Paulygon

Paulygon, did you ever see the episode on Cheers when Sam peels off his partial hair piece? He was conned by Carla the waitress into revealing any hidden secrets between them and off it came! That must have taken a lot of courage because not many people knew he was wearing a piece.

No, I would have remembered such a scene! Simply Amazing!

Especially interesting since, Sam (Ted Danson's) character was a playboy / ladies man throughout that show.

I'll see if I can find a clip of that scene somewhere.

Did you also notice on Becker that he had a fair level of density lowered in his partial to visually match his overall lower level of density throughout his scalp? He had both the color and density changed and if you see any current pics of him, it was lowered again.

 

Had he not had the density lowered, the piece would have stuck out like a sore thumb...:confused:

Hmm.. I definitely noticed that in Becker, Ted Danson 'suddenly' seemed older.. so what you are saying makes sense. I was new to the hair loss scene at that time so I couldn't put my finger on what exactly was going on with his hair. It just seemed like accellerated aging sudden. Thanks for pointing that out.

I loved this post! thank you gillenator. and I was a kid when Ted Danson was on Cheers.. I only started to realize that he had some hair issues when his later show "Becker" came on. It is interesting that he covered his hair loss so well on Cheers with a hair piece and then switched over to a gray-ish one. Thanks for that info!

per Gillenator: "They key is to plan according to your current limitations as well as your projected potential for further loss according to family history of hair loss because that approach will be more apt to save you from regrets and not being able to reverse the more aggressive or unrealistic decisions that you may make today..."

very true.. my hair loss seems to be similar to my maternal uncle... so that is helping me to plan for my future loss. I think his donor density is pretty nice thankfully.. and Dr Mohebi (my surgeon) says that I have very good donor denisty/quality as well.

looks clean.. can't wait to see them grow out! you must be very excited!

nice clean job, mate.

and great result.. it is going to be fun playing with styling options when the gets a little longer!! cheers

I can see how OP fell into the trap of getting a procedure with this doc.

The RN "has 40 years of experience in hair transplant and has worked alongside Dr. Norwood" (presumably the creator of the Norwood scale).

Man.. there are still people falling victim to bad HT's.. sickening!

it makes me angry that there are surgeons still doing 80s and 90s pluggy work and marketing themselves as Hair Transplant docs! ugghhh!

I'm sorry this happened to you but thank goodness, it is fixable. You should look at Jotronic's story. He had some terrible work like this done years ago and has gotten a nice head of hair now.

Only go for docs recommended on this site.. My doc does repair work as well. Do your research. you can get this fixed.

At first I didn't see anything wrong with his hair.. but then when I looked at the video, 2 things came to mind-

1- his hairline, although strong, shows that just below there are very weak hairs.. are those native hairs right below a restored hairline.. or is his hairline just receding really quickly?

2- yes, his crown looks very week.

thanks for finding and posting that video.

it might not be bad, actually.................

true, not very dense.. but it is a badass hairline... i wonder how it will look when it grows out and you style it properly.. could look good.

hi home1212, good to see you again!

i forgot, will this be your 1st procedure?

good luck mate!

hey keys,

length and waviness of hair are important factors in how your hair will look when it is grown out...

you seem like you may have nice curl to your hair, that will help density of that front portion... i think you still might actually have nice results.. just will need to wait 6-10 months to start seeing it.

So I had a chance to pick my doc's brain a little about how he decides how far apart to place the hairs that he transplants into a recipient region. I think that for some of you, it may be enlightening to learn how a HT surgeon thinks, in order to optimize the placement of grafts. Of course, there is an art to it, as well as a science. I'm sharing Mohebi's thoughts because I think he did a miraculous job on me and his response to how budgeting is done fascinates me.

by Dr Mohebi:

When I examine every new patient hair microscopically, I try to determine two main facts:

1. The final stage of hair loss or the total surface area that needs to be covered

2. The total value of their permanent hair

Recipient factors

It is important to know what the final stage of hair loss will be for a particular patient. Microscopic evaluation of hair can determine where you are heading in most cases even in early stages of hair loss. Family history of male patterned baldness can also help me make a better determination. For example, if you are heading for a class VI of hair loss (losing the entire hair from front and top), that means you will need adequate volume of hair to cover this large area.

Donor factors

Total value of permanent hair has to do with the qualities of donor hair described as follows:

1. Density: The more hair per square millimeter you have in the permanent zone, the more reserve of permanent hair you have for transplantation.

2. Thickness of donor hair: Thicker hair produces more volume after a hair transplant procedure. The important index to consider is the cross section of hair. If your hair diameter is twice as much as someone with fine hair, your final volume for the same number of hair will be four times more. So you can see that hair thickness is a crucial factor in the final result of a hair transplant.

3. Waviness: Wavy or curly hair produces the appearance of more fullness.

4. Color: The contrast of Hair color with skin tone is also important. Considering everything else is the same, transplanted hair in someone with only 20% hair density with blond hair on white skin will look a lot fuller than someone with black hair with white skin.

Other factors to consider

Besides donor and recipient factors, we have to take into consideration other factors that play an important role in the process of planning for hair restoration such as:

• Patient styling preferences: People who always comb from front to back require a denser front that can help the back areas too. People who comb from left to right require more coverage and maximum number of hair on the left side as opposed to the right

• Patient height: top coverage becomes more important for shorter patients while frontal hairline and back of the crown become more crucial for very tall people

• Patient job: Sedentary jobs makes top coverage more important

• Aging and other individual factors

A good hair transplant surgeon plans the hair transplantation with consideration of the future pattern of hair loss. Focusing on restoring a juvenile hairline in a very young patient could result in a fake hairline when the person’s hair loss is matured in the future.

So as you can see, planning for hair restoration is not always simple and should be done after a thorough examination of all the factors that play a role for each patient. Since the distribution of hair in transplanted areas is almost never even, the hair transplant surgeon should implant the hair grafts strategically to create the appearance of maximum fullness.

To answer your question about whether you need more transplantation to fill the very front of the scalp; it depends on whether you have adequate donor hair that can address your future hair loss in the top and crown areas. Obviously, our priorities might change due to factors such as height, job, and personal styling preferences.

I've heard the phrase that the crown is like a black hole that sucks in donor hairs, and you want to be very careful when addressing the hair loss in this region.

Interesting advice guys, thanks!

Ok doing that today as I fly home tomorrow. Need it to look not so bad desperately. Dr said it was safe to trim so will be cautious.

 

trimming may not be a bad idea if ur desperate to make sure nobody will notice a difference.. are the scabs gone?

Don't end up like me, already regretting your hair transplant before your new hair has even fallen out!!!! This is supposed to be the "honeymoon phase", but trust me, it's anything but!

 

I hope this post gets searched and read a whole lot, so someone else can avoid such a huge, costly, and pointless mistake.

Bummed, I feel for you and I hope that eventually things turned out okay.. wish you would come back and update us.

Clearly your expectations were not met and perhaps your doctor should have managed your expectations better.

I like the term you used, "Honeymoon phase". The first 10 day days of my HT, before any of the new hairs fell out, I was sooo happy.. I remember telling my doctor and then my family,"I never thought I would have such strong hairs where my hair line is!".

keysersoze, looks like we've been discussing on another thread, and that you are flying home tomorrow.. maybe 'trimming'the new hairs isnot a bad idea, considering you are desperate to make sure your friends and gf do not notice any difference.. but you need to make sure the scabs are gone.

oh man, I'm sorry to hear that cutting back did not make the pain/discomfort disappear. did you get a chance to discuss with a doc?

1- can you develop a relationship with a good men's stylist so that she can cut your hair in such a way that she keeps the front portion (lower density region) slightly longer than the high density region (to give the illusion of equal density amongst the two regions)?

you may have to try a couple different stylists to find the one that "just gets it". there are some great salons that cater specifically to men and their stylists have experience with working on receding hairlines or men with hair loss in general.

2- density study.. my surgeon (Parsa Mohebi) does hair density studies (pic attached below) with a microscope and gives me empirical values indicating the density of each region. Do you have any numbers like that? It might be easier for us to judge or give advice if you can give us hard numbers.. sometimes photos don't to perfectly tell the whole story.

Photo 1 below is an example of a density study (aka miniaturization study) on my own scalp by Mohebi.

Photo 2 below shows that it is common for different regions to have different densities... styling is important.

*Remember that if the scar is re-opened for seconds or thirds, it may widen.

 

Clinics will say, 'Wait, but it might not', but they'll also say, if it widens, 'yeah, well, it has been re-opened so less laxity'

My doctor plans to do the tricho closure for me the second procedure so my scar should be even less apparent after the next round.

Some docs are really good with wound closure. Part of the reason that I picked Mohebi was that I read some of the Johns Hopkins academic work he did on wound closure, and being an academic myself, I was sure that he was the man for my FUT surgery.

Pick a reputable doc, see some of his past work and don't worry too much about the FUT scar if you don't plan on shaving your head below a 1-2.

I'm so happy for you buddy.. I know the feeling of having a good transplant... make sure you use the positive results to make a positive change in your lifestyle.

I remember reading this study years ago.. and in my mind (in my party years), it just meant that drinking was beneficial to finasteride absorption.. that was my youthful interpretation of it.. (I really don't drink anymore but continue to use finasteride.)

I agree with hsrp, I don't think 2 weeks is enough time to correlate the shed to Finasteride.

damn wish I was single...

hey, hrsp, here's another screenshot for ya!

from The Hangover

Note that Carrie did not wind up with that guy in the end.

too funny -- i hope it wasn't because of his hair loss!

i think he was just to nice a guy, really... she was just too fixated on mr BIG, the emotionally unavailable guy.

Dear Moderator,

Hmm.. I am confused as well. Why was the link removed and why is it considered "promotional"?

If Spanker hadn't commented I would never have known it was removed. -thanks Spanker

That is a really cute video and I think it provides value to the community.... I feel like it is not a good decision to remove it.

What's the deal and how do I rectify this so that the community can see that clip?

I love this clip from Sex and The City, regarding "secret single behavior", where Carrie finds out for the first time that her boyfriend, Aidan is losing his hair and that he uses Rogaine.. the look on her face is priceless!

I think most of us in the hair loss community have pondered how or when to tell our significant other about our use of meds or prior hair transplant. This clip shows that WE ALL HAVE SECRET SINGLE BEHAVIORS..

so don't fret! :-)

check out the clip! or at least, the screen shots below.

**video link removed by moderator**

You guys gotta see this clip from Sex and The City, regarding "secret single behavior" and your girl finding out about your hair loss for the first time! :

Paulygon's videos - Secret Single Behavior