Hair4Days

Thank you for the detailed response. Much respect. I am on board with grafting starting from the hairline and working back as the front should be everyone’s priority. What I’m mainly referring to in this hypothetical, is a client with an advanced pattern with complete deep lower crown loss. ( more of that horse shoe look where the lower crown has that ring look. ) At times, surgeons will relay that patients must compromise on density in the crown, if any grafts at all. I was curious if it would be a better idea to implant those grafts in the lower crown, instead of the upper crown on top of the scalp. You see more bald spots in the top of the crown ( see Manu Ginobli) than you do in a lower crown region that will have that ring ‘swoop’ effect. With the lower crown grafted (after the hairline and midscalp is taken care of of course), you will have the opportunity to slick your hair back and cover that upper zone easily. I do agree this must be considered once your hairline & midscalp is already worked on. I will show an example of a photo showcasing what i mean by hair everywhere except the lower crown looking odd. Let me know

In a hypothetical scenario.. if a Norwood 6 or 7 with a weak/limited donor undergoes surgery, would anymore make the argument to graft the lower crown over the upper crown? I feel like if you graft front to back, leaving the lower crown open and exposed, it would look unnatural As that’s not how balding typically looks. However, you do see isolated upper crown loss everyday. Thoughts on this strategy?

Supposedly 40 g per sq cm on average will have the visual of no thinning. I’ve also heard 30 could satisfy a majority of patients. During a consult I’ve been told my mid scalp (which is the thickest area of my hair) is probably around 30. My mid scalp, to me, is 100% acceptable at this current time, so to have that all over i personally would be satisfied.

That’s 3 for bloxham👏🏼 Wonder if he’d participate in the podcast

You should try getting Dr. Bloxham. And get his take on why he believes, to this day, that FUT is not only better, but substantially superior to FUE. There’s still doctors out there that very highly advise against FUE for anyone beyond a NW3 and it would be interesting to hear why specifically

I’m hoping for something more. Eugenix is well known for their successful Norwood 6 / 7 cases and I’m curious as to how exactly they determine candidacy for these type of cases. If it’s all visual, what’s the difference between them and other clinics and why are they so good at high nw surgery?

I am booked this incoming week for an in person consult with the founders of Eugenix Dr Sethi & Arika. I am happy to have the opportunity to meet with them in person to have my case evaluated in person. In my experience with US based surgeons, the consults are mainly based on visual assessment. Minimal tools used to check for projected Graft count or donor miniaturization. -a borderline rushed experience. Considering i am a future Norwood 6 with a good beard, I’m curious how eugenix will go about the evaluation. Does anyone have input on the differences between consults done in the US vs eugenix, or clinics in Europe? Also, what key questions should i be bringing up to Dr sethi/arika during the consult?

Why would the effects be minimal and not lasting? Meds just hold onto the hair on top longer. Your donor is long lasting hair

What’s the best way to diagnose this? I personally taper my neck and temples when i get a haircut so it’s always lighter then the rest of my donor. I have a usb microscope to examine my hair, but is it better to use it when those areas are grown longer or is it okay to examine when it’s shaved down (to a number 1)?

I feel like head to head comparisons are important. It helps making a crucial decision slightly easier.. and we need all the help we can get.

Why would he have nothing behind a restored hairline? His donor looks pretty solid right now. He could probably get at least 3/4 of his scalp covered over 2 surgeries imo

Did Wesley say your donor was good enough to get the coverage you’d need if your balding pattern progresses further? If so, there’s nothing wrong with his suggestion of avoiding fut. i just had a consult with him and supposedly my donor is outstanding so fue was his recommendation to me as well.

Did it really become superior or is it because it generates more money? He didn’t really touch on the lifetime graft count argument in that video.

Have you had a previous ht? Your hair looks solid. Wouldn’t change it.

What is everyone’s opinion on this clinic for an fue procedure? You hear their name being in the top of clinics, but don’t see tons of results on the forums. Their wait time is a year, which is obviously a plus. It’s easy to pass positive judgement on surgeons with many patient cases showing their journey, since a majority of us are sold on results. But my thing is, if you know a clinic has a solid reputation, does it even matter you don’t come across that many patient updates on the forum?

3900 with one strip?

I mean, your argument was you’d look weird after native hair falls out after a transplant. I think the better surgeons plan for this. You can’t expect patients to be on finasteride for life.. In a perfect world you’d hold on to a majority of your native hair with medication if you can tolerate it. If not, get surgery without taking meds. You’d need to cover more real estate and may not be able to get your crown worked on if your donor is poor, but that’s the compromise. Doesn’t mean you shouldn’t get a Ht if you don’t take finasteride. We see it here everyday

This is why you need a surgeon who knows how to strategically place grafts in zones that in the event your native hair falls out, the transplants can stand alone and look natural. Not random patches all over. It will look thinner no doubt, but hopefully not weird

Even if he levels off at a complete Norwood 6, that doesn’t necessarily eliminate him from being a candidate of surgery without meds. That was my point. But yeah to stay looking youthful at 24 specifically, holding onto as much as possible is the easier route. Unless he committed to 2/3 surgeries over the next 5 years

Why is there no point in a Ht unless he takes medication? There’s alot of people that chose not to be on fin and went ahead with surgery as long as expectations are realistic

Update. I’ve been on topical fin for a year now. Zero difference. If anything, getting worse

I’d go to someone who specializes in fue. how do your results look after 2 fut with bloxham? Will you post your update?

Hair tends to always look a little more transparent when it’s cut shorter. Even for people with no hair loss. Mine is the same way. Grown out it’s super thick looking, but when i do a number 2 on the sides it looks thinner. Not sure at what length is a better way to rate ones donor quality though.

This approach is underrated. It’s safe and doesn’t carry a whole lot of risk. Pro-FUT people would argue “you lose the ability to shave Going Fue as well” - which i don’t necessarily agree with. I’ve seen many donors that look untouched after fue. But that was at lower graft numbers. At 4K grafts I’m not sure how it would look.

I’ve heard of this approach before. What does it actually accomplish though? The ability to wear a shaved head with a stubble look in the front? I’d assume with 2k grafts spread out in the donor there would be no scarring