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Showing content with the highest reputation on 08/01/2020 in all areas

  1. I wouldn’t do anything aggressive at all that would potentially dislodge the grafts for the first 10 days. You should follow your doc’s instructions so that way down the line there are no questions asked that maybe you did something to hinder your results. One thing I can recommend to you is to use to gently apply some organic jojoba oil on the dried blood and leave it on for a couple hours before the indirect sponge washing your doing. That can help loosen them up. Jojoba oil is the least irritating oil and shouldn’t cause any irritation and won’t clog your pores.
    2 points
  2. Nothing regrows hair. Nothing. The medical therapies we refer to when dealing with this debilitating condition are Propecia, Rogaine, Laser and PRP. They mechanism of each is totally different and are thus synergistic when used simultaneously. These can help retain and, in some cases, can help enhance hair. The goal of doing any type of therapy is to help retain. So, if you look the same a year later, the meds did what they were intended to do. If you look like you have more hair, (experienced enhancement of the miniaturized hair), that's just icing on the cake. (At which point continue with the meds and don't stop. It is important to realize only a small percentage of people do experience this). The problem I find, and makes things confusing for most, is the fact most people rely on observation. If they see hair on the tub, sink etc, they think they're losing hair when in fact, they are just experiencing normal shedding. Conversely, if they "see" a substantial benefit they are under the erroneous idea they grew hair when - in fact - they experienced enhancement.
    2 points
  3. Not trying to sound like an expert by any stretch, but Rogaine and Finasteride don't grow 'new' hair. The number of hairs -hair follicles that you are born with are all you'll ever have. Unless you sustain an injury/burn on your scalp or a disease that destroys those follicles they continue to produce hairs throughout your life, even on the guy with the smoothest bald head you've ever seen. That bald spot is covered with hairs, its just that they are so small, miniaturized, that you can hardly see them even close up. Rogaine works by increasing blood flow, nutrients to the hair follicles, increasing the growth cycle times of your various hairs so that more of them are in the growing phase at the same time, thus giving you a more fuller head of hair appearance. Finasteride limits the levels of a hormone called DHT in your bloodstream. DHT can attach to hair follicles on your scalp and cause them to shrink and produce smaller less visible hairs. If you had to make a choice and only take finasteride or Rogaine, finasteride works better. And it's more likely to work -which is another way of saying more guys don't respond to Rogaine than Finasteride. But actually its best to take them both if you can to maximize the fuller hair appearance. A small minority of guys report sexual side effects with finasteride, but some of this is just guys psyching themselves out knowing that its a possible side effect, and already being under stress of trying to cope with losing their hair.
    2 points
  4. Thanks buddy I will do a full report all of my surgeries with pictures and well documents reviews of all the doctors I have been too It will take a long time but I think it can help people to see what can be achieved Thanks again
    2 points
  5. This is a patient who came in for follow-up for an FUE procedure back in 2018. He had wanted to fill in his temples. We transplanted 67 single grafts, 489 double grafts, and 160 big grafts, for a total count of 716 grafts. He is very happy with the improvement to this temples and cannot detect any of the FUE extraction sites. Dr. Nakatsui https://drnakatsui.com
    1 point
  6. Users of this forum are (correctly, IMO) very conservative about recommending hair transplants, especially to someone who might not need it. Surgery is always a last resort and risks and rewards should be considered carefully. However I also believe that the risks and rewards should be assessed accurately, without weight for or against surgery. You obviously have fantastic hair, but I think there is room for cosmetic improvement should you wish for it. @ciaus has a nice markup of some potential work that could be done, namely a lowering of the hairline and filling in of temples. There's been good cases posted on this forum of people with generally strong hair who have had a procedure to lower their hairline slightly such as: Dr. Bloxham also has cases with minor loss, turning good hair to great hair. The problem is that dropping the hairline is pretty graft-costly because you NEED density to match the thick hair you have behind it. In your case that will probably be over 2,000 grafts.
    1 point
  7. Giant blood rivers, corn rows, trying to sneak on a plane, business tripping international man of mystery ..there's the beginnings of a book or even a movie in all this. LMAO good luck and take care
    1 point
  8. How soon after a hair transplant can you wear a hat or cap? To avoid damaging the fragile new hair grafts we recommend that you wait until six days after your hair transplant before wearing a hat. If you need to cover your scalp before the sixth day, it may be possible to wear a very loose-fitting hat or light hood, providing it does not come into contact with the grafts.
    1 point
  9. Follow your Drs Instructions. Do not wear a tight hat! You could damage the grafts.
    1 point
  10. Great questions. No, unfortunately, finasteride doesn't regrow hair, as others have said. Finasteride is a 5-alpha reductase inhibitor that blocks the conversion of testosterone to the more potent androgen DHT. Hence, those hair follicles with DHT receptors will be less likely to regress as there's less circulating DHT. I think the most likely scenario is surgically implanting cloned hair. I would say the technology for this is about 20 years away.
    1 point
  11. It's not 'my way', as I have never had this technique performed, or developed the methodology for mainstream use of it either - I am simply an intrigued observer, of a new concept that seems to be gaining some ground and producing some interesting results. I'm glad to hear you have had success with BHT scalps planted into your recipient - I have seen lots of results online where they have looked fantastic. My curiosity stemmed from the limitations that BHT grafts have (anagen phase, HGI tends to be 1FU, different texture to native scalp etc) - therefore wanted to ponder whether this was going to be a viable method to really enhance HT procedures, and allow for further donor depletion.
    1 point
  12. You need approximately zero grafts. Your hair is fine, don't f it up.
    1 point
  13. Fantastic unbiased content Melvin! I would add, the surgeon's ability to do all types of HT. Most dodgy clinics in Turkey can only do FUE for instance because it's easier to train a non-medically trained person to perform it.
    1 point
  14. The head size and hair calibre differ in each individual. An average pf 2500 to 3000 grafts would be sufficient for Norwood Grade III. However, it also depends on how low or how high the hairline is chosen. Also taken into account is the factor whether the patient is willing to take Finasteride or not. Depending on the patient's history, if there is a vast degree of baldness in the family then the patient would also follow in the same direction. Hence a comservative approach would be chosen to use less grafts and conserve for more in the future. The density of 40 hair per sqcm seems dufficient for the hairline zone. In the mid scalp, however? 30 hair per sqcm seems to do the trick as it is an aesthetically non important area.
    1 point
  15. Those are good estimates, another thing to consider is hair thickness. A Norwood 3 with thick hair can probably get away with half the grafts of a Norwood 3 with fine hair.
    1 point
  16. I'd say 3,000 grafts for a pretty bad NW3. I figure 3k for the first 1/3 of the head. 2k for the mid scalp. 2k for the crown. This is all subject to change based on the individual person, but this is a common structure I've seen.
    1 point
  17. Thanks mate. Yep minoxidil twice a day and been on finasteride for the past 3 years
    1 point
  18. This is phenomenal. What did you look like to start? Would love a before and after. This right here is the dream. Money well spent for a slam dunk result like this. Kudos to you for getting what you want.
    1 point
  19. Melvin has repeatedly said that he would not advise anyone to go to Turkey for a hair transplant. He has written off the whole country. I have said there are reputable clinics there that get great results at a much lower cost. Cost should not be the only factor, of course I agree.
    1 point
  20. I've sent photos of current growth to a few other surgeons. The two that have gotten back to me so far (well-regarded by this forum, based in the US, long waiting lists) seemed concerned by the regularity of graft placement on the right side, and recommended further surgery to refine and soften the hairline. At the same time, they both felt that fixing the right side would be relatively simple due to the small area and strong graft growth. Which is great news. I've also reached out to Dr. Diep to see what he recommends. I'm 99% sure he will tell me that I need to wait another six months to fully evaluate the success of the transplant. and he's probably right. I remain hopeful that the singles in front will grow in so that there is no detectable "pattern" to the hair on the right side. But as they say, hope for the best and plan for the worst. Hence the decision to seek out second opinions from professionals. I do want to emphasize that it isn't all doom and gloom though. While the placement of grafts is frustrating, the grafts themselves are growing in well, and the left side of the transplant is looking pretty damn good right now. It's a total trip to see how much the transplant changes the shape of my face, and to feel hair where there wasn't any before. Attaching photos of both sides to give you all a visual sense of the progress at 5.5 months. Looking at them visually, it's hard to believe that both sides were done by the same doctor.
    1 point
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