Curious25

Agreed

Personally , whatever label you want to give Brad Pitt’s hairline, I think it is so much more aesthetic than the juvenile one of gerrard in the above pic. Obviously this can’t be a generalised statement to make, as it has to take into consideration individual facial features and proportions etc - but as a general rule of thumb, it comes down to the rule of facial thirds - and a true juvenile hairline doesn’t really allow for this to play out. BUT as a community of hair nerds, it is hard not to appreciate how incredibly low a young Gerrards hairline actually was! It has matured somewhat since he was that age (I think maybe 17 in that pic) however, he still maintains a very low and dense hairline . . And no Grey hair !!! Some people hey!

@Melvin- Moderator is the only one who can do this, I believe.

Nice work! Where do you get your topical dut from?

Yes, 'androgenic alopecia' exactly this. Its unfortunately due to your individual hair follicle sensitivity. So this is going to sound somewhat paradoxical from my last point, however your level of follicle sensitivity outweighs how high or low your DHT or androgen levels are in general, when it comes to hair loss. Eg - someone who has no hair follicle sensitivity to androgens can have sky high levels of test and DHT, and remain with a full head of hair.. Someone whose hair follicles are very sensitive to androgens, can have rock bottom levels of test and DHT, yet still lose ground. What you need to understand is - if you are prone to androgenic alopecia, an increase in testosterone, whether or not your testosterone levels are in the gutter to begin with or not, is going to negatively affect your hair.

Like I said - if you are prone to androgenic alopecia, increasing testosterone will much more likely than not, worsen your hair. It’s not so much a case of finding a 5AR inhibitor that doesn’t cause side effects - rather it being the changes these medications can have on your hormone profile, causing the side effects - so whether this is done naturally with saw palmetto for instance, or using dutasteride - if you are to experience side effects, it is because of what’s happening with your body under the bonnet and how it’s adapting/reacting to the changes, as opposed to the actual med you are taking being the reason.

Clomid is often used as a post steroid cycle therapy to help stimulate the testes to naturally produce testosterone again. As for your original question, if you are susceptible to androgenic male pattern baldness, an increase in DHT risks elevating your balding process. An increase in testosterone, without the use of a 5ar inhibitor, is more than likely to subsequently increase the level of DHT in your body.

Nothing wrong with an aggressive hairline restoration IF you fit the criteria. Here’s an idea of what a good surgeon would consider as criteria; -Minimal Hairloss -Stabilised Hairloss (as good as stable hairloss can be) - preferably on meds -Above Average Donor Density (a sufficient ratio to cover further loss if it was to progress) -Family History of Minimal Loss -Realistic Expectations of Coverage -Facial Features compliment planned aggressive hairline By the sounds of your back story, you tick the box for the last point - maybe if you delve further into this thread with pics and a run through of your hair loss journey, others can help chime in and provide you with some thoughts ?

Nice. Just checked your previous thread and it appears you didn’t continue to update it (which is fine) - but do you have any pictures of the final results post 3rd op, before going into this procedure at a little longer length? Are you on a medical regime at all? Good luck with the recovery, sure you will be looking amazing come 6 months.

As long as you are still maintaining a good balance of nutrients, and you're not in a state of malnutrition - you will be fine. Reducing body fat and being leaner and healthier in general, will improve your all round bodily health, and if anything help. Just ensure you're not making yourself deficient in anything.

Agreed. This is very good for 5.5 months. Nice work with the gif video as well,

That’s not necessarily a bad thing , you could argue that adopting these standards as fundamental for each patient is about as ethical as you can get.

Nice - thanks for sharing. Are you Spanish/based in Spain, or did you travel?

How's it working out for you? Based on what?

Topical Dut for me too. Mwamba has claimed evidence of only 10% systemic reduction in DHT, in which Hasson claimed in Melvins interview that this was also showing to be the case with his formula of topical Dut, so the fact that two respected clinics on the other side of the world are both reporting similar findings, suggests to me that there must be some element of truth to it. Derek from MPMD has also spoken on numerous occasions in various videos that he is perplexed by the bloodworks that he has seen of people on topical Dut formulations, as the systemic reduction just isn’t there. RE topical finasteride - hairliciously (not that he’s the greatest source of info generally speaking) has recently uploaded a video looking into a European conducted study comparing topical fin with oral fin and placebo, and the systemic reduction in DHT of the topical was roughly 30% compared to 55% of oral, yet very similar efficacy data between both. This is also comparable to Hasson’s reports that his topical fin reduces systemic dht on average by 30%. From a reduction in DHT perspective, I would naturally lean towards -10% from topical DUT, however there is clearly not enough evidence yet to be sure about this. Equally from a practical perspective, I would choose topical DUT over topical FIN, as I believe you could get away with a once a week/maybe even two weeks application protocol, compared to daily of the topical fin.

That’s certainly an innovative approach you take, in comparison to traditional hair restoration practices anyway. Have you considered looking into the topicals that are gaining popularity within the market? Would also be keen to hear your oral minoxidil dosage prescriptions - as a lot of anecdotal and clinical results suggest regrowth is quite common at dosages towards 5mg daily.

Nice coverage. I’ve noticed a few of your patients not on any 5ar inhibiting medications, is there a particular reason for this? I also notice you prescribe oral minoxidil quite frequently, so you often times notice much regrowth in patients with this ?

Without the need to reiterate what others have already said , I will add that going off the picture you posted, you are displaying to be at a very advanced case, therefore require a competent and reputable surgeon to get you anywhere near an acceptable level. Lucky for you, you posted and found the forum - as there is heaps and heaps of good information from users, doctors and clinics to help guide you in a more suitable direction. If you can afford LA prices, (I’m assuming they’re above the average price of the global market) then you can find a MUCH better surgeon for your case, and probably still walk away with change.

Not it was from a Brazillian Dr - however I am aware of the Hasson case you are referring to. Whether or not the difference in aesthetic between 55 grafts cm2 vs 80 grafts cm2 is worth the extra depletion in donor area (given we know continual progression is almost guaranteed), the heightened risk of shock loss and lower survival rates . . Is down to dr and patient discretion. I would argue that for most hair loss sufferers, the pro’s of going for 55cm2 outweigh seeking out that native density. However - for some, perhaps not. And it’s great if we are going to soon be living in times where native density can be restored via surgery.

I’ve just came back to look at this after a few notifications - and you’re actually a lot further on than I first realised, as I had forgotten what your pre ops looked like. Your left hand side looks almost grown in. I remember there was a very similar pattern of growth in a case from this doctor on a patient on here a few years ago, and he was basically fully grown in at 6 months. Let’s hope the same happens here.

I think Dr Reddy is probably the best the UK has to offer, however he isn't as experienced as many other European FUE surgeons in Belgium or Spain, and being based in London means his prices are almost double. Logic would suggest, if you are open to travelling, you are better off hopping on the Eurostar. If it has to be local, Reddy is your guy.

Looks just where you want it to be 👌🏻

I think you are in the early stages of Diffuse loss MPB - which isn't a result of your seb dermatitis. I'm not denying that you don't indeed have seb dermatitis, as it usually is found to go hand in hand with MPB, however I would suspect the thinning areas you can see, are a result of DHT caused miniaturisation. You still have pretty good hair, so if you were to start preventative medication now, you will likely slow down your loss and maybe even regrow some hair.

Really? Where did you read this? I would have thought the opposite, considering the small hit of taking a bit of downtime post HT whilst it grows in (a lot celebs are known for going off the radar unless they have an album/film/event to promote) compared to the anxiety and hassle using concealer every day would cause. A hair system being preferred, I could understand more, such as Travolta.

I have to agree with you from this picture. Zoomed in on Melvins picture, there’s a slight discolouration of skin aside his left temple point, however, this could quite easily be lighting effects from the stadium, flashes of cameras reflecting etc. The jury’s still out, but I’m leaning towards him having used barbershop wizardry and fibres in the studio pic, I first posted.