Hair Restoration Discussion Forum - By and For Hair Loss Patients
Go Back   Forum By and for Hair Loss Patients > Surgical Hair Restoration > Hair Restoration Questions and Answers

Welcome! This forum has over 180,000 posts and 12,000 before and after photos going back several years. To research a topic or physician, click on "Search" and enter the name.

You are currently a guest with limited access. By joining our FREE community you can post on this forum, reply privately to other members and or create your own profile, blog and photo album. Registration is easy, private and free so Join Today!

If you have any problems with the registration or login process, please contact us. If you are new please visit our FAQ.

Hair Restoration Questions and Answers Post a question for other knowledgeable forum members here. Any hair loss sufferers with good advice are also encouraged to respond.

Reply
 
LinkBack Thread Tools Search this Thread Display Modes
  #1   Top  
Old 08-04-2012, 03:32 AM
fitnessjunkie's Avatar
Senior Member
Hard Core Real Hair Club Member
 
Join Date: Aug 2012
Posts: 114
Last Online: 08-15-2014 08:03 AM
Default 26 years old and contemplating a hair transplant

Hi all,

I'm a long-time lurker and this is my first post!

I'm 26 years old, and have been contemplating a hair transplant for some time. I started slowly losing my hair around 19/20yrs old. In the last 3 years I have irregularly used propecia and minoxidil. However, the longest I've ever used minoxidil is only about 3 months straight (obviously not enough time for any sort of results). I shave my head weekly and use dermmatch daily as a concealer on the temples and crown. However - I'm sick of this!

Over the next 12 months, I will be taking 1.25mg propecia and applying 5% Minoxidil daily. At the end of this period, I'd like to re-assess where my hair growth/loss is at and contemplate possibly going ahead with a FUT or FUE transplant. I'm willing to travel (US/Canada) and the cost is not a huge issue. I'm an aspiring fitness model and simply have no chance of going anywhere with my current crop of hair! It's not just that though - my hair loss has been affecting my confidence for a long time now.

I've attached various pictures that were taken today after a 1 clipper shave (my scalp may look oily as I applied Minoxidil before the photos were taken). I've clearly got a receeding hairline, some thinning in the mid-scalp and a nice bald patch on the crown. I'm hoping the propecia/minoxidil will at least stabilise hair loss and possibly (hopefully) thicken my hair a little in the vertex and crown.

Interested in people's thoughts! I'll add some more photos in a week when my hair grows out a little.

Cheers
Attached Thumbnails
Click image for larger version

Name:	24_aug_12_1.jpg
Views:	0
Size:	57.5 KB
ID:	32763   Click image for larger version

Name:	24_aug_12_2.jpg
Views:	0
Size:	51.3 KB
ID:	32764   Click image for larger version

Name:	24_aug_12_3.jpg
Views:	0
Size:	57.4 KB
ID:	32765   Click image for larger version

Name:	24_aug_12_4.jpg
Views:	0
Size:	58.8 KB
ID:	32766   Click image for larger version

Name:	24_aug_12_5.jpg
Views:	0
Size:	62.2 KB
ID:	32767  

Click image for larger version

Name:	24_aug_12_6.jpg
Views:	0
Size:	65.7 KB
ID:	32768   Click image for larger version

Name:	24_aug_12_7.jpg
Views:	0
Size:	28.8 KB
ID:	32769  
Reply With Quote
  #2   Top  
Old 08-04-2012, 08:33 AM
richie48's Avatar
Senior Member
Mentor Real Hair Club Member
 
Join Date: Nov 2007
Location: east yorkshire , UK
Posts: 653
Last Online: 02-03-2014 12:23 AM
Default

Hi bud

You're young and have lost alot of hair , certainly from the crown , you seem to understand how this all works and have done some research .

I agree with you that for now 12 months on finasteride /propecia will definatly be the way to go , minoxadil didn't seem to help me much and irritated my scalp so I gave up on the topical cream .

I had a great result from just using finasteride to stablize and increase growth in the mid section and crown , I too started using 1.25mgs , now I cut 5mg finasteride into 6ths and only use 0.8mgs daily and have not seen any decrease in stablization of my hairloss .

Hts are a very long term fix and should not be rushed into without a long term plan , unfortinatly you do seem destined to be a nowood 4 vertex leading to a norwood 5 if the front temples reach the crown , I had a very similar loss pattern but it was more than ten years later than you .

I also feel results from fue are not as good as fut results , both have good points and both have limitations , you will need more that 4000 grafts even to help you now , thats a big ask from fue , i know it has been done but the results and yeald are not as good and consisitant as fut yet .

However fut leaves a smiley scar there is no way you'll conceal it shaving as low as you are now , it's gamble and its a big choice to make , and be under no illusion hts are no quick fix .

If I were you and this is my opinion formed from 8 years of research , having two HTs and taking finasteride daily , plus your age and level of loss , is to get on finasteride 1.25-0.8 daily , forget about the minoxidil , stay on fin religiously for at east 12 months . Then providing you have no side effects and are responding well , stay on it for the next 5-6 years , watch for advancements in HTs and the tecnology surrounding the HT and hair restoration world and see where you are at when you enter your 30s .

I know this is proberbly not what you want to hear but I think this is the best way of avoiding any life changing mistakes .

Good luck bud and I hope this helps .
Richie
__________________
2100 crown grafts
Dr Feller
nov 2007
Reply With Quote
  #3   Top  
Old 08-08-2012, 02:59 PM
mattj's Avatar
Senior Member
Follicular Salvation Club Member
 
Join Date: Oct 2009
Posts: 1,286
Last Online: 07-28-2013 02:55 PM
Default

Photos with a shaved head are very difficult for doctors to accurately assess. It's hard to tell exactly how strong the hair is in areas such as your mid-scalp, where hair does remain but is beginning to thin.

It's clear that you've lost quite a lot of hair at the crown, along with the frontal recession. It's wise to give the treatments a chance. I would suggest that FUT is probably the best choice for providing enough grafts to cover both the front and the crown.
__________________
------------------------------

I represent Dr Rahal.
Reply With Quote
  #4   Top  
Old 08-09-2012, 09:47 AM
fitnessjunkie's Avatar
Senior Member
Hard Core Real Hair Club Member
 
Join Date: Aug 2012
Posts: 114
Last Online: 08-15-2014 08:03 AM
Default

Thanks for the reply gents. I will continue with both finastride and minoxidil for the 12 month period and hopefully take monthly progress photos, although this time I'll take them with a week or so growth, rather than freshly shaved.

And mattj, from my research, Dr Rahal is currently among the top of my pick of surgeons once it's deemed what is best for my case.

I will continue to update this thread in due course.

Cheers!
Reply With Quote
  #5   Top  
Old 08-09-2012, 09:59 AM
BadBeat's Avatar
Senior Member
Guru Real Hair Club Member
 
Join Date: Oct 2011
Posts: 289
Last Online: 10-16-2014 12:59 PM
Default

Well, for what it's worth, you look pretty good with the shaved head. It also doesn't hurt that you are ripped!

I think you're approaching this the right way. If you are interested in keeping your hair really short or shaved you could plan out some FUE sessions that will give you the outline of a hairline and fill in the crown so it would look like you had a full head of hair but just chose to keep really short. The density probably wouldn't be there to grow it out though. You could also supplement with SMP to make it appear even denser. I think it would be a good look to go along with your athletic build.

There are a few of those types of cases documented in this forum that you could search for. Good luck!
Reply With Quote
  #6   Top  
Old 08-09-2012, 10:15 AM
fitnessjunkie's Avatar
Senior Member
Hard Core Real Hair Club Member
 
Join Date: Aug 2012
Posts: 114
Last Online: 08-15-2014 08:03 AM
Default

Quote:
Originally Posted by BadBeat View Post
Well, for what it's worth, you look pretty good with the shaved head. It also doesn't hurt that you are ripped!

I think you're approaching this the right way. If you are interested in keeping your hair really short or shaved you could plan out some FUE sessions that will give you the outline of a hairline and fill in the crown so it would look like you had a full head of hair but just chose to keep really short. The density probably wouldn't be there to grow it out though. You could also supplement with SMP to make it appear even denser. I think it would be a good look to go along with your athletic build.

There are a few of those types of cases documented in this forum that you could search for. Good luck!
Hi BadBeat,

Thanks for the comment.

I have been thinking about taking the FUE route - to give me the sharper hairline and to fill in the crown. I understand this won't give me fantastic density, especially growing the hair out longer, but this the option you suggested could certainly be a possible solution and it's something I've been thinking about. I've gone through some 40+ pages and looked at hundreds of cases of FUT and FUE hair transplants and did come across a few FUE cases where guys have got the above scenario done. That is is certainly a possibility for me, but obviously keen to see how the medication goes over the next 12 months before a decision/consultations are made.

In regards to SMP, I have not yet looked into this. I use Dermmatch daily.. so in a way, I guess it's just more of a 'permanent' Dermmatch. I'll search for some cases of SMP to extend my research.

My hair is probably the only thing in my life that I stress/worry about. I am quite a confident dude... but I just want to be able to leave my house without wearing concealer and without worrying about my hair!

Cheers
Reply With Quote
  #7   Top  
Old 08-11-2012, 02:03 AM
fitnessjunkie's Avatar
Senior Member
Hard Core Real Hair Club Member
 
Join Date: Aug 2012
Posts: 114
Last Online: 08-15-2014 08:03 AM
Default

I've attached some photos taken today as I haven't shaved in about 6 days.

My hair looks shocking. Any thoughts on the donor region, it appears I'm thinning out at the back below the crown... is this compromising my donor region and the number of potential grafts I may be able to get?
Attached Thumbnails
Click image for larger version

Name:	IMG_0113.JPG
Views:	0
Size:	56.2 KB
ID:	32929   Click image for larger version

Name:	IMG_0115.JPG
Views:	0
Size:	56.5 KB
ID:	32930   Click image for larger version

Name:	IMG_0117.JPG
Views:	0
Size:	66.8 KB
ID:	32931   Click image for larger version

Name:	IMG_0116.JPG
Views:	0
Size:	68.7 KB
ID:	32932   Click image for larger version

Name:	IMG_0123.JPG
Views:	0
Size:	84.4 KB
ID:	32933  

Reply With Quote
  #8   Top  
Old 08-11-2012, 05:33 PM
1978matt's Avatar
Senior Member
Follicular Salvation Club Member
 
Join Date: Apr 2012
Posts: 1,647
Default

Quote:
Originally Posted by fitnessjunkie View Post
I've attached some photos taken today as I haven't shaved in about 6 days.

My hair looks shocking. Any thoughts on the donor region, it appears I'm thinning out at the back below the crown... is this compromising my donor region and the number of potential grafts I may be able to get?
Hi

There's a lot of loss there which is close to the donor area. I'm no expert but I don't think you should get strip surgery.

I'm not sure you will be able to get enough FUE either and there is always a bit of a risk with dot scars.

You might be better off sticking with the shaved look until a scientist comes up with a better option!
__________________
4,312 FUT grafts with Ray Konior, MD - August 2013
Regimen:
1. Propecia 1mg per week
2. Boots Ketoconazole Shampoo once per week
3. Wellman Tricologic one tablet a day

My HT results thread and video
Reply With Quote
  #9   Top  
Old 08-14-2012, 08:36 AM
Spanker's Avatar
Senior Member
Celestial Follicle Club Member
 
Join Date: Jul 2010
Posts: 3,786
Last Online: Yesterday 10:50 PM
Default

Quote:
Originally Posted by fitnessjunkie View Post
I've attached some photos taken today as I haven't shaved in about 6 days.

My hair looks shocking. Any thoughts on the donor region, it appears I'm thinning out at the back below the crown... is this compromising my donor region and the number of potential grafts I may be able to get?
You would not be able to where your have as short as it is in the 1st pics with FUE done either, but you could get away (assuming everything went well) with this six day growth look.


I kind of feel like you are too you for anything considering your level of loss.

Good luck in whatever you decide!
__________________
I am an online representative for Dr. Raymond Konior of Chicago Hair Institute.
You can email me at Spanker.CHI@gmail.com
View Spanker's Website
I am not a medical professional and my opinions should not be taken as medical advice.
Reply With Quote
  #10   Top  
Old 08-14-2012, 08:50 AM
s2thoudriver's Avatar
Senior Member
Mentor Real Hair Club Member
 
Join Date: May 2012
Location: Manchester England
Posts: 485
Last Online: 10-03-2014 07:52 AM
Default

4000 FUE and SMP and you will have great results.

You still have hair in the mid section on the top of your scalp, so it's just hairline definition, fill the crown and some dense packing to compensate for any future loss (which you should maintain if you are taking meds).
__________________
2800 FUE, Istanbul with Health Travel International
Reply With Quote
Reply

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On



All times are GMT -5. The time now is 02:57 PM.