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PizzaWolf

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PizzaWolf last won the day on November 22 2020

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  1. @DUPAman I'm sure Eugenix can extract a small number of grafts from your scalp and recreate temple points, but do you really want them to if you don't have any safe hair in the traditional donor area? You have to assume that any thinning hair on your scalp is going to continue to get worse without drug intervention, so you're taking a big risk that a transplant using any number of grafts--no matter how small--will leave you cosmetically worse off than when you started. In your previous posts you discussed not having found a definitive resolution to your dermatitis and DUPA issues. It's frustrating, but I believe that those issues need to be fully resolved before getting a hair transplant.
  2. I'm not sure if I believe in a tolerance to 5-AR inhibitors, but who knows, I'm definately no doctor. I've done many blood tests on myself, including a pre-5AR DHT test. My natural DHT was something like 79 ng/dL, which was at the very top of the range, and my hair was getting obliterated fast. After taking .5mg a day of Fin for 1 year, my DHT tested at high 50 something ng/dL, and though my hair loss slowed, it was still progressing. I upped the Fin to a full 1mg per day, tested my DHT, and it was 42 ng/dL. At this level, my hair loss has stopped and some even regrew. It took quite a while, though. I think the question is really: how sensetive is your hair to DHT, and how low are you willing to tank this hormone? Some say it's a trash hormone, others say a lack of it has ruined their lives. Either way, good luck in whatever you decide.
  3. @neverendingsearch No, not susceptible to clinic marketing. I think you come across as susceptible to your own wishful thinking and what you would like to be true. You want a hair transplant to fix your hair loss and genetics--it simply can't do that. With the history you've described, even a great surgeon could leave you as a complete mess. I don't like to recommend medications, but maybe consider moving to dutasteride or RU58841 if you're okay experimenting on yourself. @Melvin- Moderator It was patronizing. I should definately be more thoughtful of how I respond to fellow hairloss sufferers. We're all in the same boat. Apologies to @neverendingsearch
  4. If you are determined to get a hair transplant, no one can stop you. But the hard truth is that you are a lousy candidate for one. You have been losing hair since you were a teen, and have not been able to stabilize your hair loss even while using the most potent, established treatment available. There will always be people willing to blow smoke up your ass and tell you what you want to hear, especially when there's money on the table. There's also many people in the transplant industry who love desperate, delusionally optimistic men. If my last, very tame, post offended you, I think you are going to be a prime target for the previously mentioned issues. Good luck.
  5. @neverendingsearch I'm not trying to be your daddy. If you're determined to get a hair transplant--go for it. You seem to be well-researched and have arrived at some good surgeons. BUT if you're continuing to lose ground on finasteride, that's a very bad sign. From what you've described there has never been a point where your hair loss is actually stable. As far as Bernstein, who cares. You'll always be able to find a HT surgeon that thinks you're a candidate.
  6. @neverendingsearch You said: "Given that my hair loss has progressed considerably despite finasteride, I wonder whether my vertex is the next to go." I think you're putting the cart before the horse in looking at all these hair transplant surgeons. You aren't a surgical candidate until your hair loss is stable. Anyone who tells you different does not have your best interests at heart.
  7. @DrMunibAhmad Are you opposed to doing multiple procedures on a single patient, as in one surgery for the front/mid and then addressing the crown in a second procedure at a later date? It seems like all your results, at least the ones I've seen showcased by you, are all under 3000 grafts and don't have a follow-up procedure.
  8. @washingtondc It's pretty bad, especially since you've had a surgery and a touch-up with the same doctor. There was a woman who had a hair transplant with this doctor around the same time as you, and had exactly the same issues with density and naturalness. It doesn't appear that this doctor is able to dense pack, and obviously isn't telling his patients about the limitation. I think it's likely you're going to need a third procedure, hopefully with someone else. Sorry.
  9. @Donditot I wouldn't give up until trying oral Minox combined with a topical anti-androgen. You have a lot of thinning hair covering your entire scalp. That hair could make an amazing recovery, possibly to the extent that you might not feel you need a hair transplant anymore. If after treating your hair with medication you are still interested in a hair transplant, you will be in a much better (and safer) position. Good luck.
  10. I edited my post because it did sound glib. You really should disregard anything this clinic told you and start fresh with your research, though. It's a money grab. There's no direct photo of the back if your head, so it's difficult to gauge the exact state of your donor.
  11. The "surgeon" is a physician's assistant. That should tell you all you need to know about this clinic.
  12. I'm not a medical expert, so don't take this as gospel. But your photos appear to show what might be a condition known as DUPA, a generalized thinning across the entire scalp, including your donor area. Dr. Lorenzo in Spain is known to have successfully performed hair transplants on men with this condition, but I believe he was reliant on them taking oral Dutasteride for a lengthy period of time before agreeing to surgery. Since you've had side effects from topical Minoxidil and oral Finasteride, have you considered flipping that around, i.e., taking oral Minoxidil and topical Finasteride? You may want to consider something stronger like topical Dutasteride to help mitigate the aggressiveness of DUPA. There's also unapproved treatments like RU-58841 that may be worth looking into. I believe the general consensus is that DUPA needs to be aggressively treated before attempting any surgical restoration, and even then it carries significant risk that many feel is too great in the longrun.
  13. The 3k grafts you mentioned? Triple that for an actually desireable outcome. You have extensive hair loss, so you would require thousands upon thousands of grafts for full coverage. Your last photo appears to show significant thinning into your donor from both the crown and nape side. You aren't on meds anymore, so even your current situation is likely not a final, stabilized one. Why put yourself through this process? I say stop before you make a big mistake. You have a young son, and I'm presuming a full, complete life with people who care about you beyond your hair. Don't walk down a miserable path if you don't have to.
  14. I've asked this question before. My best guess is that rows are easier to perform rather than attempting to mimic the more natural, irregular pattern that exists in nature. Basically, it saves time and requires less surgical skill. I personally don't see how anyone could say that rows are optimal, and it will be apparent that you've had a hair transplant if you opt to wear your hair shorter. I also don't think a surgeon who implants in rows can really be sure what length of hair will be required to camoflage their work. Is it a half inch of length? An inch? Not so great if you consider naturalness the most important aspect of a hair transplant.
  15. Do you think implanting grafts in rows can improve graft survival or the appearance of density? Or is it just less refined surgical technique?
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