MrGio-WHTCClinic

going to have my consultation. what type of balding do i have? norwood 3?

 

how many grafts do i need? actually my middle front is also thinning and at the crown. it gets thin when my hair gets oily.

Gojira35, You seem to show a potential 4A pattern, but time and your family history of hair loss will tell. What are your goals?

Thanks for sharing.

We are still open for any others to join us on November 4th and 5th.

Bald or buzzed and with and without a choice, you can do it. Your look is good, as long as the skin tone of the scalp doesn't have unnecessary contrast in pigmentation from the sides to the top and the length of the groomed hair is in a uniformed manner. A side profile photo might be helpful to post as well.

Photo of same patient attached below.

Here's the video footage of RepliCel at the IHRP '17.

Hi Guys,

 

First of all , thanks to all the forum users and moderators for the wealth of information here. Really helps all of us guys in here.

 

Coming to myself - I'm 29 years now from India and I have had thinning since early 20s. I had transplant to the front of about 1800 grafts for the hairline and the result is mildly satisfying. It's neither great nor worse. I am a diffuse thinner with fine hair. Now I look back after an year of transplant - I see my crown has had thinned a lot and there's a considerable bald spot which has been bothering me quite a bit and has taken a hit on my confidence.

 

I will post the pics of my crown currently in various lightings. Could you guys please see and suggest if FUE on crown is the way to go for me and also suggest how many grafts would be great for a decent coverage. With toppik fibres currently , none gets to know that my crown is thinning but using it daily and with rains/ wind - there is always this fear of losing the mask.

 

I come a culture where traditionally hair is seen as something very important and is probably an aspect when I plan to marry. So really appreciate what you guys would think and would be the best way to go .

 

Here are the options I am exploring currently :

 

1. Get 1000-1200 grafts to the crown with no-shave FUE from Dr Bhatti

2. Get SMP done with long hair done from A's clinic to conceal the thinning and plan an HT in future

 

The end goal is to not worry about hair for atleast 2-3 years down the lane again.

 

 

What do you guys think. Any input is appreciated. I am really confused and looking for answers

The crown is a difficult area to restore, especially if your hair line continues to recede.

Thank you so much for the response, and I'm so sorry for the late reply.

 

So it is safe to say that I can proceed with my HT?

 

I do not know where the stress is in my life, only I can respond to this. My sebaceous glands have been super active since I was young. I also avoid greasy food and I even eat less meat now.

Your surgical clinic should be aware of this condition for any possible post-op concerns.

I underwent FUE surgery one year ago to fill in my temples with 2500 grafts and am concerned about my hairline. It seems too solid. Too straight. My surgeon says that it will become more natural over time as the issue atm is the fact that all the hair has started growing at the same time. Once they take on their respective phases then it should appear more natural? I dunno. I'm not holding my breathe. It's all I notice in the mirror and people have commented on it. See pics for a recent holiday I just went on where it seems ridiculous.

 

Looking forward to hearing what people have to say. Also if anyone has any advice on what to do that would be great.

 

Thanks.

Hi. May you post immediate post-op photos?

I am a 30 year old female who has been dealing with gradual hairloss since approx 2008.

 

I have not yet seen any before/afters in regards to this type of hairloss, only full front where they are repairing hair lines in women. Can anyone point me in the right direction?

 

I am setting consults with surgeons at this point and will be completing necessary bloodwork, labs, physical as well. So far I have emailed for consults with Dr Konior and Dr Shapiro - I know they are both top of the line but are they good for these types? I originally received an email back from Dr Nadimi at Konior's office but was unfamiliar with her and couldn't find info on the web.

 

Also, does anyone have a rough estimate on what I am looking at as far as grafts or even if this is surgically fixable?

Is that the entire list of doctors being considered for female hairline work?

Can anybody confirm how long you have to avoid the sun for after you have a hair transplant? I have had several answers from several doctors ranging from 2-3 weeks all the way to 12 weeks. I work in tropical countries so this part is the part that is most putting me off the procedure.......

Extended sun exposure is not a healthy choice for up to 12 months. Stick to your doctor's recommendation.

I'm having this problem right now. I have been losing my hair for more than 5 years now and my hair is getting dry, coarse, hair line is receding from the temple area and overall i have lost significant amount of hair from the temple and crown.

Managing expectations is tough, but the comittment to a treatment plan is too.

28 years old - dirty blonde hair - hair loss for about 6 years

 

I've been doing research on getting a ht for about 2 years. I know the pros and cons of both fue/fut.

 

I have an appointment on august 4 with Dr Luis Nader to get 2000 grafts (fue) placed on head lol

 

I think I'm a Norwood 3 but I would appreciate asking for your opinions on that.

 

Here are some pics thank you

A Norwood III seems accurate, but you can measure the hairline for a general idea of determining your pattern, and you can have a specialist measure the density on top too. The lesser pigmented hair is less visible in creating the illusion of coverage.

Hi all,

 

I am considering going in for a HT or at least consultation by the end of the year.

 

However I would like to ask some general questions, and more so if there are any members here who have had a HT 10 years ago or more.

 

My main concern is whether I am a good candidate for a HT?

The way I understand it, the older the person the better the candidate they are as it is more likely that their pattern has settled; and they also need to have a thick donor area.

 

 

 

1. I am a few years under 30, how likely is it that I will lose my donor area (to MBP) or how likely is it it to thin out?

2. Is it possible for a HT clinic to thoroughly examine the donor area to determine if it is susceptible to fall out?

 

Also, there is always the concern of having a HT (for the front vertex/hairline/temples) but then the native hairs behind that will continue to fall out.

 

 

• I would be grateful for anybody's thoughts and opinions, or if anybody has experience they could share?

 

Any thorough examinations over a given amount of time can be very beneficial. Stabilization is very important as is the commitment to medical therapy.

A typical 3000-graft FUT scar can be about thirteen centimeters long and four to six millimeters wide. As no two patients' donor areas and goals are equal, the size of the linear scar can be dependent on density, hair characteristics, and closure method. The reduction of the overall area in the donor region may cause stretch-back to occur well after the FUT grafts have matured.

Hi All, firstly I would like to say thank you to all you wonderful people for posting your results / providing opinions etc. Much appreciated.

 

This is my first post on this site so forgive me if I have not followed any protocols.

 

Little background about myself, I've in my mid 30's and have been losing my hair for almost 10 years plus. I started to notice my temples appearing back in 2005 and since then the hair has been gradually falling out. Thankfully, its been gradual and not within a short period of time. Early 30's I noticed the thinning was getting worse and started to get the usual comments "oh your hair is thinning (or falling out!)". Some people just love to state the obvious!! Anyhow, it started to make me feel real paranoid and it really affected my confidence. I'd be talking to people and would notice they would be talking to me and then slowly their eyes would be going further up and looking at my hair. As soon as they would do that I would start panicking inside and quickly diffuse the situation by either saying "I need to make a phone call" or "i'll be right back". The things I would do to avoid people looking or even starting a conversation about my hair. Some days I would even call in sick just because it affected me so much. Anyhow, I then came across Toppik which I have to say has been a life saver. I've been using it for the last 5 or so years and its really helped me with the confidence and also stop those conversations about my hair! I can honestly say since I started using the product I've probably had 2 comments about my hair thinning in the last 5 years. And those comments were because I hadn't applied it correctly. Yes I had to avoid the rain like the plague and all of the rest of it.

 

Over the last few years I've been keeping a close eye on this site as I knew the day would come where I would need to do something about my hair more long term. I'm starting to reach out to some of the doctors mentioned on this site notably H&W, Dr Rahal, Dr Bisanga, Dr Feriduni and Dr Koray. I've read and seen great results from all of these Dr's.

 

I'm probably a NW5. I have hair around my hair line. The mid scalp area is pretty thin and just a few hairs remain and the crown is almost bald. My donor area I would say is reasonable as my hair at the back when grown out is pretty thick. I have not taken any meds.

 

H&W have suggested I need a 5000 FUT procedure, Dr Rahal has suggested 4-5000 FUT procedure, Dr Bisanga also 4500 FUT procedure and am waiting for the others as they all state the level of hair loss is pretty advanced.

 

I would welcome any advice you may have.

Apologies for the long story!

5000 sounds good, but also look at the possibility of the crown worsening. Maybe test your beard hair in the crown at some point too. The coverage could yield a great effect but be realistic in expecting to restore everything you had; surgery is meant to create the illusion of coverage. Inquire about the benefits of including hyaluronic acid and platelet-rich plasma during the surgery.

Thoughts anyone ?

Maybe consider donor recharging with FUE to maximize the value of your scalp hair; replacing scalp hair in the donor area with another source of hair to minimize the appearance of thinning.

Hey Guys and Girls.

 

I had my HT on 12th April. Loving my new hair line, but now I am noticing some serious dandruff.

 

What can I take this early to combat this ? Can I start nizoral and may be Castor oil massage. Dandruff is worrying me.

 

All advice and feedback is welcomed.

Are you noticing any scabs shedding or hair fragments falling?

1. It seems like dutasteride is more effective than finasteride (refer to link 1). Why dont I hear enough on dutastride? Apparently it can prevent up to 98% of DHT conversion while finasteride can prevent 73% max. It seems like most people rely on finasteride. Isn't dutasteride basically better?

 

2. Most of my thinning is in the frontal region of my scalp. Should I apply minoxidil on the entire scalp or only on the affected areas?

 

3. Does shedding necessarily mean balding? Doesn't the process of male pattern baldness include the thinning of the follicle THEN it falling from the scalp? My shedding hairs seem to be dense. I feel like I go through intense shedding phases every 4 months or so. Am I possibly OK despite all of this shedding?

 

4. What happens if I increase my dusteride or finasteride doses from .5mg to .75mg and 1mg to 1.5mg daily, respectively? The daily recommended dose for dusteride is .5mg and 1mg for finasteride I believe. I am currently on finasteride.

 

5. My non-surgical regimen is as follows: 1. 1mg of generic finasteride daily, 2. 2ml of generic 5% minoxidil (1ml in the am and 1ml in the pm), 3. Ketoconazole 2% shampoo (2X per week). I'm thinking of adding the following: saw palmetto (not sure on the dosage), 10,000mcg biotin daily, and the use of a derma roller. Is this excessive?

 

 

Please provide reasoning with any answer you might have. Thanks!

 

Link 1:

 

https://www.bernsteinmedical.com/resources/hair-restoration-papers/dutasteride-vs-finasteride/

Dutasteride blocks more pathways of DHT. Minoxidil has worked more effectively when used with finasteride. Photos of shedding could be useful to determine what is happening, especially if you continue to notice shedding and use different treatments in your regimen. Medical therapy takes a commitment. You might want to consider platelet-rich plasma.

Thanks ,Yea I was quite surprised when I saw the pictures side by side ..I'm not sure if I've had regrowth but the hair quality has improved greatly and the hair has darkened so gives a lot more coverage . I am 100% certain that I would have been pretty bald on top with just a strong forelock left like the rest of my male family without the Finasteride.

 

I've done this little thread to make others aware of how useful this medication can be to prevent future loss . Hope it can help others

Thanks for sharing your results and experience.

I am currently 29 years old. I have no idea when my hair loss started since I used to be in denial. We don't really have a history of balding in any side of the family. Only other person that seems to be balding in our fam is one of my cousin who has some kind of a down syndrome so I am not sure if there could.be an underlying health issue that affects his hair loss.

 

I am now considering hair transplant since it has gotten so bad, the right side of my hair seems to be norwood 2.5/3 while the left just aggressively receded this Jan after using a Saw Palmetto spray which I never thought could worsen the situation. Left is now probably Norwood 2.

 

Since I've been seeing that hair loss needs to be stabilized.before going for ht. How would I know when it would stop when there's no one in my fam to be used as reference?

 

I also dont think I want to wait, since I am not exactly young anymore. I want to squeeze and enjoy the most out of my remaining "younger years". As my hair loss has massively affected me emotionally.

 

What could be my best option?

Definitely get more than two consultations without committing to surgery. During the process of consultation, you'll learn what would be the most practical options for your unique case. You have many options with medical therapy and other hair loss products. Try not to make surgery the first and only choice. If you must choose to have surgery, be sure to effectively manage your donor resource. At 29, start with a 'less is more' approach with regards to any surgery.

Thanks for sharing.

I'm going to be 30 years old next month. I've been thinking about a hair transplant for over a year, but money was an issue. I've been slowly saving, and I've done some research. I've gone to 3 hair consultations.

 

The last consultation was two weeks ago in Tijuana at Neopel. I was suggested to get 1500 grafts, and Dr. Ana Gabriela Hernandez said to get FUE. It's only to fill in the widow's peaks. I've been recommended between 1500 - 2000 grafts by other doctors.

 

Would you go with FUE to fill them in? My concern is that I'll go bald later on.

 

During a consultation, you should provide your family history of hair loss, medical history, and concerns and expectations. With this information, your consultation should enable your awareness about the progressive nature of hair loss. A good FUE surgeon can perform the surgery to yield natural-looking results. A conservative procedure and appropriate density can accomplish a positive change. Research and investigate the results that most please you and compare the details to your case.

Yeah you're probably right about my norwood. Looking at the norwood graph you need a second opinion. Its handy to.

 

I've been on propecia for about 1 1/2 years. Not much changed.

 

Was looking at Dr. Diep and Arocha. Love their work. Whats your take on them?

A consultation with a third physician can help you decide if your expectations with surgery are reasonable.

If you have any crown recession, consider having a very conservative procedure if you must. You seem to be maintaining and stable. Think about how your hair style might change as a result of surgery. Take your time with the consultation process.

This guy is no FUE Dr. No FUE Dr uses a 2mm punch these days - that is more like a biopsy size instrument. I think he was experimenting FUE on me & I didn't know enough about it then so went along with it - another mistake.

 

I have had some repair work done & it is improved but I don't think it is as easy to recover emotionally from this kind of ordeal....at least that is what I am finding.

Presenting your case to a couple of experts might be beneficial to your future treatment plan.

I'm going to stick it for 6 months and see what happens, I'm thinking it could be Telogen Effluvium also maybe made worse by the DUT I will say word of warning the DUT seems to have some sides, I feel very fatigued also orgasm seem weaker and I've noticed weight gain

 

Thanks for your reply so guys

A scalp exam would be a good idea to better monitor your density in the long term. May you post any photos that may show the progression of your hair loss? Do you know the manufacturer of your dutasteride? Your reaction to the medication may be due to other factors and or positive and negative effects. Have you made any other changes to your regimen?

Gradually tapering the length over a month or two would help prevent the drastic change in appearance. The scalp might also blend in skin tone with less contrast in pigmentation as well.