duchaine

On 1/21/2024 at 2:29 PM, BackFromTheBrink said:

I'm not sure that happens to everyone.

There's a theory that where the  follecular unit isn't transferred whole they don't survive in the long term.

I'm not how true that is, or what the optimum amount of surrounding tissue is to maximise long term survival.

It's also difficult to determine whether you're losing transplanted or native hairs.

 

Transplanted for sure. I didn't have transplanted where I lost.
That theory is not supported by anything. It is just a claim from a  famous surgeon that sounds like this "the other surgeons are not good. I'm able to handle your hair so well that, if you get your Ht with me, your hair will live forever".
The theory that 70% of people lose transplanted hair in 4 years is supported by scientific datas. Sometime ago I published the paper where the authors suggest 3-4 mechanisms to explain the phenomenon.

 

5 minutes ago, Eli_Avdikian said:

Both Custodio and Ximena Vila are great surgeons. Ximena has recently increased her price to 3 euros/graft, and is currently training a new young surgeon who is perfroming some parts of the surgery with her. She performs two surgeries per day, and she only does the implamantation part, while technicians carry out all the extractions.

The fact that XIMENA is an honest and ethic person doesn't mean that her results are great. She is a good but her results are not great.
Custodio has ONE real report worldwide. All his other works are from his IG and YT and some of them are bad.
 

If I was you and had your age, I would spend one years on strong medication and, in the meantime, would book with a GREAT surgeon to have a nicer hairline.

Look for medecap.

avoid catellana (that a Spanish guy is trying to push on this board).

imho, ximena is overrated. Never saw a wow work.

custodio is very wow effect in many of his cases but: a) some of his works oh ig appear to be weak (and if you consider that the doctors publish their best works, there is some room for doubting on his skills); b) the only real report I found is quite poor.

2 hours ago, Sunset Dune said:

Is there any scientific reason why hair loss medication is not good at restoring hairline but it restores the crown/vertex area? 

First of all, aga is progressive. You lose crown after (sometimes years) you lose the hairline. Considering that, it is time related issue.

second, some authors suggest that is something related to the areas of the scalp: the hairline:temples have less blow flow and less steam cells.

Supposing that both of them are not fake,It is just a matter of brand name.

48 minutes ago, Sunset Dune said:

You really should consider getting a hair transplant, you’ve done well with your medication routine but meds alone will never restore your former density before MPB kicked in. 

Medications can restore density. Sure he won’t get the density he had at 15 but nobody has, even people without aga.

medications usually are not able to restore the hairline.

I can’t see how is hairline is, because there are not pic but my 2 cent tip is working on that area and let the medications work their trick.

I am following the same protocol (people underrate collagen but I think it makes a huge difference).

can you tell me how much biotin you use, please?

On 9/3/2023 at 6:16 PM, Turkhair said:

It doesn’t explain why hairs taken from safe zone survive till death when transplanted to supposedly “tense muscular areas” like the temples. 

They do not survive and the way you lose them is quite similar to natural aga.

me 7 months and 4 years after ht

On 1/20/2024 at 11:29 AM, PelazoVenAMi said:

@Maistro 

Yes, she told me Minoxidil, Dutasteride and vitamins.  They are usually vitamins, minerals, amino acids... from what I have read.

 As I told another colleague, I don't know the depth of the needle, I will ask about it in my next session in February.

 Taking Dutasteride orally alone also improved me (you can see it in this thread), but I think that now that I take it orally, injected and topically (this one Minoxidil) the results are better.  It all adds up and I am completing the 3 routes of action: oral, injected and topical.

 And of course believing in me, several doctors told me that I was not suitable for surgery without even telling me to try the medication.  I'm talking about good doctors.  

I don't blame them either, I was near to NW VII, but they should have encouraged me to try.

I was like that in the begining

Allways fight for what you want.

 A hug!

Maybe I missed something about topical duta.

You are using duta cream/lotion, right?

what frequency are u using?

do you use dermarolling before topical duta?

is duta in the same lotion of minoxidil?

thanks

5 hours ago, Calihome1 said:

First time I’ve heard of this.

When the doctor implants among natives, he sees the natives and put new the grafts in the space between the natives.

if the hair is in telogen, there is nothing visibile so he sees a bald spot where, in reality, you have a sleeping hair.

2 hours ago, Thoro said:

Thank you Duchaine,

I can see no-one has confirmed whether this is true or not....do you have a link to Bernstein's article by any chance?

It was on his website  

https://www.bernsteinmedical.com/answers/timing-of-a-second-hair-transplant/

read this q/a too.

it is interesting what he says regarding electrolysis and ht.

https://www.bernsteinmedical.com/answers/hair-transplant-procedure-existing-hair/

1 hour ago, HappyMan2021 said:

absolutely 100% without a doubt, existing hair is at risk of being killed whenever implanting is done very close by

just like everything in HT world, it depends on your surgeon. 

in general, it should not be a significant concern as long as you go to a good doctor. 

It is not only a matter of good surgeon.

if the hair is in telogen, it is not visible, so the risk to add a graft on the native hair is quite high.

The prize for the most stupid comparison of the month goes to…

On 10/22/2023 at 10:55 AM, EvansLawrence said:

DAY 16

Shock loss will soon start 

Lets see if those PRP sessions keep it as mild as possible.

Both me and my friends who know something about hair transplant are shocked about the fact I barely have any redness. 

What a difference it makes when you get a good procedure!

Did you get your PRP right before the surgery?
 

maybe this can be helpful 

I posted this research on this board 4 years ago.

it is full of flaws but can make sense.

 If you consider that transplanted hair do not thin all at once but the thinning replicate the same pattern of natural hair loss, you indeed that the hair loss has something related to the skin in the bald areas.

55 minutes ago, mustang said:

I really think that a topical anti androgen like CB0301 at 1% or 17-Alfa Estradiol 0.025% is what your protocol is missing to get you to the next stage.

You don't need more Dutasteride. Taking it orally has your DHT levels probably close to nothing so Mesotherapy while very beneficial for those on Finasteride or no medication makes little difference if your DHT is already suppressed to those levels.

It's testosterone preventing further recovery, your DHT and minoxidil is covered.

17-Alfa Estradiol will aromatize much of your scalp free testosterone (which must be high since DHT is blocked), this is particularly effective on the hairline. Estradiol also thickens the hair.

It has no feminizing effects (it's not Beta Estradiol)

Oral dht reduces scalp dht but adding topical bring the dht to about 20% that is crucial for hair growth.

3 hours ago, Anon94 said:

What surgeon are you referring to? 

Zarev doesn't have cases like this, FueGenix doesn't, Bisanga doesn't, etc. 

coito for example has cases of poor density after one year.

I don’t want link any case, because the patients could feel offended.

5 hours ago, Idan said:

Hi @FaganBecker,

As I wrote in the first replies to your thread, I also had my surgery performed by HLC and exclusively by Dr. Elif (I also requested her specifically). Similar pattern to yours (3200 grafts; 600 of them were added to increase density in the middle at 20 grafts per cm2, like done in your case) Today I'm exactly 8 months post-surgery.

I will share some photos from 6 months post-surgery and maybe it would be helpful for you.

I have to say that I'm not totally satisfied with the hairline design (would prefer the V shape you have, and it's bit asymmetrical), but it's another matter as I just want to give you a reference to the hairline (singles, multis) and the growth.

I have to say that I feel that I'm a slow grower and I can surely say that the density has improved in the last two months, and I still have short and weak hairs in the hairline. I hope this is going to be the case for you too.

 

Before transplant:

1 week shy of 6 months:

Exactly 6 months:

7 months:

Yesterday (8 months - harsh lightning):

 

I can’t understand if the single hair in first line are your natives (that I see in the pre op pic) or if they are new implanted singles.

11 hours ago, PelazoVenAMi said:

Hi  @Maistro @maestro

Thank you for your kind words. I am spanish.

I did 3 sessions, one a month, after the third the doctor recommended to rest and it has been about 5 months of rest, from the end of July until last week.  I will have another 3 sessions, one a month and I will rest again.  I will tell you the progress here.  As for the side effects, I can't tell you much, I don't have them.

I wish you the best!

Did the doctor explain why you can’t one per month all year around?

is it useless or can it be counterproductive?

1 hour ago, Anon94 said:

I think the result at this point is unacceptable at every level. 

Your case was a very simple and straightforward transplant. Your donor quality seemed very good, and your recession was purely in the frontal third. 

Considering the amount of grafts used and the price that HLC charges (afaik they are the most expensive you'll find in Turkey) you should expect way better. 

A double here or there in the hairline is understandable. Some grafts might contain a hair in telogen, which can be seen under a microscope, but is an excusable miss. The amount in your hairline can only be explained by carelessness. 

I also don't think that you have - at least at this point - gotten the density that should be achieved with the grafts per area and your hair quality. Hopefully this part sorts itself over time, but compared to other HLC cases this is not up to the standards they advertise. 

I wouldn’t be so dramatic.

the donor is perfect.

the traspanted area is not nice to see at six month.

maybe he will improve, maybe not.

but do not forget that the best surgeon in Europe has similar cases in this forum.

17 minutes ago, FaganBecker said:

Appreciate the comment, but honestly for me this is very far from good! I don't believe I had unrealistic expectations either

Take the good side of the story

a) you donor is perfect

B) you covered a bald area

c) angle and directions look correct

If just need a minor touch up (and maybe a little adjustment to the hairline design), it should be quite easy.

1 minute ago, FaganBecker said:

Do they definitely use microscopes at HLC?

I saw microscopes but can’t say if they used.

i suppose they did but keep in mind that microscopes are not 100% guaranteed.

For a 100% result, the grafts selection with microscopes should take hours.

1 hour ago, TorontoMan said:

Sorry I should have been more specific, I meant along the lines of how often you did the treatment, what dose, and how much did it cost per session

All over my head (crown, mid and hairline)

2 mm

every 2 months but i am not very disciplined for futa injections. (Sometimes less, sometimes more. On average 2

months)