gbhscot

I'd be fairly happy with that result, good density around the hairline and enough mid scalp to live with / whack on some concealers if need be.

Again, great post and great result for the no of grafts

nice post, thanks for sharing.

The crown is a scary prospect for anyone considering HT surgery, particularly if young. Mine is still high with no signs of thinning down the back (yet?), though is thin in the "wide areas". Can't work out whether it will thin further down. If it did, I don't htink I can justify HT surgery as so many grafts are required for that one area alone.

If I were an HT clinic, I'd be looking hard for an innovation specifically for the crown area - something synthetic or god knows what. Take it out the equation and every result is a home run.

Hi all - wondering if anyone can give me their 2cents on this.

Basically, hair my loss started diffuse top of scalp and has continued to fall out that way, though now it looks like an advanced MPB pattern. NW4.5 / 5 I'd say. My sides are still high, as is the crown. The hair loss really is confined to top of scalp

Donor areas still have very thick, blonde hair which by all accounts is in excellent health. My question is, at the age of 27, is it possible that my hair loss is stable already? It all seemed to shed really quickly over the course of maybe 3 years and since then has always been the same. That is without taking fin btw!

Bit unsettling to read...have been in contact with Yaman quite a bit and was seriously considering booking with him at some point. Poor after care + the fact that Turkey is just not a place I want to go atm has put paid to that

Just updating this - I had shared the thread on another forum and a few people had asked about exact regimen changes I had made. Above I had mentioned the author Danny Roddy. Having just watched a new video he had posted on youtube, I wanted to quickly come back here and leave an update saying that I've been following quite a few of his suggestions just to improve energy metabolism and reduce inflammation throughout my entire body, which I am sure has also really helped with hair (please note, I have diagnosed low thyroid). A few of the things I've been doing have been simply upping my salt intake, eating liver 1-2 a week, drinking orange juice every day (mixed with a greens supplement I should add). Due to where I now live, I eat a ton of sauerkraut which is a vitK source too. I'm not repping him or anything, but he has a book called Hair Like a fox which you could download for free, if you can find it, I'd really give it a read.

Anyone have a link for dr gerke? Can't find much oine

Nice result, I'm pleased it's worked so well for you!

 

I agree minoxidil can be a pretty potent drug by itself. It's often seen as a little "boost" to finasteride but I think in a fair number of guys it can make a big difference. That's particularly true of guys with diffuse loss, where a combination of a healthier, thicker hair shaft and more hairs in anagen phase can make a real big difference (and minoxidil can improve both!).

 

I think you were a really good candidate for minoxidil improvement. You had a lot of miniaturisation but it's clear there's still a lot of hair up there, it was just weaker and thinner. Minoxidil looks to have thickened it up nicely and hopefully the Nizoral is helping too.

Cheers for comment. Yeah I think I might just have been very lucky...Now just curious to see if it is something I become resistant to over time and lose ground..If I could stay the way I am now, I could probs do a 2k graft FUE and be sorted. Beforehand, I was getting consultations saying I needed up to 5k FUT for "acceptable" density....could never afford it. Really hope I can maintain without Fin though, wsa talked out of it by my doc last year because he is already treating a young guy with Gyno from it..

I'd say that was a pretty solid aesthetic result for sure. Might still look a bit thin towards the back, but with the right styling and a bit of concealer, you're back to having a full head of hair, plus can always add density in the future. I'd be happy enough with that if I were you

Towel drying it. Basically just through washing hair with salt, kind of scrubbing scalp with it. Had read it years ago on a forum, decided to do it just to help with energy metabolism on the scalp (I read a lot from Danny Roddy) but the guy who had posted it had written something about sulphates, salt and hair regrowth. Probably just bro science and i#ve never looked into it in depth, but could be worth exploring. Use 5% yeah.

looks like you're a good responder to minoxidil. its definitely working that's for sure.

 

I think I'm gonna try it out myself just got given by one off my friends some minox she got from belgravia plus some shampoo and conditioner unfortunately it didnt wprk for her but I might use it and see if it works for me.

I would definitely try it out - doesn't cost much and maybe you will respond well too. My concern is that the gains are only temporary and that I might not maintain them for long, however if that is the case, I am aware that you can now get higher concentration Minox so might try that out if I plateau. Also, I do think washing the hair with salt once a week has helped a lot...I'm sure I read somewhere that sulphates increase minox uptake, so using minox after showering might have had some impact.

Always seems to me that Minox, whilst essential, is still regarded as having limited effectiveness, particularly when used totally on its own. I've been using it for about 7 months or so now, have cut my hair short for the first time in a long time recently and was just comparing some pics, if I'm being honest, was pretty surprised at how much Minox seems to have helped! Before & After pics below, my regimen is :

Minox once a day, every few days I use it twice if I'm not going out in the morning.

Supplement with vit B complex, mostly to reduce immune responses, inflammation due to hayfever.

Use Nizoral once or twice a week for 6 week cycles.

Wash hair with salt once a week. Maybe I massage my scalp for like 1 minute a day.

That's all.

Pics aren't great but think you can definitely see the difference, thought I'd share as it's the first time I've looked at my hair since 2010 and been pleasantly surprised...

The avoidance of exercise after fue is continuing to baffle me. I can see a long restriction after FUT, where you want to avoid stretching a scar, but it grafts are in place, secured, in 7-10 days, what is the problem with exercising? I've also read of people going back to exercise after 5 days and have read of clinics recommending the same.

Spex recently posted that he played rugby less than a week following FUE surgery

let's all not jump to conclusions right now there's got to be an underlying issue going on here as to why the grafts didn't take.weather it's the speed of the operation, dr bhatti skill or the body rejecting the grafts all together. going back to your 1st thread things looked ok it could of been better but from then till now things look completely different which is why i think the body's just rejecting them for some reason.which is why I'd like dr bhatti(and I'm sure he will) to comment on this and give he's side of things. as a future patient( I was planning on going next year) I'd like to hear how and what he thinks went wrong.

Agree with this totally, I disagreed with Sethicles take on things. Dr Bhatti is obviously a skilled surgeon who has posted great results in the past but I do think that there is accountability for his poor results to, which can happen. In that situation, I would say it is important for him to be in contact with the patient and on here to clear a few things up. I really disagree with claiming its the patients fault for the approach he took to hair restoration, because at the end of the day, the doc should be the one who refuses to pursue a treatment plan which is high risk of failure.

sorry to see such a poor a result, my only guess is that you subjected yourself too much trauma with having two large sessions within 24hours of each other. I'm guessing you thought, that traveling a long way to then wait a year or more to go back and repeat the same and then wait another long year for the final result was just too much time and money, why better way than to fast track and get it all done in one hit. ive seen many others get mega sessions why not me. I also noticed you were NW6 almost NW7, i think 4000 was never going to get the result you wanted and 2 FUT mega sessions were your only real choice for a good result, saying that i think your poor result is due to the two sessions within 24hours

I have to say, it's very disappointing and annoying to see this kind of reply where you are essentially placing responsibility for the poor outcome solely in the hands of the patient for his decisions, when in reality, the result is almost entirely determined by the Dr. himself. Obviously you've hard good work done by Bhatti, not sure if you also rep for him, but at the end of the day, a poor result is a poor result and a complete abdication of responsibility for it isn't something anyone on this forum would expect of a recommended Dr or those who represent him.

- If the procedure carried out was unlikely to be a success because of the option of causing too much trauma, isn't the Dr. responsible for making the patient very aware of this? Isn't he the one with the expertise to advise on a more realistic treatment plan?

- Even if the OP is NW6/7 his expectations should have been properly managed and a conservative approach should have been taken, doesn't look like that from the pics though - again, role of the surgeon.

- Yes all of us have seen megasessions with good outcomes, and rarely with such poor outcomes. The OP was well within his rights to think the same, given Dr Bhatti himself often posts such results, so , again, criticism of him for thinking along these lines stinks of hypocrisy.

Yes there are factors which can contribute to poor outcomes which are beyond the Docs control, but from your comment, the factors contributing to a poor result all fall under the Drs. remit.

@Dragonfly, thank you for posting. This is the scenario that all potential HT patients fear, particularly when the Dr seems to have taken the "not my problem" approach. I'm sure i'm not the only one on here who has had consultations and is giving thought about undergoing HT surgery with Dr Bhatti, so it is important that the forum is informed of these things to enable more informed choices.

Bumping this for David ... what did you think of Aveda? Can't decide whether to go for it or try out Wella Nioxin for a while!

On a serious note, there is a really interesting thread about progesterone just now. Search for it. Potential alternative to fin

@gbhscot - progesterone works in the exact same way as fin , ie. a 5-AR blocker which inhibits the conversion of test to DHT. As such, it is a natural substitute for finasteride provided you use a bio-identical hormone and there are therefore no sides. I don't know anything about prolactin, so i can't comment on that. I feel like progesterone is a well kept secret that could help a lot of guys who are concerned about fin sides. Just google 'Progesterone DHT' and have a little read.

I'm 27, no doc in the world is going to prescribe me progesterone

If people stop looking you in the eye and you get whistled at when you walk by a building site, I'd consider at least reducing dosage.

I think the DHT debate is a bit draconian. Yes DHT plays a role in MPB but it is further down the line than has been stated here. Recent research shows wnt-signalling and inflammation have huge roles to play. If anyone recalls the plucking paper two years ago, it suggested plucked hairs send signals to nearby hairs to grow. I'd argue that the hair at the back doesn't shed because the area isn't subjected to inflammation (caused maybe by DHT though I've often wondered if prolactin might be the real issue, which could explain progesterone having a fin like effect for the above poster) and that there is no interuption of signalling. Obviously very simplified but I think research supports this - I'm fascinated by the ivory dome theory of baldness, which found support by the doc who researched MPB by dissecting scalps & found consistent fibrosis...can't remember his name but can post tmrw.

Long story short, not all hair will fall out, for whatever reason, some follicles wont miniaturize.

This seems pretty paranoid - most fibres are made from organic cotton derived keratin so not exactly a harmful thing to breathe in. We breathe in untold amounts of dust and different things every day, I really doubt that the hair fibres are going to make much of a difference. Same goes for the eyes.

Just been reading an article about athletes who use cupping techniques to recover from training / competition in the hopes of increasing blood flow and it got me thinking...

Seeing as blood flow plays a role in the end success of a HT, would this be a good idea to try out, say a few weeks after surgery? How else could we increase blood flow?

If we believe the Ivory Dome theory for baldness (and I believe there has been evidence which proves this to a certain extent) in which fibrosis of the scalp is a cause of it, could hair loss sufferers borrow other fiberous tissue reducing techniques from other disciplines to apply to the scalp? That would mainly involve massage...which has also shown efficacy in treating hair loss (google scholar "detumsence hair loss, search detumsence on this forum for recent thread..)

Anyone have any other approaches from other disciplines they think might have a positive impact? Considering we are in an age where guys sit wearing laser helmets, lather their heads with numerous oils, drag tiny needles over their scalp and play with their sexual health all in the name of hair, no suggestion is too weird - so wire in!

Is that really 3000 grafts? Could Dr confirm whether the patient is wearing concealers in this picture please?

Anyone here try the topical finasteride from H&W? The claim is that the vehicle helps keep the Fina in the scalp and from going systematic. Anyone know the status on this becoming available in the US?

 

Been meaning to call their office for more info...

You can buy it from Italy...farmacia parati or something like that, costs a lot though so I decided not to bother.

Face says it all really...."$10000 for THIS"!