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  1. Great subject but a complicated one. Consider a lady with any condition other than your typical hair loss. Say CCCA. You do a thorough consultation and advise the patient it is likely, if she moves fwd with a procedure, she'll see little to no change....and despite all that she decides to go ahead. A year later ........ We have to understand the mindset of the patient when they first arrive. In my view, if the clinic is legit, they'll have the patient sign all kinds of paperwork attesting to the fact all possible results were discussed at length. Some people are so desperate to loo
  2. The first thing I would check is the shampoo and see if it contains alcohol. This, possibly, may be the culprit. Starting tomorrow go ahead and start washing using the tips of your fingers and massaging until crusts are off. Any type of hair conditioner should be fine. I am curious to learn what exactly were the post op instructions given to you. e45 shampoo? Never heard of it. Never heard of bucket pour either. Unless you are taking an entire shower with it. I assume you are using a cup? And then comes the sponge. Why? So the follicles will catch? What clinic did you go to?
  3. Years ago when the Merck reps visited the clinic, I recall the many conversations we had about the subject. Back then there was no generic. the verbiage included "there is more testosterone with the med than without" so, you should be wanting more, not less. The patent expired and then came Finasteride, (which is now available as a 1mg tab). Back then, however, you had to split the 5 mg tab, (which is still being done today). The issue with this is the fact that the tab does not come pre-scored. So you really never get .25mg regularly, this will vary. That being said, side effects were a
  4. I realize how important it is to save money, particularly when you consider the strange times we live in. But nothing wrong with doing the research which we tend to preach daily. If you do end up finding photos of cases similar to your own, and you like to work, why not? But..... Travel expense, hotel, the unknown of it all....and then post op visits, etc. If something does go wrong, what do you do? Wouldn't you be better off doing staying put? How about calling the clinic and explain your situation. I am certain, if you are available when the clinic needs you, (say when there is a l
  5. Interesting case...particularly since you seem to be thinning throughout the entire pattern. Also notice well developed corners. So I venture to say there family history of hair loss. The next obvious "thing" is the stark color of your hair which is not helping you. The contrast makes the loss even worse than what it is. Fact wise, if you've lost, you will continue losing. And, while it may be gradual, it will happen if you do nothing about it. So the first thing to consider is medical therapy. Hopefully you are doing something to protect the native stuff. Can you transplant? Sure! Keep
  6. In this day and age there are tons of products out there that perhaps are helping. I do think, however, there is a misunderstanding as to what these products can do. Most think it will be a magical pill that will regrow hair. So, let's take at this inquiry from psychopomp1. Used Redensyl for 5-6 months. No immediate regrowth but did see some wispy hairs at 4 months. Oh wait, also taking Finasteride & some "Really Works" vitamins. The question is, were you taking Finasteride the entire time? So, what caused the regrowth, as you call it? Was it Redensyl or Finasteride? Or a combin
  7. Interesting questions. Let's work on this one..... What is the reason to take Finasteride? To halt or slow down hair loss. But when discussing hair transplants, the basis for the work is harvesting grafts from the donor area which is permanent in the majority of people. Regardless of the pattern, most keep the rim of hair in the sides and back. This area does not need meds to survive. So, can finasteride improve graft survival rate? Perhaps. Let's say the individual is destined to lose most of the donor but Finasteride does help him retain. So = answer to first question is yes. The
  8. Great photo. Miniaturization is hair loss! There are two types of loss, the type you see and the type you don't see. Shedding is normal. Most believe 100 hairs a day is the norm. The follicle gets tired of producing hair and it goes into a dormant stage. 3-4 months later that hair returns. So, if you do see hair in the sink, floor, pillow, smile. That hair will return. Miniaturization is different. The hair withers and eventually disappears. Once gone, it will never return. Medical therapy is just about the only thing we have to combat this issue.
  9. How many grafts you have lifetime depends on a number of factors including elasticity, your size head, and many others. And now that we have both FUT and FUE available, this has also helped increase numbers. And, unfortunately, there is no hair-o-meter to help. So your best bet is to have a few consultations, have the surgeons check elasticity, and check the type of density you are currently enjoying. Then consider donor management and decide on FUE/FUT. Typically a combo of these will allow for the most number of grafts.
  10. Dr. Arocha, is all you would hope for in a hair restoration surgeon. He uses such advanced techniques he able to obtain density in a single procedure. Let me explain, Back in the day it was believed, and many still do, that a separation between grafts is needed for graft survival. The global concept deals with grafts competing for blood supply. So, you do a procedure, and then a second procedure would be needed to obtain density. Then you have to incorporate the number of grafts, budget etc. So, if a doctor tells you you need 2000 grafts - and two procedures, you are talking about 40
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