ohnoo

Hi, I know my hairline isn't perfect, but I've never noticed my crown before.

Does it appear to be balding as well?

I've taken pictures at differing lighting and times.

I've been diagnosed with mpb about a year ago.

But I still don't see how androgen related balding would continue when I have to DHT or even normal testosterone. The cause of the balding is literally gone.

ohnoo,

 

You are still too young for a HT procedure IMHO. Even though you are actively taking anti-androgens and estrogens, there is no hard clinical substantiation that it will stop MPB or even reverse it. If you are experiencing some genetic hair loss stabilization, then we are all happy for you.

 

But what concerns me for you is the fact that both females as well as males are subject to MPB because of their genetic predisposition. I have heard from a fair number of women both young and older who are experiencing MPB and in every case was in their genetic profile (family history).

 

The difference are the thinning patterns although most females experience generalized thinning and diffusion throughout their scalps which can include the donor zones both occipital and parietal zones. Some females recede in the classic Norwood scale patterns whereby their hairlines begin to pull back with recession in the temporal lobe areas.

 

The reason you are too young is because when MPB is visibly apparent in the teens, it is almost always an indication of extensive hair loss in the future in both men and women.

 

Now if you are in gender transition, then possibly you would be a candidate for low dose finasteride which can help stabilize hair loss in the mid-scalp and crown. Very few individuals experience stabilization in the frontal zone and why many opt for surgical restoration in that area because of the progression of MPB over one's lifetime.

 

You may already be aware that meds that contain low dose finasteride like the infamous Propecia in North America or Finpecia in Europe are disclaimed to females because of the inherent potential risk to the genetalia of an unborn baby. Yet most transgenders are not planning to birth children so that disclaimer may not apply to them yet still would highly recommend seeking the initial advice of a licensed physician to discuss that issue before starting.

 

A fair number of transgenders that I have conversed with opt for a brow lift albeit still a surgical procedure but does not impede the scalp with transplanted grafts like traditional HT surgery.

 

Although you did not state why Dr. Madhu declined to perform a HT procedure for you, my premonition was some if not all of the reasons that I just stated.

 

Lastly, starting HT surgery in the frontal zone at such a young age can potentially accelerate the progression of hair loss meaning, the area that immediately adjoins the recipient zone begins to recede at an accelerated rate. This puts the patient in a position of having to "chase" further hair loss with more and more surgery.

 

This opinion may not be one that you wanted to hear nevertheless one that I strongly urge you to consider rather than just trying to find a surgeon who is willing to take your money.

 

Best wishes to you and want to encourage you to keep researching all of the risks related to surgical hair restoration before you make any decisions.

The reason I had been rejected by madhu was that he said he doesn't operate on patients younger than 23...

And Male pattern baldness is caused by testosterone, androgen blockers and dutasteride that I'm taking would stop it completely as I don't have the male hormones for it to progress. Whether it regrows or not is a completely different story.

The thing is that a receded male hairline is just not satisfactory in any way for someone who plans to prevent as female, it's pretty much a giant roadblock to their life.

I assume you're getitng transplants inside existing hair areas or just combing hair right close to it.

it's probably best to wait 10-12 days for the grafts to set and avoid dislodging them, maybe 7 days if you're recovering quick

Hi, the results are looking nice for an early time into the recovery.

Would you have any idea of the area covered for the transplant? Like cm squared or something?

Say, if I was going to get 45 grafts/cm in my hairline, would it be detectable? Would it look visible at all? If so would it only be if the hair is pulled back and wearing fringes would completely hide the density?

I'm planning to transplant 45-50 grafts into my hairline and want to know if it's enough or I'd have to get a second procedure?

I honestly don't plan to pull my hair back, so if it's just a tiny bit thin looking at that density but completely hidden through fringes I could deal with it, tbh.

Thank you!

I haven't...I took actual medication.

I've been on hormones for a year, so hair loss has definitely stopped and stabilised, though I didn't receive any thickening effects.

Regardless of if I get rejected, I guess if have to keep going to surgeons until I get one that accepts me. Hairloss is an extremely masculine trait that completely ruins my presentation and ability to function socially...

I'm australian and looking primarily at India for transplants, due to skilled surgeons and cheap prices

The surgery post op looks well done.

If I may ask, did you come with someone else? If not, do you think it made the recipient zone cleansing more difficult?

So I'm 18 years of age and have a hairline that's somewhere between a norwood 2 and 3.

I'm transgendered and taking anti-androgens and estrogen so I was hoping that would make it different for surgeons as shouldn't loose anymore hair throughout my life.

I was just asking as Dr Madhu rejected me with a consultation and thought I should ask here...