Gabreille Nelson Mukhia

Hair transplant can be done without Finasteride. However, you must be prepared to get more hair transplant procedures done in the new areas that get empty gradually. The "permanent zone" is just more immune to dihydrotestosterone. The hair on the "temporary zone" is less immune to dihydrotestosterone. Therefore, with time, even the transplanted hair will become thinner. They might even miniaturize. Therefore, you must be prepared to face that situation.

With the advancement in the instrumentation and beard hair extraction, it is not necessary to go for FUT and FUE consecutively. In the earlier times, it was not possible to extract from the beard or body. We have seen multiple cases where large grades of baldness have been covered wihout resorting to FUT. The transection rate during FUE extraction has also reduced to a minimal level. Plus FUE has no possibility of any prominent scarring. The use of thin and sharp punches lead to the minimal possible scarring.

Unlike hair oils or serums, it is a medicated liquid. For the application, light application over the scalp is sufficient. Rubbing the liquid onto the scalp vigorously is not required. It will dry up by itself.

Temple points require extremely thin calibre hair. The curvature of the hair after it grows (whether it is convex towards the skin surface or concave towards the skin surface) matters a lot. The design of the temple points itself has to be in sync with the entire aesthetic architecture of the index face. The hair transplanted on the temples might grow longer than the native temple growth. One would require maintainance by styling the hair at regular intervals.

It will become thinner than what it is right now. Also, if you keep your hair very short then it will be visible. Plus this is your second sittng. Your donor will be okay if you keep the hair on the donor longer then it would look fine.

You might want to be careful for at least a week. You should be very careful not to rub the area or cause any kind of trauma. After your headwash, you can do whatever you like. The little precautionary period adhered to strictly will bear favourable fruits.

You can use topical Finasteride and see how it fares for you. Maybe it could be helpful for you.

Why don't you try Finasteride for a year to see how it works on your mid scalp and crown. You would get a better idea of how many grafts would be required after that. In the sense that your pre existing hair would thicken up. Maybe you would be satisfied with the coverage and might want to go for tge frontal zone restoration only.

Okay sir. Please do let me know whenever your schedule permits you to come.

That is true. Infact, sometimes the telogen phase for body hair lasts even longer. Which is why it is the last resort. Even for someone who has an exceptionally dense hair.

Exceptional. In majority of the cases the beard hair do not have the same speed of growth or the same lenth capacity. I'm hapoy for you.

It is usually the case with scar tissues. FUE scars prove to be more fertile for growth when compared to FUT scars (burn scars, trauma scars, dermatological scars). Scars replace the lost tissue and hence are usually thicker. Even when grafts are transplanted in the FUT scars, they are planted on the sides in a dense manner and light on the center. The center of the scars are usually thicker than the sides. And then there are scars that might not support any growth at all.

I am so glad to see your growth coming along so well. I know you've had a tough time recently. But I pray that God gives you his peace and understanding. On the transplant front, you will see more growth in the coming months.

Yes. I have seen patients with beard and body hair after a long time. Infact I know a patient who is a singer and film personality who has used beard, body (arms and legs). The hair does look good and he has maintained the length with proper styling. The beard and body hair do not have the same length as the scalp hair. He had got his surgery done almost 6 years ago. The proper way to validate donor candidacy is to opt for test grafting. 100 to 200 grafts can be used from the proposed body donor and their growth evaluated for a year. It would provide a scientific support to the decision whether to use it or not.

It is a viable option wherein the scalp donor can be used to its maximum limit possible. And then use the beard to replenish it. But it is not worth the effort. The grafts will not have a 100% survival rate due to the FUE scars. The results will be minimally different as even beard hair when used as fillers, will blend along with the scalp hair eventually. When very fine and sharp punches are used, it is possible to extract a large number of grafts from scalp or beard donor all the while maintaining the donor aesthetics. The usage of the beard donor to replenish the scalp donor can be done in various scenarios of poor scalp donor cases.

The above article is not to highlight the drawbacks of the beard donor. It is to state what can be expected and what can't. For people who would not want to use beard, we don't. But for people who want to use beard, we use them intelligently or depending on the case at hand. Also, people are nitpicky, non satisfied and extremely body dismorphic in which case its best they don't have a transplant at all. It is better for the organisation's piece of mind.

Because the whorl in the crown comprises of an array of angles. The hair form a circular ring. If beard hair are transplanted there then because of the haywire and haphazard growth, the correct angulation cannot be achieved. For people who have ansolutely no donor and are open to using beard grafts in the crown, they must be prepared for a blunt coverage and not an artistic crown. The lucky ones with silky beard hair might see some angulation.

The hair from the chest has very low survival rate. Its not just about "our clinic". The physiology of the grafts and their strength do not change from clinic to clinic. The survivability of the chest grafts would be less than 50%. Sometimes none at all. The hair from the thighs, arms, etc have impossible chances of survival on the scalp. Pubic hair can survive upto 70%. But again, all of the above is subjective from person to person. There is the cost criteria for evaluating the candidacy of the donor area for each individual. The beard survival rate is 70 to 100% depending from person to person. That is why the patient must make an informed decision before opting for the donor areas proposed. The patient must know the real number and facts. And thats why its important to be blunt about things rather than ovwrpromise or sugarcoat. Anyway it is an elective procedure. We prescribe Finasteride to everyone. If they are willing to take it and if they don't feel the side effects. If they don't then they will require to go for the procedure again. Like in your case, you seem to have encountered certain issues with the results. But thats what we must understand. Just because it happened to you, does not mean that it will happen to everyone. It cannot be generalised. Also, I can tell you why we prescribe Finasteride and what kind of experiences we habe had with it's use. Your doctor's opinion on Finasteride, his experience with the medication, his procedure on your scalp an his decision to uae grafts from different parts of your body, all the while believing that you will not be able to take Finasteride; is for him to answer. I'd be quite interested to know his experience with the medication.

No. The beard grafts can be of different calibre in different people. Not everybody has the same coarseness or density or calibre. The doctor has to determine what is the best possible course and donor candidacy in each case. The problem is that everybody wants a generalised answer that would make it simpler for people to understand and have one measurement on the scale for everyone. Well, unforunately thats not the case.

Okay.

Yes sir. Allow me to check. You were supposed to have a Skype call the other day. I'm not sure why it wasn't done. Allow me to check.

Thank you all for your appreciation.

The candidacy of the donor hair and their percentage of use depend on so many factors: Donor availability Hair calibre Beard density And so on. It would be wrong to generalise that "this specific" amount or percentage would be apt for the body or scalp hair donors to be used as a general average for everyone.

In our experience of about 11 years, we haven't noticed the visual loss of beard hair transplanted on the scalp of those taking Finasteride regularly. Infact, we would highly encourage patients to take Fiansteride to maintain their growth. For people who feel they have side effects with Finasteride like erectile dysfuntion, decreased libido, decreased sperm count, etc Finasteride is not continued. Like you have chosen not to take it. Even of there is an adverse effect on body or beard hair, it is insignificant. In our experience we have never seen beard hair or body hair diminish with the use of this medication.

It is indeed looking very nice.