Severn

A+

Many people go through an initial shedding phase on finisteride and especially dutasteride. Sometimes the shed can be quite severe which I think is a good argument to either start many months before the surgery, or wait until after surgery before getting on either.

From the top view, it looks like there is a possibility of the sides receeding downward more towards the ears, as I have seen in other balding men. I wondered if he had any more donor to take care of that potential outcome. If it was decided that this can't happen, then it is of course no concern.

Looks good, but does he have any more donor hair left? From his before pics, it looks like there's a possibility he could lose more on the sides in the future. 11,000 grafts is about 3,000 more than the average person has.

I thought they can still trasplant the follicle even if it is in the telogen phase? If NOT, then that changes everything. For example, if an individual starts taking finisteride or especially dutasteride and goes through a massive initial shed before surgery. If they could not recover the resting phase follicles, then it could be a huge loss. And the assertion that only DHT affected hairs shed on dutasteride is completely false. When I was on duta years back, I had a massive shed that affected every square inch of my head. It was rapidly thinning at the lower back and sides at the same rate as the crown and front.

My understanding is that you still have "dot" scars all over the back of your head with FUE that become visible if you shave it down. Probably not as bad as a long strip scar though.

It depends on the individual. I'm sure there are guys who've had a bad transplant that would give every penny they have to be able to shave their head. But once you start down the HT path, the shaving option is gone forever.

Well obviously it depends on how thick and coarse your hair is for one. My natuaral density on the sides is 88 FU/CM2. With my coarse hair that is quite dense. My frontal core area is about 35FU/CM2 according to my doc. However, even at 35, it is still relatively dense. I can even spike it straight up. A little goes a long ways on me as the SMG consultant said. The work I had done is in the crown and top. The density planted was about 40-45 FU/CM2. So I "should" have a good result assuming at least a 90% growth rate. Before I started losing my hair, I could come out of the shower with hair soaking wet. I could part my hair and still not see my scalp. Not even a thin line. It was like trying to comb a mop. So everyone is different.

The techs are a huge part of it. Believe me, I was kissing some serious arse while I was in the chair lol. They said they appreciated my compliments and that a lot of patients ended being ###holes. Too many of them complaining about how bored they were and wanting the techs to hurry up. I would think that would be a lot like severely pissing off the cook at a resturant before they bring out your food.

It's more difficult for the doc to work in an unshaved area. Especially if you are performing a 4000+ graft megasession. It slows them down and I don't think they are too keen on staying up until 2am in the morning working through 30+ FU/Cm2 hair. That being said, there are plenty of coalition docs who do not require shaving. I did a partial shave on mine. He left enough where I can do a comb-over on the back where you can not detect I had anything done. It was a compromise between the two approaches and I am glad I went that route.

It's a type of closure that allows hair to grow back through the scar to make it less visible. Everyone's physiology is different. Then even given two perfect growth rates on two different patients, the individual's hair qualities such as coursness and thickness play a huge part. Just looking at Emereror's pics, it appears at least that he has fine low density hair. This increases the chance of being able to see the scar. For example, I have high density coarse hair. My old Bosley scar is 3-4mm at the back of my head but because of my hair characteristics, I can barely find it.

I would probably ask H&W if they are willing to make good on repairing the work. If not I would probably consult another top coalition doc. I would give it a C. An excellent scar result is usually 1-2 cm, but 3-4 is not uncommon from what I've read. However the frontal area and hairline are definitely sub-par. But I do see some pics where where you can comb it to look pretty decent. That being said, No coalition doc is going to bat a 1000.

Looks fantastic! Janna, can you do me a favor and provide the area in CM2 and the density? Thanks!

Side effects: ???increased appetite ???indigestion ???nervousness or restlessness Less frequent or rare: ???darkening or lightening of skin color ???dizziness or lightheadedness ???flushing of face or cheeks ???hiccups ???increased sweating ???sensation of spinning Rare: ???confusion ???excitement ???false sense of well-being ???hallucinations (seeing, hearing, or feeling things that are not there) ???mental depression ???mistaken feelings of self-importance or being mistreated ???mood swings (sudden and wide) ???restlessness ???skin rash or hives

lol

Lol, this is one situation where a woman's looks is the last thing on my mind. For all I care she could look like Rosie O'Donnel. As long as she knows what she's doing I'm fine with that. I'm not sure I'd feel comfortable with a tech named "Candy" that looked like she just stepped down from a stripper pole anyway.

Although I didn't have my procedure done with them, also look at Hasson and Wong. They specialize in large sessions and are at the top of the food chain. They are in Vancouver, Canada.

It all depends on the individual. I do not have any fine hairs at all in my hairline. I have always had thick coarse hair no matter where it is on my head. Before I had any hairloss, I had a few people ask me if I wore a toupee because it didn't look completely natural, but it was.

What I don't understand is why would there be so much shockloss that far away from where the incision was made? Unless it's from the Lidocaine deadening injections prior to surgery. Any thoughts?

No, this is simply not true. Everyone is different and I'm a perfect example. Minox worked fantastic for me but after 3 years I ended back where I started on my hairloss. It didn't appear to be doing any more good so I stopped. I did not shed any more hair than the normal rate after I quit. The same for finisteride.

I had 3008 grafts and I believe the total time worked on it minus a lunch break was 8-9 hours.

I've never seen a case of shock loss that severe, and don't think I've heard of one happening 5 months after the procedure.

I had diffuse thinning over a large part of my crown area when I started minoxidyl. They did not have finisteride back then and it was all I was using. It did a great job of restoring all of my crown hair for about 3 years until it lost its effectiveness and I ended up back where I started. I stopped using it and I did not experience any shed as a result. I started using finisteride by itself when it came out and it also did a great job of restoring all my crown hair. But like minoxidyl, it lost its effectiveness after about 4 years and I ended up back where I started. I stopped it's use and did not experience any shedding or increased hair loss rate after I quit.

As I mentioned before, I decided to double the recommended exercise time to an average of 1 hour. Somedays I would do up to 2 hours though. In july during my consultation at SMG, my laxity was judged as "tight" because of the scalp reductions I'd had 14 years earlier. The consultant even suggested that I might have to do two surgeries of 1300 FU's each to attain my 2500 graft target. By the time my surgery took place in October, I went from "tight" to "very loose". Dr. Shapiro got 3008 grafts with ease and could have gotten a lot more. The removed strip didn't even go from ear to ear.

Being able to see through the hair isn't that big of a deal. I've seen guys without hair loss that just happen to have low density. But the big question is, would someone look at you and say "That guy has thin hair", or would they say "That guy looks like he had a transplant".