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LaserCap

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LaserCap last won the day on April 21

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About LaserCap

  • Rank
    Senior Member
  • Birthday 12/24/1959

Hair Loss Overview

  • Describe Your Hair Loss Pattern
    Receding Hairline (Genetic Baldness)
  • Norwood Level if Known
    Norwood V
  • What Best Describes Your Goals?
    I'm here for support

Hair Loss Treatments

  • Have you ever had a hair transplant?
    Yes
  • Other hair restoration physicians
    Dr. Bosley
  • Current Non-Surgical Treatment Regime
    Propecia (Finasteride)
    Laser Therapy or Comb

Representative Information

  • Name
    Al Llop
  • Years in Hair Transplant Profession
    > 10 Years
  • Email Address
    als_house@comcast.net

About the Representative

  • Have you Ever Had a Hair Transplant?
    Yes

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  1. LaserCap

    Propecia

    The benefit I see is the fact that you know for sure that you are taking 1mg. The pill does not come scored so it is difficult to get a perfect 1/4. Not sure if the slight variation will make a difference long term.
  2. 55-60 density...What does that mean? I realize it is per square inch....but so much more goes into this. Is that the density in the donor area? What native hair do you currently have? Are you doing any time of medical therapy? Where are you working...hairline? front and top? To be able to help you you need to post photos. 1600 in the crown is a waste of time. You'll see no visual change. Cover? What does that mean? Consider most believe we are born with 100,000 hairs. By the time you are a teenager you have 50,000 and don't yet realize there is any hair loss. Consider that most believe patients can have 5000-8000 grafts. On the average 2.2 hair per graft. So, at the end of the day you are asking 16000+ hairs to do the job of 50,000. It is an illusion. Again, best way to help you is if you post photos.
  3. The swelling is common, particularly since you had PRP. This seems to have subsided. Oh, and by the way, because of the PRP now you can expect a sooner result. I would not be surprised if you see results in 3-4 months. Hopefully you are doing Propecia or some of the other therapies to help you retain the native hair you have.
  4. If you've shown the propensity to lose, you will continue losing hair. If you are to the point of moving forward with a hair transplant it is because there is, perhaps, a great deal of loss. So you move forward and have it done. You forgo all the doctor discussed about medical therapy, including Propecia. and say you worked the temporal points and the crown. 10 years later you'll look awesome with two horns worth of hair in the corners and an island worth of hair in the crown. Offense and Defense. That's what is all about. Medical therapy, in this case is the defense you need to help retain the native hair. And, if you do retain, then you can consider transplants. It is questionable, if meds don't work, to consider moving forward with a transplant procedure. Why? Because of the donor area. The donor is very important. It is finite. You truly need to be judicious with your grafts. Once gone, they will not replenish. Typically, if you can retain any of the native hair you have. that will eventually be key as to what your results will be. Fortunately there are therapies out there, other than Propecia that can help. Rogaine, PRP, and laser. These work in different ways and are thus synergistic. But, if you do experience a side effect with any of them, do the others! But do something!
  5. Can you post a photo? That would help. Lots to consider....First, let's talk about trust. Why did you choose this particular doctor/clinic? Did you have an initial consultation and did they explain everything to you? Did you see photos of their work? How many. What did the doctor do to build rapport with you? Once the donor area has been harvested, the clinical staff goes to work, (typically under microscopes). Here is where the grafts are separated into 1, 2, 3, 4 hairs. Further, there will be fine hair for hairline work and thicker caliber follicles to be placed farther back into the pattern. Once all has been separated, the staff gives the count to the doctor. This is how the doctor knows how many sites to make. Do you remember someone counting as the doctor was making sites? Here comes the first pitfall....Depending on what you and the doctor decided during the consultation....If the staff is short of the number, (say the only got 3800 and are 200 grafts short), the doctor could tell the staff to get all 4 hair grafts and make them into 1 hair grafts. So splitting grafts is one issue. Second issue, the staff got the 3800 but told you they placed 4000. I've seen it happen. Industry wise and I think most consultants and doctors will agree, when we discuss hair restoration we mention a frontal area, a top area and a back area. And most of the time we promote working from front to back as it is the front you see when you interact with others or when you are looking at yourself in the mirror. About 10 years ago the idea of leaving a separation in between grafts was very prevalent to allow for graft survival. Typically about 1200 grafts were placed in the front and 1200 in the top. For the back we would rely on medical therapy to help with retention of the native hair. As soon as 4-12 months a second procedure was recommended to then fill in. Techniques have improved so much that now doctors can do 2400 in the front without a problem. Seems they finally realized that grafts, while may compete for blood supply, can still survive if placed densely. So the point for you here is...what density do you currently have? This is why posting your photos is important. Did the doctor classify you on the Norwood scale? Did he mention a pattern to you? Are you doing any type of medical therapy to help you retain the native hair? Did he talk about this? Lastly, and what truly irks me is the 4000 number. Most patients do have a donor area. Different head sizes. Can a doctor harvest 5000 grafts at one point? Sure, but the patients head better be HUGE! Off and, if you are on the average head size, I can already tell you that something does not smell right.
  6. The more I see the post, the more I like it. Symmetry is not a good thing. If it looks too perfect it starts looking like a wig, Asymmetric is what is all about when we are discussing naturalness. Second point, this is a very specialized area. Difficult, if not impossible, to find this caliber hair int he donor area. If too thick, it will stand out and will not look good, Worse, it will be permanent. Honestly, do nothing. (BeHappy, good job!)
  7. I gather you would like to pay per graft. Because this is a small case, some may try/want to charge you more, (total for job, similar to eyebrow work). Considering all that is involved, clinical staff wise), it is something to keep in mind. (Prepping the room, cleaning afterwards, etc). I may have a few doctors for you. Do you mind traveling?
  8. This is only the tip of the iceberg! Bet, if you look carefully, or listen, you can find unethical practices everyday. Consider the following example, You go to a consultation, visited with the consultant and the doctor, (which rarely happens). You are quoted a price but, for whatever reason, you hold off. Typically you will then be hounded. Once the consultant figures you will not be moving forward, here come the price breaks. (So, first lesson, if you are budget conscious, wait. I promise you will be getting a better deal in a few days, particularly if you've made it clear to the consultant that you are truly interested in working with their doctor/practice). So, is getting a price, and then getting a better price....does that constitute being unethical, perhaps not. What is unethical is for the Doctor to allow the clinical staff do make sites, harvest grafts, etc. Now, can these employees claim that they are working under the umbrella of the doctor? I've seen medical students harvest FUE grafts. I've seen experienced MAs make sites. Unethical? you bet. This is not brain surgery....And, after a while, you do become the doctor. You see him do the work day in day out. Eventually the doctor may allow for you to make a site......and it goes from there. Is there a difference between this team member and the doctor? Sure! Years of education!....but it happens, even without the patient knowing. How to offset? Perhaps have a conversation with the doctor before the procedure begins. Have him tell you who will be participating the morning of the procedure, including who will be harvesting, who will be placing, etc. Trust it a big issue......
  9. LaserCap

    onion & Garlic juice after a HT?

    There are things out there that people swear by. I recall everyone around me telling me I was losing my hair when I was in my 20s. I even agreed to have some mixture of avocados put on my head. Obviously it didn't do anything? Could it have been because I only did it one day? Perhaps. Like I tell people, if it works for you, continue using it. Take Propecia, for example. Most doctors believe it takes 3-4 months to notice retention, and it may take up to 1 year to see if you'll enhance any native hair. So, would all the concoctions that you are using be effective? Try them for 1 year, take photos and check. Likely, you'll notice nothing. But something did happen..... Not only did you waste that year, (you could have been on something approved/released by the FDA, but you are probably balder now. The other thing that I find interesting is how much people value their hair. To agree to have all of these things done, speaks volumes about how we feel about having hair.
  10. Great photos. Hopefully you can post another set in 4-6 months. By the third day, it seems, things went back to normal. Because of the PRP you can expect to have a much fuller look in about 3-4 months. Did you get a laser? These work great along with the PRP. Hopefully you get some enhancement of the native hair in the crown.
  11. Unfortunately Propecia, Rogaine, PRP and laser are the only FDA approved/released meds to help with retention and enhancement of native hair. The mechanism of action is different for each and thus, there is synergism when used simultaneously. When Merck's patent expired, doctors started writing scripts for 5mg Propecia and asking patients to quarter the pill. There is documented fact that there is a very small percentage of side effects. With Dutesteride, if you are doing 5mg, you are increasing the potential of side effects by 5 fold. Hopefully you are quartering the pill as well? Perhaps taking the med every other day could help.
  12. Bsmith makes a lot of valid points, good read. But design is far more than just choosing the type of graft. It all starts with symmetry, measurements, proportions, and age and even ethnicity. Let's take age to begin. An 18 year old comes in and has a hairline in the middle of his forehead. He is starting to mature his hairline and one of his temporal areas is starting to recede. He is freaking out. The doctor fills it in. At that precise moment the patient is thrilled. What do you think will happen 20 years later when he now has a horn worth of hair on that particular area? So first consideration is candidacy. Symmetry, measurements, proportions, they all go together. Some doctors use the 4 finger rule. They'll just put their hand on the patient's forehead, starting at the brow line. Others use the rule of 1/3. I know of many that also have a machine that projects a light. The key here, from the part of the doctor, is to consider if this particular design will serve the patient well now and in the future. An age appropriate hairline, despite of what the patient thinks, is important. All it takes is education. If the patient, ultimately, is adamant about a hairline in the middle of his forehead, turn him away! A few other things to consider. Will there be some recession on the corners? (Will depend depending on the sex of the patient. If male, sure. If a woman, corners will typically slope down). Lastly, will there be staggering of the grafts? This will typically add an element of naturalness to the work. With regards to ethnicity, typically African Americans like a sharp edge with an inverted U design. 0 recession. Typically no blunting is discussed. Now grafts. Yes, in the old days the nape was considered. But back then it was just FUT. So, if you see older guys with scars way low, you know that this was early 90's work. FUE from there? Sure, but they retrograde comes into play. Now must doctors get the finer grafts for hairline work from behind the ear. So, shaft diameter is important. This is where the clinical staff plays an important role in all of this. The doctor can instruct, but an experienced staff is invaluable. FUT or FUE? Makes no difference. An experienced outfit can play with all the elements. They can trim, dissect, and even place grafts at different depths. Opinion wise? FUT is typically a more robust graft and allows the staff more options. The FUE, by definition, is already minute by definition. How much more can it be modified? But ultimately how the patient decides to style his hair will help figure out how to move forward.
  13. LaserCap

    Fue dr gabel 1500-1600 grafts

    I glanced at the photos you posted, and paid particular attention to the last one. It seems not only are you thin in the hairline, you are thin in the front and top! I am aware of doctors that would do 3000 grafts! Caliber of hair? Really? The fact that you have dark hair and light scalp does not help. There is always that contrast. (OK, if you did have fine hair it would give you a more natural result, but you would need a lot more grafts). I would give this a full year and continue visiting the doctor. Keep him engaged in the process. If you are not satisfied with the result, talk to him and see how he can help you. There are lots of things to consider that you should be aware of. What if he tells you that you have gone on to lose more native hair? Make sure that you are doing some type of medical therapy to help you with retention and enhancement of the native hair. (Are you on anything?). I would find out exactly where the grafts were placed. Perhaps he concentrated them towards the front? Or did he spread them throughout the entire area? If that's what happened, the transplants will have little to no impact in the overall result. Please post your photos a year out. It will be interesting to see what happens.
  14. LaserCap

    Hair thinning?

    Most doctors think that the whirl is a point and the hair stems from there. I'd bet some would think that this is just a bit more than a point. And, if you look carefully, it seems that you can see scalp spreading all around. The fact that you have black hair and light scalp does not help you either. The contrast typically makes it worse than what it truly is. Being as young as you are I would encourage you to do a few things. Find out family history of loss. Go to a hair transplant doctor and have a consultation. Talk to him about medical therapies that can help you with retention and enhancement of the native hair. Seems there is miniaturized hair and you may be at a point of reversing some of this.
  15. Well......Slow down.......Eventually, if you are good, you may seek out, or be approached by a celebrity. What you do with the information, afterwards, depends on the results. If no good, likely the doctor will not say a thing. If the results are superb, you can bet he will promote it in some way. There are practices out there that do celebrities all the time but keep it private. Is that because the celebrity asked them to? Perhaps. We all tend to be star struck from time to time by celebrities. So I think the decision should come from the patient, based on the overall results. Look at tons of photos...of ALL patients before making a decision. Don't preclude yourself of not having a consultation, at least, by a doctor that worked on a celebrity just because of it. He might just be superb at what he does.
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