Oliver510

That's odd that your scalp got itchy/uncomfortable after stopping the laser comb. Sounds like it thickened your hair though? And would you recommend it over minoxidil in terms of thickening?

Hello robc, thanks for the response. Have you used the Hairmax laser comb? If so, what has been your experience with it?

Well Dr. Bernstein has stated in writing on his website that when transplanting into diffuse thinning areas one should transplant as many grafts into that area as one would if that area was completely bald in order to offset the potential hairs lost after shock loss trauma and give the surgical outcome that best chance at improvement. This makes sense, and I would imagine other surgeons felt the same way. But I've seen NW 6 diffusers get 2000 - 3000 grafts into diffuse areas and get great results but I've also seen NW 5 diffusers get 4000 - 5000 with great results. Maybe the degree of miniaturization of hairs in the diffuse area is a factor, how thick and long they're currently growing could indicate whether another growth cycle could occur after shock less induced telogen effluvium.

Hey Mikey, thanks for the response. I am prone to dandruff, flaky/crusty scalp. I told Dr. Bernstein about it and if any scalp condition could have contributed to my hair loss and he said no, and didn't mention mention that I have any scalp/skin problems after examining me. I use Neutrogena T/SAL, salicylic acid shampoo, which seems to help, although I wonder if a tar based shampoo is better. I also plan on trying 2% Ketoconazole shampoo. Those before after photos are the reason why I'm on finasteride lol. I really hope it works, I need thicker follicles not more, Dr. Bernstein feels that I haven't really "lost" hair, it's just thinned a lot. I figure thickening is the least I could ask for from finasteride but I don't know what to expect.

The situation your describing where I would continue to lose native hair, end up doing a series of surgeries, depleting my donor, end up with something that looks off, could also happen if I wait and get a transplant 5 - 10 years later could it not? I apologize and don't mean to seem stubborn but if we're saying wait so we can plan for when I'm 40, which I'm not saying is bad advice, later we could say lets wait some more so we can plan for when I'm 50, 60, and so on, and that's the same advice for the same reasons for the same risk. Seems like your saying I'm more likely to experience failure at this point than in the future, which I know for many young patients is certainly true, particularly as it pertains to classic Norwood style balding and receding hairline, the 22 year old who wants to be a Norwood 1, etc. But I was trying to understand how could this be true for some whose pattern is already well defined, diffuse, non receding, and Ludwig style rather than the Norwood style. And I will continue the meds for a while before I do anything.

My hairline is still there so I'm not looking to lower it or anything, I just wanted some more coverage throughout the top. Why would I regret it? I forgot to mention that my hairline has not receded at all and is still there, so I'm not looking to lower it. I just wanted some more coverage throughout the top.

I'm a 22 year old male, my hair has been thinning on the top of my scalp diffusely but I have all of my hairline, the area of thinning would be either Norwood 5A or 6. After evaluation by a transplant surgeon that's recommended here, Dr. Bernstein, I was told that my hair has thinned and/or miniaturized, but I haven't lost follicles completely, just the hairs have thinned to the point of showing noticeable scalp. I've been on finasteride for 4 weeks. He said my donor appears unstable but I'm too young to make a definite diagnosis, and therefore I'm not a good candidate for a transplant right now. I've read about permanent shockloss being a risk for diffuse thinner like me. But I've also read this isn't as bad an issue in modern times with a good surgeon, and how diffuse thinners can actually be the best candidates. And I've also seen many great transplant results on diffuse loss patients like me on this site, and have yet to see a bad one from shockloss with people mentioning it so often . When I asked Dr. Bernstein about shockloss as it would relate to my case if I were to get a transplant in the future, he said a transplant would give more hair being that most shockloss is temporary. As far as the possibility of my donor area being unstable, this is a risk I don't see as not worth taking because if the transplanted hair was to thin eventually than I wouldn't be any more upset than I am now and I would know I at least gave it a shot. I imagine the finasteride could help me with the stability as well. And as for scarring on the back becoming visible, I keep my hair a few inches long, and if it were to show I'd be bald anyway so who cares. So I've looked at diffuse loss patients Erdogan, Shapiro, Hasson, Wong, Lorenzo, Arocha, and I'm impressed. I'm gonna stay on finasteride but would I be able to get a transplant if I want more coverage, and if not, why after the reasons mentioned above? I'm not even asking for the fullest head of hair for my age, just an increase like these guys have gotten: http://www.hairrestorationnetwork.com/eve/181146-fue-hair-transplant-dr-marwan-saifi-wroclaw-poland-fue-2050-grafts-2-10-15-diffuse-norw.html http://www.hairrestorationnetwork.com/eve/180319-3-900-grafts-norwood-6-7-dr-diep-dr-behnam.html http://www.hairrestorationnetwork.com/eve/180471-dr-koray-erdogan-asmed-clinic-5006-grafts-manual-fue.html http://www.hairrestorationnetwork.com/eve/179262-4000-grafts-fue-dr-koray-erdogan-asmed-clinic.html Before and after surgical hair transplantation procedure with 4603 grafts Diffused Thinning 1 Yr Post Op w/ Dr. Paul Shapiro - Dr. Paul Shapiro - Hairtransplant Doctors - Click on a Doctors name to view their results - Hairloss Experiences Hair Loss Forum http://www.hairrestorationnetwork.com/eve/173899-dr-koray-erdogan-3124-grafts-fue.html