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Mycroft

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Everything posted by Mycroft

  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.
  16. Mycroft

    Does PRP Stop Hair Loss

    I started on Minoxidil three or four months prior to the PRP. I've been on Finasteride 1mg for three years. I started dermastamping with 1.5-2 mm needles once a week around the same time as the PRP. I have been using Nizoral 1% three times a week as well. Dr. Arocha indicated that Minoxidil, PRP, and LLLT had mechanisms that would enhance one another when used in conjunction. I haven't personally tried the LLLT yet but it's in consideration. If you're going to try PRP and add nothing else to the mix, try the dermastamping. There are a number of studies indicating that PRP is beneficial for wound regeneration and recovery in addition to hair growth. Microneedling creates superficial damage on the scalp to essentially prompt regeneration and repair functions in your body that can actually have positive effects on hair follicles (RE: hair growth). So, in theory, the dermastaming is regularly acting as a catalyst prompting the growth factors you received from PRP to do work rather than simply wait around to let your body regulate that on its own. From what I've read, LLLT may have similar, albeit lesser effects on wound regeneration, so a solid laser device MAY add to that effect. Again, I haven't tested that for myself yet.
  17. Mycroft

    Does PRP Stop Hair Loss

    Okay, so again, please forgive inconsistencies in the images here. Working with what little I have. The "current" photos were snapped today. The hairline comparison is actually about the same. There is no concealer in my hair in any of these photos. Hair bare bones. This was somewhere around July. Hair is combed back with zero product. Notice the appearance of the hairline if you can. Top down from August. There is some leave in conditioner but otherwise nothing in my hair. Note thinness in the front and the temples. Those hairs were very short and scraggly to boot. The crown is not too visible here due to length and angle which I apologize for. Wouldn't start Minoxidil for a couple of weeks. August Hairline. Note the scraggly looking thinness in the hairline and temple areas. These are the "shaded" looking areas in the top down shot from above. Top down from today. Same room, under similar lighting. Not quite the exact spot. Leave in conditioner here as well. The hair stands up a bit because it's a tad shorter than it was in the August photos, but ironically August was much more carefully combed to be as flattering to the frontal loss as possible. One more top down with a slightly better angle in the harshest light I could manage to find. Note you can see some thinness in the crown. I want to note something interesting here, which is that the majority of my PRP injections were concentrated in the front. I did receive some into the crown, but we agreed that round one needed to emphasize the front of the scalp. Current hairline. You can see that a lot of the gaps in the hairline have filled in, the hairs have thickened and grown out a bit, and the temples are coming in as well. What you can't really see in this picture are all of the small vellus hairs growing just below this. I mention them because a lot of the "new" growth you see in the hairline here looked similar when it started. Some of these may actually grow out as well, and some of these other hairs may have some maturity to come. The best part of the comparison here can be seen with the difference in the temples/hairline since those photos are actually decent comparisons and it's also a place where non-surgical treatments tend to see "lesser" results. Hopefully this is helpful. I have a check-in with Dr. Arocha on April 8th to assess my progress and maybe get his thoughts on what the next move might be. I am inclined to think the crown might benefit from receiving some more targeted injections, but we will see what he thinks. If the clinic shares any of their before/after shots with me I'll see if I can get copies.
  18. Mycroft

    Does PRP Stop Hair Loss

    I figured someone would ask. My records in this regard aren't as good as I'd like because I've been through hell this last year, but I do have a few photos of varying quality I will try to get uploaded later. I apologize in advance for lack of quality/consistency between photos. I'll also try to take a couple today to illustrate the current progress.
  19. Mycroft

    Does PRP Stop Hair Loss

    Yes, he's advocated for it a few times. However, I wanted to defer incorporating it right at the outset for budgetary reasons and to give myself a chance to read up more on its interactions with PRP since I had previously dismissed lasers as hokum. I've seen enough to believe that it can have a modest benefit by itself, but I am told that some of the mechanisms compliment PRP very well and vice versa. I think with the inclusion of the dermastamping that might kick things up a notch. Lasercap had a money back guarantee for twelve months after purchase, and that's actually plenty of time to determine whether or not the lasers have had any benefit, so depending on how my check in with the doctor goes and when he feels I might warrant my next PRP treatment (he had indicated it could be 6-12 months at the outset and we are closing on six) it may be time to add that. I certainly think there is a strong lack of anecdotal patient accounts on the forums so if nothing else the experiment might benefit the community in that respect.
  20. Mycroft

    Does PRP Stop Hair Loss

    Well, you guys are in luck. Back in early November I received a PRP+Acell treatment from Dr. Arocha during hid visit to Dallas. That puts me around the five month mark. Some important things to note: I had started on Minoxidil about three months prior and was just exiting the crazy shedding phase. Hair was probably at an all time low for multiple reasons. I've been on Fin for three years. Around December or so I started working in dermastamping as well since my research indicated it was very synergistic with the mechanism of PRP along with the Minoxidil. I declined at that time to try LLLT as well. By three months I definitely noticed that I was no longer seeing my scalp in harsh light, even in the weakest areas. I also noticed that the quality of my hair in general seemed better and my shedding was reduced. Lastly, and perhaps most noticeable, is my hairline has crept down just shy of half an inch and has gradually filled in. It's not bulletproof by any means, but I continue to see new growth. Many of these new hairs are not as strong and thick as I would like, but there is still time yet for them to get there considering where they started. I've taken note that a number of the hairs shedding in the shower are miniaturized to the point of invisibility on one end and at the root have thickened considerably and almost look like they were dipped in ink. They're not all like this, but I've definitely seen enough to feel encouraged that some of my existing hair is being salvaged. A couple of additional notes: Dr. Around said his treatments needed a refresh every 12 months, maybe 6 depending on the situation. I need to schedule a check-in to see what his thoughts are on my current progress. Now, for those who are about to jump in and say I can't single out PRP as the cause of my success...you're right. Dr. Arocha was very candid that the PRP was just going to be one component of the treatment and I suspect that is true. I'm waiting until about twelve months post treatment to determine "final" results and see if I notice strengthening of the newer hair within that timeframe. If I didn't grow any additional hair and just saw some thickening in the existing regrowth, I think that could potentially add up to a substantial improvement. For me, that will help determine whether it was "worth it." Questions welcome.
  21. Most of the strong non-surgical responses do seem to be diffuse thinners. My suspicion is that this is partly because that condition tends to be characterized by a large area of miniaturization rather than "true" baldness and it's generally agreed that miniaturization is easier to reverse than revitalizing dormant follicles on the edge of "death." I don't recall a large shed on Fin when I started but that was three years ago and I didn't even think or know to look for it at that time. I can tell you that I shed like crazy on Minoxidil for maybe the first three months of application and for a while my hair looked substantially worse. Most of the disaster stories I see of people not recovering from a shed are because they panic and discontinue a medication within a few months. General rule of thumb is wait 12-18 months to decide if the meds are working for you. The growth cycle of hair is a long and slow process.
  22. Mycroft

    Brian Ulracher NFL

    I believe the clinic is actually local for me because I see their billboards all the time. Here you go. https://restorehair.com/results/urlacher/
  23. Mycroft

    Does Creatine Cause Hair Loss

    There's no conclusive evidence that it does, and anecdotally I didn't notice much of a difference in hair fall after starting creatine. However, I have also been on Finasteride most of that time and that may have had some impact. My theory: if normal creatine dosages are linked to elevated DHT, creatine might accelerate your hair loss if DHT is the primary culprit behind your MPB. However, as we have established multiple times with DHT inhibitors, DHT is not necessarily the lone cause in many cases of MPB.
  24. I am trying some non surgical options for diffuse thinning and miniaturization. I've been on Fin for a few years and after a consultation recently added Nizoral, Dermarolling, and PRP. A laser cap for LLLT was also offered and that's the one option I didn't commit to because I hadn't researched it enough. What I'm finding is: it does work, but as you said it isn't quite the way many would have you believe. The stats show that number of patients who see actual regrowth is small, although it seems to be much more effective preventing further loss. The ones who do show regrowth have results I would compare to milder Minoxidil responders. There are many reports of people reporting better quality of existing hair, which leads me to believe that it is most effective in a situation where a good amount of hair is still present but may be miniaturized. It was also stressed to me by the doctor that the LLLT was effective when used synergistically with these other methods rather than being amazingly effective itself. I am still considering biting the bullet. Lasercap, the prescribed device, has a twelve month guarantee that would allow me to get most of my money back if I didn't think it was effective. At this point I need to wait and see how the other methods perform without LLLT in the mix so I will be able to accurately make that judgment call.
  25. What was the distribution of the graft placement? I don't have the most trained eye but I can see the marks for placement in the hairline and frontal zone. Any grafts in the crown or were those all non surgical results?
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