PizzaWolf

3 minutes ago, Rossybop said:

I keep saying temple points by mistake, I've been meaning to say temporal peaks, was I right to buff up the temporal peaks lol, you know the pointy bits on the side?

Yeah, I know what you meant. It was a good call

55 minutes ago, Rossybop said:

He didn't actually reccomend them dude. I actually brought the subject up myself, I said its cool to do work at the side of the head/corner of the hairline and I mentioned temporal points. He said you don't need to do them, you could just do the hairline on top and come back next year if you feel like doing temporals, or I could include them today. So on the spur of the moment I was just like ok lets them. I think I want temporal work. And he went ahead and did them, but I already had temporal hairs they were just very fair and not so strong looking so I'm not sure if I really needed them. I hope they turn out to be cool looking and pleasing as you say they will

Oops.😳 Then good call on your part.

Defined temple points look great and add a much better aesthetic, IMO.

@Rossybop I think the temple points were a great idea and will add a huge aesthetic improvement. Some HT surgeons try to weasel out of doing them because they're notoriously tricky to get right. The fact that your doctor recommended them is an encouraging sign.

I think this will end up looking really slick.

Best wishes.

5 hours ago, 1978matt said:

I have a friend with psoriasis and this looks nothing like it to be honest.  To me it just appears you continued to lose more hair behind the first HT.

@npk21 I tend to agree with the above sentiment.

If you aren't taking any kind of DHT blocker, it was inevitable you would lose more hair. MPB and Psoriasis are separate conditions.

@baalloss You state: "Norwood 4, Aged 55. Had full head of hair till around 50."

That's seems unusual for Androgenic Alopecia. I think it's also debatable that the Norwood scale is even applicable to you. Did Dr. Lupanzula have any input about your hair loss situation during the initial consult?

"For ref, I started using Rogaine foam from 01-Apr at Dr L's recommendation, and then was advised to switch over to Dutasteride at the beginning of Oct, but I stopped it after a month and returned back to Rogaine due to side effects."

Were you on Finasteride before the transplant?

11 minutes ago, JohnBob said:

True. Which doctor you're inclined to pick?

I'm leaning towards Dr. Bisanga (Brussels) or HLC (Turkey).

@Melvin-Moderator Thank you.

@Melvin-Moderator Do you know why most hair transplants don't seem to have as many irregularities placed in them as the photo I used?

4 minutes ago, JohnBob said:

Interesting, are you going to have a procedure with him?

If the hair loss pattern is aggressive enough I don't believe DHT blockers make any difference.

You could be right about the DHT blockers and super-aggressive MPB.

I decided against De Freitas. I can't find any patients who have hair close to mine. It's always the Spanish-type guys, much like Dr. Couto's results.

1 minute ago, JohnBob said:

Yes, because I posted some amazing results from Dr. Freitas I can only point out good things about him now? 

For me it doesn't make sense to use such aggressive extraction zone just for 3K grafts. But I'm not a doctor and I'm started this thread to read the opinion of other people, including yours.  

You can post whatever you want about him. I was asking the questions to try and clarify what you meant about the technicians.

I had an online consult with him recently (or his staff, who really knows). He won't do a HT on anyone who isn't using a DHT blocker, and I suspect that influences how he approaches surgery.

3 minutes ago, JohnBob said:

I don't know, maybe with so much surgeries per day and technicians involved it is harder to do proper quality control? How to you explain going so out of the safe zone for just 3k grafts if not for carelessness?

Aren't you the one who just posted those amazing De Freitas transformations in another thread? That doesn't seem like careless work.

Maybe he uses his own judgment on a case by case basis to determine his extraction zone?

@RMancini I'm no expert by any means, but the work looks really clean and well designed.

Do you have any photos of the clinic or doctor?

42 minutes ago, Melvin-Moderator said:

Yes, I don’t think that’s a good idea. Can it be done? Yes, should it be done? In my opinion, no. 

What do think is the HT limit of aggressiveness for hairlines?

43 minutes ago, JohnBob said:

Remember, De Freitas does up to 4 surgeries per day and the people doing the extractions are the technicians, not him, so that may explain?

How does that explain? Are you saying his technicians have gone rogue?

@Melvin-Moderator So you would put that classification of Norwood 0 as off-limits for a hair transplant?

5 minutes ago, Giulio said:

True,more I look into hair transplants more it seems like i  am not a suitable candidate.Body to head hair transplants are the only hope for me..Thanks for the reply and the advice.

That's not what I'm saying.

I'm saying you have no idea what's possible or not because your hairloss is currently untreated.

Maybe you'll be an amazing responder to treatments.

@Melvin-Moderator

Zayn Malik I consider kind of goofy looking, so I don't even know. His hairline to facial proportions are off.

A solid NW1 in my opinion:

2 hours ago, Melvin-Moderator said:

Because a hair transplant is not a miracle. Being realistic isn’t accommodating to the surgeon, it’s being logical to yourself. Hair transplants do not create new hair, it simply re-arranges hair. Once you’ve noticed hair loss, you’ve lost 50-60% of your native density.

You cannot realistically expect to restore your juvenile hairline whilst keeping your donor from being overharvested, even IF possible, you have to take account the future. Hair loss is progressive, the amount of grafts it takes to restore a juvenile hairline ethical surgeons wouldn’t do.

It’s better to do nothing then to go in expecting something unrealistic and end up disappointed. Believe me that is for the patients benefit, not the surgeon. 

Is moving from a NW3 to a NW1 a miracle? Does a NW1 count as juvenile?

What counts as realistic though? That's pretty subjective.

Could a NW3 drop to a NW1 again?

@Melvin-Moderator Wouldn't someone who never lost any hair essentially have their teenage hairline forever? I guess I'm just wondering where you draw the line? A hair transplant is also a cosmetic procedure, so why does the patient always have to accommodate their surgeon, rather than their own desires?

@Giulio You need to put any hair transplant considerations on the backburner until you've stabilized your hairloss and hopefully thicken up what you currently have.

A hair transplant doesn't "fix" hairloss; it's just a cosmetic reallocation of hair. It does nothing to address the underlying condition.

Finasteride would be the obvious choice, but there's also Dutasteride, RU58841, and CB-03-01 to look into.

As far as what Norwood level you classify as right now? Who cares. Anyone going for a hair transplant without actually addressing their MPB is walking into a bear trap.

3 hours ago, Jafreese said:

Hey @PizzaWolf thanks for your reply. What are those experimental compounds with low rates of absorption? Topical finasteride?

RU58841 and CB-03-01. Topical Finasteride is a different compound.

@Jafreese I personally would be very nervous about getting a hair transplant without first stabilizing my hair loss.

Have you looked into the experimental compounds that supposedly have low systemic absorption? There aren't that many options for managing DHT, and that's really what you need for any long-term success dealing with hair loss.

@Ronnieman I'm not telling you this because I want to argue or bully a fellow hair loss sufferer. I'm telling you this because it's reality and the sooner you accept it, the less miserable you'll be in the long run.

You have MPB. It's a progressive condition. It always gets worse. It will not just magically halt in a 32 year old.

The only means of delaying this progression is by managing DHT levels in the scalp. Finasteride is the gold standard, but there are other options available if you research them.

40 minutes ago, Ronnieman said:

 

What on earth are you talking about?

Judging by how my hair has stayed reasonably constant in the last 2 years, plus family history, it is very likely I will have a good head of hair at 40.

 

I was trying to say you're in denial.

Your hairloss is 100 percent going to get worse just like every other guy with MPB if you don't do something to prevent it.

I think on some level you know this, which is supported by your strange post history.

1 minute ago, Melvin-Moderator said:

How is this different than any other patient sharing their results? If there was links, or other spam I would agree, but it’s clear this guy is happy and just trying to help spread the word by sharing his results, nothing wrong with that at all.

How do you know he isn't being given an incentive from the clinic? Isn't that counter to the point of this site, and more in line with social media advertising that's often said to be unreliable?

I'm not saying it's the end of the world, just kind of lame.