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HarryHonolulu

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Posts posted by HarryHonolulu

  1. Hey all

    I am thinning very badly in the crown area and would love to try something other than oral Finasteride. I am simply tired of popping the pill every single day and can’t see any improvement whatsoever. I have never experienced side effects but I am ready to try something different.

    I came across this:

     

    https://www.forhims.com/hair-loss/topical-finasteride

     

    Does anyone have any experience with it? Will it have the same effect as oral Finasteride? Is it a solid alternative or is it a waste of time? 

     

    Thanks!

  2. I was assured by my doctor that beard transplantation (i.e. from neck to scalp) results in negligible scarring to the naked eye.

    just to put it in perspective: the doctor considers FUE scarring to be definitely visible, so the fact that a distinction was made between regular FUE scarring vs. beard scarring should indicate how subtle the beard scars would be.

    I was thinking about it, and it makes sense: it's a part of the body that is usually very supple and we often cut it while shaving- and yet we rarely see those scars. 

    • Thanks 1
  3. hey all

    i'm 9 months post-op and growing well. 

    I am curious: do you guys take particular care of your "new" hair or is it business as usual?

    specifically:

    - shampooing? do you limit shampoo use, or use a specific type? 

    - combing? are you concerned that combing the new hair might pull it out?

    - folliculitis? I have a few pimples on my scalp and I am worried they might affect growth

    - suntanning? I laid out at month 8 and I sprayed SPF 60 lotion all over my scalp. surely that's a good enough shield, especially such a long time after the surgery?

  4. On 4/2/2019 at 3:48 AM, Dazed said:

    I actually got a bit of a sunburn at the 6 month point, even though I thought I was always in the shade.  I wear my hair longer so I guess that helps a bit.  All I can say is that even if you think you are in the shade you may not be.  I was at a ballgame under a pavilion and still got burned.

    and? did it affect your hair in any way?

  5. 35 minutes ago, Upshall said:

    Magical result for such a low graft count 

     

    i have to ask though, seems like he could’ve gotten full coverage with more grafts. Such a small procedure for a pretty much fully bald man. Was the patient short on cash? 

    Dr Konior and Dr Nadimi usually cap at 2000 grafts for FUE and I for one am glad they do.

    I'd rather go in twice and get two superb results, as opposed to get a shoddy 5000 graft result.

  6. hey all

    I am 6 months post op and growing well

    however when I shampoo in the morning I notice a couple fine hairs in the palms of my hands.

    wondering if this is "new" hair that's still shedding, or whether it is my "old" hair that is still falling.

    which leads me to ask, does the transplanted hair shed this far into the process? 

    I am on Propecia, Rogaine if that matters.

  7. 40 minutes ago, Shera said:

    Just a fade cut that.

    The guys rarely out of the media limelight, he's never had his head shaved, just no tell tale signs of a procedure over the course of his spectacular career.

    I think you guys are barking up the wrong tree.

    Couldn’t he do unshaven though? And there’s tricks he could have pulled for the few weeks it would have taken him to recover eg posting older pics on instagram

  8. 25 minutes ago, VicTNYC said:

    I’m willing to bet he went to Dr Couto for a touch-up to beef up his hair.

    that's what I was thinking too.

    if you zoom into the photo (as much as you can) there seem to be the telltale signs of FUE scarring.

    very, very subtle. unless I'm losing my mind?

    here's the original pic

    https://rep.repubblica.it/pwa/commento/2019/02/24/news/serie_a_vincono_juve_napoli_fiorentina-inter_3-3-220038932/?ref=RHPPLF-BL-I0-C8-P3-S1.8-T2

     

  9. 12 hours ago, pkipling said:

    I use it primarily to treat my scalp. I can't say for sure if it helps with my MPB, but I do know that the healthier my scalp is, the less hair fall I tend to have. I have a really sensitive scalp, and when it breaks out (gets really red, itchy, etc.) I have significantly more hair fall than normal, and the Nizoral keeps that from happening. I use it about 1-2 times per week, particularly when I can tell my scalp is on the verge of breaking out. 

    Interesting . I am assuming you’re referring to foliculitis when you talk about breaking out? 

    I had a similar problem pre HT and the thing that really helped me was Tar shampoo. Not sure if that has any beneficial qualities related to hair loss but it was amazingly effective in clearing up my scalp acne (folliculutis)

  10. 18 minutes ago, home1212 said:

    there are other brands with the active ingredient - ketoconazole - that is in Nizoral with a combination of other beneficial ingredients for hair.

    check out this link:  https://www.holdthehairline.com/nizoral-hair-loss/

    I personally use the Regenpure products - the DR contains ketoconazole and the NT is the hair nourishing product - 

    other brand names are just as effective and prices range dramatically - so you can shop based on your budget

    did it do anything for you?

  11. hi all

    I recently read a few posts on here about density- specifically one by Melvin about whether or not it's possible to achieve "true density".

    I am just curious as to what an appropriate level of expectation should be when it comes to density. 

    Personally I would never expect to come out of ANY hair restoration surgery with a completely thick scalp. 

    But here's the thing:

    at 36, I wouldn't expect most of my peers to have a completely thick scalp either!

    even my best friend, who has the best head of hair out of anyone I know, is thinning a little on top.

    so EVEN IF a magic wand enabled me to have insane density like I had when i was 15, I would probably take a hard pass. because it just wouldn't look age appropriate.

    it's like... if you buy a vintage car, embrace that it's vintage. make it the best looking vintage car you can, rather than trying to turn it into a Tesla.

    any of this make sense?

    • Like 1
  12. 5 hours ago, jj51702 said:

    Hey Harry

    I've referred a few people to this thread started by Dr Bloxham. It should help answer your questions at least partly. He separates hair transplant results between new sprouts aka "popping" vs maturation/thickening of new hair. Of course these are all averages according to him and patients may experience results ahead or after the timeline. According to his timeline, at 6 months, your hairs have matured by about 40% and sprouted by about 60% so I'd say you have more to come!

     

     

    Thank you ! This is what I was looking for 

  13. 13 hours ago, txtransplant said:

    Growth peak. Hmm, not sure exactly what you are asking. But they say 18 months is your absolute full result, though you have pretty much maxed out what you will see by months 12 for almost everyone.  If what you are asking is when do you see the biggest changes? I would say month 5-8.  I think this makes sense as the resting phase is usually about 4 months. So thin hairs start really popping up around month 5 and are almost all doing their thing by month 7.  After about month 8 things usually continue to improve, but at a much more modest rate than that.  No two patients are the same. A tiny percent (maybe 2%) never shed and have almost full growth almost out of the gate. And a small number of patients don't shed all of it, myself included shed only a portion of the new grafts, and some of the grafts stay from day one and grow. It seems like maybe 25% have a small to medium percent of hairs that grow right from the start. Most people shed every new graft or nearly all. And sadly for a few patients, they have poor regrowth. Sometimes that is Dr. error. But even the best doctors have failures and that is just biology. Sometimes your body just rejects the implants.  Everyone is at a different rate. But even the slowest 10% will see most of their result buy month 12. I have never seen someone who looked thin and like a weak hair transplant result at month 12 then have a great result by months 18. I have seen plenty of subtle improvements on patients in that time though. And another thing. All the real home run cases I have seen, they are always looking great by about month 8. I think by about month 8 you have a pretty good idea of where you are headed. 

    Some basic facts or observations.  Many doctors claim they get over 95% regrowth on transplanted grafts. The medical journals seem to suggest it is closer to 85% on average. I do think skilled physicians with an ideal patient can do that. But I think most people with a respected doctor and good scalp and hair characteristics should reasonably be expecting around 88-90% to grow. Anything more being a bonus and less being still reasonable.  Most of the failures here I see are one of two things. Biggest is patient going to a doctor who doesn't do this as a specialty. Even the more reputable hair mills where technicians and not doctors do the work seem to be better choices than the local plastic surgeon who does the occasional HT.  The other failures are varying degree of just an unlucky bit of biology on the patients part. For every patient that has results that far exceed the average there is is one who falls far below the average. It could be stress, bad aftercare, or just unknown biology the same way we all hear and react differently. Set your expectations at average, know the pitfalls and do your math! Understand how many grafts you truly need per cm2 and how important the thickness of each hair is.  A patient with 45 grafts per cm2 with very thick hairs and all double and tripple FU's will have like 8x the visual coverage of another patent with 45 grafts per cm2 with thin hair and mostly singles.  So in this case one guy with the same number of grafts could look like rock star thick hair while the other guy might look very thin and stringy even if both had 100% regrowth.  People don't do their homework and account for this. I think you would have a lot less disappointed patients if they new better what to expect and what they need to achieve the look they want.  But here are some guidelines;

    You need about 1/2 your original hair density to look like you have hair. Now for most people I think this is not really accurate. You will look not THINNING at first glance with this. But in the sun or under bright light, you not going to look like you have the hair of a 11y old. Again, depends how think your hair is. If your hair is super thick then maybe 50% is still enough to look full. If your hairs are straight, thinner and your follicles are not spaced close, then guess what, 50% of your original density is going to look pretty thinned.  That's life!  Simply put, some people were born for this and some were never meant to do more than warm the bench. People with great hair characteristics,  Hairs above 60 microns, density of 100 fu per cm2 and milti hair grafts are the big winners here, Now if they have a bit of a wave or closer match to scalp color....even better. Last statistic I read said mature men average between 60 and 100 follicles per cm2 and average hair thickness was 50 microns. Couple that with the average FU graft being 2.2 hairs per FU.   Know your reality here to know where you are going.

    If your hair is 30 microns v 70. Guess what? You will get closer to 4x the volume of hair on your head with the same number of hairs. 

     

    So know your math! 2,000 grafts on someone with very thin, straight hair and lot's of single hair grafts is going to have something like 1/12 the coverage that a guy with really really thick wavy hair and lot's of 3 hair grafts.  And that is not even getting into scalp contrast to hair.  You realize quickly even 100% regrowth by the best surgeon in the world we are already vastly different as patients. If you know what your microns are, density, and such, then you can know what to expect after you see hundreds of results and pick a doctor. You might realize you are a great candidate or that you are in over your head trying to get a great hairline again. I seen way too many guys here making two huge mistakes. Being to aggressive in their hairline for what they have to work with. They always end up looking thin and disappointed when someone looking at it knowing all this could see the mess coming before it started. Unfortunately doctors know that those patients will just go to someone else who tells them what they want to hear and they try and do the best they can to help their patients. But it is cycle I see repeated over and over. Granted, there a few surgeons who flat out refuse to do this. H&W is one that comes to mind where I never see this simple math ignored. Sure, like every practice, they have some home runs and some guys who's bodies just didn't work well with HT. That's just different people's biology...not DR. error there. But I never see them take on a patient and not give them the proper math to meet their goals when they do operate. I am sure they loose some patients because of this. On the other hand, I see lot's of good work in Turkey too. But way too often no real modeling is done and you have a patient with the wrong density over too large and area left disappointed. 

     

     

     

     

    Wow. Thx !

     

    Yes. Growth peak. When do you grow the most. 

     

    • Haha 1
  14. 7 hours ago, jooeey said:

    Hi Guys,

     

    I wanted to ask you this, Everytime I have Hair Transplant, I get in this dilemma, lets say after a Month or so when I start Shampooing my Hair everytime I get paranoid am I rinsing it too much and too harshly ? It is that fear of touching it and rinsing which gives me goosebumps. Even while massaging Minoxidil on the Transplanted area, This fear always touches my mind, am I not massaging it too much, or too Harshly ? How does one reach to a relaxed state on this ? What is the actual truth ? Does too much massaging or rinsing after One month of Procedure does it make any difference. Also would like to mention I do not massage or rinse too harshly, I am always gentle, But still get a feeling if is it too Vigorous and too much ?

    is rinsing for a longer period of time while shampooing or massaging too much while applying minoxidil harmful can it lead to Hair Grafts getting damaged after a Month ?

    I think the only time that you should be careful is two weeks post op. And even then, many doctors invite you to shampoo the recipient area in order to ensure that the scabs fall off quickly. 

    After a month the grafts have been secured into your scalp and they are part of your body. I don’t think they are any different than the native hairs. 

    So no need to be particularly careful - just common sense (like... don’t set your hair on fire or shampoo with bleach)

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