Nice early progress.
I too have had those dry scalp flakes and still occasionally even now 9 months after, I think it’s just areas of the scalp still healing itself and when I’ve tried to brush them out when hair was dry that’s when a fine hair or a few would come out as well so I found leaving a good natural shampoo or conditioner on the area to soak for 5-10min helps soften the flakes to come off when wet without any hair coming off.
About to consult with a few docs, and was wondering what you would do in my situation - just to get some second opinions from this valued forum.
I'm 28, NW 2/3. Started noticing temple recession about 3 years ago, but may have started earlier.
Been on finasteride (Propecia) & minoxidil for about two years, seemed to have slowed the recession, and given minor new recruitment in temple regions.
Family history: Father's side, all bald, or a NW 6/7. Older brother is a NW 5/6. Mother's side = not much balding really.
I'm debating whether I:
a) Go unshaven at the front, and just get a couple thousand grafts to fix the temples and lower the hair line a little. I'm conscious on not going too aggressive, as I may need many more grafts down the track.
b) Get more grafts further back as a preventative to cover the hair that I haven't lost yet.
For reference, I am considering Dr. Lupanzula, Dr. Kesser (if graft estimate is low enough), or Dr. Sethi at Eugenix - as these doctors have quite a few patients with a similar NW pattern. I'm living in New Zealand, so I'm going to travel regardless.
Eager to hear your thoughts, and the input is greatly appreciated
Note: Some of these pictures seem a bit better than how it appears in person, without the remainder of my face for contrast.
Update: Just over 4 months. I have included some photos from just before 4 months and some i took yesterday. Also a couple are before and after a haircut.
Temple points and the left and right corners of hairline have grown in really well. I never shed any hair from the temples at all, and the very left and right hairline areas shed was only around 60%. I noticed the hair starting to re-grow just after 3 months.
Only concerns have been that I developed some sort of dermatitis on the recipient area. I think this has been from a very dry scalp, I have been using some olive oil and tee-tree oil that has helped. The problem with it is that when these "flakes" fall or brush out they have hair attached to them (picture included). I would have been further along in terms of growth if i did not have this issue, as the hair needs to regrow again.
I went to see my doctor and she gave me some strong topical treatment (forgotten name) and one of the side affects is increased hair growth. I have been a bit scared to use it as it seems to be one of the strongest out there.
Picture of the "flakes"
Hopefully I will get some more density in the next few months, but happy how things are progressing.