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pre-screened

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  1. Is the XYON topical DUT daily @Melvin- Moderator? Looks like it is - I thought the dream with Topical Dut might be the application cadence was only going to be a couple of times a week, given half-life etc.? Great if you know the reasoning or a good Q for the future podcast.
  2. Pretty clear to me: (1) Medical therapy - propecia/dut/rogaine.....to halt loss & strengthen existing hair with perhaps some recovery of ground in hairline there too (2) Small-ish strategic FUE transplants to "fill in" strengthen the recovered hairline from (1) (3) then for those times when he looks "unreal", its because its unreal......its a hair system that further augments (1) & (2) and takes him to Hollywood red carpet hair level....which disappears again when he's doing ya know a Zoom interview for his book and is at home in his PJ's and no hair stylist /system person
  3. Apologies missed that - wow never heard of him…..one for the secret heroes list
  4. As this clearly turns into a “home run” result you’ve got to share the doctors name…..this community is about sharing and your case is a very intersting & unique one in terms of the density pursued…..as this point everyone here would like to know and frankly your doctor would appreciate it…..as clearly this doctor has IMO knocked it out of the park and shown a level of skill that few posses to go so high density in one pass
  5. Who would dismiss a well of unlimited grafts….not me would love it…..what I’m dismissing is what appears to be a misplaced belief that somehow hair cloning as a solution is even worth the cheap ink spilled on hair loss forums like this. It’s fantasy , it belongs more in a science fiction forum than in hairloss forums. No serious work/research is being done on this ‘area’ currently….and I put area in quotes because it isn’t even an area being pursued by anybody seriously. That’s how far away from the reality hair cloning fantasies are.
  6. Listen hair cloning - is way the down the priority list of body parts requiring research and expirmentation to be cloned. Dream on. The thing that people should be very very excited about and really seem not to be - is the development of proven topical dustastride from someone like Hasson & Wong, in a formulation that has close to zero systemic absorption, excellent scalp subcutaneous DHT removal AND no impact on circulating DHT levels. Something like this might require application once a week perhaps. Given long term finasteride studies in Japan have shown something like 92% of propecia users maintained or improved their hair follicle count over 10 years….https://www.oatext.com/Long-term-(10-year)-efficacy-of-finasteride-in-523-Japanese-men-with-androgenetic-alopecia.php. My expectation would be that a dutasteride topical would be like 99% effective in basically halting hair loss forever in 99% of patients. In a world where you could walk into to Konior / Hasson & Wong / Gabel / Bisanga / Couto……..and say ok I guarantee you I wont lose a single hair on head from this day forward to androgen alopecia opens a world of possibilities….effectively every zone on your head becomes a doner zone……7000 / 8000 FUE’s could be performed safe in the knowledge that the patients balding wasn’t going to progress
  7. From your original post it seems like you know there are some other factors going, forgive me if I’m wrong here - but you slipped in mentions of sleep, stress, anxiety, lack of excercise…..………..most people are looking for an external factor when health issues arise……..its hard sometimes to look within and assign fault to your own failure to look after yourself or address underlying issues in your life causing stress. Easier perhaps to blame/focus on propecia as the culprit. Listen propecia might be a factor in what your experiencing, its possible for sure………but if your crusiing into your 40’s, dont sleep much, eat tonnes of sugar/carbs, drink alcohol, are at worst overweight or at best just cardiovascularly unfit and are stressed out your head with high levels of cortisol running around your system. Well ya know sexual sides is what you’d expect to happen to a guy like that NOT taking Propecia. Specialized health care professionals like urologists and GP’s - like SINGLE item solutions to problems…….getting off propecia is a great single solution direction……or take X pill that should fix it…….its the way the system works in and out the door in 20 minutes or less……..I’d suggest going to more of a functional medical approach where the doc or docs are trying to address all the factors i listed above…..sleep, cortisol, fitness, body composition, diet, blood level deficiencies (vitamin d), insulin resistance, stress/anxiety strategies etc etc. Sorry went on a bit too much and took some broad leaps in assumptions but you get my point
  8. Sorry to see this happen to you its very frustrating - go to Hasson & Wong if West Coast focused…….literally wouldn’t dream of going anywhere else in N.A….you’ve very little wriggle room to fix things up given amount grafts taken in first FUT, size of the scar itself & area to be covered in second pass. When grafts are at a premuim only go next to the true elites like H&W, Konior. In regards to Diep…….& watching this forum…….I’ve seen too many of his FUT scares display stretching/poor closures……..I’m not sure if he’s too aggressive re: size of the strips or simply his closure technique lacks elite level skill/care……but I’ve seen enough on here whereby I wouldn’t let the guy FUT my worst enemies head. His corn row placing continues to bug me every time i see it in post-op pics………it fails the central tenet of all cosmetic surgery which is naturalness……nature does not corn row your follicular units…..depending on density, hair caliber, graft yield Diep gets away with this on lots of cases…..but its a terrrible approach to take……and indicative IMO of surgeon failing to reach the true elite of the elite in terms technique/professionalism etc. @BDK081522 ‘s highlighting of technical failure of temple point graft direction above is pretty damning - again points to a surgeon who falls short of the elite standard
  9. Sticking around and getting your scalped cleaned by the clinic is an under appreciated service that H&W provide. Lots of clinics tend not to offer it and send you off with a sheet of paper with instructions.................but trust me given every HT patients nervousness you will for sure under clean the area being concerned you might damage grafts etc...............which only serves to extend the period where your not very presentable with scabs etc.....under cleaning can in cases lead to graft loss too if scabs become to dense etc. My advice is chill & take the extra couple of days, enjoy Vancouver......get the scalp washed a minimum of two times, even three times.........its going to pay dividends in terms of when your presentable enough to see friends etc. The FUE work H&W do is so immaculate that with washing and your already existing short hair you could be back in public a week or so after the op with nobody giving you a second glance
  10. Your going to one of the best, if not they best clinic in the world.........I wish you well & glad to see the world open up so folks can get back on airplans again. Wondering whats the game plan with the 4k FUE's......hairline and into the mid-scalp?.......or you aiming to hit the crown with some light coverage but with an understanding that hairline/mid-scalp is the priority?
  11. Wow, just wow.......IMO hairline is perfect..........lowering the hairline and sacrificing density in the process is always the wrong decision........a HT is for life.....you grow into a higher hairline as you age......go too low (with a lack of density too) and a HT ages badly over time....I spot these 'how low can you go' HT hairlines all the time out in the wild and once your 55+ they don't work....note at 55 you have another ~30 years on the clock....this gentleman has had any sense of 'baldness' removed from his appearance...he looks great today and at 60 years old he'll look like one of gods chosen people who have outstanding hairlines at that age
  12. Yeah and I'd say he went and got it done during COVID sometime...........in the video below it actually looks like a transplant that hasnt fully 'softened' completely yet.... he could be only 12 months out from the procedure....it seem slightly unruly/wiry which he's kind of running with by spiking it up..... Temple points have been brought forward & strengthened (& look great) + his hairline has been lowered by maybe only half an inch all around but beefed up with density & reinforced vs. the receding/slightly thining look he had before........my guess ultra dense packing 3000 FUE.........done by Dr.Hasson or one of the European doctors...Dr.Couto probably......the fact this is one and done procedure by the looks of it means a dense pack master at work
  13. Go to the best in the biz (Konior / Hasson Wong) and let them come up with a game plan…your in Canada so Hasson/Wong seems like a great option...I’m certain they could work wonders but what I can assure you with those two doctors is that they’ll do the RIGHT thing for you. I could see even a few hundred FUE grafts…strategically placed would completely change the game, disguise the old plugs and give you a nice age appropriate light framing of the face Life’s too short to be unhappy and with todays procedures and going to the best in the biz any risks that do exist are now so small that for you I think its a non brainer to go and get something done with Konior/Hasson or Wong
  14. Hi @washingtondc I’m sorry your having a tough time. I really really suggest you reach out to Dr.Wesley and share your concerns…..his post operative photos in conjunction with his expert opinion on what approach he took and why is the correct thing for you to do. Asking the internet for its opinion……when you’ve handed over $k’s a couple of weeks to an expert who has a duty of care to you…..…..is kind of crazy. Call Dr.Wesley and setup a time to talk to him over Zoom….ask for intra-operative and post-operative photos & share your concerns.
  15. No because I can assure you by now some/alot of the hairs have shed the shaft without you even noticing leaving only the root under the skin......not every future hair is going to be represented now by a little stub. Your engaged in fruitless exercise of examination.......trust the process.....trust the doctor you choose.....you think Dr.Weselsey somehow forgot how to do hairtransplants just on the day you were in with him. Ive said it before but will say it again - you went to a great doctor....that was all you needed to do......staring at zoomed in photos wont change a thing now (& to suspect the worst is a waste of your time). Your results are now baked in the cake.....you'll see them fully in 12-18 months. Suggest if your FUD is out of control and dominating your thinking....you should scedule a meeting with Dr.Wesley and write down all your question. He also I'm sure has high def inter-operative and post-operative photos.....ask for those and you'll have a closer representation of what grafts were implanted where and by how much.
  16. The feathered look I'm speaking about is as follows. For the purposes of this lets presume the doctor has put a uniform 50 FU per/cm. Well in the first 1cm of of the front of your hair are going to be just 1 hair grafts......gradually moving back to 2 hair and 3 hair grafts..........this is what I mean by feathered and less dense/coverage moving back to thicker coverage. By defintion 50 FU per cm of 1 hair grafts (50 x 1 hair grafts = 50 hairs total) , is less than dense than 50 FU's of 2 hairs (50 x 3 = 150 hairs).....so density increases as you move back from the hairline even though the units per cm might be the same. Its coverage game.....numbers of follicular units, by number of hairs in units by how thick the hair = perceived denisty/coverage. In this way the feathered natural look is created. Look around you - even look at your previous hairline.............a natural hairline in a mature man will have slightly less density/coverage at the very front.........this is of course how we men recede over time......miniaturization of the hairs at the front moving slowly backward. The process of hairloss and then hairtransplant can play tricks on the brain..........I'm sure previously the natural hairline that you eventually completely lost........spent many years and many centimetres with pretty low density........back then the glass was half full because you still had hair there and didn't care that much...........now the glass is half empty just given your journey. Look around at some of your friends, not the 1% with killer 19 year old hair.........the normal dudes you considered to be pretty lucky with their hair......think about where you perceive their hairline to be in terms of the framing of their face etc. I think you might be surprised if you look closely how many hairlines you've never examined before are optically maintained by very very few follicular units / hairs. So few in fact that a HT surgeon would be asked to do touch up if delivered that front hairline density. The framing of the face with a new hairline is 90% of the magic of the hairline hairtransplant......the human eye naturally drifts up without a break point...........even a few hairs sitting out front and 7 inches from centre of your eyes can go a long way to moving someones perception of you from bald to not bald from bad hair to normal hair.
  17. Yep everything is as expected in your case - not a single thing I can see that points to anything out of the ordinary or unusual.....rather the opposite I see top class work from a top class surgeon. Yes the slight opening of FUT wound in the back is not ideal but it looks no more than an inch or so........the wound either side of it looks absolutely stellar already you'll have tiny tiny linear scare. The natural constituency of the hair transplant patient is to be somewhat obsessive/anyatlical/OCD......its these very traits that get people focused on their hair loss and then ultimately give them the drive to go to the doctor and then get into the chair. Its hard to 'let go' when your scrutinizing led you to pull the trigger on the operation but the way I handled it is that ultimately you went and did something about the issue bugging you but now you need to park the scrutinizing as it plays no positive role moving forward. It had its uses in getting you to address the problem all it will do now is increase stress/anxiety which is a minor net negative for your future result. The best scientific approach for the benefit of your result is to forget about it and go for walk every-time you wanna spend an hour analyzing zoomed in photos
  18. Quick take on this - is you want a feathered look.......less dense at the hairline gradually moving back into thicker 'wall' of hair behind What your describing above is exactly how a natural hairline would look.........you want the density disparity.....you want the existing hairs behind your new hairline to be beefed up with way more grafts such that your hair INCREASES in perceived density as it moves back into the mid-scalp. I would also say that at the Day 5 it is very possible some of the grafts implanted have shed their hair shaft leaving only the root behind under the skin where you cant see it. Predicting what your final result will be from photos taken in your bathroom mirror is, as any prior HT patient will tell you, a fruitless and pointless exercise. Its frankly a waste of your time.......dont waste the next few months looking in the mirror for hours & looking at photos on your phone............everything is baked in the cake right now.......you'll see your final results in the next 12 - 18 months. You picked IMO one of the best surgeons in the world and used an appropriate amount of grafts for the area. My expectation for you is a killer natural result My suggestion in terms of monitoring - is pick a day each month where you stand in the same place and take a few pics in the same light (& of course share your pics here)......and do your best to forget about it for the rest of the time
  19. 1st - just given your issue with oral propecia - you should really look at trying topical solutions.....propecia or dut......if your in NYC think Dr.Weselly sells it........preserving what you have is vital as you move forward..... with your retrograde being quite extreme...........I'm not sure I'd do anything re:HT till you get things stablized for sure.......get baseline density measured by HT doc....implement medicine plan.......then revert a year later to see if its improved or halted the sitation.....think topical was made for someone in your shoes. ONLY then would I pull the trigger on a HT otherwise....without stablization your chasing your situation. On the doner estimation you got is this for FUE/FUT? Again my first instinct on looking at your situation is that you are more than likely the model case for as much as possible FUT++, followed then by FUE to fix emergent loss in the future
  20. True - remember that he seemed to say that a two or three hundreds FUE grafts were enough to make a good FUT scar pretty undetectable such that you could wear hair very short again.............reminder to all that going to a clinic that does both well ensures your being given/getting the best solution tailored for you. I can only imagine the amount of people being sold FUE because thats all the clinic does.....but where a large FUT case would be far superior in the immediate and longer term
  21. I agree if even the slightest chance exists to progress beyond NW3............FUT followed by FUE is the conservative and safe approach..........only exception is if your somehow wedded to having exceptionally short hair on the back and side (my assumption here is the FUT is being done by a master at the craft like Hasson / Hattingten etc.)..........and at that point you need to ask yourself whats more important some hair style preference or never being in a situation where HAVING hair is an issue in the future. FUT out +FUE later puts you in the ultimate long term safe position.....with a marginal cost around length of hair back and side
  22. Thanks - I got the impression from him that I guess topical finasteride being off label is all he was comfortable talking about given at least the base compound is FDA approved for hairloss - but spotted a nod of acknowledgment that topical Dustarisde (where systemic absorption & therefore DUT side effects is limited by their compounding solution) would be superior
  23. Great interview......Sound was a little off during medication discussion - @Melvin-Moderator - did I hear or understand correctly that topical DUTASTERIDE is what Dr.Wong thinks will likely be the gold standard moving forward.....even more so than topical finasteride?
  24. I agree - longer term based on the research and the consensus view from the majority of HT surgeons I've seen (with one or two notable exceptions) - pursuing the maximum number of FUT procedures and then following that with FUE does maximize total lifetime doner. The number I've seen mentioned in very broad terms as rule of thumb is an incremental 2,000 grafts over an 'FUE only' patient. On your first FUE post-FUT'ing out........you could even consider putting some grafts into the linear scar.........300 - 400 say...........AND still end up 'ahead' in terms of lifetime doner. In your case one argument I could see for FUE would be that given your hair looks slightly fine and your focus for the next procedure might be on increasing density in the already transplanted areas.......adding this 'bulk' might be best achieved via FUE where multi-hair grafts could be cherry picked from your doner. An FUT strip produces what it produces in terms of 1's, 2', 3's nobody gets to decide..........FUE'ing they can hunt down the 3'/4's.......so more hair per individual recipient site incision might get you where you want to be more efficiently. if that makes sense.
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