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Old 02-08-2018, 04:01 PM
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Default Am I a good candidate for FUE?

Dear Forum Members,


Have been reading this forum for quite some time but posting for the first time.

Have been taking Finastride and applying Rogaine (intermittently) but just started taking this seriously since the hair loss is at a stage where there's not much left

I'm in houston and I know Dr. Arocha is one of the better surgeons; will schedule some time with him later this month but wanted to take feedback from you guys. I really want a solution to this hair problem and worried about surgery. At one time I was thinking about just non-surgical options.

Am I a good candidate for FUE since I really don't want a scar at the back of my head. See pics. Any other recommendations in houston?

My scalp is Itchy and I use clobex that the dermatologist recommended; my hair is also turning grey....all bad that can happen exists on my scalp. I use Nioxin shampoo; cold pressed coconut oil, Argan oil and what not..no luck on the itch.

Is HT worth it with all these issues? My friend got a hair piece from Hairclub recently (he was completely bald) and it looks pretty good...the issue is he has to go twice a month to hairclub and pay 400 bucks for "maintenance".
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Old 02-08-2018, 04:16 PM
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Quote:
Originally Posted by Panamera13 View Post
Am I a good candidate for FUE since I really don't want a scar at the back of my head.
You have quite a large area to cover there, as for being a candidate for FUE, it's almost impossible to tell without seeing what your donor area at the back of your head looks like, so please provide some clear pics of this area.
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Dr. Tejinder Bhatti MS, DNB, M.Ch (Plastic Surgery), FAIS, FICS (USA) is recommended at the at Hair Transplant Network.
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Old 02-08-2018, 04:35 PM
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Quote:
Originally Posted by Shera View Post
You have quite a large area to cover there, as for being a candidate for FUE, it's almost impossible to tell without seeing what your donor area at the back of your head looks like, so please provide some clear pics of this area.
Thx for the reply. Pic from back attached.
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Old 02-08-2018, 05:23 PM
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Hi Panamera,

My personal opinion is that firstly you still have some hair that should respond to Finasteride use. It should thicken around the crown area somewhat but I think you are too far gone to rely on medications alone.

I think you have a reasonable donor area and if you decide to go down the FUE path then I would recommend you go for a 2 procedure approach.

In the first procedure I think your donor area could give you up to 3500 grafts without over harvesting thus risking scarring/damage to existing precious grafts. These 3500 grafts can be used to rebuild your hairline and your mid scalp with the possibility of a light sprinkle across the crown area. You do have the option of adding beard/chest grafts into the mix.

If all goes well, upto a year down the line you should be in a position where your face is nicely framed by your new hairline and you do not appear to be balding at first sight as you walk into any room. This is the illusion you should aim for.

Seeing where you came from you may be happy with this new look and decide to move on. Alternatively you may wish to go for a second procedure to increase the density across your previously implanted area and address your thinning crown area. In this second procedure you will be able to harvest maybe a little over half the grafts you used for the first procedure. Totaling over 5000 grafts for the 2 procedures you should be able to carry off the illusion of a full head of hair everywhere you go. Obviously bright lights will expose that you do not have the hair of an 18 year old but hey, we all have to live with that!

You do have the added option of SMP, the tattooing of the scalp in order to further enhance the illusion of a full set of hair alongside your implanted grafts.

So in reality, you do have options other than a hairpiece. You do need to manage your expectations, there are no guarantees in any surgery.

Whether its worth it or not is a personal matter for you. I think it really depends on your strength of character and how much baldness effects your life.

It does seem like a long long road but in reality it can be an enlightening experience that for many just flies by.

Also, you are a candidate for FUT, I'll leave it to the FUT gurus to explain your options there.
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Dr. Tejinder Bhatti MS, DNB, M.Ch (Plastic Surgery), FAIS, FICS (USA) is recommended at the at Hair Transplant Network.
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Old 02-08-2018, 09:23 PM
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I would not recommend FUE on a candidate with as advanced of hair loss as you have, your donor will be better-maximized by FUT at this juncture. FUE is best for smaller cases, touch-ups, scar repair, or if FUT is impossible for a patient for physiological reasons such as poor scalp laxity.

All surgery creates scarring, be it FUE or FUT, and short of buzzing your head most FUT patients hide their scars well.

Don't be afraid to travel, I live in Austin and went to Portland, it was well worth it.
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Old 02-08-2018, 09:23 PM
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I agree with a lot of what Shera as mentioned.

edit: and speegs above too :P

In my opinion, you should go with FUT first to maximize your grafts. If you go to a top doc the scar is really minimal and not noticeable at a certain hair length. If you go FUE you will need multiple procedures guaranteed to achieve the result you desire as your hair loss seems extensive. There is host of other reasons why you shouldn't do FUE first as described already by the guys.

I wouldn't limit yourself to just your local area for a HT. Go for the best.

Honestly, to determine if you're a candidate I would do a consult with a top notch surgeon as they would be able provide guidance and a plan to go forward.
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Old 02-09-2018, 09:55 AM
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Thx for all the great comments and info.

I'm ok to travel anywhere in US or to Rahal in Canada or even to India.

Couple of years ago when I came to know about this forum, SMP (Shapiro) was the go to clinic, not sure if that's still the case. I'm in houston and looks like Dr. Arocha has good reviews here.

My worry is the scar with FUT; whenever I see pics of the scar on the back, I think staying bald is better. I keep my hair short on the back and sides, will I need another surgery to "fix" the scar?

Also, based on the pics, what do you guys think - Am I a Norwood 5, 6 or 7?
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Old 02-09-2018, 12:09 PM
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Schedule a consultation with Arocha, though. Go look at his website and YouTube page if you haven’t already. His work is top notch. I don’t know how long you’ve been on fin but you should give that a strong go for at least a year to see how your hair reacts to it. I agree that you’d be best served going for an FUT or two to manage your donor in the best possible way. You can always throw some grafts via FUE and smp into that scar. You could probably cut your hair down to a 3 or 4 on the back of your head.
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Old 02-09-2018, 01:29 PM
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You won't see the scar at a #3 or #4 clip guard.

By the way, Dr. Arocha is excellent too. Always forget about him for some reason!
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Old 02-10-2018, 01:17 AM
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In my opinion due to the large amount of real estate you require covering ( depending on your goal ) FUT would certainly be the better opinion in order to enable to you harvest as many FU as possible short /long term. Obtain a few in house consultation to see what your donor region is capable of and go from there.

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