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 07-09-2017, 04:23 PM
hairman22's Avatar
Junior Member
Veteran Real Hair Club Member
 
Join Date: Jun 2017
Posts: 26
Last Online: 11-13-2017 11:38 AM
Default Should I get a transplant on My Crown/Vertex top of Head

Hi

I am 27 years old. I have had 2 transplants using 1500 & 1200 grafts for my hairline mostly.

Just had my 2nd transplant in May.

I ma currently using fin 2 years & minoxidial for 2 years(I did stop minox & lost some hair near crown.

My doctor has said I have excellent donor hair which is good news.

But I am thinking about arranging another transplant for my vertex area as I don't believe I received enough grafts in this area . I may have suffered shock loss in this area also.

1st pic March 2015 no fin or transplant

2nd pic pre op May 2017.

3rd pic post op May 2017

4th pic July 2017 hair has shed
But did I recieve enough grafts in the vertex area just in front of crown?
Attached Thumbnails
Click image for larger version

Name:	1426886315208.jpg
Views:	0
Size:	11.3 KB
ID:	109659   Click image for larger version

Name:	thumbnail_May 2017 2jpg (2).jpg
Views:	0
Size:	86.2 KB
ID:	109660   Click image for larger version

Name:	thumbnail_May 2017 3 (4).jpg
Views:	0
Size:	116.0 KB
ID:	109661   Click image for larger version

Name:	thumbnail_IMG_20170622_101537.jpg
Views:	0
Size:	305.7 KB
ID:	109662  
Reply With Quote
  #2   Top  
Old 07-09-2017, 04:36 PM
hairman22's Avatar
Junior Member
Veteran Real Hair Club Member
 
Join Date: Jun 2017
Posts: 26
Last Online: 11-13-2017 11:38 AM
Default

1st pic 4 weeks post op June 2017

2nd pic 2 weeks post op

3rd pic today 2 months post op. Hair is under light there so looks worse but I am unsure I have enough grafts for vertex plus mid scalp.
Attached Thumbnails
Click image for larger version

Name:	hair 5172.jpg
Views:	0
Size:	319.2 KB
ID:	109663   Click image for larger version

Name:	hair517.jpg
Views:	0
Size:	210.6 KB
ID:	109664   Click image for larger version

Name:	hair717.jpg
Views:	0
Size:	136.4 KB
ID:	109665  
Reply With Quote
  #3   Top  
Old 07-09-2017, 07:38 PM
Spanker's Avatar
Senior Member
Follicular Master
 
Join Date: Jul 2010
Posts: 5,491
Last Online: Today 11:39 PM
Default

Keep your grafts for the frontal third for now. You have shock loss now and are at your low point. Stay on fin, wait a year, and reevaluate.
__________________
I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians.

View Dr. Konior's Website
View Spanker's Website
I am not a medical professional and my opinions should not be taken as medical advice.
Reply With Quote
  #4   Top  
Old 07-10-2017, 09:11 AM
hairman22's Avatar
Junior Member
Veteran Real Hair Club Member
 
Join Date: Jun 2017
Posts: 26
Last Online: 11-13-2017 11:38 AM
Default

Quote:
Originally Posted by Spanker View Post
Keep your grafts for the frontal third for now. You have shock loss now and are at your low point. Stay on fin, wait a year, and reevaluate.
Will those shock loss hairs come back?
Reply With Quote
  #5   Top  
Old 07-10-2017, 09:46 AM
DrJosephitis's Avatar
Member
Veteran Real Hair Club Member
 
Join Date: May 2013
Posts: 61
Last Online: 08-15-2017 03:23 PM
Default

hairman22,

It appears you have very early thinning in the vertex at this point. You may be correct that you also have a little shock loss, although it is less likely because the last transplant was in the frontal region.

Some surgeons, like myself, do not like to do any work in the vertex in young patients.(<35 yoa) The reason is that we are not sure how your hairloss will progress. Typically starting to lose hair in your early 20s signals that you will have severe thinning for the rest of your life.
It is great that you are on finasteride and minoxidil. These will go far for helping to prevent more loss.

Even if you decided that you still wanted transplants in the vertex, I don't believe it would make a tremendous difference for you. It is a strange reality, but placing some grafts in an area with only a little thinning doesn't make as much as a difference as placing grafts in a very bald area. I believe you would be disappointed. Also, placing grafts in an area with already a fair amount of existing native hair could injure the native hair there.

The best bet would be to consider growing you hair slightly longer to better cover the crown. Also, you could use topical coverup such as Toppik or the more permanent SMP to create an illusion of more density.
Reply With Quote
  #6   Top  
Old 07-10-2017, 10:04 AM
hairman22's Avatar
Junior Member
Veteran Real Hair Club Member
 
Join Date: Jun 2017
Posts: 26
Last Online: 11-13-2017 11:38 AM
Default

Quote:
Originally Posted by DrJosephitis View Post
hairman22,

It appears you have very early thinning in the vertex at this point. You may be correct that you also have a little shock loss, although it is less likely because the last transplant was in the frontal region.

Some surgeons, like myself, do not like to do any work in the vertex in young patients.(<35 yoa) The reason is that we are not sure how your hairloss will progress. Typically starting to lose hair in your early 20s signals that you will have severe thinning for the rest of your life.
It is great that you are on finasteride and minoxidil. These will go far for helping to prevent more loss.

Even if you decided that you still wanted transplants in the vertex, I don't believe it would make a tremendous difference for you. It is a strange reality, but placing some grafts in an area with only a little thinning doesn't make as much as a difference as placing grafts in a very bald area. I believe you would be disappointed. Also, placing grafts in an area with already a fair amount of existing native hair could injure the native hair there.

The best bet would be to consider growing you hair slightly longer to better cover the crown. Also, you could use topical coverup such as Toppik or the more permanent SMP to create an illusion of more density.
I think it is a bit worse than early thinning especially post op. I have got some grafts placed there already just unsure if I got enough.
Reply With Quote
  #7   Top  
Old 07-12-2017, 05:58 AM
hairman22's Avatar
Junior Member
Veteran Real Hair Club Member
 
Join Date: Jun 2017
Posts: 26
Last Online: 11-13-2017 11:38 AM
Default

Also my hair has turned more grey pretty quick since transplant.

Both in donor area behind and in area's on top of head. Very annoying at 27.
Reply With Quote
  #8   Top  
Old 07-12-2017, 05:17 PM
gillenator's Avatar
Senior Member
Celestial Follicle Club Member
 
Join Date: Feb 2004
Location: United States
Posts: 3,062
Last Online: 11-14-2017 05:47 PM
Default

If you did experience any shock in the mid-scalp and vertex, you want to give enough time for it to recover before adding any grafts.

Hard to say how much more you will lose in the frontal zone so if it were me, I would make sure that my restoration in the frontal zone into the mid-scalp was to my satisfaction before committing too many grafts into the crown/vertex area.

The crown can demand as much as 65% of one's available donor supply and can progress with much more loss in the coming years.

You are still very young so you want to manage your donor as prudently as possible. You can always add some beard grafts in the crown area as well.
__________________
Gillenator
Independent Patient Advocate

I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk.

Supporting Physicians: Dr. Glenn Charles, Boca Raton, FL - Dr. Jim Harris, Denver, CO - Dr. Robert True & Dr. Robert Dorin, New York, NY
Reply With Quote
  #9   Top  
Old 08-16-2017, 04:58 PM
hairman22's Avatar
Junior Member
Veteran Real Hair Club Member
 
Join Date: Jun 2017
Posts: 26
Last Online: 11-13-2017 11:38 AM
Default

Hello

I have had some good/bad news since 1 month ago

I started using CR Labs regime with very good results in one month. It is very expensive but it does work as my pics show. My hair is longer but had regrowth no doubt about & my grafts have not grown in yet. At the moment certaintly don't need a transplant.






But after 2 years on fin I have develped sides & have to go off.

I am worried I will lose alot of hair.

But I will be using the CR Labs programme which has helped me so far.

-Yellow Line(Sebum) will be switching to Green(hair loss prevention)
- Havogen 5 patches
- Hair Max Laser Comb 3 times. 2 times straight after using the CR Labs Shampoo's.
- Minox

I also am only 3 months after my 2nd transplant which was shown in OP.

Last edited by hairman22; 08-17-2017 at 06:20 AM.
Reply With Quote
  #10   Top  
Old 08-18-2017, 05:14 PM
gillenator's Avatar
Senior Member
Celestial Follicle Club Member
 
Join Date: Feb 2004
Location: United States
Posts: 3,062
Last Online: 11-14-2017 05:47 PM
Default

Can you talk to your doctor about the possibility of using a topical finasteride product?
__________________
Gillenator
Independent Patient Advocate

I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk.

Supporting Physicians: Dr. Glenn Charles, Boca Raton, FL - Dr. Jim Harris, Denver, CO - Dr. Robert True & Dr. Robert Dorin, New York, NY
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 11:43 PM.