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LordBaldwin

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    178
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LordBaldwin last won the day on October 12

LordBaldwin had the most liked content!

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About LordBaldwin

  • Rank
    Senior Member

Basic Information

  • Gender
    Male
  • Country
    United States
  • State
    FL

Hair Loss Overview

  • Describe Your Hair Loss Pattern
    Receding Hairline (Genetic Baldness)
  • Norwood Level if Known
    Norwood III
  • What Best Describes Your Goals?
    Considering Surgical Hair Restoration

Hair Loss Treatments

  • Have you ever had a hair transplant?
    Yes
  • Hair Transplant Surgeon
    Dr. Koray Erdogan
  • Current Non-Surgical Treatment Regime
    Nizoral Shampoo
    Nioxin Shampoo

Recent Profile Visitors

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  1. So, some of the feedback I've gotten lately got me thinking... I wanted to see what my yield and growth really look like, in reality, and without bias, so I took (as you might expect) an analytical approach. I took 22 photos of the transplanted area of my scalp with a digital microscope and overlaid a box 1/9th of a square cm over each one (see Figures 1 through 22 below). I then counted the hairs with roots inside the box (mature hairs tagged with yellow dots at the hair bases and immature hairs tagged with orange dots). I tried to place the boxes where I could clearly see hair bases, so as not to count hairs from outside the sample areas. I entered these values into a model that scaled them up by 9, estimated total follicular units per square centimeter, and compared against my expected targets for this point in time (see Charts 1 and 2 below). I know this seems like a lot of work -- possibly too much -- but it felt like a better use of my time and energy than sitting around handwringing. Plus, to be honest, I kind of enjoy it. Anyways, Chart 1 below shows how far along I should be, in general, based on normal hair transplant growth timelines. It also shows how many follicular units and hairs should be in each square centimeter based on that information. Chart 2 compares where I actually am in each sample area to where I should be at this time, then projects forward into the future. It would appear that graft survival is probably not my issue. There are some areas that are weaker than others, but on average, there are about 46 follicular units per square centimeter. If there were no native hairs, but a 90% yield rate for transplanted hairs, I'd be expecting 45 follicular units per square centimeter. If I assume that all the hair is transplanted, rather than native, this means that I have a 90% current yield rate and will have a 92% final expected yield rate at the end of 12 months. I think 46 follicular units per square centimeter would normally be enough to provide a dense appearance. On the other hand, while the number of popped hairs seems to be on track, maturation appears to be where things are lagging a bit for me. At this point in time, if I were a normal grower, 78% of the popped transplanted hairs should have been mature. However, across all the sample areas, only 65% were mature, on average. Dr. Koray's coverage formula, if I remember correctly, is [follicular units]*[number of hairs per follicular unit]*[hair caliber]; you need a coverage value of at least 5 for the hair to appear dense. In order to estimate my coverage values, I assumed my immature hair was half the caliber of the mature hair. Currently, about half of my sample areas meet the threshold of 5, but the average coverage value for the entire area is 5.1, which is passable (but barely). However, when I factor in the extra months of growth I have ahead of me (both extra popping and maturation), at least four more of the sample areas should flip to exceed the coverage value threshold of 5, and my average coverage value increases to at least 5.75. Note that I'm assuming at least 50% of the "immature" hairs I counted are actually miniaturized native hairs which will not thicken and grow; if I assume that all of these small, fine hairs are immature transplanted hairs, I could end up seeing an average ultimate coverage value of 6.31 with my current yield of 92%. In short, I think I still have good reason to be optimistic, in spite of what some people on here may believe. Not everyone is done developing at 9-10 months (in fact, most people aren't). Since I appear to be a "slow maturer," or at least slower than normal, I'm going to wait until around 18 months to make a final judgment. That gives me another 8.1 months of maturation from today. Chart 1 Chart 2 Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 Figure 10 Figure 11 Figure 12 Figure 13 Figure 14 Figure 15 Figure 16 Figure 17 Figure 18 Figure 19 Figure 20 Figure 21 Figure 22
  2. It's based on a post by Doctor Bloxham. I'd have to dig it up, but it gives timing estimates for both pop rate and maturation rate. I used this to calculate percent coverage change over time.
  3. Thank you. Yeah, I've definitely noticed improvement since month 9.
  4. You're right that I don't need to. I guess part of it is my desire to determine, with a little more certainty, what the yield situation is, and where the lag might be occurring (it appears to be more of an issue of maturation so far than graft survival, I think).
  5. Thanks. Yeah, it's definitely night and day from where I started, and that, in my view, is the most important thing to keep in mind. I'll have a much more detailed rebuttal (science and math-based, obviously) to some of the negative people on here coming soon, but didn't feel up to finishing it today. Suffice it to say that it should answer some of the questions about yield.
  6. 2.5 Euros per graft. The price includeded at least two nights of hotel (or a room in the clinic), breakfast if you're staying in the hotel and all meals if you're staying in the clinic, and transportation to/from the airport and to/from the clinic. The package didn't include airfare.
  7. Thanks, Melvin. This is the kind of constructive comment I was hoping for.
  8. Haha, SMH. Figures the only comment I get is a negative one. I guess I shouldn't be surprised; everyone on here seems to be a perfectionist these days. To be clear, I never expected to be completely restored to my pre-hair loss state. So far, it appears to have met (and maybe slightly exceeded) my goal of winding the clock back about 5 years. I've gotten many unsolicited compliments in person -- by my family, my friends, my barber, etc., and I look undeniably better in my own opinion when I look in the mirror. Would I like it to be a bit thicker, ideally, at the end of the process? Yeah, for sure. If everything stopped now, and I saw no further improvements, I'd probably not consider it a "home run," but I'd consider it a strong triple. That being said, I have seen continued improvements over the last month, and we'll see where things stand at 18 months; I'm not gonna rush to judgment. If this does turn out to be the final result, I'm sure I'll be able to work something out with the clinic, but I'm definitely not upset about how I look now.
  9. Month 9.5 (approximately) Ok, here are my most recent pics. The hair has definitely thickened in the forelock area, though I'm still hoping for some more improvements in the front hairline. I should be about 85% done now, so....fingers crossed. In any case, things are generally good, overall, in my opinion. Indoor with indirect natural light: Indoors with harsh artificial light (mirror selfies): Outdoors in direct sunlight:
  10. Month 9 Sorry for the delay...been busy with other things lately. Here are my 9 month pics. Indoor with artificial light and no flash: Indoor with artificial light and flash: Indoor with harsh artificial light (mirror selfies):
  11. Month 8.5 I've seen continued maturation, as well as some additional sprouts. Things are continuing to improve gradually and look pretty good under most conditions. My result should be about 70% complete. Date of Interest Date of Surgery Speed of Growth Day Display Month Display Predicted Current % Complete Predicted % Remaining 12/17/2018 Normal 259 8.5 70 30 Day Number of Interest Month Number of Interest 8.5 Total Grafts Implanted Total Tranplanted Area (sq cm) Graft Survival Rate (%) Average Hairs Per Graft Ultimate Target Density with 100% Yield (grafts/sqcm) Predicted Current Graft Density (popped grafts/sqcm) Predicted Current Hair Density (popped hairs/sqcm) 3051 60 90 2.44 51 39 95 Dry with Artificial Lighting and No Flash Dry with Flash Wet with Artificial Light and No Flash Wet with Flash
  12. Yeah, I still feel relatively confident there will be significant improvement in the coming months and plan to leave things alone until the 18 month mark. That said, needing to go in for a second pass for a little added density wouldn't be the end of the world, especially since I need to go back anyway, in the next couple of years, to do my crown (which wasn't touched during this surgery).
  13. Yeah, many credible sources (including the clinic) say it often takes up to 18 months to see the final result. The clinic also said that I'll likely be slower to mature because I'm not on finasteride. Not sure why that would have any effect on DHT-resistant donor hairs, but perhaps it's true. Also, if Bloxham's estimates for growth (and, by extension, my model) are right, growth actually accelerates on the average grower up until 10 months, so I should theoretically progress from being 64% complete to 90% done in the next two months.
  14. And just to prove my point, @CosmoKramer, see the pics I just took with my microscope. Still looks like there's plenty of immature hair. If all of the fine, thin hairs in the pictures are transplanted hairs, I have a lot of improvement ahead of me. On the other hand, if they're actually miniaturized native hairs, then I might be f*cked, but I don't see any reason at the moment to believe that's the case.
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