Melvin- Admin

Well, you focuses solely on the crown. I’m sure you will have better density. I didn’t focus on the crown. Next one, if I get one will be solely in the crown.

Most definitely get on fin ASAP. Wait at least 6 months before considering surgery again. You may get some good regrowth. I would also look into oral minoxidil and topical dutasteride.

Certainly looks to be close to 3,000 grafts, considering you’ve had grafts also put in the crown. Have you asked the clinic for a graft break down?

Repairs are always trickier, and more expensive. Have you consulted with Dr. Gabel, Dr. Cooley, Dr. Mohebi, to name a few. Feel free to send some consultations to some of the surgeons recommended on this forum. https://hairtransplantnetwork.com/best-hair-transplant-surgeons

Yes daily application

^this

Final update. It's been a helluva year. So much has changed. I want to thank all of you who have followed my journey. I know I said this would be my last, but i'm considering getting one more 😏 hair greed has got me.

Watch this, might help

Would you be willing to share updated pictures?

That's a great idea. I can even pin that topic. I'm thinking of creating a Q&A where Dr. Han from Xyon can post and respond.

Based on what I was told by Dr. Hasson, the results were better using it daily. Plus, the difference in DHT levels were very low. I think the prudent thing would be to start off on 1x per week, then gradually build up to daily use. You could also do one month 1x per week and another month daily. That would be an interesting experiment, to see if there is any difference.

I hope it will become available in Europe soon. Can you get dutasteride from Parati? Based on the studies, Dutasteride looks to be a lot better. The changes in serum DHT was very low, in some cases non-existent.

Honestly, I think dutasteride is way better in every sense. But, the finasteride is good too, if you’re doing good on that you’ll be fine.

Yea, currently gonna do finasteride 2x per week and dutasteride 2x per week. But given the results of their study, I’m thinking of doing dut every day. The DHT reduction is less than finasteride.

But the daily use study showed negligible changes in DHT serum. Three subjects even went up slightly in DHT. Why would you change it to 1x per week when daily use doesn’t affect serum DHT levels?

The clinic didn’t clean up after surgery.

Have you researched who’s actually top tier?

0.9 mm is not too large. Standard ranges are 0.8-1mm. The smaller the punch, the higher transection rate. Which means less growth. If you go to small 0.7 and below, you risk a lot. The ideal size is 0.8-0.9mm depending on hair thickness.

The paper actually says once a day dosing.

So average ranges of DHT range from 0.38 to 3.27 nmol/L. Just so we understand. Ok so after reading the results. This is how it’s broken down. Table 9 is looking at serum concentrations by the hour on day 28. That’s why you’re seeing an increase in serum DHT levels. So 1 hour after application the DHT levels drop than go back up after a 24 hour-period based on this graph. But for some their DHT levels are higher after application and gradually decrease after a 24-hour period. This reflects normal day to day fluctuations of testosterone and DHT. The graph you want to look at is table 10 which tracks DHT serum levels from day 1 hour 0 (baseline) to day 28 hour 24. Graph 10 subject 1. He was 1.132 at day 1 0 hours or (baseline). On day 28 (24) hours, his levels were 0.981. A 0.151 difference, which equals 15.1%. That means his DHT levels decreased by 15% at the end of 28 days. Only three subjects saw an increase in DHT, which were both still low in the average range. Subject 6 started at 0.317 (below average range) by the end he was at 0.693. Slightly above the 0.38 average. Subject 8 baseline was 0.517 by day 28 he was 0.911. Subject 10 started off at 0.928 and ended at 1.118. Now if you look at these results at face value you might think, the dut made DHT increase. But I don’t believe thats true, to me, this looks like 3 subjects had no decrease in DHT levels. Their levels fluctuated, as they do normally without any medication. For some reason table 11 looks at day 1 4h as the baseline instead of day 1 0h. This skews things, you’ll see some participants levels decreased and some increased after day 1 4 hours, so it makes their increase/decrease look higher. If you look at the baseline day 1 0 hour. You’ll see the differences were negligible. Overall, the average decrease is around 10-12% depending on whether you look at baseline being 0 hour or 4 hours. This is WAY better than finasteride. No doubt about it. Its not even close.

Fantastic work Dr. Path, looks very natural.

This will be the second review from Dr. Zarev, can't wait to follow your progress. When is your surgery scheduled? Btw so many people have asked me to have Dr. Zarev on our podcast. I would appreciate you bringing it up to him. I'm sure many in our community want to engage with him and a podcast would be a great and easy way.

Looks like 0.9mm the pictures are close-up. Most surgeons use between 0.8mm to 0.9mm, this patient looks to have thick hair, so using a small punch like a 0.8mm could lead to a lot of transection. There is a balance between the size of the punch and the transection rate. @Dr. Vladimir Panine this is a fantastic result, the crown looks excellent great job 👏

The hairline you want is too aggressive IMO. You have a good head of hair, the pros outweigh the cons. There is no surgeon on earth that will give you a better hairline that what you already have. Your hairline looks perfectly natural and normal for a man of your age. Now, that is not to say you can't have surgery. But you're trying to be too aggressive. Most surgeons will not perform hair transplants that would appear juvenile because the likelihood of future balding in your 30s is high.

Awesome write-up. I didn’t know Dr. Laorwong did FUT. Will be following your progress closely.