1978matt

Konior was on the IAHRS for a number of years but left maybe 5-6 years ago. It certainly has run it's course when I just looked at some of the names on their list. A lot are good but I counted 7-8 very dubious surgeons, several whom were ejected from here for poor work/ethics. Maybe JT should channel his energy into getting more subscribers than Mattdominance, who seems to get 20x the number of views.

I just looked it up. Weird. Did he not think to look on Instagram for her results?

Yes, it also depends on the competence of the doctor involved. Once you start pushing well over 4000 grafts the ability to bic shave kind of diminishes regardless of FUT or FUE. However, a very low grade may still look half decent.

It gives you something of a 'get out' assuming as you say that scarring is minimal in the donor. So say for instance you have two HTs totalling 4000 grafts, but hairloss gets the better of you long term, you can still buzz to a low grade and have decent facial framing from the frontal grafts. You could then maybe have a small HT to tidy things up and cut your losses.

Shave your head to see if you can live with the look. If it's a yes, then do a conservative FUE to the front 3rd. 2000 grafts tops. With your donor, short hairstyles are immediately gone if you go FUT. Overall it's a tough call if you cant tollerate oral Fin.

Having used min post op for a year, I would generally not recommend it on transplanted hair. I would only use it on thinning areas if Fin was not an option. For me it just irritated the scalp too much and the cost to growth benefit ratio was just not there. Fin is like an 8/10, Min a 3/10 to 4/10 at best. It can potentially speed up the growth a bit so you could use it for 3-6 months and then drop it.

Repairs can sometimes yield not as good a result as expected because of damage from the first surgery. When you think about, the frontal area was probably stabbed 2000+ times and may have left a lot of hidden scarring, poorer circulation of blood in that area. At least you are looking a lot better than before HT2.

I don't think a HT is worth the risk at this stage. The amount of hair you have on top is pretty much what a HT would aim to achieve. If you try to graft in between those hairs you may just permanently shock them out, and end up looking exactly the same. From the front you cant really tell there's much of an issue.

Donor density is lower than average but that is offset by good hair characteristics (curly) which mean you have get a denser looking outcome for fewer grafts. Sides of the donor are usually lower density than the back so nothing untoward by that. I would suggest on the lower end of 2000 grafts total and a fairly conservative hairline.

45 degree angle, loads of pillows and a travel 'U' neck pillow (buy a firm one) worked for me. 3-4 nights should do it. With jet lag I didn't have too much trouble falling asleep.

It's just weird shedding angles like I had here, though this is 3 weeks I think:

It is safe. I used to dye mine and did so about 4 weeks post op. However, this was Just For Men which is one of the milder dyes (relatively) out there.

I don't think a HT in the crown area would make much of an improvement as there is still a fair amount in there. I would try to hold out for another couple of years and maybe throw in DUT if you are total sides free on Fin. If that works out fine then a relatively conservative frontal FUE could be the way forward. 2000 grafts, something like that. You can basically see where your 'safest' donor area is and it's a bit narrower because of the retrograde. So you want to use it sparingly.

From around 11 years viewing this site, I dont recall any negative.

Plugs used to use a 4mm diameter punch to cut out a circular disc of skin/hair from the back of the head. Each disc had maybe 25 hairs in total. These were then implanted by cutting out a similarly sized hole in the recipient area and replacing it with the plug. Hair direction was limited by the angle the 25 hairs exited the donor area. All the doctor could do is position the disc in one particular direction, eg with all the hairs pointing forward, at an angle etc. Grafts to me would be anything between say 1-8 hairs within it - 2 to 3 FUs. They used to use the terms Micro (1-2 hairs) and Mini Grafts (3-8 hairs) back in the day. Anything larger is falling into plug territory.

Yeah, I'd rather have Pitt's hairline.

You could make a case for somewhere between 1 and 2:

Wow, must be about 5500 grafts total.

It's worth distinguishing between Juvenille and NW2 hairlines. Steven Gerrard is Juvenile, Brad Pitt is NW2. A NW2 is doable if you have minimal loss and low risk of extensive loss. Juvenile is just too risky for most.

I would recommend taking the pills with food, especially if you split them. I get minimal temporary brain fog with this approach, or just take them last thing at night. Oxford online pharmacy seems like a good option and I may use them next time. 1mg would be good to start with and do a quarter tablet MWF. You can decide whether to up it after a few weeks. I don't think there is any need to go over 3mg total per week unless you're losing ground, in which case look into DUT.

I doubt it's an issue but may be worth evaluating whether you are consuming an excessive amount. I switched to Almond Milk with cereals a few years ago and actually prefer it. It has a lot less sugar (I go for the unsweetened version) which is good. Most brands the add calcium and other vitamins to give it a similar profile to milk. I still have milk in coffee etc. Maybe try some alternative protein powders as well.

I remember asking Dr K years ago (pre nadimi) whether he was looking for other doctors to expand the practise. He said yes, always. But it's very difficult to find people with the right work ethic, talent, and without bad habits picked up from working at chain clinics. I would have confidence in this Dr Shah if he has been vetted by Dr K. However, I totally appreciate my perspective is likey to differ to yours, having had 3 HTs there. Maybe you could have a Zoom call and find out more.

This could be total BS but i would look at it this way: Finasteride reduces DHT by about 65%, so that's about a 2/3rds reduction. So if you were destined to lose a NW number every 2 years, from say age 21, it will take about 6 years with FIN. Lets say youre 21 NW2 and were going to be NW6 by 41, You would have lost a NW number every 5 years on average. With FIN you might potentially hold out to 51 before NW4 and 66 until reaching NW6. But lets say you were more agressive balding than the above example, e.g NW6 by 31. In this case FIN might delay full blown NW6 until 51. Maybe you can do a similar assessment based on dad & brother's progression. Other than the above, you could look at adding in Dutasteride.

Apart from those mentioned, have a look at Bloxham, Cooley, Charles, Lindsey and Gabel.

The plan is good and I think the results will be good.