michaeljames

Thanks for viewing.

Thank you, it is always inspiring to see the happiness with the patient.

Thanks Blake...typo!!!

Well, a little unintended humor into the thread...!

Yes, thank you.

Obviously that was a typo in the description, it is now corrected.

43 Year old male with Class III Male Patterned Baldness Hair Line: Bald Corners: Bald Top: Thinning Crown: Bald Donor Area: 0 Here is how the grafts were distributed: Hairline: 280 Front: 1300 Top: 0 Crown: 1010 Temple: 0 Total: 2590

Hello HairHair, Given that you are having an FUE procedure. 2 weeks post surgery should be good; if all factors post surgery go well. Take the advice of your chosen HT surgeon. Is your surgery scheduled soon? Keep us posted. Michael

Hello CautiouslyConsidering, FUE transplantation into scar works well. It can also be combined with SMP to render a scar virtually invisible.The nature of the scar is a factor of course. However this practice is becoming popular. Scalp laxity, surgical skill, type of closure are all factors that can reduce scar as well. Here is some information. All the Best, Michael

Hello Stylish Boy, 1) If you are planning in HT, you might want to save the expense of a Hair System good natural Hair Systems cost thousand of USD. However some of the better ones are very natural looking. However the money might be better spent on your HT. 2) These hair systems obviously are groomed daily. Maintenance however depends on the type you choose, type of anchoring to your scalp and how fast your hair grows. Maintenance cost average 200 USD per visit. This would be at least once every 3 to 6 weeks. 3) Modern hair systems respond to environment well. That is why they are popular with men and women who are not eligible for HT. 4) Personally, if you are going for an HT, i would not recommend putting the costs into a Hair System. The total costs and maintenance for a good system could equal at least one third of your HT cost. 5) I am not familiar with clinics there so I must leave this response to someone who is. 6) This is prescription drug that must be prescribed by a bona fide doctor. I would dislike if you were taken advantage of by an online source. All the Best, Michael

Hello Gemini310; I agree with other regarding the variation in graft numbers. These are also just estimates. Given that you like to wear your hair short, it seems FUE is the best route to go so the scar from a 'Strip Method' surgery will show through a close crop of 0, 1 or 2 and perhaps 3. All the Best, Michael

Hello Spirali08, Are you serious? People prone to pattern baldness seem to accelerate this condition on steroids. There are not a lot of studies but many athletes have this complaint. Though your transplanted hair is DHT resistant it seems to be very ill advised to consider taking anabolic steroids following your transplant. It is not advisable to take these potent hormones unless medically required. There are many risk far beyond damaging your HT! All the Best, Michael.

Hello Spirali08, Are you serious? People prone to pattern baldness seem to accelerate this condition on steroids. There are not a lot of studies but many athletes have this complaint. Though your transplanted hair is DHT resistant it seems to be very ill advised to consider taking anabolic steroids following your transplant. It is not advisable to take these potent hormones unless medically required. There are many risk far beyond damaging your HT! All the Best, Michael.

Hello Charles Sam Poor diet leads to being under or malnourished. How the negative effects manifest in a person is an individual. It is sufficient to say that if this condition is prolonged body proteins levels are insufficient and the hair, skin and nails which are all made up of keratinized protein can become compromised. However, it is IMPORTANT to note that diet does not contribute to pattern baldness in anyway. This is a hereditary genetic condition commonly called Male Pattern Baldness [MPB] in which there are two approved medical treatments and HT which actually resolve the issue of hair loss and many patients with androgenic alopecia (pattern hair loss). There is presently no legitimate research proving that an improved diet can stop or reverse androgenic alopecia. If hair loss is not from MPB and is nutritionally based test by a doctor would be necessary to determine this. In the western world instances of the severe under nourishment are rare. All the Best, Michael

Hello Jessop; This depends on your natural Hair Growth Cycle. If you are able to wear your hair style similar to the pick you post now. A successful FUE is not more than relocating (transplanting) your natural hair follicles into thinning and balding areas. AFter about 9 months to a year, your hair should resume it normal growth cycle. All the Best, Michael

Hi Everyone; Don't despair if you are looking at solutions as far out as a couple of decades one can expect a quantum leap in hair restoration similar or greater than what took place at the turn of this century. Here is some good reading regarding future treatments. All the Best, Michael

Hello Atticus, I cannot speak to the work of an individual physician that I have not observed through a procedure. I can address this question from the general level of the challenge proposed. That is in the extraction of the hair shaft. When hair is exceptionally thick extraction time is generally increased because it is more difficult to isolate an individual follicular unit for extraction. So more effort is definitely is involved in a manual extraction process. Extraction challenge can also lead to more transection (damage) of FUs. ISHRS has established a special FUE committee to address standardization and advancement of FUE. Some of the members are FUE recommended surgeons. You may want to pose your question to one of them or the committee Chairman Dr. Parsa Mohebi, who is also on HTN, hope this helps. All the Best, Michael.

Hello Devilhunter; Your post lends me to have some serious concerns at the level of hair loss you are reporting. !) Regarding Propecia having no effect after 6 months of use, suggest further evaluation and consult is needed to determine if your hair loss is due to androgenic allopecia. 2) Nutritonal supplementation is reassurance against under nourishment but has little to do with pattern baldness. 3) You are reporting diffuse pattern hair loss which initially may indicate other root causes to your hair loss. Based on these observations from your post I suggest that you see a hair restoration doctor and have the proper evaluation, tests (if needed) and consult. I look forward to your follow up. All the Best, Michael

Hello Kevin; This question is unusual for the hair loss forum; unless you are using Propecia which lists this as a possible side effect. Are you on this medication and are you receiving treatment from a hair restoration doctor. It is important to report this to him or her. If this is not the case you should know that immediate medical intervention from a qualified physician is the only and best course of action. All the Best, Michael

Hello Charlesam. This is always an interesting discussion and one in which I have done considerable research over the years. To date there is yet a single definitive scientific study linking any specified nutrient directly to hair growth or hair loss prevention. That being said we do know that certain nutrients improve various metabolic process and overall health of the body. It is often said that hair, skin and nails are a good reflection of inner health, although this does not always hold true. So, if a person's diet is undernourished they may note changes in hair, skin and nails by nutritional supplementation of some type. However are you mentioned pattern hair loss is genetic and not treated nutritionally. All the Best, Michael

Hello Irish Sailor, I understand your dilemma after to Strip. FUE is very good for the type of HT you are suggesting. Important factor would be your transection rate. As long as it is low this would be a very good option for you. I have noted patients in our clinics in similar circumstance for this and be exceptionally happy with the results. Could you post some picks of your temples? A FOX test can be performed to also help determine your suitability for FUE. All the Best, Michael

Hello JB, There are lot factors that contribute to your scar. At our clinics we often do hair transplant scar revision. So, in case the scar is more than you anticipated you can have it revised in the future at an affordable cost with FUE and or SMP. That being said factors contributing to your scar formation are 1) the number of donor hairs required and your own hair density 2) the skill of the surgeon 3) the type of closure used 4) your body's own healing process and tendencies 4) your post-op recovery being normal Scarring is so unique but given the best in all factors your scar should not be a mitigating factor in your styling preference. Again, today's scar revision can seriously reduce the appearance of scars. All the Best, Michael

Hi James, I don't know why this is being suggested to you. Our patients typically use finesteride medical treatment pre and post surgery. Who is your surgeon? Are they recommended by HTN? Do you have a condition that may contributing to this caution. Let us know. Very interested to your response and following up. All the Best, Michael

Hello Gentlemen, FUT-Strip Method, because of the harvesting method yields more grafts in a session. However, the number in a Strip Method can be much higher. Actually, there are a number of HTN surgeons who perform what is being turned gigasessions very successfully. The key is not only adequate donor hair but also precise measurement of scalp laxity. Extraction techniques may improve to increase the amount of FUs that can be harvested during an FUT-FUE procedure. Robotic systems like ARTAS are an effort to attempt to address that need. One of the things the ISHRS FUE committee chaired by Dr. Parsa Mohebi is examining is the results comparison of the various FUE extraction methods. But as others have stated strip procedures yield more FUs for transplantation, but the number can be much higher than stated. All the Best, Michael

Hi Jocco, I understand your anxiousness. Don't make that push into a premature selection. HTN recommended surgeons are among the best in the world.Use the search function on this site. Also have you though about which type of surgery you are considering. Stirip Method or FUE? All the Best, Michael