Greg_Swanson

Looks really good, mate. Really clean work - fingers crossed for a great result!

Do you have any tips, or anything that jumps to mind for a fellow Aussie booking a trip to EU/the states?

Just because, as you said, we've got at least 40 hours of flying regardless haha.

Always wondered if I should take extra precaution due to the time it takes to get home post-surgery.

Thanks mate :) 

13 hours ago, LaserCap said:

Typically you can return back to normal after 7 days, no restrictions.  The concern, however, is the fact that you will be carrying gear.  I get it, not heavy.  But, when you hike a lot of forces come into play.  Even light gear will pull. Why risk it?  Go on your hike...enjoy...and do the procedure at a later time when you have nothing going on.  And overseas?  I would wait.

The other concern is "small FUT"  What you are doing? How many grafts? 

Hi Laser

Good point. I mean, the trip has been planned for a while, and it just so happens to be in the same country as H&W, haha. So it seemed like a good time.

I am probably looking around 2,000 - or so (maybe a little less, or a little more). It's just a frontal fix to amend receding temples in what is probably a NW3 case. I'm also 28 years old.

H&W did say I could do FUE, easily - but my family history is high norwoods, and I've heard it's best to start with FUT

Hey all,

I know this topic has been covered a bit concerning weight training/strength exercises, but I was wondering if anyone had any experience, or knowledge regarding cardio?

I'm pretty active, and was considering a small FUT procedure, but it would be during a holiday overseas in which I planned on doing a fair bit of hiking. Just day hikes and such, so no heavy gear.

Would this be an issue a couple of weeks after surgery? For either the donor area, or the transplanted follicles? 

Thanks heaps everyone :) 

Looks really good, mate - very clean work. Fingers crossed for another great result my Dr. Diep. 

2 hours ago, Lennney said:

Clean work done, now you're on your way! Was there a particular reason you chose not to shave your hair? I was always curious about the partially shaved requests. From my perspective, it doesn't seem to help, and only makes washing/caring more difficult. 

Anyways, I know you had a rough time with sun and such last recovery period, I wish you the best this time around. 

I can only say from personal perspective, but I always considered it as my current hair style hides my recession. 

I figured I could keep it as is, and just let the new hair grow underneath. Do you think it would be best to do a full shave, Lenney? 

I've been wondering how important family history is to surgeons?

For instance, my father, and my older brother are both NW5/6, and NW7.

If I am headed in that direction, is there truly enough hair that can cover a NW7 loss? 

I am worried that if I get a transplant, I will still end up losing virtually all my native hair due to my genetics.

I am on finasteride, but many have said that this doesn't last forever, and the body grows a tolerance to it eventually. 

I.e. are there cases in which the potential to lose lots of hair means a transplant isn't a good option for someone?

Thanks all!

I cut my dosage from 1mg to 0.5mg. I don't think it made a huge difference. I may have shed a bit more now, but that could have happened regardless.

Are you getting sides? Or are you just worried they may occur?

I've been on it for about 2.5 years.

I initially had some sides, but they legitimately lasted about a week, and I attribute that to my mental preparedness to experience them - not the drug itself. 

Oddly enough, about a month ago I experienced some minor sexual sides, for the first time ever.

Needless to say I was worried. This may have been due to the drug, or a host of other possible causes. 

In the end, I actually got some Fenugreek tablets. As Lenney said, concerning natural supplements for libido, fenugreek is virtually the only one that experienced significant results in actual research.

As of now, I'm back to normal. Weird. Is this the fenugreek? Maybe. Maybe my hormones were just a bit out of wack briefly which hurt my libido.

6 hours ago, gillenator said:

The clinical trials that Merck does states that they find Propecia to be most efficient in the posterior (crown) and mid-scalp....but not the frontal region or temporal lobe areas.

I have been taking low dose finasteride since 1996 and although I had hairline and temporal lobe recession, it has definitely stabilized to this present day.

Very happy to hear it worked for you, Gillenator! 

I started about two years ago, and the pics at my dermatologist show very minor frontal recession, but new hairs in other areas. 

13 hours ago, LaserCap said:

The medication tends to be, visually, far more effective in the crown. Is it because it is enhancing the miniaturized hair?  Perhaps.  

Through the years I've noticed a number of things. First, it can help with retention.  I've seen young guys even minimize shedding.  They seem to look the same year after year.

I've seen other patients with lots of miniaturized hair in the crown....return with a fuller set of hair.  Enhancement of the dissipating hair.  It can happen.

I've seen cases where the patient seems to be improving everywhere, (enhancement), but not the front, (retention).  So, it almost looks as if they are thinning in the front.

Lastly, I've seen patient slow down the loss, but they are still loosing.  In this case, is it worth taking the med? Sure.  Just add other modalities and see if you can halt it all together.  If, after doing all available modalities you are still experiencing loss, get off the meds because they are not working.

So, in summary.  Everyone is different and the medication can affect patients in all sorts of ways.  If it is "partially" working, I would continue....but also add other modalities to the mix.  If it is doing its job, and you are retaining all over, keep going. (Important to understand the medication is intended for the patient to retain.  If you are enhancing, that's awesome as only a low percentage of patients experience this).

 

Interesting thoughts, that makes sense Laser.

For myself, I feel like I am still receding but very, very slowly in the front. 

In this case would you suggest keep taking it?

I've been considering a transplant lately, just to restore the front. I suppose in that instance keeping on the meds is a must.

14 hours ago, paulio160285 said:

Hi im considering quitting propecia after 6 years, Iv had 2 hair transplants both fue surgery, I took propecia 1 year prior to first fue and 5 years after 

im not getting any side effects apart from maybe a slight decrease in sex drive,  which is my thinking of coming off and also cause planning to have a baby 

im worried of course about hair loss when stop finasteride, I just wanted to hear mainly from those in a similar situation to me that's had a hair transplant and then dropped propecia altogether

what's the best way to stop propecia i.e cold turkey or gradually coming off it by halving pills etc, and also how was your hair loss if any? and side effects if any?

 

thanks for reading and look forward to hear some feedback 

 

 

If you've gone 6 years with no real issues, then maybe the sex-drive issue could be due to other circumstances?

My advice, if you are going to stop it, is to slowly reduce it. I've heard this is the best way to stop taking the meds.

I suppose it all depends on how much you're taking, what is your current dosage?

Has anyone experienced finasteride working on different areas of the head at different levels?

I've been on it for a couple of years, since seeing a dermatologist. I'm a NW 3/4 approx. 

I go back every 6 months, or so, get some follow up pictures, and compare the progress.

Since starting, my overall hair health seems to be a lot better, and the crown appears to be even more full than when i started. 

Though, my temples have continued to recede slowly. 

Does anyone know if this is a common occurrence? Or is it more down to person-to-person?

Thanks!

In 2020, no, in our lifetime, yes.

Hair loss is at it's heart, a genetic condition. The advancements being made in the genetics field each day are actually incredible. 

Gene editing alone has come leaps and bounds with the use of cas9 and other proteins, and it's not unreasonable to assume that one day we will have a cure. 

But I doubt it will even be within the next decade, unfortunately. Which really, really sucks lol. 

6 minutes ago, Melvin-Moderator said:

Look for me I shaved my head for over a year. I just couldn’t accept it. I finally thought if only I can have some hair and then use clever hairstyling id be happy. That’s when I decided on having a hair transplant. Now I use hair fibers, which are a godsend.

Now a lot of guys like @gbhscot want a hair transplant to escape fibers or dealing with hair loss ever again, guys like that shouldn’t get a hair transplant because it’s not realistic and they’ll end up unhappy. As for me, I’m so glad I made the choice hair restoration has improved my life in so many ways including creating a passion. 

Below is a picture of how I looked shaved head vs transplant 

Yours truly is an awesome result, and your hairstyle suits you so well.

Do you find the maintenance tiresome?

To be honest, even before i started receding i used to fuss over my hair endlessly. So fibers and maintenance wouldnt' seem like much of a chance, haha.

Great topic, but man, it simply makes me have second thoughts about the whole thing.

Which is good, I suppose. 

A worrying prospect is having even more stress than before you got a HT. 

I guess in the end, it comes down to person-to-person, and so many people say getting a HT was literally life-changing for them. 

So many what-ifs. 

Has anyone had their surgeon do this as a preventative?

For instance, if someone has to travel an extensive distance, is it advisable to maybe knock out some potential recession that is yet to occur? Maybe they're a NW 3/4, and the doc goes a bit further into the hair line. 

Or is this generally not advised due to shock loss?

I'm just wondering if this is something doctors look at.

Thanks

That makes sense, I guess we dont really know until it happens.

Does anyone know about thinning? As in, maybe not MPB related, but just being in a shedding phase? 

Hey all,

Has anyone had a HT without their hairloss seemingly being stabilised? 

I understand that most people who get a HT will still be thinning at some level, even if they don't know it - but can any issues arise if one is thinning quite a bit?

Or, if they are still receding slowly? 

I suppose I'm wondering whether temporary thinning can impact the donor harvesting. Probably a question for more experienced fellows, but thought I'd ask.

If you want to try it, try it at a lower dosage. If you experience sides, ease off it - this is the best way to avoid strong/lasting symptoms. 

Also, it's relevant to point out the current state of the literature (research) surrounding finasteride. 

Within the past year and a half, the studies surrounding the drug are largely positive. Not only this, but multiple studies have since debunked the earlier research that implicated finasteride in causing more aggressive prostate cancers. Research has been done with far larger, and more robust sampling, and has found no significant increase in the chance of getting aggressive cancers from the drug. 

If you google sides, you will find them - if you google finasteride success stories, you will find them. Each person reacts differently, but despite what you may read, side effects are a definitive minority concerning all finasteride users.

1 hour ago, Melvin-Moderator said:

For those of you who switched from finasteride to dutasteride, did you notice an improvement or any differences? I would love to hear the communities input.

Should You Switch To Dutasteride For Hair Loss

Interesting topic.

I suppose it's a risk versus reward scenario.

Anecdotally, people who don't experience fin sides seem to be okay in switching to dut.

I didn't realise they can both increase the chance of certain prostate cancers - I thought they were initially used in prostate cancer prevention?

Hey all,

I was wondering if any past H & W patients could tell me what their after care is like?

I assume it's very good, as their reputation speaks for itself, but seeing as each doc does 2 surgeries per day I wasn't sure if patients mostly deal with reps post-procedure or the actual docs.

Thanks

I've always read that basically, waiting lists more-or-less are a good gauge on a practices surgeons, and overall reputation.

Though, recently, when I inquired with a couple of very well known, and respected clinics, I was able to be fit in within 1-2 months. 

For instance, H & W have very good availability in very short amounts of time - does anyone know if they've upped their clients per day?

It seems as though, dependent on your surgery, long wait lists aren't indicative of a clinic's production. 

22 minutes ago, H & W Doug said:

Hi Bonkling,

If this question is for me, considering I am a representative of Hasson and Wong, I will answer from my perspective.

If you’re asking if there is a difference between Dr. Hasson and Dr. Wong, the simple answer is yes. However, there is not much difference in terms of skill level and how they would be ranked and perceived within the industry.

Both are considered among the best in the world and as you have likely seen here, are capable of producing results equal to or greater than any other highly respected surgeon. The patient can choose which doctor they’d like if their research has led them to one over the other. In most cases, a patient is suited for either. If I feel for whatever reason one doctor may be a better fit than another, I will tell the patient so. As an example, Dr. Wong typically does more female patients than Dr. Hasson so a female may be assigned to Dr. Wong.  

CosmoKrammer,

Both Dr. Hasson and Dr. Wong are proficient in both FUT and FUE. We have felt for a few years now that either doctor can produce our industry-leading results with either method.

Harry_potter1,

Each doctor has his own highly skilled team. In some cases when required, a member from one team will assist the other team but not often.

It is interesting how things happen on the forums. One member may express an opinion and maybe it gains traction. I’ve heard these things for years about Dr. Wong is better with crowns, and Dr. Hasson is better with this or that, etc. I find it amusing as I know both are equally as talented in cases where one is considered better than the other.

Maybe check back to our site. We’ve put more FUE results up and placed some more prominently in the first few pages.

Presently 11 of 12 results are FUE on the front page of our Gallery,  4 of which are 3,000 grafts or more. We will also be adding another Dr. Hasson 4,000 + FUE result to the gallery and I’ll also post here very soon. 8 of the 11 are Dr. Hasson’s FUE results.

Bonkling,

We typically estimate or recommend a higher number of grafts than most clinics. We will usually put more in a given area and have the staff to perform large mega sessions. As I have stated before, you have to have a certain density for it to look natural and you need large numbers for large areas of thinning or balding scalp. Some clinics don’t have the technology or staff to accomplish the numbers in one session. We sometimes kid that no one comes back and says: “Doc, you gave me too much hair”

If it was to happen, we would be leading the way in those cases. 😄

jj51702,

Dr. Wong’s contributions have been instrumental in our summit to the top of the FUE field and he is a little more involved with regards to conferences, organizations, and colleagues. While Dr. Hasson may not be as involved to this extent, his contributions at the clinic level are not to be dismissed. His results will suggest that his lack of involvement does not diminish the quality of his work.   

In the end, if you are not sure who might be the best fit, let the team at Hasson and Wong help you decide. If we feel there is a reason why you should have one over the other, we’ll let you know. But if it comes down to either Dr. Hasson or Dr. Wong, you’ve already made the right decision😄

Hi there,

Considering the dense packing both doctors do so well, would they take into account someone's future loss?

I.e. if a person was genetically predisposed to becoming a NW7, is a conservative measure something that could be adopted?

On 1/23/2019 at 12:22 PM, Jamothee said:

Looking at this Dr's results on his website appears he is a bit hit n miss. Some great results, some meh.

8 hours ago, Melvin-Moderator said:

Hey Guys,

I shot this quick little tutorial to help you guys out there who may want to use concealer but don't know how to use it. It's a great tool to augment a hair transplant result. However, keep in mind that you NEED HAIR! If you don't have enough hair the fibers will look fake and it won't blend in properly. Someone already commented that I should transplant my armpit hair to my crown 😂 🤣 if only it would look good I would lol.

 

Awesome video mate!

2 hours ago, Hair2019 said:

Day 7 Update:

swelling in the recipient area is completely gone and scabs are visible now. According to the instructions from Dr. Bisanga I can start using the mild shampoo starting tomorrow with gentle rubbing which will allow me to remove the scabs and the dead skin around the grafts.

 

Donor area looks magnificent and you can't even tell that I had over 2400 grafts removed. However I'm still experiencing sharp pinching pain from time to time in the donor area, In order to manage the pain I am currently taking Advil and tylenol. 

I'm very happy with the hairline and the graft coverage I got in my temporal regions. I just hope it is dense enough to blend in with the rest of the hair. I am a little nervous about the shedding phase, Is there anything I could do to minimize shedding? 

 

 

Looks really clean, mate. You chose an excellent surgeon.

Don't even think about the sides, seriously. It truly is such a small amount of people, and it's amazing what the mind can do. 

People have said they experienced the sides after taking the placebo in trials.

Best of luck

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