Hello,
I am in my mid fifties and had had a bad transplant in the 1980s (fortunately only one) which consisted of plug removal (FUE) of very large plugs and then inserting same in the frontal region. I had most of my hair then so it wasn't too bad--however, once I lost the hair in the front became very noticeable. I was lucky because I had a pretty good hair on the side pretty far up (my pattern in loss in the middle to the crown as well, but very good hair still pretty far up the sides. Because of that, I was able to have some hairs removed from the plugs and using the hair on the side, combing it over was a fairly reasonable solution for many years although became less and less so as I lost more hair.
In any event, being happily married all those years, it wasn't as big a deal for me as it would have been for some men who were single. But I got tired of the comb over (which was a necessity) and decided to either remove the plugs or get a transplant--I chose the latter and so far pretty happy with the choice.
I had a procedure with Dr. Wong on in August, 2012 (FUT--that's all they do) where by he removed the lines of plugs in the front and set my hair line back some--originally he suggested leaving it, but we mutually agreed it would be better to remove some grafts and move it back. Unfortunately, I do not have great laxity and we could only get 2,228 grafts on the first procedure (although I didn't do the exercises as I should have). The second procedure was April 25, 2013--again I tried to do the scalp exercises but just can't seem to do it religiously--got 1,704 grafts--total with two procedures of 3932 (4000 or more was my goal) grafts and at least 7,269 hairs total (counting the 3/4s as 3s). I was very surprised that he did not have to shave my already existing hair which will make this second procedure undetectable in about two weeks post op.
Any way, I was VERY PLEASED with the doctor and the results. Its not thick of course, but it looks so much better than it did and I finally--about a week before the 2nd procedure, cut off the last of the comb-over.
Several questions:
1. I will definitely wait at least a year but if I were to have another procedure, is there any way to get a good hair count--like at least 2500 the next time? Will diligent laxity exercises work if done for many months prior?
2. He wants me to use proscar (finisteride) but am concerned about the potential side effects--especially sexual--get into your 50s and it becomes hard enough with libido without adding problems! LOL!!!