bismarck

TRT will likely contribute to and accelerate hair loss, even if you are taking Dutasteride. DHT is a large contributor, but there are many new factors at play that we didn't understand before because the science was not as evolved (exosomes, androgen receptor sensitivity, hormesis, etc). If you have a legitimate medical reason like bone loss or impotence, than do you what you have to do. Just be aware it might make things dicey.

Whatever the fuck he did don't do it. LIke his political career, he has an abortion of hair.

If you're basing your answers off of realself or doctor published pictures, you're asking to get f'd in the a. I hope you get a reach around at least. Patient submitted cases or forget about it.

phase 3 trials or shaddup

Be a man. Post your pictures here. Non surgical. Get on big 3 first. Stop complaining.

TS, what's up with all the clickbait threads. Not a fan.

A few tips: -Look at patient submitted cases for a rough idea of 'Yelp reviews' of the physician. -Look at surgeon submitted cases for a rough idea of what the surgeon themselves views as their 'ideal outcome'. -Review multiple forums and try to keep a log of patient cases for those you're considering strongly in a growly type notebook. Give each case a rough "1-10" rating so you're not just relying on memory and posts from forum users. This is obviously extremely difficult with submitted cases, but it is far better than what we've had in the past and certainly there are very few cosmetic (or surgical) procedure in existence that have the database of patient submitted cases that HRN has accumulated. Be very grateful for this site. -Be careful to separate liking the surgeon personally from the quality of their results. The former doesn't mean $hit for the most part; the latter is key. -Try to look into the state medical board where the physician is located. Most United States, Canadian and UK surgeons have to report disciplinary action to their respective boards. If you can find court records, look up how many times they've been sued. -Look up their actual Yelp page, and mentions of them on other forums. You might be surprised at what you discover. Be careful to separate the trolling/internet noise from actual insightful criticism. If you figure out how to do this, please let me know. -Trust your gut, it matters more than you realize.

Exosomes and exogenous ketones are probably two areas of promise as well, but again, very little in the way of peer reviewed evidence.

Wht the f are they doing over there in Turkey. Should be ashamed.

There really hasn't been much of interest treatment-wise in a long, long time. Cutting edge inevitably faces a trade off with 'clinically proven' and snake oil salesmen rush in to fill the void.

jj, two things -- I have to say, your scars are some of the most imperceptible I've seen, so surprised to hear you say this. I also think, however, that you have one of the best eyes for detail amongst everyone on this forum, and you would probably catch stuff that the average layperson (or even physician) would miss. Have your scars ever been noticed by someone before you told them about your surgery?

It has been studied to a limited extent with alopecia areata but not androgenic alopecia to my knowledge. I don't think it would be as effective as dermarolling. Combing it with electrical stimulation or minoxidil to augment its effects would be interesting directions to go as well. I think a lot would depend on if the underlying fascia had fibrosed already or not. The balance between hormesis and anti-oxidation is the fulcrum around which every hair follicle rotates. Acupuncture for treating alopecia areata: a protocol of systematic review of randomised clinical trials. Lee HW, Jun JH, Lee JA, Lim HJ, Lim HS, Lee MS. BMJ Open. 2015 Oct 26;5(10):e008841. doi: 10.1136/bmjopen-2015-008841. Nitric oxide signaling molecules in acupoints: Toward mechanisms of acupuncture. Ma SX. Chin J Integr Med. 2017 Nov;23(11):812-815. doi: 10.1007/s11655-017-2789-x. Epub 2017 Oct 28. Review.

Thanks Blake. When you use sutures are they absorbable or do you remove them? Or is this also surgeon preference? I have heard that absorbable sutures may not be as secure as conventional sutures, but have you noticed anything one way or the other? For your patients that are out of town that you use sutures with, do you have them removed with a local doc in their home city?

Thank you. I asked this elsewhere, but did your surgeon use absorbable sutures or did they need to be removed afterwards? What time frame was this done?

For those of you who have had sutures for strip, were they absorbable sutures or did the doc remove them after surgery? If the latter, when was this usually done? 2 weeks? And how long did you need to stay in town for the procedure if you flew somewhere? A few days or weeks?

What medical regimen are you on right now? Is fin/dut on board?

These types of threads make me fear strip. Imagine going through all that and getting a scar for a negative return. OP (if you ever return) have you been on meds? Have you been diagnosed with any other medical condition? 25 is so young.

A bit annoying to see a new user sign up, their first post being a before and after from Dr. Diep or some other clinic, then disappearing to never be heard from again. It seems like they're incentivizing patients to submit their cases in a very odd way.

Wow that is dense packing. Please keep us updated, deFreitas has quite a reputation for excellence.

Great stuff. Could you post any immediate pre- post-op pics? Also age and medication history? Also you describe it as an FUT in your post but the pics say FUE. It is the latter, correct?

This is the central question of hair loss. To the OP, you must try to be on meds for at least a year before considering surgery. I think most shaved head guys that you see in public are pretty clearly balding and you can usually tell, but if you're okay with that look, FUE might give you that lukewarm exit strategy. FUT usually leaves a more recognizable scar than FUE, but the yields and possibility for repeat procedures down the line are probably better too. Some have advocated at strip first, FUE towards the end, which intuitively makes sense to me, but there is no perfect solution. There is no way to 100% know which is best for you, even in retrospect, but the more time you put into researching, the better your outcome will likely be down the line.

Does anyone have an opinion on these or is there any objective data out there? Intuitively I would think sutures would look better and have less risk of stretch, but I heard a transplant doc say somewhere that he felt qualitatively that staples preserved more of the donor follicles for later work. Do you all have any thoughts on this?

Remarkable results and I like that Blake kept it conservative with your young age. What made you choose strip over FUE?

You're going to have to give the scar time. You have stretchy collagen. Take vitamin C, bone broth/glycine, and tocotrienols and use topical vitamin E/aloe. For me, I've found jojoba really keeps inflammation down. Experiment with things, even grapeseed or emu oil. Massage and laser might help, though the main elixir will be time. Keep us updated and don't beat yourself up too much -- and if you figure out how to do the latter part, please share your secret. Good luck young man.

Hasson is extremely consistent, Wong is good but not quite at Hasson's level. Probably one of the most consistent active clinics for FUT in the entire world.