akuma

The frontal scalp was transplanted into bald areas, but also deeper into my native hair as well (just incase). yes my temples were moved forward. Am very happy with the temples.

but isn't the whole point of follicular unit extraction is to preserve the units how they are? And hence not to split the 2-3 hairs units into 1 hair units. Even if the singles are required for the frontal hairline, splitting the units is bound to affect the hair growth. So why would doctors risk that?

hey guys. Today is 1 year, and 2 months and I'm afraid it hasnt improved much. I've attached some pictures. Again, I held the frontal hairs down to compare fairly to the temples, there is a big difference. The frontal has not matured up much at all. I dont think there is going to be any maturing from now on. There are still hairs that are thin and wiggly. Looks like they are struggling to grow or something. All the thickened hairs are stiff and straight. I guess this is my final result for my frontal scalp. I cant comb the hair back because the hairline isn't even and has some gaps. Comments?

why would the doctor trim the around the follicle if they know it would affect its growth? to make space for the 2 -3 hair grafts doesn't seem to be a good enough reason. upon close inspection i do notice that the 2-3 hairs have matured. But the single hairs at the front of the hairline are still thin and curly. I did post op instructions to the dot. What do you mean physiological? I've added new pictures to my other thread. I'd like to get more comments on it.

I agree with this. I've noticed the same thing with myself. BUT maybe it is just speeding up the hair cycles. The hairs that have stopped growing and resting (about to fall out) fall out sooner because new hairs are coming. The follicles sleep for less period of time. There is something i DEFINITELY noticed. When I exercise, my beard and side burns hairline grow SO much better. I am guess this is to better circulation and increased HGH from exercise (HGH produces better hair). The beard and sideburn "hairlines" become quite thick and the line is very strong. When i dont exercise, the sideburns and beard hairlines become less sharp. And when i feel the hairs, it feels softer. And sparse (not alot). But I can definitely notice the difference. I've experimented with this many times and its consistent. I even took pics to check the before and after results. Exercises such as weight lifting and intense cycling helps my beard grow thicker and side burns grow thicker as well. Since these areas dont miniturise from DHT, from what i know, the beard grows thicker from the DHT. So the extra testosterone produced from doing weight lifting is making my beard thicker. And the better circulation making my side burns grow better (probably other areas too). As for the top head hair, i do notice a bit extra shedding when i work out. But as i said above, this COULD be just from speeding up the hair cycles. Because when i exercise, I definitely find myself shaving more often and getting hair cuts more often. I dont shed alot so i cant say if its contributes hairloss. I just work out enough to stay built and healthy. I do not take any steroids or workout as a body builder. I do think too much testosterone (from too much body building) does affect hair follicles more. More testosterone, more DHT. So I just workout enough to be healthy.

Yea just the front. I am not giving up hope yet, it could improve. What do you mean the single hairs were trimmed? you mean the base of the follicle made thinner? slice the base of the follicle off? wouldn't that affect growth though? Please give more info on this. Yea I am thinking to take another shot at adding up some more density. So only around 15 U / cm2 can be added? They grew, but the actual hair thickness has not reached full thickness (and i dont know if it will or not). Some hairs are wispy. So im curious how much more can a doctor add to a 50 U/cm2 transplant? 15 cm2 more? What about blood supply issues? Would adding extra follicles to a 50 U/cm2 zone reduce blood supply ? due to crowding.

If on any event the first HT does not grow in well. And say the patient got 50 units per cm2. If he goes for another HT, how much can that fix anyway? I mean with 50 U / cm2, its not a empty scalp. There are prior follicles still there, so when the new procedure adds new grafts, how much can really be transplanted? The area would already be crowded. Im guessing not much. So the results from repair work isn't that great i assume? Any insight?

I dont mean to sound negative, but how come she took the strip from a higher position on the back of the head? From what i know, the crowns recede at all directions and the area she took the strip out from can be prone to hairloss/thinning.

Yea I am waiting the full 18 months though. Just cant help thinking what went wrong though. Was so happy with my result at the temples. You can see how dark my hair is. This even gives me a strong temple result when compared to lighter coloured hair individuals. Was so excited waiting for the scalp result to come in. I thought maybe the scalp hair are growing out at a slower rate (cm per week). But I snipped a baby hair all the way short, and saw that it grew out at a normal rate. It wasn't slow. I think somehow the growth and sleeping phase of the hair has got messed up. The scalp hairs had slept for heaps longer before it even began to grow in. But all this guessing on what went wrong wont help... I want to upload a recent picture but I think i'll wait. 5 more months till I hit the 18 months mark.

Yea I remember being charged more for eyebrow transplant. I think this is because its a more delicate procedure and takes longer to do. Their website says.. DHT Clinic "However if there is no growth which has never happened in our practice you may return for surgery free of charge. " Would I get a free surgery if I dont get a reasonable result?

no i haven't tried minoxidil or propecia. I think it was 85 baht per graft. My hair is improving I think, but i am not sure because it is soo slow. Maybe it not even improving at all. Hard to tell. I think something went wrong in my hair transplant case. In the worst case scenario that my grafts dont grow in, what are my options?

Yea the growth is not symmetrical at the moment. Bill, please look at my post number 27. I got that information from Dr Pat. ------------------------------------------------------------------------- Right temple= 1 hair graft=50, 2-hairs graft=200 area roughly 12 cm2=23 grafts/cm2 Left temple= 1 hair graft=50, 2-hairs graft=160 , area roughly 9 cm2=23 grafts/cm2 Frontal scalp 15 cm2 not count thinning inside 1 hair=109 grafts,2 hair 442 grafts, 3-hair 187 grafts, 4 hair 92 grafts = 830 grafts 92 of 4 hair grafts were placed further inside ,therefore roughly almost 50 grafts/cm. ------------------------------------------------------------------------- 23 cm2 on temples compared to around 50 cm2 on the frontal scalp. Yes I am aware that i will not get the density of my native hair. I already mentioned that in my previous posts. The transplanted area is greater at the scalp, but so is the number of grafts transplanted. Plus the scalp was transplanted at around 50 CM2 (hence packed together closely). And the temples at 23 CM2. Temples are at roughly half density. I understand that the temples lay flat and hence look darker and denser. But I even lifted the temple hairs up and saw that it still looks better than my top scalp area. Fully matured hairs can be seen along the temple line. My diameter shaft of a hair is thick. And that is just 1 hair grafts along the temples. It still gives a good cosmetic result. That kinda individual shaft thickness is very sparse on my top scalp hairline. Plus I layed my top scalp hair flat in my pictures to fairly compare with the temples (since temples lay flat too), yet we can fairly see that the scalp is lagging far behind. I even cut a hair from the scalp hairline and the temples. Look at post number 24. You can see the short, light hair from the scalp hairline. And the long thick one from the temples. I believe its fair to atleast get the hair shafts to thicken to terminal hairs. That on its own would give a good result.

thanks for the reply mate. Seasonal shed? whats that? From what i know, the hairs stay in anagen (growth phase) for 2 years. Why would recently grown hairs fall back out again? its well within 2 years right now. My hair is thick, so if the transplanted scalp hairs just become full terminal hairs, the final result will be very very good. I do have realistic expectations. I even lifted up my temple hairs to see what it could look like (temples are at 23 cm2), even if i get that hair diameter thickness at my scalp area, its acceptable.

Right temple= 1 hair graft=50, 2-hairs graft=200 area roughly 12 cm2=23 grafts/cm2 Left temple= 1 hair graft=50, 2-hairs graft=160 , area roughly 9 cm2=23 grafts/cm2 Frontal scalp 15 cm2 not count thinning inside 1 hair=109 grafts,2 hair 442 grafts, 3-hair 187 grafts, 4 hair 92 grafts = 830 grafts 92 of 4 hair grafts were placed further inside ,therefore roughly almost 50 grafts/cm. Even though the temples are just 23 CM2, it looks wayyy thicker than my frontal scalp which is around 50CM2. I understand that for the temples the hairs are laying flat against the skin so hence the overall thicker, darker effect. But I've held my scalp hair down as well to fairly compare with the temples, its still no where near my temple result. This all can be seen in the pictures. My aftercare after the surgery was very good. I dont drink alcohol, no smoking, and eat very healthy diet. And I did not let direct sunlight on the scalp for weeks. I dont know what to do now. I dont know if this is fixable or not.

i actually think that either the thickening has stopped or that some of the hairline hairs have fallen out. Its like the hair is struggling to grow and then falls out. Has there been any other cases of this?

the thickening is veryyy slow and I feel that I wont get the density that I should get. It has been 1 year and 1 month now. I just dont know what could have gone wrong, My temples, eyebrow, and beard all grew in fine. Dont know what is causing the slow thin growth on the frontal scalp. The next 5 months are a anxious wait.

Here is the picture I forgot to add in the last post. The long thick one is from temples. And the short thin one is from the hairline. The hairline one has a very tapered tip, so its recently grown. I am just wondering what is causing the delayed growth.

Here are the dry hair pictures. There were taken today. 1 Year and 2 weeks after surgery. I am holding my scalp hair flat so it can be fairly compared to my temples. Can definitely see that the temples hair (base) is thicker than the hairline. But the yellow arrow areas have hairs that have thickened up. So I am hoping the rest of the hairline becomes like that. In the pictures you can see that the right side of the scalp has thickened up more than the left. I even cut a single hair from my temples and one from the hair line to compare. The long thick one is from temples. And the short thin one is from the hairline. The hairline one has a very tapered tip, so its recently grown. If you look closely at the hairline, you can see mini hairs still sprouting. I'm trying to stay positive and hope the rest of the hairline gets thicker. Comments guys?

it may look like my hairline was brought down alot. It wasn't. My native hairline was shaved to transplant there as well. I wanted a straighter V hairline instead of the zig zag one i had.

I've attached the pictures as you requested Bill. Here i've attached pictures of me before surgery. Age 25. I do not use any medication. Just wanted to have better temples and lower the frontal hair line a little (had high hairline since birth). But wanted to keep as much donor hair left as possible. Hence the smaller surgery. The "more forward" temples better frames my face. I am loving the temples. Just the top scalp.... The dates show on the picture. Surgery date was 9th March. 1.jpg and 2.jpg were before surgery. The blue arrow points to areas you can see that are thin. You can even see some baby hairs (transplanted ones) along the new hair line. I can practically see through the transplanted scalp hairs. I drew arrows to show the transplanted area. The yellow arrows point to thickened hairs. You can see it clearly that its DARK and thicker than the rest. Its become the thickness like my temples. I hope the other areas get as thick as this, would be very happy. Would love your comments guys.

I'll post pics in this thread when I reach 18 months for final result.

thanks for the reply Dr Pat. I have full confidence in your work. I have sent pictures to the clinic. I was told to wait 18 months for full result. I am doing that, its just that the worrying got me to post on this website. Just to get more opinions.

Yes but the frontal scalp definitely hasn't thickened up. so you got 65 follicular units per cm 2? That is quite dense. Yes my hair is wet without any product like gel. Even if I get my scalp to the level my temples are, I'll be happy. Because it will blend in very well. Any the moment it does not blend in with the native hair at all. But from what Dr pat assistants have told me, My temples weren't packed as densely as my scalp. So my scalp area should provide better results than my temples for sure. It has to fill in massively because if this is the final result it is very disappointing to say the least.

The eyebrows had grown in and thickened within 6-7 months after transplant. I received around 800 FU on the frontal scalp. And roughly 200-300 on each temporal peak sides. The temporal areas that got transplanted are shown by the yellow line i drew. My temporal peaks were always not strong. This is something I had since I can remember. From age 12 even. I inherited it from my mum. So I just transplanted there to better frame the face. My growth is definitely not what it should be. This is because I can clearly see that my temporal peaks have fully matured and i can see individual thick hairs now. Whereas on my frontal scalp, there are some hairs that have thickened up, but there is STILL many others that are wispy and thin. And there are also new hairs coming up that are only 3-4 mm long and is very thin. The area on my frontal scalp that got transplanted can be seen with the line i drew. Everything behind that line is my native hair. It clearly shows that the transplanted hair isn't as thick as it should be. Many wispy hairs cant even be seen in the picture. I definitely know and can see that its not as thick as my temporal peaks or even my eyebrow hair. The question I have is, has there been a case like this where their temporal peaks grew faster than their scalp hair? and did the scalp hair eventually thicken up fully?

most people say that doing heavy body building does not affect hair loss. I believe it does to some extent. Doing alot of weights increases testosterone in the body. More testosterone would mean more of it can turn to DHT which affects hair. Its a well known historical fact castrated (testicles cut off) men dont go through male pattern baldness. Its because there is no testosterone from testicles. I think since you took supplements, it increased your testosterone levels ALOT and meant more DHT to your hair. So heavy body building doesn't "cause" hair loss, but i think it can surely accelerate the process if your genetics are susceptible to it. And since you dont take any testosterone enhancing pills anymore, your hair loss situation has stabilized. And ofcourse the DHT blocker helps too. Just my opinion and observations. I could be wrong.