Speegs

Please do investigate taking Propecia, I think it can really help you from losing more hair.

Combover it, or soften it with makeup if you're that concerned.

Odds are it just looks like a sunburn or no one notices but you.

Now's the fun part, gradual growth, you're hitting the very beginning phase that will last until next summer.

I understand addressing the thinning in the front but lowering your hairline really isn't necessary, nor particularly age appropriate, you have a great amount of hair for a man closing in on 40.

1 hour ago, newpatient99 said:

Would you add Cooley to that short list?

Yes.

So sorry this doesn't seem to be going how we all want it to end. That's a big let down.

But there is hope for rectifying it with reputable repair docs, your short list for FUE repair should be: Gabel, Konior, Hasson &Wong in no particular order, all are outstanding.

I'd ask your doctor what gentle cleaning method they recommend. Please default to their instructions.

6 hours ago, Shifty said:

@Speegs I know because other than some receding hair lines, no one has it as bad as me. Little tid bit about me, it happened so fast I don’t think anyone knows. I wear a hat all the time and have even tried systems, the systems is another story because they effed me up pretty bad I think. 

That sounds genetic and you should get a medical opinion.

It's in your best interests before pursuing surgery.

7 hours ago, Shifty said:

Ive peaked as far as hair loss, its not genetic in my family so lucky me. It happened fairly quickly and I am no longer losing hair. Its one of the reasons I am getting the HT.

 

Will Fin help regrow hairs that are still there?

How do you know it's not genetic? have you been evaluated by a medical professional?

If it's not genetic hair loss then an HT shouldn't be necessary because external factors have cause temporal hair loss.

Almost all permanent hair loss is from your genetic predisposition to DHT that will shrink hair follicles on the top of the scalp.

Fin helps reduce excess DHT in the body which means less is in the blood stream to potentially shrink your hair follicles, this, in turn, slows down or halts hair loss caused by DHT.

Used early it can reverse some hair miniaturization, but it is case by case.

Top tier docs make all the difference, keep us posted with updates on the progress of the repair session.

You're the consumer leaving a review, as long as it's honest you should feel free to share your experience.

Gabel vet here. I always like to check in on what people post because it's usually transformational, and I like seeing what Dr. Gabel has been able to do for so many people, including myself.

Please keep us posted on your progress if you can, I understand the privacy issue.

On 9/9/2018 at 12:37 PM, HarryHonolulu said:

Thanks Louis

in your opinion does the transplanted hair help to cover areas that have not been operated on?

in other words.... if I got a transplant that targets the hairline, would any of those hairs help to mask my baldness in the mid-scalp? Depending of course on the hair style

If you have baldness behind the hairline I suppose to could grow your hair and slick it back as a combover of sorts.

Sounds like a style option limiting course of action though.

It all depends on your hair characteristics as well. Fine hair needs a higher per sq cm than course and thick hair.

There's a point where aesthetically it can be diminishing returns on adding more hair per cm, but it's subjective to each case and can't be ruled out too generally since some people need higher cm to achieve what others can with lower cm.

For example, I have very fine hair and almost 7k grafts in the frontal third, I don't know what that equates to per sq cm, but it's definitely higher than the very general 3k for the frontal third that you often see.

People are divided upon the value of PRP, you'll hear mixed opinions about whether it's worth it or not.

1 hour ago, HarryHonolulu said:

Well fellas - just like clockwork... I washed my hair this morning and for the first time noticed a few hairs out of my recipient area lol!

question: does early shedding usually mean earlier growth ? Almost prefer getting the shedding out of the way sooner 

Unfortunately, that's unknowable.

I live in Texas and went out of state. Don't let geography be an obstacle, it's worth it to travel for the right doctor.

1 hour ago, bismarck said:

God bless you son. Just trying to explain why the European docs have so much better results than the Americans when it comes to FUE on average. 

Why you guys post just to hear yourselves talk is asinine in a forum dedicated to patient education.

The OP clearly wanted to know about North American FUE practitioners, and you hijacked the thread with the intention to crow about your bias, and in the process exposed a severe ignorance about what FUE and FUT even are in practice. 

Your agenda had no place on this thread and backfired terribly.

11 minutes ago, jj51702 said:

Does anyone know how soon after a hair transplant one can use nizoral shampoo to treat this condition?

I'd email your specific surgeon to see what they advise, they may have a routine they prefer you adopt.

5 minutes ago, bismarck said:

I don't think either of you have come up with remotely compelling counterpoints, so we'll just have to leave it there.

Your initial claim was easily dispatched as erroneous, being confrontational about it won't redeem it.

You appear to be a walking billboard for how good an elite restoration can be, especially with a surgeon excellent at both FUT and FUE.

Likely it's coming. A minority of people don't shed the graft follicles at all, but it could take 4 to 6 weeks to shed.

1 hour ago, bismarck said:

That is simply not accurate. 

A surgeon that specializes in one type of procedure exclusively will be better at that procedure just by virtue of experience.

Similar to a chef with food. Think Jiro dreams of Sushi.

Hair stylist with types of hair -- think inner city barbers.

Mechanic with cars. Someone that works only on Teslas all day will be better at Teslas than someone who is a general mechanic.

A mixed martial artist might be a better 'fighter' than someone that exclusively boxes, but he will not be a better boxer -- think Conor MacGregor and Mayweather. The analogies are endless.

A general surgeon will not perform plastic surgery as well as a plastic surgeon. And a plastic surgeon that exclusively focuses on breast implants will be better at them then one who does all types of plastic procedures.

A neurologist will do a better neurology exam on average than an ER doc. An ER doc might think of non neurology things that could be wrong more easily, but when it comes to neuro, the specialist is obviously master of their craft.

Increased specialization leads to increased expertise, at least at the one thing that someone does.  I'm not saying anything about who is a candidate for what, I am talking about the procedure itself.

A surgeon that can do both procedures might give you a more even handed answer about which is right for you, but even then he will have bias for the procedure that he is better at (Feller).

Decide which procedure is the best for you, then go to the person who is the best at that procedure.

Your analogies don't suffice.

A surgeon that is expert with both FUT and FUE represents the top echelon of the surgical world in hair transplantation.

You're being argumentative without an argument.

You're saying it's impossible to be elite at both, which is a spurious claim, and by default asking a surgeon to pick an extraction method exclusively as if that will make them elite.

There are plenty of mediocrities doing only FUE or FUT alone, offering only one method neither makes you an expert nor an elite surgeon.

Personal and professional dedication to the craft of hair restoration does, and those who have dedicated themselves to be elite at both FUT and FUE are the best. Not to mention, if your contention is that focusing on one method will make you more experienced, imagine the experience a dedicated surgeon must commit to master both FUT and FUE.

They are the ones who realize how custom a restoration should be and have the track record and diversity to prove it.

9 minutes ago, bismarck said:

I don't agree for a few reasons:

-Someone who does FUT 80% and FUE 20% is not going to be as accomplished with either as someone who does FUE 100%. This is the reason for increasing subspecialization within medicine -- to avoid the jack of all trades, ace of none phenomenon. You don't have to be great at open heart surgery to know how to be a great interventional cardiologist. Being adept with one type of harvesting technique may not give you any advantage with the other.

-There is a huge variability amongst surgeons regardless of region, though presumably they have similar 'Western' training. I would argue that Couto has surpassed most of the doctors he trained under, probably due to  a combination of conscientiousness, technique and god given talent. So comparing docs is a very valid exercise, even if its only based on submitted cases. 

Someone who only does FUE better have top-notch facilities that behave as if they did FUT for the sake of the preservation and preparation of grafts. The microscopes used for dissecting grafts are a crucial investment for any HT practice worth their salt, and often a neglected tool by FUE exclusive practitioners.

Also, a doctor who refuses to learn FUT limits their abilities to undergo diverse cases with the best possible alternate methods needed. FUE is not always appropriate. A doctor unwilling to acknowledge that may see every case as a nail for their proverbial hammer.

Doctors who mentored with great doctors have an advantage as well, Gabel mentored with Konior in the US, for example, both do FUT and FUE and are considered elite at both. They also occasionally refer patients to one another because of the trust and respect they have for each other's skill.

Who a doctor trained under is as important as where they went to medical school.

In conclusion, go to elite surgeons, elite surgeons that do both FUT and FUE at an elite level.

I'd go see a dermatologist, they may have some remedies or prescriptions after they diagnose you.

Over the counter, Nizoral can be helpful.

You likely have scaling caused by seborrhoeic dermatitis, it's fairly common, but can be managed and mitigated.

 https://en.wikipedia.org/wiki/Seborrhoeic_dermatitis