AB2000

Is there a reason only beard was used?  Have you used up safe scalp hair in previous surgeries?

5 hours ago, hairt1234 said:

Thanks for the reply. I only just discovered the term hair mill. Had no idea this sort of stuff was going on. There has been no mention of any docs/surgeons yet in all the chat we have had. 

Anyone else notice the new propaganda?  Their retime doesn't like being called "Turkey" anymore so the directive put out to other governments and global media was to address them as "Türkiye" now.

Avg 4.9 rating on Google, yeah right.  Look at the wording, many are similarly structured.  There is no accountability for bad results in that country, so you are taking a gamble going there.

If you are looking to stay within Europe, have a look at the HDC results posted on this site.  Their clinic is in Cyprus.

On 1/8/2023 at 11:26 AM, BeHappy said:

I think I am going to do a before and after with hair fibers and post it here just for fun though .

 

It's surprising how far they can go:

There is a spray version, which I've found doesn't quite match the powder version:

On 1/3/2023 at 6:12 PM, Melvin- Moderator said:

I would NOT shave my head again. It took me 5 months to look some what normal. I’m not placing grafts all over my scalp. Thats the only time I would completely shave. 

Your sides are high, but your progression was clear.  Most men now wouldn't wear their hair with this type of balding, most going with the buzzed or shaved head look as the lesser of two evils.  I think in your case, Melvin, the no-hair look doesn't suit you.  Night and day, it would be a different visual perception of you if you were hiding your hair loss with shaving.  HT's have helped you maintain your youthful look.

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On 1/1/2023 at 4:41 PM, Melvin- Moderator said:

 Given that I’m a new father I may need to stay closer to home. 

Or a short trip to Brazil 😉 

I sent you a reply.

On 12/29/2022 at 6:27 PM, Zoomster said:

Unfortunately if this isn’t DUPA i don’t know what is ..you’ll need an in person evaluation to confirm it though .

The juice won’t be worth the squeeze pursuing a HT would be my opinion.

Zoomster, you are not following the information here.  The OP actually answered his own question.  He asks if it looks like he has DUPA (diffused alopecia) but then states in a followup response that he has an autoimmune disease affecting the hair:

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Interesting as I do suffer with lichen planus and oral lichen planus which is also an autoimmune disorder that has no know cause

The distinction needs to be understood for correct treatment.  DUPA is an aggressive form of hair loss, extending into the traditional safe zone, making hair transplantation not viable.  Any hair used is going to experience the same problem in the recipient area.  This is a disease of the hair.

Lichen planopilaris (LPP) is a disease of the skin, not the hair.  Scarring forms underneath the skin as the body's white blood cells start attacking this area in an autoimmune response.  This kills off the root of hair.  LPP is not male pattern baldness, it's skin inflammation that attacks where the hair grows from.

@Thinner, you need to see a dermatologist who specializes in Trichology ASAP.  They can confirm the LPP with skin biopsies.  Don't spend tens of thousands of dollars on a hair transplant that will fail because the underlying cause of the hair loss - the skin disease - is thus far untreated.  Getting on antibiotics, scalp ointments and using natural botanicals will instead cost hundreds of dollars and will stop the hair loss.  Then think about hair transplantation.  If you let this LPP go untreated you are throwing your hairline away.

If you had said you've had a HT in the past then I'd hazard a guess your scalp donor is overharvested.  Since you haven't had anything done, there might be something else going on, other than male pattern baldness.  Find a dematologist who can do skin biopies to rule out other skin disease.  If it's LPP then start treatment.

To the OP, like others have said this does have the appearance of shock loss, from which you should be able to recover.  From looking at the extraction dot pattern it doesn't appear to be a case of overharvesting.  The FUE dots seem spread out normally.

My advice if you are to pursue further surgery - go to a doctor who specializes in depleted donor cases.  Don't bother with a doc who does great work on patients who have a lot more hair than you do.  You'll probably want some beard used to maximize your result by preventing that "island" effect in your crown.

11 hours ago, 5BetaReductase said:

Was it confirmed with a biopsy?

Yes, I've started medication in response.

2 hours ago, 5BetaReductase said:

Do you know which type of scarring alopecia you have? Did it impact growth in any way?

It is hard to know how much I lost.  I don't look like I've had 13k grafts.  The important thing at this point is to prevent further loss.  Had I been aware of this when I started I would be further ahead.

How chronic is your dandruff?  I'd see a dermatologist to see if there is anything going on with your skin.  If you have LPP that would make you unsuitable for this surgery.

9 hours ago, zenmu said:

interesting, i decided to order it and use it at some point and i don’t think i have any other scalp conditions so i hope i’ll be fine. i honestly should have used henna though, or i still can. were your color results with henna good? i thought i heard somewhere it could make blonde hair orange ish

I haven't tried yet, I found out about it recently, but did see it on Amazon so will make a purchase some time.

I found out that I have scarring alopecia, which in part manifests as red, inflamed scalp.  This got triggered last time when using a Just for Men product for hair colouring.  I was told by my hair surgeon to look into henna hair dye as a safe alternative.  Normally we see henna as used for painting patterns onto hands and whatnot, but it can be used for the hair as well.

4 hours ago, 5BetaReductase said:

Angles are determined by incisions

I'll take the advice of a hair surgeon who suggested otherwise.  If sleeping patterns can alter the results to some degree, then I'll put up with a neck pillow, which I've done after having work done on the crown.

5 hours ago, 5BetaReductase said:

Months?! I think that’s overly conservative. Grafts are permanently set by about 9-10 days post op per the rassman/Bernstein graft anchoring study.

 The only reason I can think of for that advice would be how the new grafts grow out in the crown, and ensuring their angles are maintained when they come out for the first time, months after the surgery.

When I've had hair implanted to the crown, I was told to keep using the neck pillow for months.  Find out from your doctor how long to stick with it.  Something that might help is a leg elevation pillow, which will raise the lower part of your body, possibly changing the angle of pressure on your neck and relieving it.

3 hours ago, SLA said:

1 Month

I actually kind of like the look with the buzz cut/shaved head and even though the grafts have yet to grow/mature, I am definitely enjoying having hair on the head and the way the hairline frames my face.

It's a good hair style for you, making it hard to notice the difference in density between donor and balding areas.