Melvin- Admin

Looking fantastic 👏🏼

Did you get any reason why you got folliculitis?

Looks thicker than the other picture.

Topical finasteride reduces DHT by less than 50% compared to oral finasteride. 30% reduction vs. 70%. That’s a significant difference. Furthermore, topical finasteride reported side effects were much closer to the placebo group. Sexual side effects: Placebo 2.8 % vs. 3.3% as opposed to 4.8% of oral finasteride. Based on this I would say topical finasteride is much closer to placebo side effect profile rather than oral finasteride.

Yes I was thinking the same thing. One application is unlikely to cause side effects so quickly, especially the slow and steady release of the medication through the liposomal gel.

What are you talking about? It’s only slightly less effective than oral finasteride.

You couldn’t pay me to get erectile dysfunction. The truth is side effects happen twice as much with oral finasteride. Obviously, generic fin is cheaper. But id rather pay and not get ED.

No shedding or side effects.

Yes, I’ve been on topical dutasteride for a month. I used topical finasteride for 2 months before starting on dutasteride.

This is nonsense. There are double-blind studies that show it is effective, and reduces DHT systemically by 30% vs. 70% of oral. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297965/ That said, topical dutasteride for me is probably more effective and reduces DHT systemically by 10-12% because of its molecular weight.

You’re a good example of how medications may not work if you have an extreme sensitivity to DHT.

Based on your pre-op photos, transplanting the outer edges to compensate for future hair loss was the right approach. I would agree with your last statement if the initial plan were to restore your hairline. Then you would need grafts in the mid-scalp to ensure there would be no visible disconnect between the hairline and the mid-scalp as your hair loss progresses. In this case, the goal was to restore your crown, which was your main problem area. The clinic must ensure you don't have a donut hole in the future. This is when there is an island of hair with lateral and lower edges of the crown thinned out. Here are examples: In my opinion, all clinics must reinforce susceptible areas to ensure there isn't a disconnect in the future. Now, I have asked them to address some of your other concerns. But I think the placement is actually spot on. There are a lot of cases here where clinics have missed thinning areas, and it does present a problem. Now, if you decide to restore the hairline, they will most certainly need to transplant the mid-scalp. Now, you might think, 'well, what if my hairline and mid-scalp start to thin? Then I'll only have my crown.' I would say that is why one-and-done hair transplants don't happen. Once you address the front, you'll eventually have to address the back and vice versa. Hopefully, you're on medication that would give you plenty of time before you eventually have to restore the front and mid-scalp.

Excellent results 👏🏼

Dear Community, I have contacted @Bogota Hairlines who advised that they are speaking with the patient. They will respond to his concerns shortly. I do want to chime in. They did the right thing by reinforcing the outer edges, clearly showing miniaturization. Usually, we have the opposite complaint. A patient will have surgery and later see a thinning area that should have been transplanted. This is the first time I've seen a complaint about a thinning area that has been transplanted. If you examine the pre-op photo, you see the bottom is thinning. The problem with this example is that the angles are different. The left side is facing forward at eye level. The right side faces downward from an upward angle, so matching the lines doesn't work. Because tilting your head downward will expose the upper part of the crown more than facing forward will. When you compare these two photos, you can see the area outlined on the right is an area that is visibly thinning. Now, this isn't easy to detect because the hair is long. However, once you close up, you can see a lot of miniaturization. The common problem is that surgeons won't transplant this area, which leads to a visible gap as hair loss progresses. The so-called' donut hole' effect is one of the biggest problems with transplanting a crown at this stage. The only way to avoid this issue is to reinforce the outer edges that are miniaturizing. They did the right thing by reinforcing these edges. This will ensure the longevity of the hair transplant as you continue to lose more hair.

It’s safe to put on with your bare hands, it needs to stay on for a long time to penetrate. Women can touch your hair as long as they’re not pregnant or trying to conceive.

Those are all great names, have you looked u their reviews here and reached out to their patients?

By coverage I mean transplanting to broad areas, rather than transplanting for density. Some doctors may try and tell you, you need more grafts in the hairline. While that’s true. You obviously need everything to tie in and match a lot more. Do not wast precious grafts front loading too much. Use everything left for the outer crown and lateral humps. Once everything is uniform, then you can consider density a priority.

But Ketoconazole also helps with hair loss, which means it does penetrate to the epidermis.

Man, if I can get to this is be set no need for fibers ever again!

Been using it for one month. I feel like it’s getting thicker on the bottom where there’s no transplanted hair. Been using it 4-5x per week. Zero sides. Very happy about that.

That’s exactly what I do. I don’t think it’s super necessary to use it daily. I think 4-5x per week is enough.

Yea I don’t believe we’re there yet in terms of technology.

They charge per month around $129 subscription. However, I’m working on getting a deal for the forum, where members could get a month free. I’m hoping very soon.

I’m sure it works, the question is will it go systemic? If they use an alcohol base for their vehicle, then yea it probably will. I would consider topical dutasteride.