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Taken4Granted

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Taken4Granted last won the day on June 13

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About Taken4Granted

Basic Information

  • Gender
    Male
  • Country
    United States
  • State
    CA

Hair Loss Overview

  • Describe Your Hair Loss Pattern
    Thinning Hair Loss All over the Scalp
    Receding Hairline (Genetic Baldness)
  • How long have you been losing your hair?
    In the last 5 years
  • Norwood Level if Known
    Norwood V
  • What Best Describes Your Goals?
    Maintain Existing Hair
    Considering Surgical Hair Restoration

Hair Loss Treatments

  • Have you ever had a hair transplant?
    No
  • Current Non-Surgical Treatment Regime
    Generic Minoxidil 5% for Men
    Revita Shampoo
    Toppik

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  1. As someone who has struggled immensely with fin sides, esp. gyno, I can tell you it’s very real and not something to ignore. HOWEVER, as @LaserCap said, the worst thing you can do is stress out and do something desperate. For some men (def me, maybe you as well), a drop in the ratio of androgens to estrogens in estrogen-receptor-positive (E+) tissue will promote mitosis and growth of new cells, for example fat and glandular tissue in the breast. There are many stages of tissue growth that I don’t understand in much detail, but you should notice sensitivity and swelling in the breast before much new tissue has actually grown, so there’s still time to intervene. If you drop fin and let your hormones normalize, you may see everything return to normal in a few weeks or months. If you decide to do this, remember to give it some time. If you’re prone to gyno, it’s likely that any effective dose of fin will cause this to happen. I was in your shoes and decided the tissue was minor enough to ignore until I could get it surgically removed. I had a lot of success with fin and decided it was worth the trade for a time. Your objective as a man with MPB is the only thing to distinguish “success” from “side effect”, which is why they often go together. I suspect you’ll have good results in the scalp, so you may want to consider the choice I made. I’ve had multiple gyno surgeries, but I’d do it all over again. Couple things: Do not toy with anti-estrogens to control the side effects, and stop probing your breast tissue. Both of those things are very tempting and likely to make your problems worse. “You may even want to discuss dutesteride with your doctor and see how you react.” With respect, I would advise against using dutasteride. It does the same thing as fin and is many times more powerful. Last I heard, dut was the drug of choice for transgender patients on hormone therapy for this reason. Of course, I’m not a doctor and could be misinformed.
  2. @jmghair Dude, avoiding the linear scar is the #1 reason FUE exists in the first place. When I say it’s less risk, I don’t mean it can’t turn out poorly for some people. Who was your surgeon? FUE leaves scars to be sure, but you should not be so traumatized.
  3. Strange that finasteride didn’t darken your hair. I naturally have medium to light brown hair, but it got very dark on finasteride.
  4. I haven’t looked into this, but my impression is that robotics mostly serve to open the market to less experienced surgeons. Or maybe it helps some clinics manage more volume, but you normally see the quality drop when that happens. Seems many of the best still prefer to do it manually.
  5. @jmghair I mean it’s less cosmetic risk because it doesn’t leave a linear scar on the back of your head. Even if you’ve done FUT, FUE is less risk than a second FUT because the scar can def get worse and more visible. If your hair loss is moderate enough to address with FUE only, speaking long-term, then that’s what an ethical surgeon will usually recommend for precisely this reason. No matter what, you’ll reserve the option of buzzing it down and giving up on hair. With FUT, you have to maintain coverage or accept a George Castanza hair style for the rest of your life - or bare your scar for the world to see.
  6. There’s very little hit or miss when you pick the right surgeon, FUE or FUT.
  7. @karatekid Fair enough. I would say the same in your shoes. I disagree, but I do so with all respect and civility. As someone who’s been watching the industry for about a decade, I would urge you to consider a few things. I’ve learned that’s it important to consider where you’re getting your data, how much a surgeon promotes him/herself, the ethics of the surgeon with respect to long-term outcomes, the demographics of the surgeon’s clientele and the details behind each restoration you see. It looks like Konior has an older, more affluent clientele, which means more space to cover with the same donor, less aggressive hair lines, and most importantly clients who typically don’t engage much online posting pictures and such. Moreover, Konior does virtually zero self-promotion (clearly flipped the middle finger to Yelp, for example). There’s a reason he always has a line out the door despite putting minimal effort into his website and spending nothing on marketing. Finally, the most telling datum IMO is the surgeon’s track record with patients who have multiple HTs. You’ll notice a lot of bouncing around between different surgeons. The ones who are more likely to appear later in the history after patients do better research, and the ones patients keep going back to over many years are the best surgeons. To illustrate with an example, Rahal has tons more amazing patient results on the Internet, but Konior is objectively the better surgeon when you consider the above factors. In fact, I think Rahal even sued HSN to get bad results taken down. Konior doesn’t go around cleaning the Internet of bad photos and puking his best work everywhere. The problem of bad reviews does not even arise for Konior. If you don’t see how good he is, I strongly believe you’re missing something. That’s not to say there aren’t great alternatives in Europe, of course.
  8. @karatekid “About konior, as I said, US is a bit too far for me, and although I would go if I though it is worth the long travel, but from my reviews, those doctors seem like better choice.” I don’t know the European surgeons very well, and I’m sure there are really good ones out there, but it’s hard to see how you could do better than Konior. Trust me, that quality has to be rare in any part of the world. If you have a wish list of 5+ in Europe, he’s easily as good as if not better than most of them. He’s known for being on the expensive side, but it’s really a bargain when you look at his methods and his results. Whatever you pay, you’ll probably walk away feeling indebted.
  9. @JohnAC71 How many of those 5 would you consider successful? What’s your NW rating, how many grafts have you done, how many different doctors have you had, and would you do it differently if you could?
  10. Oh yeah. I need 3k+ grafts to fix my face. I’m not losing sleep over my crown right now.
  11. I’m not as informed as everyone else, but 1k grafts sounds low even if the yield is good, so the density might be an issue, but there’s obviously growth coming in, so it doesn’t look like a botch. I’m gonna be the same way when I get mine, so I’m gonna try to remind myself to stay optimistic. Whatever happens, you got hair still and you went with FUE, so you’re okay. All that said, the thinning in your pics and the modest graft count tell me you’ll be back. If you’re committed to having hair - and luckily this FUE scarring might be subtle enough for you to experiment with a buzzed look - then do pick the next doc very carefully and pay up. Ofc by now you know that as well as the rest of us.
  12. Hey @Melvin-Moderator, it’s a long story. The first one was an excision to get rid of the fibrous tissue. The second one targeted the fat. I went back for a third because it came back after a few more years on fin. I did the final one because the third one wasn’t quite right. It’s not like I took it and things went haywire right away. For me, it was a gradual slide into more severe side effects and accumulation of estrogen+ tissue due to a slight but persistent imbalance. It was a daily struggle of weighing hair against libido and weird issues with physique. Each side of it was bad enough to cause anguish without being significantly worse than the trade off. I also had false assumptions. I thought I’d never have to deal with gyno again after getting it removed. I thought I could cut the fin down enough to protect my hair without causing intolerable sides. I was wrong. Eventually the hair loss caught up and the benefit was no longer worth the sides. It took a while to feel semi-normal again, but dropping the fin made all the difference. Instead of seeing the tissue slowly pile up again within a year of surgery, the results from my last round actually keep getting better and tighter. It’s been a very instructive experience. My lessons: - hair loss always wins - don’t toy with your hormones - don’t get cheap on cosmetic surgery - if you can live with it, leave it alone
  13. Very similar situation here, similar age and pattern also. I’ve had 4 gyno surgeries directly related to fin and will never go back to it. In my experience, any history of excess tissue there makes you prone to future problems even after surgery and on a lower dose. Still, I’m srsly considering HT, knowing it commits me to a long-term strategy to maximize donor harvest over maybe 3 surgeries. I had great results on fin but I doubt it makes any difference to the long-term outcome. At least I wouldn’t count on it. It just delays. What would have been a problem at 40 becomes a problem at, say, 50-60, depending on the person. I’m sure there’s a lot of gray area there, but I think it’s more the timing and strategy of your HT that depends on fin, not so much surgery in general. I have no credibility on this, curious what others will say to that. However, I think the shape of your head makes it a less urgent problem for you. With a dome like that, bald isn’t necessarily cosmetic/social death. Maybe experiment with that look for a while. If you get botched, your current situation will seem pretty nice.
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