Savemyhairline

Understandable. Like I said I’ve always had a tall forehead even as a child: so it would have been obvious to everyone I ever knew if I got a lower and straighter hairline. Thankfully I have a pretty tall lower third and when you compare the facial thirds with my new hairline (lower/middle/upper) they are pretty even, lower third and hairline maybe a touch higher each but on men that’s how it’s supposed to be. Women are supposed to be exact even facial thirds. I did ask about potentially lowering the hairline out of curiosity and he said that would cost like 3000 grafts. Considering how young I started losing hair, I didn’t want to risk being overly aggressive either. I know hairloss isn’t exactly linear, ie a 30 year old could have perfect hair and then on his 31st birthday it rapidly declines. Or someone who was like a NW3ish quite young (ie Paul Newman) maintains it until late in life. With my case I just didn’t know what the future held and at 25 there was a lot of noticeable thinning so I didn’t want to risk using up extra grafts I may need in the future.

Thanks man. Yes I am on the younger side when it comes to MBP. I did specifically ask Dr. Hasson if he thinks I’ll be able to maintain a full, or at least mostly full head of hair my entire life. He seems confident I will. My maternal grandpa always kept his frontal third and lost the crown pretty late in life. I never considered him bald as that (relatively thick for his age when he was alive) frontal third framed his face. He also had white hair which of course helps with the appearance of density. I took after my paternal grandfather who lost the frontal third and midscalp, but I think he kept the crown or at least it didn’t dip as low. While I love both of them, I think my maternal grandpa always had an appearance of a more full head of hair. And who knows, maybe in 30 years we’ll have better solutions to MPB. If we don’t and I have the solid frontal third, i think I’ll accept that at near 60 years old and beyond. My lateral humps seem quite strong as well, so if they hold and I lose the crown in when I’m older, I think I will be content. Mainly want to make it through my 30s-40s with a full looking head of hair

I’m pretty fresh out of the procedure so more pictures to come when there is less antibiotic ointment and blood, but wanted to start documenting my journey while fresh in my head. This forum has been a huge help to me and my hair loss journey, so I figured the least I could do would be to post my review. Why I chose Dr. Hasson There were several great Doctors that I was seriously considering, I was willing to travel virtually anywhere in the world. I am from Pennsylvania, so H&W was certainly a commute for me. There are several reasons I ultimately decided on Dr. Hasson. Nothing is guaranteed within the hair restoration game, but to me, Dr. Hasson seemed to be about as close as you can get to guaranteeing a good result, and stands by his work if an issue does arise. I like his hairline designs; he is a fan on the widows peak as many of you are aware. I have had a widows peak for as long as I can remember, potentially even before I started losing hair, so that incorporation made sense to me. He also has had several cases with guys like me who had diffuse thinning, and I loved the results he put out with them. It wouldn’t make much sense for me to all of a sudden have a straight across hairline when I didn’t have one in childhood, not to mention that would waste grafts. H&W is certainly not cheap, at all, but based on the very many results I’ve seen over the years, I believe most get what they pay for or more. My Story I’ll try to avoid writing an autobiography and get to the actual review/experience, but I think some context is helpful. I will be 28 years old in November. Looking back, I probably started having actual hair loss in my late teens with a receding hairline that I convinced my self “was always like that”. To be fair I did have a bit of a five-head as a kid but yes I was certainly in denial, until it was too obvious. By 25 it has gotten much more noticeable. Per another great doctor that I consulted with in person, I never actually had any hair follicles totally gone, just severely miniaturized, mainly in the frontal third. I got on finasteride and topical minoxidil at about 25 years old. I did see significant improvement, I wouldn’t call my self a hyper-responder at all, but perhaps above average response to the meds. My frontal third had been quite far gone by this point, so I could do what is essentially a combover and sort of hide it. But if there was wind, I was sweating, just wore a hat recently, etc, forget about it. DAY 1 They start at 7am. I get to the office, fill out the forms, they check my vitals etc. All of the staff was very nice and helpful. Shortly after, Dr. Hasson comes in. I really like him, we chatted a bit even about a topic unrelated to hair loss, I did not feel like he was trying to rush me through. He drew a hairline that I liked and ultimately went with. While I certainly did not win the MPB genetic lottery, he did comment how I do at least have very thick donor hair, even towards the bottom of the back of the head, where he said most guys with mbp thin out. We both agreed that while I do have mild thinning on my crown, it’s not really noticeable and the frontal third is really what is by far the most important. At this point I can live with my crown so long as the meds hold it for the foreseeable future. He believes I saved a lot of hair with finasteride in the back. My crown was never very bare but I did notice good improvement with the meds. He also commented on how the fact that my hair grows straightforward as opposed to a side or up etc will be good for him. We also both agreed that some temple work would really help frame my face as I have a very wide forehead, I was glad he suggested that. We did the first 2k grafts, along the hairline day 1 with a handful of breaks. The anesthesia needles did sting but it’s a very quick pain, they just do several at a time so it can seem like a lot but it certainly does not linger. It was quite a long day, starting at 7 am and I think I left at around 9pm. Pain/discomfort afterwards was negligible with all of the drugs and everything they gave me. End of day 1: Day 2 They warned me straight away day 2 would be more difficult. That was the case from a pain standpoint towards the end of the day. I think I’m a pretty decently pain tolerant guy but I have to admit there were some times I was grunting quite loud. They were very accommodating with the local anesthesia when needed and again, for the most part the pain is quick and goes away once the anesthesia kicks in. Toward the last few hours my head felt like it was on fire and we needed to take a couple breaks, but all of the staff were very helpful and accommodating, I did not feel at any time they were trying to rush me out and gave me time I needed to recover/let meds kick in. This was also a pretty long day, same start time, I think I got out at 8pm. End of Day 2: This is all so fresh so I can get more pics when the ointment is out and everything etc but yeah, now I’m just chilling in the nice hotel they put me in and pretty comfortable after day 2, I must say. Another nice thing they did was since the hotel rate was higher than normal, they paid for 3 days instead of the standard 2, which I appreciated. Some Notes -Some people may believe the 4k graft number was high. I think it was appropriate. I did have pretty extensive thinning in my frontal third leading into my midscalp. Again, this area has always what I have been insecure about for like a decade + and it is the most important, when you talk to someone you are looking at their frontal third not their crown etc. I still have some grafts in the bank should my crown go, but my hair pre-op looked better than it did when I was 23-25 years old due to finasteride and possibly minoxidil ( I honestly think more fin because I started fin 1 month before Min and had a heavy shed before starting Min). So hopefully the meds work for many many years to come. -Some people are probably gonna comment on the “rows” as that seems to come up in every H&W thread. I understand their reasoning, I knew this very well before having my procedure, and their results do not lie. I’d rather not discuss this in my thread as it seems to come up in every H&W thread and Doctor Wong had an insightful answer the other day in a thread. I’ve also seen De Freitas and Bisanga “called out” for rows and their results also don’t lie. Basically a TLDR is they allow for more grafts to be implanted close together. IMO actual density is better than the illusion of density. Obviously any HT is an illusion of density compared to the native hair, but this approach has shown to work quite well in other patients. I am happy with how my grafts were implanted. There are also some nicely done irregularities at the hairline (more pics to come when I’m cleaner) so I believe this will have a nice, natural looking frontal third. -I believe over the course of the 2 day procedure, there was one other patient for Dr. Hasson. Some people have noted that he does not stay the full day, that was true for my case. This does not bother me, all i care about is the final result. The techs did the extractions, Dr. Hasson did the incisions, and then techs did the implanting. As long as the result looks good, that is all I care about. Hopefully that is the case as I update this is thread every so often. Thank you!

I’ve considered it, though the lack of long term studies on in concerns me. Admittedly I do watch Kevin Mann/Haircafe and of course he’s quite against it due to potential heart complications. Personally I’d never risk my cardiovascular health over hair. I was willing to “risk” my libido with finasteride (no sides with over 2 years of use so far) but for anything involving a vital organ I will always err on the side of caution. Just my personal opinion.

Thanks for mentioning that. My clinic did say oral was fine throughout, just the topical should be stopped beforehand. My Doctor is less concerned about the foam (what I have used)than the liquid. I know there are a lot of varying opinions on this as I’ve learned, just trying to play it safe

Well the 30 pounds would be over like 5 months not all at once but point taken. I may just maintain weight for a while then do a hard cut once results set in.

Yeah for sure, maintenance maybe even for a month after to play it safe. I’ll ask him for sure, just wanted to see what others thought

Part of my self improvement goal is losing weight along with my new and improved hairline after I get my FUE procedure done soon. I would like to lose 30 pounds of fat. If I’m losing 1.5 pounds a week with high protein, could that in any way shape or form affect my results? All of course assuming i resume lifting 2 weeks or so after the procedure. If there’s any chance it could hinder hair growth from the transplant then I will just wait and maintain weight for now

I just read through my post op instructions and they did mention you can use oral minoxidil throughout the surgical procedure. I personally don’t use it and have no interest but they specify no topical minox for 2 weeks after procedure

Not sure on oral, however I have only taken topical foam. He said he was less worried about foam for what it’s worth. The Dr. Told me it won’t be an issue at 9 days beforehand, just normally their protocol is 3 weeks

Could this affect the result? The clinic is very highly regarded as one of the best, but I’m wondering if the 15% discount will be worth it if I didn’t have enough time to discontinue 4 weeks prior. As opposed to me having a scheduled date and being able to plan this out properly

I got in with a clinic after a cancellation for a discount, however of course I didn’t know about the specific date until the other day. They say they require the stoppage of minoxidil at least 4 weeks beforehand. I will have only stopped using it 9 or so days beforehand, the rep said it should be fine but now I’m worried about any potential complications…. Thoughts?

If I did absolutely nothing I imagine I’d be NW5/NW6 eventually too as that is what my paternal grandfather reached. Of course I had to get the hair genetics of the one man in my family who had stronger hair loss genes, everyone else had basically no hairloss until very late in life.

I agree completely, I may as well have no hair in the temples. Actually the crappy part is, to normal people outside The hair loss community, a NW2 even NW NW3 with good density is usually not seen as balding, however if you have thinning then it doesn’t matter where your hairline is, they automatically detect balding. I can definitely live with my midscalp and crown, there is some minor thinning you can see when sweaty/super harsh light but not even close to the degree of my frontal third.

Last year I had an in-person consult with Dr. Bisanga and he told me it wasn’t a good idea to get a HT based on my type of hair loss, he seemed to think Oral Min would fix the issue mostly. I have been on oral finasteride & topical minoxidil over 2 years now. Frankly I’m just not willing to try oral minoxidil. I HIGHLY respect Dr. Bisanga and his work, however I know his opinion isn’t the end all be all. I have been consulting with H&W, Rahal, Eugenix (Dr. Sethi), Feriduni & Pitella as of now. I’m in the US but willing to go virtually anywhere, have considered the NYC doctors but frankly their work impresses me a little bit less than the aforementioned. I can find people heavily criticizing any surgeon out there, so I am trying to just look at real reviews and actual examples of their work, these are the names I have. Looking to see if I’m missing any or if any others should be considered. I’ll be 28 in November. While I can hide my hair loss somewhat by combing it a specific way or with the use of fibers, I hate that I have to do that. I want to feel more confident in my frontal third, I don’t want to constantly worry about the wind or whatever messing it up and exposing the thinning. Most of the other doctors I consulted with in the past have been willing to work on my frontal third, maybe a little into the midscalp. that’s all I really want, I can live with my crown and most of the midscalp for now. Bisanga did say I have above average density in the donor regions when assessing with a microscope. Thanks

here’s a pretty good video on it. I wouldn’t worry too much about the aging skin as long as you’re not going overboard with the dosage or using it on your face. I would be way more worried about the potential heart issues with oral minoxidil than anything “aging”-related. I have a theory that a lot of people who use the stuff and claim they have seen facial aging, have been just naturally aging. You’re not gonna look the same at 35 as you do 25, whether you use minoxidil or not. These also happen to be the age ranges many start on minoxidil.

People have reported either, though oral would be more likely for the same reason oral more effectively strengthens your hair.

I actually do once a day. I used to do twice. I probably will get some vitamin k supplements or just try to increase it in my diet, thanks

Should I discontinue? I mean it’s mostly just an annoyance and i have to buy more bandaids, but it is still a side effect

I’ve noticed I seem to get the smallest cut, pimple that gets popped, bug bite that I itch, etc and I will bleed. It’s pretty annoying and I have noticed it this past year or so, around the same time as starting topical minoxidil. This could very well be something entirely unrelated, though I am just trying to go through lifestyle changes that could have contributed to this. Considering what minoxidil actually does, this doesn’t seem too far fetched, though I’ve never heard of “easier bleeding” as being a side effect.

Thanks. I believe my hair loss has been stabilized for now, as it does look better after one year on fin/topical min that it did one year ago. Just obviously hasn’t been restored to baseline. I’m considering dut, idk how much improvement it’ll make me have. It seems oral minoxidil is the one that would make the real improvements but currently I don’t feel comfortable taking it.

Definitely make a thread about it!

So, H&W got back to me. Hasson said he feels I might not be an ideal candidate, but Wong believes he can safely transplant between the existing hair and get around 2000 grafts for the frontal third. According to the advisor, Wong specifically has developed techniques that allow him to navigate around the existing hairs more effectively than other doctors. Here’s another pic Bisanga took, kind of wish my hair was shorter but oh well: what do you think? Worth potentially going to Wong instead? I feel like I’ve seen a lot more of Hasson’s work here, though I know both are highly regarded. My top two choices don’t think I’m a great candidate which is making me lean towards holding off, though I am intrigued by Dr. Wong’s thoughts.

It’s because nobody cares about men and men’s issues, beyond other men. I’m certainly no blackpill/incel/whatever but it is true that mens self image issues are more or less scoffed at while there are all kinds of movements for women/trans/etc. there is a stigma with men seeking help when depressed, way more men commit suicide than any other demographic, men are taught to just shrug it off instead of talking about it, the list goes on. With that said I’m glad I was born a male as there are, in my opinion, other advantages that override this. But the point remains, nobody really cares if mens insecurities are exploited on a large scale. I’m not trying to be “political” or whatever, just simply pointing out reality in media, pop culture, society.

It’s almost like bald shaming is instilled in kids from a young age… a couple cartoons come to mind, SpongeBob SquarePants movie with King Neptune being taunted for his baldness/lack of crown, as well as his denial about it only being “thinning” (which I hate to admit but is actually pretty funny). Another example I can think of is fairly odd parents, one episode where tummy turner wishes to be an adult and cries about how awful it is to not have hair. i used to take it pretty personally when my cousins would make fun of me, like they should know that’s a line you don’t cross, but you’re right it really isn’t an “out of bounds” insult largely speaking.