Wendell

10 hours ago, DrTBarghouthi said:

Yes you can definitely climb up the Norwood scale in many cases. It might not be a huge jump but if properly planned and optimized medically then somome can go from a 6 to some variant of 4 or even 3. Managing expectations is the key.

Ok, thanks

Excellent,  doctor. I will take your advise. I am so so thankfull for all your effort and cooperation for me. 

SORRY FOR SO MUCH TRYING BUT NEXT MONTH I WILL BE OPERATED. THANK YOU ALL FOR THE PATIENCE.

The doctor said:

Upon evaluation we found out that you have very different angles of hair all over your head. Fue procedure would be difficult in this situation as the root has different angles and outside the hair has different ones.

So FUT would be preffered so that we can see the root directly in the root.

Fut around 2500 grafts would definitely be possible but for more number of grafts we should look for body hair transplant also.

I asked him:

FUTand FUE perform combined in one or two sessions what do you think doctor? ???????

SO IT IS NOT POSSIBLE TO GET FROM 1000 TO 2000 FUE GRAFTS BECAUSE OF THOSE ANGLES IN THE BACK AND THOSE IN THE FRONT????????????????????

I mean my hair was blond and thin when I was a teenager. 

6 hours ago, DrTBarghouthi said:

Yes you can definitely climb up the Norwood scale in many cases. It might not be a huge jump but if properly planned and optimized medically then somome can go from a 6 to some variant of 4 or even 3. Managing expectations is the key.

I am going to start using Rogaine now for the first time. My hair in the top was very thinning and a little bit defused. 

2 hours ago, LaserCap said:

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.

Cover or coverage or in Spanish CUBRIR.

OK, it is a Norwood 6 but my expectation is not the front. I just need a fist of grafts or hair there in the top in the very affected area not in the front. With that I am happy. I think with the strip procedure I can keep safe and get more hairs for the future but that annoying hole is what is bothering me, nothing else jaja

Im a 42 year old curly hair latin man FROM THE DOMINICAN REPUBLIC. I want to have  covered the following area with 2400 FUE grafts if possible or 2500 FUT grafts if not possible. I have average density of 55 grafts  (1, 2 & 3 hairs) from which they would take 15 grafts  (Is it ok 15 ??????????????????????) remaining 40 grafts in the donor.

Those 2400, are they possible with only FUE the I said by spreading those hair in the affected area not including the front????????????????????????????

Note: I think for strip method higher density than in FUE must be left at the donor in back: what is better FUE alone or FUE and the STRIP together? ??????????????

3 important question, doctor, to be answer before I go into the surgery, please answer me. I will appreciate it infinitly, thanks in advanced.

🙏🙏🙏

Aah, one more note: BY THE MOMENT I AM NOT WORRY ABOUT THE FRONT, I ll be using monoxidil and care the front. I HAVE LIKE 10 YEARS  WITHOUT LOOSING ANY MORE HAIR,  I GUESS THEY ARE STABILIZED EVEN SO IN THE FRONT. THATS MY FAMILY PATTERN.  

3 hours ago, Raphael84 said:

Hi @Wendell

How are you?

I don't believe that I read it anywhere, but just to confirm, have you had any previous hair transplant procedures? If no, why do you feel that you would not be able to take 5000 grafts FUE? Something to consider if you intend to keep your hair reasonably short at the back and sides.

Most Drs will be far more comfortable with the approach of first addressing your hairline and frontal third and moving back to your midscalp and toward your crown. This would be a much more sensible approach and you can of course discuss density desires and concerns with your Dr. I appreciate that it is your crown that is currently bothering you the most, but you have said that you have been losing hair for over 20 years. With the correct approach, if you require two surgeries, then two years on from your procedure you can be in a completely different position.

All of this is dependent on your choice of physician of course. With extensive loss you can't afford to make a mistake with this. You will find some great surgeons on this very forum. Do your research and begin requesting some online consults with some of the best Drs to understand what may or may not be possible. 

Where are you from?

Thank you for your follow up. I appreciate it infinitly 

On 1/8/2018 at 4:20 AM, Details said:

Can someone give me advise how to proceed from here on?

I think you can try wear and let the area grow as long as possible. 4000 fue grafts not combined with the strip grafts is not prudent because firstly even FUE grafts demmand more than 4 milimeters long (1/2 cm more or less). So, you mission now is to have those hairs in the donor area grow and masage the area every time possible for the blood circulation. Its my opinion as I a Spanish and English teacher and a HT candidate.

I am planning to have two procedures , strip and fue in order to get 2500 grafts  (5500 aprox) for the entire affected area which I think if I dont have a high expectation I can get a coverage with a 5 milimeters donor hairs long. I hate that hole in the crown.  Even so the way I am now I can feel a mininum of density which I can still care. My alopicia started at the age of 20 and I m not loosing any hair jjjjjj and my front is like that a long time ago (20 years). Now I am 42.

Thank you for your attention. I would still wait for more experience from you all please and be oriented regard this hair situation. 

I want the grafts to be fucused at the crown, in a second one surgery or maybe in the first with fue, I want some coverage at the mid-scalp and a little in the the front. I dont have and I cant have a middle density expectation but a low density hair expectation with 4 o 5 milimeters hair long.

My questions is very centric and basic to solve my case (see last topic: fue or fut for me):

As a patient or as HT specialist what would you do or recommend: 1600 FUE GRAFTS OR 2300 FUT & FUE GRAFTS for a 42 year old  hispanic  man with a 55 to 60 graft density in 5 to 6 Norwood focussing 1300 or 1800 grafts on the crown and the rest to cover frontal density??????????????

Note: if the doctor cannot get more than 1600 for getting something for the front then use that 1600 for the crown.

Thank you !!!!!!!!!!!

My questions is very centric and basic to solve my case (see last topic: fue or fut for me):

As a patient or as HT specialist what would you do or recommend: 1600 FUE GRAFTS OR 2300 FUT & FUE GRAFTS for a 42 year old  hispanic  man with a 55 to 60 graft density in 5 to 6 Norwood focussing 1300 or 1800 grafts on the crown and the rest to cover frontal density??????????????

Note: if the doctor cannot get more than 1600 for getting something for the front then use that 1600 for the crown.

Thank you !!!!!!!!!!!

20 minutes ago, Dr Blake Bloxham said:

Also ... 

Please do not rush into getting a procedure. I understand the urgency to get it done; trust me, I do. However, it is far better in the "long term" to take your time now and make the best decision possible opposed to rushing into a procedure and being dissatisfied or spending more time and money (and irreplaceable donor follicles) to fix or augment things up the road. It is a common tale we see and something that you should do your best to avoid. 

You re right

I want a HT for this month because with this hole in the crown I am very old , I want 10 years old less, jjj and my students and teachers (I am a teacher) are doing bulling for my alopicia jjjj. Please I need your answear before I get my hair transplant done. See my pics

Here some more pics of me. I am 42 years old. I started to loose my hair at the age 20. Now it is stabilized, no hair loss , just thinning hairs in the front and that annoying hole in the crown. Is my donor area density good for harvesting more than 1600 grafts without noticing the tiny fue holes ???? Which is the for my hair type  (curly hair) the best FUE or the trip one?????

I ve never had a hair transplant. I m not using any medication. I have made  consultation already here in the Dominican Republic. Outside the Dominican Republic I cant get a hair transplant for 3000 or less like in the DR. I am sending pics for my donor area. Thank you. 

Your comment please!!

I have a class 5 to 6 alopicia (see pic 1 and 2: pic 3 is not mine, its someone else). The problem is that if I go on the fut strip surgery with 1500 grafts  (amor that I was given by a doctor in the Dominican Republic) for which I need to wear long hair and fut technique demands or requires a high density in  my crown. 1500 grafts is like the density in in the crown in pic 3 which does not allow a fuss or strip surgery because it demands long hair for covering it (camouflage) and hair extraction might not keep my donor area for more for the front (20 grafts per cm2 is needed in the crown and like 12 grafts per cm2 in the front for a total coverage of about 70 cm2 in the crown and about 30 cm2 in in the front) Thats an issue for me, what COULD be your advise for me????? Thank you!!!!