kramer79

I read something somewhere about him and i think that was the consensus. Did you get a consultation with him?

Did you ever consider Wong or was it just Hasson from H&W?

Was H&W suggesting FUT or FUE ? (Did they give you an explanation on whichever method was recommended?) Was it Hasson or Wong who gave you their recommendation?

Is there any pics of the donor area/scar ?

Nice improvement. Do you have any pictures of the scar? Also was it a joint decision on hairline placement or did Wong recommend it? Did you think of going a bit more aggressive?

Can you realistically see it getting to a level where a 3 or 4 is possible? Nontheless, the hairstyle looks good. I only ask because usually Bloxham has some good scar lines where cutting it a bit shorter is doable.

Looks good.. Has the scar stretched at all? Does a 3-4 expose the scar?

Without starting a FUT vs FUE debate, i believe this is a good example on how FUT is not going anywhere unless hair restoration reaches a new breakthrough (hair cloning etc) I don't believe that FUE alone can replace FUT as a viable and sensible approach to hair restoration while taking the future into account. I see it in my own father who had great donor while losing the top but even his donor has thinned out relative to 10 years ago (60 vs 70 years old). Hypothetically, had he done a FUT when his donor was "healthier" it would still cover a FUT scar today but had he done FUE, his donor hair would look moth-eaten/depleted. I just believe FUT gives more mercy to the potential progression of hair-loss long term in case someone has to stop using FIN for any reason or any other unforeseen circumstance.

When you say that your donor area thinned out and progressed past the strip scars; are you saying that the back has dropped significantly down where it has exposed your scar/s ? If i am interpreting this correctly, had FUE existed It would have been worse off today as you would have uniformly thinned through an already thinned out region due to the FUE extractions creating a massively moth-eaten looking effect. Your second theory seems quite interesting

Did you consider Wong after Hasson only offered you FUE? Did you inquire if Hasson would perform FUT on you?

As a general rule of thumb FUT is the preferred method to start off with. Once FUT can no longer be performed for the patient due to being "stripped out" (scalp laxity can no longer handle more FUT without compromising the donor region) then the patient can move on to FUE accordingly. Now this is especially true for advanced hair loss patterns. Since there is more area to cover, maximizing the potential of your donor supply by going with FUT will benefit the patient in achieving a 'fuller' result. This is all assuming that you are going to a competent, ethical and skilled doctor of course. Preferences also play a role as well. If you prefer really short hair then FUT may not be for you but you must compromise perhaps on not covering your crown for example in the long run if you go pure FUE. There is definitely compromises that have to be made and that will become clearer to you once you do more research and reach out to some top doctors.

After re-reading your thread I see that a conservative hairline was suggested since you aren't on meds which indicate a management of how grafts will be used so that's good. I guess I will just wait to get HW suggestions and based on that will have a much clearer idea on how i will proceed.

Did he talk at all about donor management? I remember seeing Hattingen mentioning something along the lines that even if someone were to start with FUE, as long as the procedure is no more than around 1500 grafts that it would not affect the overall donor supply. I know you did a larger procedure, but was there talk about donor management because i am trying to see how low the amount of grafts someone can start with FUE before it starts compromising the lifetime donor supply. 9000 is alot to do through just FUE. Also did you get any shockloss? I ask becuase if i plan to address the crown i still have hair there but want to reinforce it. Thanks

When you say a number 3; Do you mean scissor cut to what is considered a number 3 or buzzed. I believe when buzzed there is more of a see through effect if i am not mistaken. Also did you do scalp exercises and how was your laxity and donor rated?

Agreed. There are so many variables to consider however once someone starts getting more comfortable with the idea of FUT i believe there is great potential long term. Ultimately I prefer to have more hair as opposed to shorter lengths. Meaning I would rather be able to cover my crown than have the ability to buzz down my hair.

I just took a look at your thread, very nice work and yes i can definitely see that scar being a non issue even at shorter lengths. I believe it will serve you well since you are not taking meds from a long term perspective. After seeing Aftermath's Hasson result, his hairline looks killer and I am pondering whether that is something i should seek as well from Hasson or is it too aggressive for me. I feel like it's all a balancing act

Honestly at this point I feel most comfortable going HW (especially FUT) but of course I will ultimately decide once i have more communication with their office and have some back and forth. Bloxham also looks solid for FUT. If i was going to go with a larger FUE i guess Bisanga would also be someone i would consider as well. Of course distance shouldn't matter but they are geographically close as well so to travel elsewhere when i have one of the best clinics in the world relatively close is not something i am going to ignore lol I guess my case is an odd one because usually in some other threads there is mention of how many grafts approximately a certain case needs or whether the crown should be also addressed in it's current state (educated input/opinions is what i am after so this way i have more to go on when moving forward) Thanks for your replies guys.

Thanks for your reply, Yes NW 5/6 is where i am headed i believe given family history and how the recession took place. So this is what is making me heavily consider going FUT and addressing the crown as well. Alternatively, I was also thinking of going for a relatively smaller FUE to address the gap you see in the pictures and at the same time reinforce the hairline. That gap needs to be filled no matter what though haha

I think i will proceed with HW after years of research and a few consultations. I am not opposed to an in person consultation at all and am in the process of doing an online one this moment due to COVID. I guess I am looking for some opinions on which way to approach this from a surgical standpoint. ie.) Number of grafts, whether or not to address the crown now, which doctor would more suit my case etc...

No input guys? Something to guide me in some direction...it would greatly appreciated

Hi guys I would greatly appreciate your guys help. I am 32 and this is my hair after 2years on proscar. I would say the hairloss has stabilized but nothing more. I do believe however that the gap right in the middle of the hairline has further receded about a year ago as this was always a “weak point” of my hairline since I was young so I was bound to lose it. Ultimately, I am destined for a NW5/6 and I think I am ready to start the battle. 1. I am opting between a “small” FUE to fill in that gap (how many grafts does that gap need??) and more probably further strengthen the hairline a bit to start off. OR 2. Go for about a 2000 FUT which I figure would give me a conservative dense hairline. I am also thinking of strengthening my crown with additional grafts (appx 1000 grafts?) I am thinking of HW and I would greatly appreciate if you guys can advise which doctor would be more fitting (I know this is difficult as they are both phenomenal). How much of a small FUE can I start off with, without compromising my lifetime donor potential, as this perhaps would let me know how much FUE I can potentially start with or go straight to FUT. Advice on which route I should start off with or perhaps any other advice you guys have would appreciated. Thanks!

Do you find finasteride helped grown any hair back in your crown? or it has just maintained what you had? If it just maintained it, did you ever consider upping the dose in order to potentially strenghten the crown?

Do you take 0.25mg daily?

Perhaps he wants to maximize his lifetime donor supply in order to be able to move more grafts over time as he gets older.

Looks really good. Is it me or did the whole leaving a strip of hair incase he wants to do FUT in the future seem genius? Is there a reason other surgeons don't do this for people who are on the fence for FUT/FUE starting off? Seems like a good approach...