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Davis91

Senior Member
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    398
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Basic Information

  • Gender
    Male
  • Country
    United States
  • State
    VA

Hair Loss Overview

  • How long have you been losing your hair?
    10 years +

Hair Loss Treatments

  • Have you ever had a hair transplant?
    Yes

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  1. Congrats on identifying all the critical issues —future donor management, thinning donor vs system wearing etc. As a red haired person you will have less hairs per sq/CM. It’s quite possible FUE will leave your donor threadbare and I think you might have less beard donor than you think. You might be able to achieve a shaved spikey hair look with 2,000 grafts in the frontal third from the head and maybe 500 bearD FUE. But will that be enough to satisfy you ? If yes then think of it as kind of Zidane shaved look just before he fully shaved down to the scalp and this might be achievable. Combine that look with good health, attitude, and pumped up body and you could come away with a new mature look—and the good news is you you won’t seem to change much to the outside world between the ages of 35-55 while your peers age more rapidly. You’ll have framed your frontal third and maintained your options for a hairpiece and not thinned out the donor too much. you could also try for the temp SMP on your shaved head and see if you like that look as stand alone option or in combo with the above FUE. Otherwise...you have to assume that you are going to progress in the hair loss. Medication doesn’t always work forever or you might have to get off it at some point for whatever reason. You have an asset insofar as you have worn systems before and they are indeed easier with a donor that is intact. Hair systems are getting better all the time...wear one with pride and even with the ability to joke about it to others and you might find yourself loving all the new looks you can rock that non-system folks can’t understand. People love the ability of others to poke a little fun at themselves—it also puts YOU in control of the situation. The point is—-you are young. You have options—rock a system, shave, SMP, or try a LIMITED initial FUE. Be very careful about the amount of grafts you use on the first cut—as others have said, donor management is key.
  2. Hi Melvin for those that are NW4 and above, what is dr Hassan’s recommendation on how to apply the single 1ml dose across the whole area ?
  3. I’m not sure it can be “either or” as the medication needs to be applied efficiently over a certain CM area of scalp unless you have a very small area to cover. So if this formula could be reduced (microdosed) tonsat .25 or .0025 or whatever per 1 ML then we could know—but they have already stated they formulated this based on efficacious response, which is 2.5 per 1 ML. Melvin: sorry to ask again—but for your instagram with dr Hasson weren’t you going to post the before and after pictures he allowed you to share with viewers for the Topical? Or did they ask you not to after?
  4. What’s quite interesting then is that the comparing amount seems to be the 1 mg propecia pill. Anyway it would be great to see some pictures of before and after of the patients the company mentioned.
  5. My friend is trying to order from Xyon and asked the question on dosing. Here is the company’s reply: “The liposomal gel formulation, compounded with the 2.5% finasteride, was designed by Dr. Victor Hasson to provide an alternative to men who are less tolerant of the FDA approved 1mg oral form of finasteride. The base gel was designed and optimised to limit the absorption of medicines such as finasteride into the circulation with the specific aim of lowering the risk of adverse side effects. Dr. Hasson landed on a 2.5% finasteride concentration as the optimal concentration in the SiloxySystem liposomal gel formulation, balancing efficacy and side effects. Apart from the efficacy observed in almost 600 of his patients to date, Dr. Hasson has also performed pharmacokinetic (PK) testing in a subgroup of his patients. The results confirm that men using the 2.5% finasteride in the SiloxysSystem liposomal gel, have a lower circulating finasteride level in the blood compared with what's reported with the 1mg oral finasteride as well as a more preserved circulating DHT level measured in the blood. These data support the laboratory work Dr. Hasson had conducted to generate the optimal liposomal gel formulation and ideal finasteride concentration at 2.5%.”
  6. Yes I’m confused too. As the poster said above at 2.5% with 10% absorbing isn’t that like taking .25 of finesteride systemically with each application? Melvin: in addition to above question you mentioned on your chat with Dr Hasson that you would post the photos of the patients that were displayed right after the talk. Have you posted those somewhere yet? Thanks.
  7. Any reason you are not showing placement of the grafts from either operation ?
  8. One of the finest examples one can see of a nw6-7 restoration. Great photos that are honest. Also kindly request photos of graft placement Thanks
  9. I am trying to post again, lets see if the moderators allow this one as for some reason my reply was not allowed on last time (despite being very polite). I agree with ThatOldChestnut. "Perfection" in HTs is often the enemy of good, so its a risk. Matt thanks for the videos. What I would really love to see going forward in addition to the good quality of the videos (nice) is full views of the crown even when restoration mostly frontal third. That would put the Rahal clinic in the category of most transparent like a few of the others. JeanLDD and Matt and everyone--celebrities are out there to look at for sure, but the average HT patient looking for celebrity comparisons needs to be very, very careful. Celebrities often have access to stylists and use top-line concealers that completely cover up ANY hint of hair loss, and many use partial and full pieces (I do think Clooney has a piece also). Ronal Reagan was exceptional but the point anyway is he had no mid or crown loss. Its not a thoughtless comment--its a comment that comes with experience and wanting make sure the "Average" HT PROSPECTIVE patient understands that this result is not the norm because many people will not have the grafts or genetics to allow it if they are correctly screened. I DO think it would be weird to recede with a perfect hairline and potentially not have enough to restore the rest. A good public example of a high NW that had a appropriate HT (good planning for its day) is former VP Biden's one. He got a high NW2 restoration and is an NW7 elsewhere and he pulled it off because the hairline is not perfect--it is appropriately receded. The danger is that many clinics do not have the ethics or skill to do what is on display. So a patient reading this forum and seeing this result may demand the same and some doctor will give it to them. And they will recede. And they may end up in trouble down the road. Dr. Rahal is known as an ethical guy so he and the young patient made the decision. Not all clinics have the same ethics. So, please please please for you new patients out there, do your research and be very careful with making comparisons to this case.
  10. Thanks for the videos Matt Jean LDD—i disagree. It is a thoughtful comment not a thoughtless one. I said it “may” look weird and indeed it may—that is the reality of the situation. This is a forum to educate and inform and indeed many posters in the original thread say the same. Please remember many new patients come to this site and are starting from scratch. Many may be higher Norwoods with poor donor or other. The patient selection critteria for this Rahal patient allows for this Norwood 1 restoration. Yes, an adolescent hairline at 70 may look weird. A good example of (for the time) a planned hair restoration is VP Biden’s one. He has a high Norwood 2 restoration and is an NW7 elsewhere. It works because it was a limited restoration well planned. Reagan was an exceptional hair guy without receding elsewhere. But the danger for many patients is exactly what you are proposing as comparisons —George Clooney, Brad Pitt etc. These are professional actors who have invested a ton into their appearance more than possible to do for even the average hair restoration patient. (I also agree Clooney is likely wearing a rug). Brad Pitt and many of those guys either have had work done or wear concealer. HT doctors —ethical and unethical ones —(Dr rahal being ethical according to all general consensus ), are in the business of selling a product. Most of the videos of high restorations above don’t show the crown. Why? Because they focus on the area of restoration. But you can bet it’s not a complete restoration. Does the new patient know this? Doe they understand ? Again we are hear to educate and inform. I stand by my comment that technical competency aside, (which is evident here), the average hair restoration patient needs to understand that this patient was the exception, not the rule, and runs some risks with this approach which will need to be managed. Thanks
  11. PLEASE potential HT people watching this refer to the original thread and how many people questioned why the patient got a HT. This is a RARE outcome of a patient at a normal Norwood 2 going to a Norwood 1. He will have an adolescent hairline forever which may look weird when he is in his 40s. Please understand this result is not hard to achieve under the circumstances of this patient. Matt: good video quality. Do you have a single Norwood 5-6 patient video of any quality from Dr rahal that you can post ? Thanks
  12. I have had several consults with Dr. W and a PRP treatment. He is a top notch in terms of customer care, knowledge of industry trends, explaining the science in layman's terms, and being open about results and expectations. Great office too in the heart of NYC. Very high marks for the man.
  13. The hairline you have is where a lot of transplant patients end up getting to. I agree with Spanker it might benefit from about 1500 to stabilize it ONLY under the condition you consult with a few ethical docs like Shapiro or Hasson and Wong or many others here skilled at predicting your future hair loss. Also agree that you may not need anything yet, So you may wish to consider hair meds and/or seeing a doc that does PRP which may work to help with diffuse thinning. If you are worried go get informed. Finally make sure to get a thorough medical check with blood work and get educated on nutrition and hair loss—inflammation caused by diet can certainly contribute. More than anything—don’t panic. You still have lots of hair currently and to work with in the future.
  14. Sali I’m going to give two pieces of honest advice: 1. You should not have been advised to get a hair transplant without understanding that you had minimal chances of a decent restoration with that donor—you are are heading to an extreme NW7 with a Thin donor. If you are content with getting a little on top that you could comb back maybe that is fine. It will sort of be like Joe Biden. What exactly were you advised would be the plan? 2. You are now going to need a plan for extreme restoration if you go further.That will likely mean a combination of totally maxing our your beard and body hair and using SMP. This is going to take a while and you will need to be in very experienced hands. At least you did FUE so you can keep your hair shorter.
  15. What sound do sheep make ? Baaaaah? I'll make that sound for now but not because I am following Dr. Feller. I will make that sound because I have heard first hand from multiple top docs on here that yields are getting better but are not the gold standard nor close to replacing on average the results of strip. ON AVERAGE. There are no doubt excellent FUE docs who are pushing the envelop. New research is coming out all the time. Boundaries are being pushed and FUE is the popular kid on the block. But it is one tool that may be beneficial to use for patient outcome and efficacy SOMETIMES. I do not believe FUE megasessions are the norm in 2017. How do we define megasessions and is there any data to back that up? I am amazed at those rare cases of NW6 being transformed by FUE. A lot of factors need to be looked at in these cases including donor density, scalp hair quality and characteristics and scalp size (not all NW6s are created equal in terms of diameter needed to be covered). Yes the case of the doctor you posted is horrible and I would run far far away from him. Have you looked at Dr. Umar's cases ? I give him credit for posting his results. Because he shows the LIMITS of trying to restore an NW6 with FUE only. He taps into body hair quite a bit mixed with scalp hair and the results in many cases are far from complete or even partial restorations. Again I do not get my reason and evidence from Dr feller. I've never met him. I get my reason and evidence from a combination of sources and it all started with MAJOR top docs in the USA and Canada telling me they are following the research on FUE and basically saying the exact same thing Dr feller has. BTW some of those European FUE docs are pushing the envelope and taking grafts from potential non safe zones and making calculations of xxx years before a patient recedes in those areas, using topical propecia as mitigator, using rogaine etc. Here is my gold standard: what do you need to complete YOUR goals; what is your likely donor count; assume propecia or rogaine may not work so you aren't screwed if they don't down the road; find a surgeon who is experienced or well trained by an experienced doc; one who is willing to show you an average result from his clinic; one who will give you an opinion about what is best for you (I wanted FUE but was talked out of it by multiple surgeons --all of whom had the staff to do FUE--ethics ! And hopefully as a bonus a doc who is following the research and willing to adapt and offer new options if proven. It's what Dr feller said : will ONE doc or two or even their reps please stand up to counter what he is saying?? Will one confirm ?? Dr. Lindsey actually comes close as he publically states Multiple times inhis videos and posts that FUE just isn't there yet. Spex where are you? Probably sleeping but you will see this when you get up. Respond . Any others?? Come on it's for patient education. So step up and debate!
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