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Fozzie

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Everything posted by Fozzie

  1. Obviously the hairline and the area behind seem to be the main concern however there appears to be some thinning in the vertex/crown to in one of the pictures. Saying that, you still have a lot of native hair that you'll most likely continue to lose it if not on medication. If you chose to get a HT for the hairline and area behind it without meds, just be aware that existing hair in the hairline will continue to thin and impact the result of the HT further down the line. You may also suffer loss around the vertex going by one of the pictures and what level of hair loss you suffer in that area is unknown at this stage because a clear pattern hasn't really developed imo. You'll effectively be trying to play catch up with hair loss which is not a situation I'd personally want to get into. Just out of interest. how old are you? Personally, at this stage you are better of on meds but obviously do seek the opinion of a couple of good surgeons but feel they will push for you to jump on meds because you still have a lot of native hair. I read in your other thread you suffered sides on fin which is unfortunate. I'm also unable to take fin due to sides and is one reason why I've held off getting a HT and I'm glad I did hold off to be honest. In my case, i'm now in my late 30's with bald areas. My hairloss has stabilised (don't think anyone can truly say it's halted unless on meds) and feel more comfortable going ahead with a conservative procedure but even then with the understanding I may well be looking at another procedure further down the line and have to set my expectations accordingly with graft management in mind.
  2. Not sure anyone can say with any great conviction they have stopped balding (unless a person has lost all the hair on top), even more so if they are not on medication and in their 20s or 30s. MPB is progressive and can creep up on you at any age even when you feel it has stopped. With regards to finasteride, it's pretty simple .......by taking it you are playing the percentage game and giving yourself a better chance of keeping hold of remaining hair while adding through a HT and thus increasing the chances of holding onto a result. HT's can and are done without finasteride but the emphasis on mapping out a plan with your surgeon for the future is much greater imo and you may find yourself looking at another procedure sooner than you thought if/when you continue to lose your native hair. You would need enough donor supply to cover future loss and it needs to be used wisely with one eye on the future. For that reason, they'd more than likely be a need to be pretty conservative in your expectations without finasteride i.e wouldn't be expecting to lower a hairline too much if you still have a fair amount of native hair or throwing too many grafts at the crown/vertex area. In a way, guys who have more extensive loss probably have a better chance of getting away with a HT without finasteride. Usually a clear pattern has developed and a surgeon can probably better predict where the loss maybe heading in the future and a conservative approach is usually taken. When the donor supply/characteristics have permitted and in the hands of good surgeons, I've seen some good results with these kind of patients but they have generally been conservative and on patients in their late 30s onwards. Think guys who still have a lot of native hair and decide to go for a HT without finasteride (especially younger guys) are playing a guessing game and this is where it gets tricky imo. Think any good surgeon will look to mitigate the uncertainty factor as much as possible and finasteride is an important 'tool' that aid's that.
  3. When you say fix your hairline, did you have it moved slightly lower or just reinforced the existing pre-op hairline? Maybe a picture straight after the op would be handy to see where the grafts went. Not a botched procedure but struggling too see too much of a cosmetic difference for 3200 grafts compared to pre-op.
  4. Criteria can vary from one person to another and think a lot of it can come down to what your own aims are. What are you looking to achieve from a HT? Are you higher up on the norwood scale and requiring more extensive work across the scalp or is your balding not too bad and you're looking to improve a certain area i.e hairline? You want to look at as many cases as possible that are similar to yours (both in terms of start point and aims) from the various surgeons.
  5. Never heard of this surgeon but you personally I'd only go to a surgeon who only specialises in hair transplants.
  6. I know some patients on here have raised some concerns with their results/progress with ASMED however I do get the feeling for patients higher up the norwood scale and requiring around the 5000 grafts mark, ASMED seem to have more evidence of good results compared to other clinics in Turkey when performing these larger surgeries. Dr Demirsoy does have some good results and have seen some larger cases where the end results have been impressive but haven't come across too many. I don't think he does mega sessions so for 5000 grafts, may well require 2 visits but I may be wrong.
  7. His hairline has come down a fair bit in my opinion and think 2411 grafts sounds about about right in order to get the coverage/density right to go with his existing hair. You can end using up near enough 1000 grafts just to touch up the hairline and this case is much more than a touch up with the hairline being brought down so numbers sound about right to me. Good result anyhow.
  8. Get get a lot of people saying it is no good for you etc and on the other side saying it's perfectly safe. For me, the truth is probably somewhere in between and like you say it's effects can vary from one person to another but if you've taken it in the past and not had sides and want to do all you can to stop/slow down your hairloss, then you should probably include it in your regimen. Personally, I've used it and suffered sides so dropped it but ideally think it should be the first port of call for anyone looking to fight hairloss. At the very least should be tried and see how things go. Might be one of the lucky ones and suffer no sides and if you do suffer sides, can just drop it.
  9. Got to be honest, going by your pictures, I'm finding myself questioning whether you actually need a HT at the moment. What are your goals in terms of HT surgery? Think Dr Keser does some good work in the hairline and for smaller cases, is probably the one I'd go for from Turkey if it was just touching up/tweaking things up front.
  10. Agree with this. My hairline always been fairly high and means my forehead is prominent but I wouldn't want to lower it at all to be honest. Widows peak is still there and quite happily have a the receded look. I am closing in on 40 though, so appreciate the younger guys out there may be looking for something else. Again I may be wrong but my gut instinct is that Asmed are more an 'out the box' kind of solution for those with more extensive balding and there's a good chance someone in the NW 4/5 region with good donor characteristics looking at 5000 or so grafts will more often than not be happy one year after a procedure with them Those with less balding with the focus much more on adding density to an existing hairline/lowering the hairline somewhat may well want to consider other options where there is evidence of more consistent results when it comes to refinement/naturalness. Not to say Asmed don't have good examples of this kind of procedures but maybe a surgeon with more consistent results for work in the frontal area is required, with consistency being the key criteria. Patients who still have a good amount of hair and have work done just on the front/hairline are justifiably going to scrutinise that smaller area much more after a procedure compared to someone who has a lost a lot of hair all over and who may well be happy overall 12 months down the line in that they are in a better place cosmetically compared to pre-op, so expectation has its part to play. Again all the above is just the impression I've got, but I may be wrong.
  11. Strongly considering Asmed but must admit, reading about the recent cases of people not being happy with their hairlines is disconcerting. No doubt, they have produced some great results but recently more than the odd unhappy patient seems to be creeping in. Probably just me and nothing really in it, but seems to me the guys having the bigger 5000 graft sessions at Asmed generally seem to come out happier at the other end as maybe because they are further down the Norwood scale and more often then not are left in a better cosmetic position compared to pre-op? Not to say their aren't smaller procedures done by Asmed where patients are more than happy as there are plenty out there but get the impression, and I may well be wrong, that Asmed's forte seems to be bigger sessions with patients further down the norwood scale? Think there may be surgeons out there who are maybe more consistent in the refinement stakes that some are after?
  12. Personally would be inclined to hold off and maybe carry on with covering with toppik. There's still hair in the balding area and not sure it's the best of ideas for your first procedure to start off from the vertex/crown transplanting amongst that native hair if you are not on fin. I'd imagine balding will continue in that area and you may find yourself back to square one fairly quickly once the native hair goes and you are left with the transplanted hair in there. Plus frontal region may also suffer in the future and the focus should probably be to preserve as many grafts for that area if/when it takes a hit rather than commit too much to the back of the head (can require a lot of grafts to make a difference in the vertex/crown area). Re - small sessions sound good on paper but to make a difference, will still require a fair amount of grafts and chasing after hair loss is risky business and think in some way it's probably better letting a clear pattern develop. In your case, without fin question is where will the frontal area be in a few years time.
  13. In the 2nd pre op picture, there's a lot of weak looking hair that looked to be on it's way out so not totally surprising that a lot of it has probably gone in the last 2 years without the use of fin. With your pattern of hair loss, I'd be tempted to get the opinion of a couple of other recommended Dr's before pulling the trigger even if it is just to gauge what the general consensus is regarding how you should approach any future procedure.
  14. Good luck. Will you be starting medication alongside your HT?
  15. How many grafts were transplanted? May well have some shock loss there but it's pretty early days on your HT path to be honest. I've also considered Dr Demirsoy. Some of his work does look very good and think he generally takes a more conservative approach (not necessarily a bad thing) but my gut instinct (I maybe wrong) is he may be someone for those towards the lower end of the Norwood scale.
  16. Brand I use is 10S2-10% sulfur 2% Salicylic Acid soap. I'm in the UK and ordered it on Amazon.
  17. Yep agree with not rushing. Being in my late 30s, just something I think will take a few years off me lol. I did send in pictures to Asmed previously and Dr Erdogan also advised that I should start on finasteride but suggested that if I didn't give it another go, judging by my pictures, I should have enough donor hair to cover further loss of native hair with another procedure further down the line. Regarding the sides, I'm no Doctor but maybe something in my family, as my father was prescribed some medication for mild BPH which I assume lowered DHT and he also had sides so had to come off. Anyway, look forward to your updates!
  18. I'm also of south asian descent so interesting to hear he has written a book on asian hair restoration. Wasn't aware you could pay in sterling (maybe something to do with the economic climate in Turkey at the moment?) as I'm also in the UK. Been considering a HT for a year and half but at that stage where I want to pull the trigger on it but only thing that puts me off is I am one of the unlucky ones that is sensitive to finasteride and as you mentioned a HT should really be coupled with medication Leaning towards Asmed so will be watching how you progress with interest.
  19. Should have a good result on your hands. Do find those of south asian descent generally have hair characteristics that are more often than not conducive to a providing a satisfactory result at the end. I'm looking to pull the trigger on a HT myself and strongly leaning towards Asmed
  20. I suffer from quite severe bouts of seboherric dermatitis. Tried various oils, shampoos, medication myself. The only thing that has really cleared it for me is a sulphar soap bar that I use that also contains salicylic acid. Leaves the scalp with no redness or itch. Currently looking into a HT and had the same concerns about my seboherric dermatitis causing issues if I go ahead with a HT but have seen a big improvements since using the soap bar.
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