Hair4Days

That makes sense. But In regards to maximizing yield..Would the same hypothetical nw 6 with 80 fucm2 get front to back coverage with fue alone. Some would argue he’s better off with strip first. But h&w is recommending fue to this patient who posted his photos and is a clear future Norwood 6.

H&W seem to think fue can be done in advanced nw patients. I was suggested fue as well, but they did include in the email that combining fut and fue yields a bit more grafts so it’s up to you

I think you’ll have enough donor for a thick front half, then less density as it flares back toward the crown. In a worst scenario a lightly covered crown. Which is fine and better then being bald. You also have a good beard which can be a good source. Your sides don’t look like they’re gonna drop that low. The crown may

The only reason to worry about stabilizing what you currently have is to prolong a second surgery so soon. The better advice would be to see what’s possible with surgery alone if you go completely bald up top. Then you don’t need to stress about committing to medication for life and dealing with any side effects. Expect to be fully bald, even if you won’t. Ask the doctors if your donor would allow for coverage from hairline to crown it you progressed to a Norwood 6. If they’re optimistic then you’re good. Medication or not

Update ?

I’m glad dr bloxham is actively taking the necessary steps to make sure you’re happy. In my opinion, He’s one of the best communicators in the industry. I’ve met with him twice in Person and have nothing but good to say about him and his results. My question and concern is, you already underwent an initial strip surgery, another 1500 strip surgery in the same recipient zone will put you at 2 strips just in the hairline. His game plan is typically to use 1 strip for the frontal half, second strip for mid scalp and into crown. If you lose more going forward, did he say you’re only option is fue? A third strip? Did he mention you could do fue in December to save your second strip for a bigger surgery ?

I use topical fin from Wesley. You need a password to obtain access to his online store which i got post consult. Zero side effects btw

Perfectly said. Don’t rely on a pill for the remainder of life. Plan as if you won’t be on it forever

He packed those grafts in nicely, even throughout your areas that weren’t that thin.. something i thought wasn’t advised to avoid shock loss. Excellent progress nonetheless.

nobody plans on getting a poor result either. It happens

So i know with any type of surgery, scarring is unavoidable. For anyone who has gotten FUE, do you honestly believe you always have that insurance policy of shaving your head or do you think you give that option up when you opt for a hair transplant in general?

2k grafts under the jaw is a game changer. That makes up for grafts they say you “lose” by not combining fut / fue.

Yeah i was going to add the disadvantage of dealing with two colors. You see a lot of beards that are a completely different shade then the scalp hair. I’d assume these patients are not candidates

His results came out amazing for where he began. I wonder why more doctors don’t go the Fue + beard grafts route. If you can grab another 1000 grafts from the beard it makes up for the extra you could get with combining fut and fue.

My apologies for not recalling a conversation we had 2 years ago. i just re-read what we touched on. No further explanation on this topic needed brother.

Well yeah, i think we can all agree when it comes to maximizing your lifetime yield there’s more people in favor of combining both methods.. but i was curious how successful a patient could be with fue alone as a Norwood 6. To avoid a strip scar

Could you share how your crown looks as is? Why did you chose fue as a nw6?

Could anyone make a case for choosing FUE over FUT in an nw 6? I know on the Norwood scale the crown dips down which eats into total donor reserves, but would you still do fue over a strip?

You may just be with the wrong person unfortunately

I would say Fut because you have hairline and crown loss which is indication of a somewhat advanced pattern. They say starting with strip and then going to FUE maximizes your donor yield. You’ll get the most grafts that way. I have no idea of any solid clinics in Europe. I feel like there’s only a handful of good doctors in the world. A majority of them in the US with the exception of Dr Hasson.

When grafting a zone of that size 70-90 sq cm using 2500-3000 grafts, they don’t evenly distributed the grafts. You’d prioritize the front with 50-60 grafts/ sq cm which allows for perfect styling, and then it decreases as you move back. As per your Konior reference, he’s told me directly a 40 graft per sq cm restoration would satisfy 95% of men. a young man with 60g/cm right now shouldn’t even be talking about a HT. You can’t even tell your thinning at that point. Once you fall to like 15-20 grafts/sq cm where it’s pretty damn thin you should do a Ht to avoid native hair shock loss

If you densely graft 2500 grafts in your frontal third, those transplants will stand alone and look good without native hairs. You need to know how many grafts per sq cm gives the illusion of density. You’ll obviously favor the front. Anyone that’s progressing towards a nw 6-7 should know they’re compromising density towards the back, which should be fine considering the circumstances

So you’re in the same boat as me basically. I’m in my late 20s with difffused hairloss throughout the top with recession in the hairline. I’m not taking finasteride. I was told by multiple Ht surgeons that surgery alone can give you the coverage you need so why would i take fin? I’ll just get a second or 3rd surgery. You will typically start with your frontal third, rebuild your hairline and feather into your mid scalp. That’ll keep you looking great for years until the back half starts to bald out. Then you do another 2500 graft case to knock out the back half. After two surgeries you’ll likely use 5000-6000 grafts with major improvement. The average patient has this in their donor supply. Then if you’re able to grab another 2k fue grafts you can fill in any weaker zones. Knowing that this strategy is possible for you is the only thing you should care about. Why would anyone want to get a surgery on their frontal third and then rely on a pill to keep the back half? What if you decide you can’t tolerate finasteride anymore? What if it loses its potency? You’re then stuck in the same boat, genetics take over and you lose the hair you were destined to lose in the first place. In my opinion Dr Bloxham is the best as planning for the future and not relying on medication for young patients. Starting conservative with your hairline allows you to get the full coverage you’ll need when all is said and done. Highly recommend consulting with him

It doesn’t seem that he would have the same anxiety with getting a transplant. He’s expressing fear and doubt in a prescription drug that could harm his body temporarily or permanent. This is health related anxiety and is classified as a disorder by itself. The act of pursuing a HT would create more excitement than fear. This is strictly about Fin and the potential it has to ruin your sex life long term

Reading this sounds like i was the one who wrote it. I agree with you 1000%. That escape plan of shaving sounds magnificent on paper. I just have gotten multiple consults of doctors saying if you start with fut you can basically yield an extra 2-3k grafts. That’s enough to either cover your crown or not. When i see these amazing fut results with the scar hidden, it makes me want to jump the gun with the right surgeon. But the anxiety of having that scar keeps us on this forum instead of in the operating room