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By GeneralNorwood · Posted
I remember doing drama before the transplant, but everything turned out fine A wise decision not to rush into the next procedure. -
I had an online consultation with Dr. Guerreiro this past monday in which he said medication before the transplant would not be necessary but it could certainly help. Those are his words, as far as I recall. I also became quite surprised at this radical difference in opinion between one doctor and the other. The reasons given to me by Dr. Guerreiro were that he believes the medication would not help me regain my hair nor would it make a huge difference before the transplant when it comes to density, for example. He seemed genuinely confused as to why Dr. Pinto asked me to do the medication for a full year before a physical evaluation and suggested that perhaps, because they have a long waiting list, it would serve as a way to keep me in that list as I waited for the medication to take effect. I am currently hesitant to post pictures as I am wary of my privacy, however, I have been diagnosed with a Norwood 5 by Dr. Guerreiro. I have nearly no hair on my front, just a tiny patch in the center and my crown's portion is extremely thin, despite having more hair than my front. At least my sides have rather thick hair comparatively speaking, to the extent that, when I wear a beanie, people think I have good hair because I place the sides across my forehead to disguise my hair loss, haha. I was also told my donor area is good and I should have around 8000 grafts in it. When it comes to family history, both my father and grandfather had more hair loss on the crown than the front, with my father having had more hair on his front even in his later years compared to me! Even on my mother's side, my grandfather had decent hair in the front but lacked in the crown area. I appreciate your honesty and do not consider it to be negative, but rather, realistic and cautious, which is exactly what I was looking for by coming here and asking for people's opinions. So thank you. It does seem so far that taking the finasteride plus minoxidil for a year is the way to go. My main concern, however, is if my alopecia does not stabilize and in 2025, Dr. Pinto refuses to do the surgery. Then I will feel like I am a year older and back to square one. The patient coordinator for Dr. Pinto did say that it is "very rare" that a patient's alopecia does not stabilize after a full year on the medication. Let's hope I wouldn't be one of those unlucky few... -
By Buffaloboy · Posted
Day 3 is done and my procedure is now complete. Feels surreal. A lot of time, planning and energy went into this and now it is finished. 3000~ grafts in front 220~ in each temple 1700~ in the crown 200~ in mid scalp I am already thinking about a second procedure to bring the hairline down. In the long run I think I want it a bit closer. -
There are a lot of different protocols people swear by. However, if 5α blockers are to have an effect on hair loss they need to reduce the amount of DHT circulating in your body. If someone cannot tolerate Finasteride because it gives them side effects (actual side effects, not nocebo), I highly doubt they will tolerate Dutasteride. This is simply because if Dutasteride is to have an effect it needs to lover DHT - i.e., the actual culprit of why someone would get Finasteride side effects to begin with. -
By ScottishGuy21 · Posted
I’m a little alarmed here. Dr Guerreiro seems to be rushing you into the chair. The passage on medication personally is a big red flag. In order for a hair transplant to be successful long term medication is important. You mention you have aggressive loss at only 32, you really do need to stabilise these losses before any surgery. Dr Pinto is absolutely correct to remain cautious and see how you respond to medication. First and foremost you need to give them time to see if you develop side effects. These can take months to surface. The other big factor to consider is what happens if you don’t respond positively and continues to recess? On the flip side you could be a hyper responder and it would significantly lessen the work you need doing. Without photos or a detailed history of your family patterns it’s hard to tell but maybe consult with a few other surgeons to gauge their plans and see if there’s and outlier to the advice given. I don’t mean to be a voice of doom btw. I had my first transplant at 34 and know exactly how you feel. You want it done asap and to regain confidence . But trust me 1 year is nothing in the grand scheme of things . It’s far far far more important to get it right for your long term prospects. I’m surprised Dr Pinto is still so cheap comparative to those surgeons operating in Western Europe with similar reputation. €2.60 a graft is a steal.
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