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7 hours ago, Bigjab said:

You can’t tell me every hair Transplant surgeon has not had a case of poor growth? And in his cases he was fair with the patients I’ve seen it on other reviews where the surgeons will not accept liability and then the patients are left with shit looking hair and no chance to fix the problem what I’m saying is the bad reviews I’ve seen from him he was fair with the patients giving one their money back and the other another hair transplant free of charge of course 

It’s already been elaborated on but refunds and being fair when a doctor messes up isn’t much good when you only have so many hairs available in the donor! 

Choose the doctor who you feel gives the best and most consistent work. From what I’ve seen that’s Demirsoy. 

Just curious if you say that doctor has bad reviews then why would you go to him? It’s not a procedure I’d want to have go wrong and redone. 

Afternoon all, I have been searching but unable to find a definitive answer.

I am booked in for FUE this week, I've never taken finasteride only minoxidil. Should I wait until the pregnancy is over (6months time) before starting finasteride or if I store it at work should I start finasteride? Unsure whether finasteride can transfer to partner through sex??

Any advice appreciate, thanks

Looks good! Exciting times ahead

I've read different surgeons offering different opinions. Some say after 14 days as long as you wash it out at night, others say wait 2 months. 

...I might start again after fue

1 hour ago, Uncle drew said:

Does oral minoxidil really work?

Yes massively, and I think @jjsrader advice is spot on if going that high a dosage. I took 10mg loniten and saw great results but I was wary of long term effects and stopped.

On 1/3/2019 at 2:54 PM, elduterino said:

I am now oral Minox since 7 days ago - 5mg a day, also FIN for much longer, and MSM 4 grams  day.

 

As I've mentioned before I am weeks from my first fue, I had originally planned to take MSM and use aloe straight after then eventually back onto topical minox.

Now, I've came to realise you are a bit of a pro in this game, what was the deciding factor to go with oral minoxidil? I have previously used it but didn't want to rely on it again post transplant as I'm still not 100% sure if its good for the body.

I wanted to stay away from FIN as my Mrs is currently pregnant. Thanks

On 1/4/2019 at 4:02 AM, elduterino said:

I m 50 and the first HT was in 2013

50, incredible - is your name Marshall Mathers by any chance? Hair looks excellent!

1 minute ago, LaserCap said:

What you are currently using contains alcohol and will contribute to the dryness.  Have you tried the 5% Minoxidil foam?  Just get a cap full, put it in your palm and place it on any one area of the scalp.  Press down and rub in the same area.  Not necessary to spread out as the medication is systemic.  The next day you can change the area.  This should help keeping dryness to a minimum.

 

 

I tried the rogaine foam 8 years ago but it didnt go far as my hair is 3-4 inches long on the top and it seemed to soak it all up! I'll maybe give the foam a go after FUE if I can find a decent supplier. 

Kirkland 5% liquid is easy to get in the UK which is why I have been using it and it seemed to spread easier on my scalp. Thanks

13 hours ago, DrTBarghouthi said:

You're welcome. The seafood thing is something we just observed by chance. i don't think it is a routine pre-instruction in many clinics but I believe in it. There is no real harm stopping fish for few days anyway to avoid whatever slight chance of popping that it can cause. Scalp condition is really important. I test dandruff and sebum levels on all clients either weeks before or on the day of the procedure so that treatment can go hand in hand with the transplant. 

I will be travelling to another country for FUE so unfortunately a scalp test before hand isn't possible. It's 3 weeks away now, I just googled Sebum levels and I would say my skin isn't oily and I stay hydrated so hopefully they are fine - perhaps stopping minoxidil now will improve my scalp condition as it could be the reason for the dandruff. Thank you for your time, if theres anything further you think I should do, please let me know.

3 minutes ago, LaserCap said:

Dandruff, briefly, is just dry skin typically caused by dryness of the scalp. .  Perhaps you are using an abrasive shampoo.  Change to a shampoo that has no alcohol as this will dry the scalp.  Try baby shampoo and report if there is a change in the condition.

 Since you are talking about what you should do prior to surgery, I'll add...avoid exercise.  Raising your blood pressure will only lead to the procedure taking longer.  Grafts start popping, more bleeding, etc....

I've been using a 2% ketoconazole shampoo 5 times a week for 7 years as previously I did get dandruff quite badly with the minoxidil (8 years usage). Sometimes the minoxidil makes my scalp feel slightly gummy and from time to time this leaves white flakes.

Thanks for the additional advice, I've not long to go!

On 6/5/2019 at 10:57 PM, DrTBarghouthi said:

You should really have clear instructions from your clinic about preparing the scalp prior to HT. Don't go by what I will suggest as this can vary from one practice to the other. For us, I usually advise massaging the donor area few weeks before FUE and one month before FUT as this helps with wound healing, skin tension and circulation. It is extremely important for FUT in my opinion but also has good effect in FUE. I stop all topical hair loss meds 2 weeks before surgery including minoxidil. Finasteride can resume normally. I tend to stop all vitamin supplements too as some of them thin the blood. I stop all seafood/ fish oil supplements 10 days before surgery as I've noticed that people who consume a lot of seafood products/meals can have slippery grafts when placing them. This leads to some popping and makes the placement a bit more tedious. As for the dandruff, we test the scalp during the consultation or on the morning of surgery and make sure it is treated well in advance or at least immediately before surgery. There are other instructions concerned with smoking and alcohol etc. 

Again, your clinic is the one that should dictate what to do or not to do. These are some of my personal ones based both on known literature and some personal observations.  

Thank you for this. The scalp massage and use of seafood was new to me, I will use this advice! 

I have guidance but nothing on scalp condition, I was concerned about any dandruff I may have which may hinder the process or result. Perhaps I'm overthinking!

Hi all, I have booked in for FUE in 4 weeks and I was wondering about my scalp.

Is there anything I can do before the procedure to ensure it is in peak condition for the doctor? Is scalp condition a factor?

I currently take Kirkland minoxidil and use Ketoconazole 2% shampoo - at time my scalp can get dry and leaves white dandruff(?). 

I did search the forums but could not find anything, thank you for your time!