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KLHT

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Posts posted by KLHT

  1. Hello everyone,

     

    Attached you can find images of a bald patch I've had ever since I was born. Hair does not grow there.

     

    I was hoping to get some feedback regarding transplanting some hairs there. I've been losing my hair for quite some time (NW5/6 in a diffused pattern); I am 23 turning 24 and considering transplanting some hairs to this scar.

     

    My concern is : Suppose I already transplanted hairs there. Is there a risk that my sides will recede backwards leaving me with a patch of transplanted hairs surrounded by nothing?

     

    Your replies are highly appreciated :) Thank you in advance.

    FullSizeRender-12.jpg.53b8cae1c7224da1385765c52562939a.jpg

    me6.jpg.aecd8a26ff5246213f2d18554fa25512.jpg

  2. Kalab,

     

    Thank you for sharing your hair loss treatment regimen. In my experience, most hair loss treatments do very little to fight against hair loss. The only real proven solutions are Propecia, Rogaine and debatably laser therapy. Adding other treatment options such as ketoconazole based shampoo like Nizoral and Revita isn't a bad idea. Nizoral can be harsh on the scalp, especially if you are using the more medicated 2% solution. Thus, I wouldn't use Nizoral 2% more than twice a week and Nizoral 1% more than 3 times a week. However, Revita shampoo is much gentler and I believe it also contains 1% ketoconazole. Thus, switching between them on a daily or every other day basis wouldn't be a bad idea.

     

    Many of the other supplements you mentioned help promote healthy hair and growth but do nothing to stop the progression of male pattern baldness. There's nothing wrong with using them and in fact, it will probably make your hair shinier and healthier looking. But don't expect much in the way of stopping hair loss with most of them.

     

    Best wishes,

     

    Bill

     

    Thanks a lot for the feedback Bill :) You're doing great with this forum btw; it has helped me a lot!

     

    Any further opinions will be highly appreciated!

     

    Regards

  3. Kalab23,

     

    I see you've abstained from finasteride due to fear of the potential sides. Have you ever looked into progesterone as an alternative? It works in much the same way as fin (5-AR inhibitor). Do a google search for 'Progesterone DHT' and have a read.

     

    I have been taking progesterone since December 2014 and it has worked very well for thickening up my existing hair. I had a HT nearly 3 months ago and I will be continuing to take it into the future. I am currently taking one tablet daily (i think 100mg, but i will check tonight), but this will reduce to one tablet every two days once I hit 6 months after my HT. I have only upped the dose temporarily while I am in the sensitive stages of my HT. I am finding it tough to find data on the half-life of oral progesterone, but one every other day should give a fairly constant effect.

     

    Tj287,

     

    Thanks for the feedback. Will take a look at this!

     

    Have you ever experienced any sides from progesterone? Have you tried Finasteride before and stopped due to side effects?

  4. Hello everyone,

     

    I'm starting this thread to get as much feedback as I can regarding updating the hair loss treatment that I am on now.

     

    I'm a diffuse thinner in a NW5/6 pattern and I'm turning 24 years old. Been considering a hair transplant for about 2 years but I've always decided to wait and try medications instead. I never tried Finasteride although I know it can significantly improve my hair but I'm not willing to take the risk due to the side effects reported (sometimes permanent).

     

    Anyway, the below is what I am using now:

     

    1) Minoxidil 5% for about 4 years now; it has somehow slowed the hair loss but definitely not stopped it. My question is what are some good brands that are out there? Is Rogaine Foam any good? I am now on Minoxidil Bailleul %5 but I feel it is not very effective.

     

    2) Biotin 5000 mcg. I know this doesn't stop hair loss but makes my hair and nails grow faster etc...

     

    Considering:

     

    1) Lipogaine Big 3 Shampoo ( to be used 3-4 times a week)

     

    2) Nizoral 2% ( to be used twice a week)

     

    Q: Is that excess usage for both shampoos per week? What's your recommendation?

     

    3) Your recommendation on vitamins that may improve or do any good to my hair. I heard some stuff about saw palmetto, should I consider it? I'd be grateful if you can suggest some package containing all these vitamins.

     

    I know there are many experienced people/physicians on this forum and would really appreciate to get their feedback regarding all points listed above.

     

    Thank you in advance for the help :)

  5. No it won't cause any additional loss unless styling it that way would cause undue tension on the hair shafts.

     

    If anything, styling the hair in the opposite direction can create an illusion of more fullness and body...;)

     

    Gillenator, indeed this is one of the reasons why I style it in the opposite direction!

     

    What do you mean undue tension on the hair shafts? I believe I do cause tension on my hair when forcing it the other way. Can you please clarify or elaborate on what you mean? Thanks a lot!

  6. Hey everyone,

     

    I have a general question here that I hope you might answer.

     

    I always comb my hair in a direction opposite to the natural one (i.e. I comb them to the left when I feel that they are naturally to the right). In other words, it's like I force them to one side when they are naturally biased to go to the other.

     

    Question: Does this by any means result in hair loss or worsens my hair loss? ( images of my hair loss can be found here: http://www.hairrestorationnetwork.com/eve/184043-am-i-good-candidate-hair-transplant.html ) Or it doesn't have anything to do with that?

     

    Would really appreciate the feedback :) Thanks!

  7. I am here and I will hit my 1 year mark after 3 weeks. I don't think anything will change from the current situation.

     

    However, I will send some photos next week in different lighting conditions and will comb my hair in different ways... and then I will publish them here after I hear the Dr opinion for the last time. I respected his request but I have not forgotten

     

    I have not cut my hair since the OP. Should I, or what! maybe I will take pictures in both situation

     

    I took passport photos couple of days ago. I had used wet GEL to comb my hair backward as it was the only way to take a good photo! Not very happy with the thin look!

     

    I really don't know. Good long hair covers bad spots ...!

     

    Lighting conditions differ a lot. I feel the area I had most grafts is not good sadly... It has spoiled everything since it is the middle area.. makes my hair hard to comb in all ways

     

    any recommendations, how I should shoot the final pictures!

     

    outdoor, indoor, sunny day, in the shadow, combing my hair backward, with GEL, combing my hair downward, light distance, etc...

     

    I feel all give different results.... sadly!

     

    Hi Indexo,

     

    I believe that wet hair would definitely give you a thinner look; I personally wouldn't use wet gel to style my hair.

     

    We can only judge based on images. Therefore, I will be waiting for those next week so we can see how you progressed so far.. Goodluck!

  8. I believe one problem with your approach is that you are not taking into account the future loss in the area where you will have surgery. If you are acknowledging that your will lose more hair (and it appears you will lose a lot) then you have to address the issue of the hair you have in the front, not just what you have in the back. If you have a surgery to get a strong hairline today, it won't be very strong in the future (assuming no medications) because the hair you have now will be gone as well and these hairs will represent the appearance of a thinning hairline and you will potentially be right where you are now, again. This might put you in a position of having to choose to thicken the front again or to have a thinner hairline and address the back for an end result that may not add up to give you the appearance you have now.

     

    This is the problem with young patients that still have hair but are destined for advanced loss. They routinely know to plan for the future but this is usually conveyed as planning for loss in the crown or the vertex but rarely includes planning for loss in the frontal zone after the first surgery. Keeping the native hair healthy through medications enhances the final result because you are adding to the existing hair with transplanted terminal hairs and you are keeping the native hair through medical intervention so that they work together. Once you lose the native hair then the gaps they leave will have your final result looking much weaker in the end.

     

    Thanks for the valuable feedback HairCenter. I do acknowledge the fact that I will lose more hair in the future even in the hairline but it's just a risk I'm willing to take. When it comes to the day where I will have to choose between thickening the hairline again or filling the crown, I will decide then. I do have realistic expectations though; if all is said and done and I end up 20 years later with the coverage I have now, I don't think I would mind (Some say it would matter more to me then, it might but I believe it won't :) ). My hair loss bothers me but not to an extreme extent; I just want to have a fuller head of hair during my 20s, probably 30s.

     

    I do not mind taking any medications as long as the side effects are not severe. At a young age, sexual side effects are what concern me the most. I know that Finasteride might help A LOT in my case and most people here are recommending that, but the problem is I am afraid of long term effects. Suppose I start the medication and don't have any sides and after a couple of years the sides appear and won't go. That's my biggest concern. Even my dermatologist who is the best in the country, very reputable, and extremely experienced (he's in his high 60s) advised against it and said I've always told my friends back in the days that it might have permanent sides and now it seems that I'm right. ( He is bald and chose not to take Fin).

     

    Apart from Fin, what others medications do you suggest? ( I am on Minox and Biotin now, considering Nizoral and Lipogaine Big 3 Shampoo).

     

    Any feedback regarding the above would be highly appreciated.

  9. Thanks for the feedback everyone.

     

    Gillenator, I have excess beard and body hair. Way too much! This can help me in the future as you said.

     

    I have also shaved my head tried the buzz cut several times. I don't mind doing it over and over again (I will be doing it soon); it suits me well. However, I would like to have longer hair with some decent coverage which is why I'm thinking surgery.

  10. Yes, I've been on Minoxidil for the past 4 years and I think it has slowed down but definitely not stopped my hair loss. I also use Biotin. I don't want to use Finasteride because of the side effects.

     

    I have realistic expectations; a conservative hairline and I will concentrate on the hairline and midscalp while leaving more grafts for the crown in the future.

     

    Here is a link of my hair:

     

    http://www.hairrestorationnetwork.com/eve/184043-am-i-good-candidate-hair-transplant.html

     

    I have advanced hair loss and it is quite obvious that I will become a NW6 like my father but I hope the medication helps. Therefore, I'm hoping to proceed with good surgeon who has a plan for the future after carefully examining my case.

  11. Fast answer is no, I don't think you are a good candidate. I'd shave my head when it gets to that point, especially if you are not on finasteride. Hair systems can be amazing also.

     

    The thing is, your hair loss could hit your donor area hard over the next 10 years. It may not, but it could. Then you are screwed.

     

    But, it seems like your mind is made up. I'm not sure why people post a question like am I good candidate, but have made up their mind. Then, almost without exception, and sometimes only years later, come back on the board looking for a repair or regretting their decision.

     

    I agree that if you go for it, do not drop your hairline at all and concentrate only on the frontal 3rd.

     

    I rarely feel comfortable with you people getting transplants off of finasteride. Especially young people with such an established pattern at such an early age and not on finasteride.

     

    You should understand that the hair you have now, and getting a transplant, is likely the best you would be able to hope for 10 years from now. Meaning, at best, if you get a transplant, you won't be better off 10 years from nowhat if you aren't on fin.

     

    Good luck to you though.

     

     

    Hi Spanker,

     

    Thanks for the feedback. I haven't made up my mind yet and haven't booked with any doctor which is why I am here for further advice.

     

    If I decide to go for a hair transplant, I will definitely not lower my hairline and will not come close to the crown. I have very realistic expectations; I know that I will need further transplants in the future and I don't think that with a hair transplant, my hairline and top would look any worse than it does now. I would only work on the hairline and the top using 3000-3500 grafts to make sure that I have at least some reserves for the future especially for the crown.

     

    This way I believe that I would have an acceptable hairline and top for the next 10 years no matter how much hair I lose there, and only then I will consider transplanting the remaining grafts in the crown.

     

    I honestly do not have any problem taking Finasteride or any medication as long as the sexual side effects aren't permanent, which is not the case after I have read a lot about this.

     

    Looking forward to your feedback regarding the above.

  12. I am in advanced level of MPB. They estimated that I still have 3500-4000 grafts left if I plan to transplant 3500 grafts now. Will the meds help me saving the existing hair atleast for a couple of years before I go for another transplant?. At this age, I would be very happy to have some hair on top of my head instead of having nothing at all and wasting my youthful years without hair!!!. As you have gone through this procedure several times, I would really value your opinion

     

    Exactly what I was thinking! I am the same age as you are and I have thin coverage all over my hair in a NW5-NW6 pattern. I would prefer having hair during the coming years by transplanting around 3500 grafts to the hairline and top while leaving some grafts for the vertex in the future. I do not want to wait 10 more years when I'm completely bald; I prefer having conservative hair transplants over a certain period than wait to lose everything.

     

    Here are images of my hair:

     

    http://www.hairrestorationnetwork.com/eve/184043-am-i-good-candidate-hair-transplant.html

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