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About Mycroft

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  1. Hey guys, I had posted my results in another thread over in Open Discussion, but I thought I would consolidate and update my poor pictures with some of the before/after photos the clinic was kind enough to share with me. If I miss any information recapping, the original thread will be linked under "Patient Results" I had initially stopped by to consult with Dr. Arocha about surgery. After taking a look at my hair he recommended that I try adding PRP+Acell to the Finasteride and Minoxidil treatments. I had been on Finasteride 1mg daily for around three years by this time, and Minoxidil for several months. The doctor felt that my generalized thinning might benefit from the treatment, so I agreed to give it a shot. We also discussed the possibility of LLLT since all of these things seem to be more effective when used in conjunction with one another rather than standalone treatments, but I wanted to evaluate the PRP first since there were already a number of variables in the mix and budget was a concern. That was back on 11/5/18. I went back to his office last Monday, 4/8/19 around the five month mark, so the after pictures are from then. A couple of things to note: 1. To reiterate, I am also on Finasteride 1mg and Minoxidil twice daily. I added dermastamping a few months ago, which I do once a week with 2 mm needles. 2. Dr. Arocha performed PRP+Acell injections into my scalp around five months ago. In theory I will continue to receive benefits up to the twelve month mark if not a bit longer, but twelve months is what the doctor recommended for maintenance. He did confirm that a booster session could be beneficial for to accelerate "lagging" areas like the corners in the front, but he didn't feel that was in any way necessary unless I was feeling impatient. I decided to see how things progressed without the booster this time. Most of the PRP injections were done in the frontal area with just a little in the crown. 3. I am actually a redhead of sorts. My hair is that kind of dark auburn color with red highlights mainly visible when the light catches them. As a result, my sprouting hairs tend to be very light, fine, and nearly invisible before they thicken and darken up to the deeper brown-red of my more mature hairs. There are actually a bunch of them growing in the hairline and corners that you can't see in these photos, and based on my experience thus far there's a very real chance they may end up becoming terminal. We'll find out. 4. All pictures are taken without any kind of concealer or special product other than the leave-in conditioner I use after showering. The photos were all taken in the same spot, same lighting, with the same camera. If anything, the lighting does me a few favors in the before pictures as you can see from the harsh lighting pictures. Hair is combed back in both pictures, but I think it was just a tad longer in the "before" images. I hadn't actually realized how rough the crown had started to get, so I'm grateful to be able to see my scalp from angles I'm not usually privy to. It's still lagging a bit, but in fairness it was looking rough to begin with and the PRP injections were not concentrated in that area. Beyond obvious regrowth and filling in of sparse areas, the thickness and strength of the existing terminal hair seems to have improved quite a bit as well. It seems to have much more volume and strength to it at the moment, and I think that actually comes across in how limp my hair looks in some of the before pictures. PRP treatments can be somewhat treacherous territory because based on my research there is absolutely no standardization for how it is performed. Technique, equipment, etc. can vary wildly from place to place and that means if you're going to try it you absolutely need to go somewhere reputable that can show you a history of good results. There are a couple of doctors on this site that fall into this category, and based on my experience I would highly recommend speaking with Dr. Arocha if you're looking to give PRP a shot. Clinic Photos: Patient Photos in Harsh Light (Please excuse poor quality)
  2. I would be interested to see this if you end up doing it. I've seen great results from African American patients in conjunction with a hair transplant, but photos for other hair types seem less common.
  3. Mycroft

    Do Hair Loss Remedies Actually Work?

    If dermastamping qualifies I will piggyback off what Cosmo said. I have seen a number of impressive results from dermastamping in addition to using it myself, and I definitely think it works. As with all solutions some folks will respond better than others, but I think part of the reason there isn't more hype around it is because it takes time and consistency in addition to being uncomfortable. Much like personal fitness, I feel like this trade-off turns most people off early on before they give it enough time to see results. Even on paper, it is a hard sell. The idea of stabbing yourself in the head repeatedly to promote hair growth is a little tough to swallow conceptually, I have been very curious about peppermint oil. I have seen some research suggesting that it could be more effective than minoxidil in regrowing hair, but the data is far from conclusive. Fortunately, it's extremely cheap so I wouldn't lose much trying it out. I may experiment with it at some point without dropping any of my other treatments, but I think I'd like to run the LLLT experiment first. I absolutely don't think home remedies are a replacement for medical grade solutions, but some of them may be beneficial as a secondary booster.
  4. Mycroft

    Does PRP Stop Hair Loss

    Yeah, from a scientific standpoint it was not ideal, but at the time my before pictures were taken things had gotten pretty bad and I wasn't sure I could afford to wait months to run more thorough experiments. If budget had allowed for it I might have thrown in the laser as well, but I'm grateful that waiting will allow me to do a more thorough evaluation if I choose to incorporate that. Very pleased with my results at the moment. Still considering some surgical revisions in the hairline but I wanted to give this regimen 12-16 months to see how the results mature and progress. I am still seeing new sprouts at the hairline and it is entirely possible that they may turn terminal.
  5. Mycroft

    Is PRP effective?

    I posted my personal results in a thread just above yours. Results vary but Spanker is right about it working best on miniaturized native hair based on my research and personal results. Take that as you will.
  6. 1.5 mm is typically the recommendation, usually rolling once per week. Personally I am experimenting with 2 mm to see if that does anything to stimulate additional regrowth in the worst areas. I am going over each area six times in multiple directions. Vertical, horizontal, and diagonal. Minoxidil applied directly after, but do NOT do this last part if you're prone to side effects.
  7. My research on this specific subject is still in the early stages, but I have definitely seen some good scar concealment work so far. How were you looking to wear your hair after the procedure?
  8. Yeah. He made a bad call at the outset but looking at the repair job you'd never know it.
  9. Mycroft

    Does PRP Stop Hair Loss

    Yes, I was talking about the dermarolling. At 2 mm it takes my scalp a few days to look and feel like it is back to normal, so I think at most I could try pushing it to twice a week, though even that might be too much. Even the frequency of PRP seems to vary wildly depending on the doctor you talk to. Some will say four times a year. Some say once a month. Dr. Arocha said refinements in the technique mean it is only necessary every 6-12 months depending on patient response. I've also seen people advocate for 3-4 treatments over the span of a few months to jumpstart with annual maintenance treatments thereafter. Again, that's why I'd encourage anyone considering PRP to do extensive research on a given doctor's results and consult with a few of them to see what they'd recommend for you. I'd also recommend checking in with your doctor every few months to see if their opinion has changed based on progress. I'm actually checking in a little later than I'd planned, but I've been a bit busy.
  10. I thought this guy looked familiar and then I saw the comment about the YouTube videos. For anyone interested in the progress from the patient's perspective he's got documentation from before his first surgery in Turkey running through his repair and final results with H&W https://m.youtube.com/user/fitnesswithsteve
  11. Mycroft

    Duta and Finasteride together

    It's hardly conclusive, though not much about Dutasteride is other than it seems to be more effective than Finasteride for SOME patients. If you want the full article and not just the abstract, it's here. https://www.academia.edu/22488595/Combination_therapy_with_finasteride_and_low-dose_dutasteride_in_the_treatment_of_androgenetic_alopecia
  12. Mycroft

    Duta and Finasteride together

    The study was done with that protocol, yes. https://www.ncbi.nlm.nih.gov/pubmed/22686691/
  13. Mycroft

    Duta and Finasteride together

    There is some research showing that daily finasteride plus a tiny dose of dutasteride, like 1 mg PER WEEK is a viable course of action, particularly if you have noticed that you've started losing ground on Finasteride where it was once effective. Both daily is probably not beneficial.
  14. Mycroft

    Does PRP Stop Hair Loss

    I wouldn't recommend more than once, maybe twice a week tops if you are using 1.5 mm+ or you're probably not giving your scalp enough time to recover, which is important. It's the healing and not the wounding itself that is beneficial.
  15. Mycroft

    Does PRP Stop Hair Loss

    The only piece of advice I have for you here is to do a bit of research specifically on PRP results. The process is apparently not standardized across the board so not everyone does it the same way. Much like transplants, it's best to use a doctor who has some decent results in their portfolio so you know you're covered on that end of things. That doesn't guarantee you're a good responder, but you'll at least know it wasn't because the doctor didn't know what they were doing.