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Curious25

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Everything posted by Curious25

  1. €4 a graft for temple work is an amazing price - they’re the hardest area to get right in hair Transplantantion, so you can’t afford to not choose one of the best surgeons who specialise in this. For perspective , surgeons in America of a similar level to BF would likely charge upto $25 a graft for a small surgery such as this.
  2. No, your donor looks strong and you still have plenty of native hair up top. Topical finasteride and minoxidil would both be well within your interest to research and learn about.
  3. Im assuming you know the exact size of the recipients surface area then to make such bold claims 🙂 I’m merely just going off the pictures, however stand by my assessment that 2600 is a more accurate assumption of grafts required with OP’s hair type to create adequate density for this hairline design, than 1400.
  4. Thats certainly grown in well - I don’t think I’ve seen a hairline with such a focus on micro irregularities like this from Feriduni before, it looks good though. I echo sentiments in the sense that I’m very sceptical you’ve had this hairline from birth, it looks like classic MPB frontal recession. However I respect you’ve had a different Dr assess you, and you’re comfortable with the path you’re following! Enjoy another 6 months of growth and maturation!
  5. Probably not. You’ll find some studies out there showing improvement with these super small doses, but if you’re a man weighing over 65kg - I believe 5mg daily is what you should try to aim for in order to give yourself the best chance of experiencing results. Smart move though starting off small and increasing should you be ok. I did 2.5mg daily for 6 weeks before moving to 2.5mg 2x a day. All the best
  6. Correct. It’s an uncomfortable truth that doesn’t get spoken enough about - but generally, even the supposed greats don’t want to know anything about them. OP - going off your hair calibre, and the size of your totally hairless recipient area, I agree that 1400 grafts is unlikely to achieve the density I’m assuming you’re aiming for. However, it’s not so much of an issue - some would argue it’s actually quite a clever approach, to start small, and look to add further density with a second pass. Hopefully you’ll get good growth, and perhaps you won’t even want to go for a further surgery, however should you do so, like I have said - it’s arguably a superior strategy to follow for a first time patient undergoing surgery. I would say this is actually a more accurate assumption of grafts required to fill this area with a range of 40-50cm2 density.
  7. I imagine it’s due to a reluctance because of concerns on graft survival, as opposed to the incapability to implant at this density. Also - the majority of hair transplant candidates don’t have the luxury to be able to implant at this density, as the ratio between available grafts in the donor vs. the recipient zone area (and future recipient zone areas) is a mathematical battle that usually allows for a max of 30cm2 - 50cm2 available density. OP has stated he wasn’t affected by MPB, he was just correcting a high hairline, therefore the Dr clearly felt there was no issue with regards to risking exhausting the donor zone.
  8. Second thread of a similar nature this week. I’m not sure what you expect, you’re literally taking medications that inhibit the enzymes that converts testosterone to DHT, one of which reduces serum DHT up to 95%. By the way, 2.5mg of dutasteride is 5 times the usual dose.
  9. 1. Did anyone ever hear about someone who had this kind of transplant? i.e. one that intended for a buzz-cut and nothing more? as I'm yet to find a surgeon who did one as such, nor did I encounter an example of someone who had one one.. Yes, Dr Umar - look on his YouTube channel. 2. So you might wonder why is finding a precedent is such a big deal. The thing is, I see a fundamental difference between a 'classic' and my kind of desired transplant - the density. When had started losing my hair back in the day, I shaved it, nevertheless people kept wondering why don't I grow it, as as it was viewed as if I could have grow it fully. That state of affairs had kept going for more than 15 years, to the point that I had left with just a few thin hairs, but spread in an optimal way (that state has changed following Covid). So as I figure there's a huge gap in density combined with the lack of people having this (buzz-cut) as their goal from the get-go, might lead to pessimistic evaluations. So basically, I'm looking for someone that might have any insight regarding the proportions in density You have a huge area to cover, so ideally you would use a combo of scalp, beard, chest, and potentially back hair, alongside SMP. Scalp grafts should be concentrated in the frontal area. You need to express that you are looking for homogenous implantation with the aim of keeping a short buzz cut style. If you can get 2000 scalp grafts, and between 2-4000 beard grafs, along with supplementary chest and back hair - I think you will be able to achieve a result you’ll be happy with. 3. Is there such a thing as clinics/surgeons that happen to specify in Norwood7 cases? yes 4. Does my desire of not growing hair at all, on my sides and back, serve me in a sense that it's plausible to have each and every hair from there to be harvested? No. You will be left with very obvious scarring, and it will frankly look unnatural and awful. It is a strategy many have pondered over the years, and all surgeons shoot down immediately. Your donor looks very limited as it is, therefore stretching to retrieve 2000 grafts from there may even be challenging. 5. Did anyone encountered a patient who had a successful transplant, with roughly my hair situation? There have been a few in similar boats over the years. Your other sources of donor outside of scalp hair will be fundamental in your case, and will overall determine the success you are likely to have. Lastly, I'm basically looking to have some kind of even minor differentiation between my forehead and my head (sadly havn't yet to find any SMP result that seem descent..). You know how some bald guys have this, this different ,darker hue, so the scalp doesn't seem as an extension of the forehead? I have an example in one of the photos attached... Recreating a hairline with scalp hair and reinforcing it with smp should solve this. All the best,
  10. The reason BHR has a good reputation is because of Dr Bisanga. Kostis has been learning alongside him from what I believe, over the last two years - therefore I would label him as a developing surgeon with potential, however from a personal standpoint, there isn’t enough experience or documented results online for me to feel comfortable shortlisting him as a viable option at this moment in time.
  11. There was no allusion to that. I said he should publicly comment on what’s happened, not just in regards to the result, but to address the details within the whole experience that Nordster has outlined
  12. Utterly shocking. Aside from the incredibly poor temple work executed here, the whole experience has seemingly been completely lousy, neglectful, and unforgiving. This thread is unfortunately on par with some of the Diep threads that has finally led to his membership being re-assessed by the moderators and community as a whole. I strongly suggest that the Dr needs to publicly address what’s gone on here, because like someone has previously mentioned - it’s one thing accepting a less than par result from an alleged top surgeon, for instance growth not yielding as expected. However in this instance, you are looking at unethical practices, neglect, and gross surgical error. It makes for very concerning reading, and is yet another example of a worrying trend in recent times, of perceived to be highly reputable doctors operating in the same manner as what you would expect to find in the conveyor belt hair mills.
  13. You sound pretty confused, You’re seemingly upset you have lower than range DHT, yet you’re taking a medication that is specifically used to reduce levels of DHT, I’m unsure as to what your goals are? The reason finasteride works for hair loss is by its ability to block the enzyme that converts T -> DHT, so you can’t have your cake and eat it unfortunately, and will have to accept that reducing your DHT levels is a necessary evil to endure, should you wish to pursue the prevention of hair loss via this angle of attack. Just figure out what it is you want to prioritise - hair or serum DHT within range. Should it be the latter, the simple fix would be to drop finasteride and let your 1300 ng/l of T get busy converting.
  14. Probably because it’s a more effective medication than his new topical formulas. Have you decided what you’re doing yet ?
  15. Ask your patient coordinator whether he will be using the same techs (will they be travelling with him), same tools, same protocols etc. Ask more around the background into doing surgeries in the USA, is this a one off, or is it the start of a more regular practice ? I assume his rates will be higher in the US, to factor in travel costs and clinic hire etc. as well as market place cost is higher in US compared to Europe - Not that this is an issue, but it may make you feel more confident being as transparent as is possible.
  16. If you present the average person with a man who has no crown loss, yet temporal and frontal loss to the extent of perhaps NW3 (think Henry Cavil) they will not deem him as balding. If you present the average person with a man who has no frontal or mid scalp loss, yet an evident bald spot (think the infamous ben affleck photo) they will deem him as balding.
  17. Hi Troy, - Would you say I'm a 5 / 6 on the Norwood scale? (The sides are quite high - with the 'strip' down the middle only about 7cm wide - and I'm told the loss on the crown doesn't go down too low. Told the donor area is decent...) Going off your pics, I’d probably place you at NW 5 heading towards 6, should your crown and sides show miniaturisation and dip further in the future. Glad you’ve been told you’ve got a decent donor, hard to tell from pics, but if you’ve had an in person consult - this is a much more accurate way to gauge the state of play. - I've had an consultation with a well known Harley Street clinic, and they've said 2,600 - 2,800 grafts (going to a max of 3,000 in the day), for £6k. Thoughts? This amount of grafts is going to do very little in terms of coverage, is it part of a 2 or 3 step strategy? The price isn’t bad, but I wouldn’t recommend surgery in the UK unless you are unable to travel abroad. - I've never taken Finasteride, but used to do topical Minoxidil when i was trying to maintain my hair. Would you suggest taking both of these alongside a HT? (If so, when should I start?) If you are comfortable with giving the medication a go - start straight away! Give it 6-12 months to see how you improve, and then look at planning a surgery. The two in combination are very effective - I would be inclined to point you in the direction of looking into oral minoxidil as opposed to topical. - I actually live in Spain most of the year, so I could get to places in Spain/EU pretty easily... Anyrecommendations on surgeons? Spain is great for surgeons - Couto and De Freitas are the two names that stand out. In Portugal you have Pinto and Ferreira who are impressive. In Belgium you have Bisanga, Feriduni and Mwamba. In Switzerland you have Hattingen. All of which are deemed amongst the community as world elites, and far superior than anyone in the UK. Good luck with your journey, and keep investing time into reading the boards and learning as much as possible before committing into any decisions. I would also add that your beard looks likely to be a pretty decent source of donor, which will for sure come in to hang later down the road. You actually bear a striking resemblance to a member on here called @Zoomster who has had a very successful story over the last 3 years. Check out his threads to see what could be possible with smart decisions and good outcomes ! All the best.
  18. Mike I genuinely believe that you should just do what’s best for you my man, but I promise you, your erratic fear mongering on these sorts of threads isn’t doing any good for either yourself or the community. It’s taken myself over 8 years to understand that millions, literally millions, of men take this medication day in day out without any issue whatsoever, due to being suckered into the false perception that all it does is cause harm from threads such as this one. And for what it’s worth, mentally I’ve never been in a better place as an adult since starting it and stabilising my hair loss - and I’m sure I’m not the only one who this applies to. So perhaps it would be a more interesting conversation in the room to discuss suicide rates in the most image conscious society that has ever existed, if there were to be no hair loss solutions available.
  19. Well that was a load of mumble jumble. This first of all, is not what we were talking about, and I actually alluded to the fact that there’s only so much medication can do. In response to your very scientific observation that ‘in humans temples bald quicker and thinner’ it has been generally acknowledged for years that this is because these hairs are usually the most sensitive to androgens in people susceptible to MPB, in the same light that traditional donor areas are the least susceptible. My point was it was a myth to blanket state say that hair loss meds don’t work on the temples yet they work on the vertex or crown. It all depends on the timing of medical intervention, and the remaining state of miniaturisation of the hairs - regardless of where they are on the scalp. Is it fair to say that typically people begin to experience hair loss from front to back - as it is equally typical for people start medication many years after this initial frontal hair loss has occurred, hence hair in this region of the head being is in a far less capable state of being ‘restored’ as opposed to perhaps their crown regions which have only recently experienced an onset of miniaturisation ? Yes, I would agree with that. Your argument is all over the place. If you really are involved in hair loss research, it comes as no surprise to me how there hasn’t been any major advancements in 25 years.
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