Swish

Looks good. How did you reach Dr Pekiner? I cant seem to find his website or contact him anywhere?

Woow that's dense! Doesn't even look like a transplant. You must be thrilled!

Hmm, I cant open the picture file you linked..

This is the best result I have seen! This isn't even an "illusion of density" 

How does it look in harsh lightning? I mean, can u make it look bad or is it just that dense?

Any update :)?

I don't understand when people say hair transplants are illusions. Looking at your hairline in the last pic, it looks non-transplanted, full and dense?

What's your approach to hairloss medications atm?

I read somewhere you stopped with fin due to side effects. Are you considering jumping back on it it the future or is that not necessary due to almost all of your frontal and crown hair is transplanted with still plenty of donor left( judging by the pictures)?

Thanks for updating us. Much appreciated!

Hey! Any updates on your hair situation in general :)?

Insane result! Do you use any hairloss medication?

13 hours ago, ciaus said:

People like yourself and that other guy are at an increased risk for psychologically manufacturing side effect-like symptoms because of your pre-existing condition. Try not to let your mind play tricks on you and obsess about it if you do end up starting. Maybe have your girlfriend/wife/family/friend pick a random start date and secretly put a crushed pill into your food each day for a while to help minimize that effect.

11 hours ago, TheDarkHour said:

Well you should talk to your doctor for confirmation. This wasn't just based on my personal experience though, brought it up to hair transplant doctors and they also advised me against using fin. I guess you could microdose for a few weeks and see what happens, especially if you plan to get surgery for your gyno later. 

To expand on what I said earlier, I would rather get a transplant at NW2.5/3 instead of relying on fin all my life and risking the side effects if I was lucky enough to stop at NW3.

Minoxidil  is more for regrowth so would likely not be as effective as fin for stopping hair loss. I use it once a day and have grown some thin wispy hairs on my right temple which is now more of a NW2 than 2.5. left temple hasn't improved much though.

It's not the fear of side effects that keep me from taking finasteride (besides from gyno returning). It's the fact that I have to take a pill almost every day for the rest of my life. Also, no one from my parent's side goes above norwood 3. I'm still norwood 2 since puberty and I'm turning 25 later this year. So I'm hoping 1-2 hair transplants will fix the issue when I reach norwood 3

9 hours ago, TheDarkHour said:

Dont know anout it reoccuring but I wouldnt risk it. I have moderate gyno and used fin for about 3 weeks, definitely felt something in my nipple/chest which is partly why I stoped it. Also got most of the other side effects. If I were you I'd just wait for a transplant. Probably use minoxidil when you notice recession.

Well, that's a shame.. I think I would rather take a pill each day rather than putting minoxidil twice a day and make my hair all greasy  The side effects of fin are really low, so that's a chance I'm willing to take.

17 minutes ago, rob7331 said:

Had gyno since I was a teenager! I'm almost 30 now. They weren't related even a little bit for me.

Thanks! That made me more calm!

2 hours ago, Dr. Suhail Khokhar said:

This publication might be useful in your case:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764051/

The present study has indicated that after complete excision of the mammary gland, finasteride treatment might not affect the recurrence of gynecomastia; however, additional prospective studies are needed. Surgeons may recommend continuation of finasteride in patients who wish to take it after mastectomy for gynecomastia.

Obviously, talk to your doctor about this.

Thank you for your reply! 

2 hours ago, Curious25 said:

When you go for your gyno surgery - I’m assuming the surgeon will have some form of expertise in the field of male androgens and their role in the body etc, aside from just being a surgeon. 
 

Ask him - see what his thoughts are on you adding a DHT inhibiting medication? 

Yeah, I'm gonna ask them that when the doctors allow me to book an appointment

1 hour ago, rob7331 said:

Anecdotally, I've been on Fin for 5 years and had gyno removal surgery last year. No problems at all just make sure your surgeon "gets it all" - if they leave any it will still be apparent you have gyno.

Ohh awesome! Did you have gyno before you started finasterid or did u develop it as a side effect due to finasteride if I may ask :)?

Hello guys!

I'm 24 years and suffer from mild gyno(puffy nipples since puperty) and im NOT on finersteride YET. I plan on getting my gyno surgery later this year, then maybe start on finersteride. The obvious answer is go and see my doctor, but the only accept persons with more serious issues.. Noone in my family goes beyond norwood 3, that's why I'm debating if its even worth to start finersteride or just go for the hair transplant if needed. 

My question is:

Is the chance bigger for me to develop gyno again even after the surgery due to finersteride? Have any of you guys had the same problem? 

Looking forward for your replies..

Great! That was the answer i was hoping for. Thanks!

Hello guys,

I was wondering if people would posts some pictures of their hair transplant without styling product in their hair. The reason why is because i will be getting a hair transplant in maybe 5-10 years and I usually dont style my hair with products because it looks fine after a shower with shampoo and i would like to keep it that way. But is that even be possible after a hair transplant or am i required to use some kind of products to make it look good?

Thanks in advance.

Keep in mind that Couto posts pictures of people who already have great, thick and dense donor hair. It also appears that he uses different lightning for before and after pictures, which can affect the post op quite a abit. But beside that, it looks great. 

How is your nose btw?

Can u post a picture?

Price per graft?

40 minutes ago, Melvin-Moderator said:

The perfect hair transplant doesn’t exist. Perfect scenarios don’t exist either, there is only reality. The reality is you will continue to bald, it’s not a question it’s a fact. I may come off insensitive, but I’m just giving it to you straight.

Hair transplants are meant to be an illusion not to transplant hair loss; hair for hair. If this unacceptable do not consider surgery. You’ll eventually become unhappy and regret your decision, and will join the “how do I undo my HT” guys that come on here all the time. Once you start this journey, there’s no going back or undoing. One and done scenarios don’t exist either. Prepare to have a few HT’s over the course of your life.

 

I guess a perfect hair transplant is subjective for each individual. But you make it sound that every male-individual goes bald at some point in their life and that is of course not true. You see plenty of people in their 40-60 with great amount of hair that even teenagers wish they had. Some people reach norwood 2-4 and then they stop receding for decades. Even if their hair diffuses you cant tell without a microscope.  

Here is an example: A boy of 25 age is a norwood 2 and his entire family for many generations don't go bellow norwood 3 due to genetics. Wouldn't that boy be a good candidate to get his hairline done? Because I'm sure there are many people in that kind of situation.

I understand what your are saying if you go beyond a norwood 3 or 4 and up there. But i just can't see why it's not possible to achieve great HT with dense results in that case. 

36 minutes ago, BeHappy said:

 

Well it really depends on what route you want to take. Let's suppose you are NW 3 as you said. If you are already shaving your head and are comfortable doing that because you don't want to be styling your hair a certain way to try to hide the thinning and bald areas, then perhaps you should skip the hair transplant.

However if you still have some length to your remaining hair and trying to style it in a way that doesn't look too bad, then you already (your words) "have to style my hair in a special and avoid certain light or swimming activities to avoid obvious lack of density or bald spots", so then a hair transplant, even if it isn't extremely dense, will give you more hair to style and make it easier to cover any areas that bother you.

 

Well I'm 23 now with norwood 2 with no major thinning, only slightly in the temples. But i had that since i can remember. I just wanna take the route where I'm gonna be a norwood 1 or 2 with a normal or dense hairline where i don't have to worry about my hair looks very thin in certain positions/activities for a long period of time.

8 hours ago, Melvin-Moderator said:

You can never have full density with hair transplants alone. Now if you're a norwood II and wish to only fill in the hairline then yes, you can transplant 60fu per cm2, but what happens when the rest starts to thin? If you consider that a typical norwood 6 area is over 200cm2. You simply don't possess the donor supply necessary to completely fill the entire scalp with "full" density. This is why we use the "illusion of density" if this isn't acceptable. I would warrant against having a hair transplant.

Hair loss will progress, especially at the age of 21. I can assure you that I was once 21 and didn't suffer from diffuse hair loss either. They say the only thing certain is death and taxes, but who ever said that must've not had hair loss, because hair loss will progress, and it's not a matter of if, it is a matter of when.

So in a perfect scenario where i don't get diffuse thinning(or so little that's it not even noticeable) its actually possible to restore from norwood 3 to 1 with " illusion of density" with around 60 fu per cm2, so i don't have to worry about the styling, lightning etc... so it looks kinda full in any of those scenarios. Because that's what i would call a perfect transplant and therefor would consider it. I would also only go for FUT because i heard and read that it can yield more and i don't mind the scares, i actually think they look dope to be honest.

But in a realistic scenario it will diffuse maybe allot maybe less, depending on the genetics. And that is why i cant pack everything to the hairline area because the rest would eventually need to get filled as well as you are suggesting. Am i understanding this right? 

Thanks for the reply.

25 minutes ago, Dr Blake Bloxham said:

 

Thanks for the answers! That was exactly what i was hoping and looking for. Because i might do a HT when I'm around 25-30 ish(Due to genetics, because only my father reached to norwood 3 in my family with normal density). I was just wondering why i should get a HT, if have to style my hair in a special and avoid certain light or swimming activities to avoid obvious lack of density or bald spots because its just not possible to achieve. I saw a post that @Melvin-Moderator about density and was therefor worried. Because he (you Melvin if u are reading this  )  claimed that a HT is only an illusion and you have to style and watch out for certain lightning to see obvious lack of density.  Maybe i misunderstood what Melvin said and he can correct me if I'm wrong?

And I'm not talking about 80 FUs/cm^2 but rather maybe 50-60ish FUs/cm^2. Because i have seen some results who claimed they packed this, but the results weren't that satiating, and you could clearly see what was transplanted and what wasn't. But i also saw some who were just fine.

So i read that you CAN'T achieve full density after hair transplants. But let's assume following: 

Let's assume that i know for a fact I'm gonna be a Norwood 3 my entire life (after I'm 21 years old). I have average donor hair/hair thickness with NO diffuse thinning. Is it possible to restore it back to Norwood 1 or 2, so it looks full even after it's wet and with bad/good lightning so I don't have to "style it a certain way so its appears full"?

I understand the logic that u cant do that with a high Norwood scale. But with a lower scale around 3? I Can't see why THAT is not possible?

I hope your guys understand what I'm asking. Let's get a debate going. Cheers!