duchaine

20 minutes ago, zach07 said:

In my consult with Dr. Pittella, he was emphatic that Creatine causes some degree of hairloss. I did mention that I take whey protein. He said that's fine. No effect on hairloss. I think in general, rigorous workouts can increase testosterone and that also can impact hairloss in some people. 

After a stunning hair re-growth, I decided to take creatine. I lost a lot of hair. I stopped creatine and now the hair are back. Coincidence? Don't think so

i had 2 HT. The second time, I started OM 3 days after the op. I didn't shed a single hair and the hair grow strong and thick 

In my humble opinion, putrella and nicer are in two different leagues.

The give you dormicus. Google it.

when you stay on the bed, you sleep. But it is very mild so when you are done, they wake u up and go!

8 hours ago, Gustavo said:

As I know adrenaline can produce palpitations / taquicardia, I’m always putting isurgery off 

HLC offers me IV sedation which can be good for my anxiety ,my question is , once they apply local anesthesia  [ lidocaine plus epinephrine ( adrenaline) the heart may rise speed for how long? The whole time while anestheisia is working or less? I’m asking this since the IV sedation goes for 15bto 30 minutes I think 

i hope I ll be dumb enough not to be  thinking about how fast my heart beats , I’m stupid ,I know because I understand it’s a benign  fight and flight or whatever it s called taquicardia,but still .i don’t like it at all

anybody please shedding light on all this . I do want this surgery !1

Thanks !1

Sedation is very risky but hlc has an anesthesiologist, so don’t worry.

except you are allergic to lidocaine, topical anesthesia is a walk in the park

If you are 22, no way you should consider ht.

i know what you feel (i wanted to have an ht but pekiner wrongly diagnosed me dupa, aborted my op and my 200 grafts went into the toilet) but be patient.

Maybe you have some miniaturization, maybe not. But even if your hair are perfectly healthy, wait a decade.

18 hours ago, Sunset Dune said:

Honestly your hair isn’t bad for your age, you have a good forelock it’s just the corners  have some slight recession. Get on Finasteride or Dutasteride and find yourself a high quality surgeon and you’ll be good to go. 
You probably don’t even need to use minoxidil to be honest. 

Bs. Minoxidil is the best drug to improve thickness.

On 1/30/2024 at 11:25 PM, Eli_Avdikian said:

Do show us please. I can't see what being "anatomically" a disaster in Dr.De Freitas case mean ..

To discuss about this topic, you should study hl design in first place.

if you want, I can suggest some readings so we can talk.

if you get bored to read, search for some of my comments.

df can’t design a legit frontotemporal angle. It is more than enough for me.

his hl appear good when you see frontal pic (sometimes half of the face: only the foreahead and the hairline) but you can see all the flaws in side and 3/4 pics.

On 11/5/2023 at 4:40 PM, Gatsby said:

Dr Alan Bauman has got a good reputation for good work. 

I can’t find good works from him but just desperate people blaming themselves for choosing him.

You have some miniaturization. Dutasteride (both oral and injected into the donor) can help a lot.

20 hours ago, Calihome1 said:

Of course.  That’s why I’m asking for YOUR top 3

In not any particular order,

I like couto (who doesn’t!? lol) hasson and Wong and keser (anatomically, his hairline are perfect). Konior is great too, but I just saw a dozen of his works.

14 hours ago, Eli_Avdikian said:

Dr. De Freitas has very good hairlines. Never understood @duchaine point of view and all the fuzz about "implanting in rows" tbh

I think that his hairlines are anatomically a disaster. I can show hundreds of his works and show all his flaws.

5 hours ago, Norwegianwestcoast said:

which medication? how do i know the surgeon has a great sense of aestethics?

Dutsteride, finasteride, minoxidil (oral and topical) just to name a few.

5 hours ago, Calihome1 said:

Your top 3 aesthetic 

it is very subjective.

for example, many people think that de Freitas is very good for hairline but I really dislike his works.

before and after pic look exactly the same.
Did you really have an HT? Or you are testing how knowledge?

take medication and book with a good surgeon with a great sense of aethtetic.

6 hours ago, FaganBecker said:

May I ask why you'd suggest waiting?

Because you could be a slow grower so you have still time to improve.

if you have transplanted hair that are still in telogen, you risk to “kill them” if you get an ht now.

2 hours ago, alopie said:

Good doctors take time, you won't regret it. In the meantime, try to stick to a good protocol, oral minox 2.5mg+, oral finasteride and possibly some topicals too. Quit smoking, and try to get a strong donor before the day comes. You will be surprised by how much you can gain before the HT in 2 years. There are people that used dermaroller and dutasteride mesotherapy and regrew hair from nowhere

smoking on hair is overrated...

1 hour ago, FaganBecker said:

Brief update! 

Spoke to HLC again. Their patient liaison consultant had discussed my situation with the doctors there, with some close up photos of the situation. They have waived the 12 month protocol, admitting that it shouldn't look like this and that there are too many multiples in the hairline. 

I can't quite repeat the science of it having not exactly retained it all that well - something to do with the splitting of multiple grafts usually being the process when you have lots of multiples and that not having gone quite right or been done properly with me - but that they would be giving me another row of singles on the front and a softening of the lines of the hairline too. Perhaps closing off the corners. Essentially, they want to make good on the initial promise - that I'd come away happy with a decent hairline. 

It was a very positive call, the guy - who first time around seemed pretty rushed and dismissive - really seemed very invested in ensuring that I knew HLC intended to make this right. They said that I could come back anytime to get this fixed and that I just had to let them know when it suited me. 

So all considered, I think I'll go back to them. Been exchanging pictures with a couple of the guys I met there who I think for the 6 months mark both have resoundingly better results than I do. One of them started with a bit more hair than me and the other with a lot less, but from their photos both look like you'd never know they'd ever lost a hair.

Clearly my growth wasn't great so far. I do have TMJ - jaw muscle clenching, if you don't know - which does inflames my temple muscles and give me headaches. I am wondering if that might have cut some circulation to my scalp, since the vein runs up the side of your head. Planning to get another round of botox into my temple muscles to hopefully knock out those muscles for a bit, in case there is anything to this theory of mine. 

Nonetheless, beyond the growth side of it, it is clear that mistakes were made regarding the design and execution, e.g the lack of singles/ excess of multiples + an awkwardly straight hairline design, which has given an unnatural and pluggy look. 

HLC very pleasantly surprised me today by taking some degree responsibility for that and clearly want to make it right. So all considered, I'm happy with the direction of travel, though quite apprehensive about having to go through all this again. 

 

 

I had hard mewing and facial exercise during the first months after my HT (it was during the pandemic period and I had nothing to do at home...) and didn't cause any problem.
So, I think that TMJ was not a co-factor for poor growth.
IMHO, the truth is that bad HT sometimes happens.
What makes a difference is how the clinic handles the situation.
Happy to see that they will try to fix your problem.

great!!!

2 hours ago, mustang said:

Because the hairline and temples are more prone to miniaturization from Testosterone and other androgens while the vertex and crown are more prone to miniaturization from DHT. This is why TRT users have results with RU58841 on their hairline while Dutasteride can't stop frontal miniaturization despite having zero DHT and why Dutasteride and Finasteride are far more effective on the vertex.

The crown has LESS blood supply than the hairline, this is why it takes 18 months for a HT to mature on the crown and survival rates are lower while it takes 9-12 months on the hairline.

Can you show researches to support both of your statements?

testosterone seems to have very low impact on aga and the crown poor blood flow is, at the moment, a urban legend.

14.000 at virgin scalp?!

7 minutes ago, Melvin- Admin said:

One study by one doctor doesn’t demonstrate anything. 

 Surgeon can say hair transplant grafts only grow at 50%, the only thing that study would demonstrate is that their grafts only grow at 50%. 
 

This study doesn’t demonstrate anything. As Dr. Reddy mentioned, how a graft is handled can determine the long-term survival. That doesn’t mean that all hair transplants will thin after a few years. Mine is 10 years and still going strong. 

I don’t support the scalp tension theory and my question is not intended to say it is right.

Does dr reddy support this statement with published research or on his own experience?

1 hour ago, BackFromTheBrink said:

83 percent to statistics quoted on forums are made up. 70 percent of people - what was the study, how large was it, and how did they measure loss?

https://pubmed.ncbi.nlm.nih.gov/33911409/#:~:text=The 4 year follow up,permanently for all the subjects.
 

it is even worse than I forgot

16 hours ago, BackFromTheBrink said:

The hairline has less blood flow than the crown? I thought it was the opposite, and that is why the crown typically takes longer to grow after surgery?

From my readings (I can't find a research on this specific topic), the answer is more complex than yes or no.
Angiogenesis (creation of new capillaries) is related to anagen. So, you need blood flow to stimulate anagen but you need anagen to stimulate blood flow ( https://pubmed.ncbi.nlm.nih.gov/10771470/ )
This is why, when the hair is lost for many years (temple area), it is very very hard to get your hair back using medications.
You don't have a follicle there to stimulated angiogenesis.
By the other side, considering that the crown is not totally bald in many cases, you have some capillaries there to activate the anagen and activate the "virtuous" loop "anagen-agiogenesis".

When you transplant a follicle, I suppose it is a completely different story. 
If you transplant both in crown and temples and presuming that you don't have hair for a very long period of time, angiogenesis will occur faster in temples, because there are more veins and arteries running in that area, so it is a "simple" process.