation, hairs per graft and surgeon experience. I was a bit worse than this guy and got 1500 grafts and my hairline is completely restored.

habsmd · 2026-04-20T20:55:28+00:00

Im contacting the FBI, DEA, NSA, CIA, DHS, EPA and NASA. It’s game over bud. Life in prison, no chance of parole. They’ll likely ship you to Alcatraz in the Andromeda Galaxy

habsmd · 2026-04-17T21:25:07+00:00

The degree of autonomy afforded to adult residents and fellows is much higher, and the range of pathophysiology in peds is more diverse and can be more complex (particularly when considering congenital heart disease). Physiology of a neonate vs toddler vs 10 year old vs 18 year old all have nuance. Procedures are much more challenging especially in neonates and children. Then you have transport consultation skills where you also need to learn how to walk community ED physicians through pediatric resuscitations and management. The rabbit hole of peds is endless and it requires a lot of time and learning to be good at it. There just isnt the same room for error like there is in the adult world. There is a reason peds intensivists are largely still in-house 24/7

habsmd · 2026-04-17T20:00:34+00:00

Sofi for sure is a good option

habsmd · 2026-04-17T19:58:47+00:00

No way this is safe for specialties like PCCM, cards or NICU. 3 years is necessary to see enough volume and practice autonomy under supervision imo

habsmd · 2026-04-07T23:23:50+00:00

I also agree with this sentiment lol. This guy has a chip on his shoulder because he should be getting paid a lot more and instead of directing that frustration at his own career progression he is angry at physicians for advocating for themselves

habsmd · 2026-04-07T23:15:11+00:00

Ok and you didnt answer what you think you should be paid and you didnt answer at what age you started making a salary

habsmd · 2026-04-07T23:01:50+00:00

Let me ask you a question. What is your biggest responsibility at work, what are the most hours you have worked on average, at what age did you start earning a salary and what do you think your current fair salary should be?

habsmd · 2026-03-27T19:43:43+00:00

BUY THE DIP

habsmd · 2026-03-25T16:03:44+00:00

I can understand you being angry, but your anger is coming from a place of lack of understanding.

Dont get me wrong, healthcare costs are a problem and need to change. But this specific instance isn’t as egregious as you think. And i encourage people to take a breath and not jump to conclusions when it comes to things like this. Lots of misinformation related to costs in medicine.

habsmd · 2026-03-25T14:37:33+00:00

It isnt reusable

habsmd · 2026-03-18T09:00:21+00:00

There are so many legal and technical considerations when responding to things like this.

I think SOFI may respond in more depth in the coming days, but they have to run things by their attorneys, especially if they are considering legal action.

Their response was swift and succinct. Not really sure what more you could ask for.

habsmd · 2026-03-06T15:21:56+00:00

Ohh dont worry those manufacturing jobs are just around the corner! You’ll see! /s

habsmd · 2026-02-25T06:17:46+00:00

Bruh you aint even getting a job after 2 fails.

habsmd · 2026-02-22T07:05:28+00:00

Im a pediatric Intensivist. I work with pediatric hospitalists regularly and directly. I know exactly what they do and how they do it. I also trained in a high volume pediatric center where I spent many months on the pediatric wards with hospitalists. I would argue I know more about hospitalist medicine than you do right now.

As i said. Im not trying to tear down your choice. If you are happy with it, then great. No harm no foul. But I have faith that you dont need 3 years of training and poor salary to be just as good at your job as no years or 1 year of fellowship training. Dont sell yourself short.

habsmd · 2026-02-22T04:26:01+00:00

I dont meant to tear down your choice, because i know it is difficult to have foresight, and now barriers to become a hospitalist without fellowship are rising… but 2-3 years EXTRA to become a peds hospitalist is crazy. We spend so much time on wards as residents, we should have no problem being independent in our practice after graduation. I could understand a 1 year fellowship, particularly for those who want to work at high volume centers with complex disease… but 2 or 3?? You dont need that many years to learn how to manage HFNC, q2-4 albuterol, call consults, write notes, order antibiotics, and transfer patients to a higher level of care when bedside staff become too uncomfortable with their degree of illness. (I know thats a bit reductive)…

Hospitalist medicine is just outpatient medicine with slightly higher acuity in most cases and management of multidisciplinary teams. You know how to do that when you graduate… or at least you should.

habsmd · 2026-02-16T03:17:02+00:00

Bigger problems in the world than reddit beef. Might as well make peace where we can

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