Fox243

I’m really confused why people are so wary of having young people have transplants. If NW7s can get transplants, why can’t young people? Not to hijack the thread, but many doctors, such as Eugenix, Dr. Bloxham, and Hasson and Wong were more than willing to do transplants on me despite me being a NW4-5 at 22. Some were more wary Ie Dr. Konior, but he was still willing to do the front half and leave the crown alone for now.

To answer your questions, I’d look into FUT since you’re a young balder. You’d probably go back to between 2018 and 2019 with a conservative surgeon. You can also try Dut tho I’m personally wary since it blocks way too much DHT (and also type 1, which is expressed in the brain).

Hey man, I’m in the same exact scenario but at 22. I have a worse hairline/frontal density but my crown isn’t receded as far back as yours. Would love to chat offline, but for now my plan is to hold onto my thin hair for as many years as possible with fin and hope something like Verteporfin or hairclone comes out. If they don’t within 3 years or so, I’ll start looking into a transplant despite not having stabilized on fin. If they can make a NW7 a NW2.5-3, not sure why they can’t do that for us. I do think people tend to be pessimistic given that they’ve been burned decades ago but yield and usability of other types of grafts (Ie beard) has allowed it such that everyone can at least have a natural balding pattern at the very worst IMO.

@DrTBarghouthiWondering if you have any updates.

More generally, I don’t see cost being an issue. A NW6 may need 8k grafts each costing $6-$7, leading to a grand total of $50k. If it even takes under 20k to get rid of the scars to allow for a shaved head, many who could afford transplants will pay for this. Furthermore, it’ll encourage a lot more people to get HTs when they know that worst case scenario, they can minimize their scars.

Tagging @BeHappy@Gatsbyand some others who are unhappy with their scars. Maybe you or you can tag others who would be happy to allow the Dr to try on your FUT scars if he determines that it’s safe? Since it’s been FDA approved, I don’t imagine any problem though.

@DrTBarghouthiHi dr., just following up again. This would really be great for people who’s hair transplants don’t end up working out, and the clinic could simply advise them to shave. Would also help people who don’t want to take finasteride, as they could shave if too much loss of native hair occurs.

I’m not referring to a miracle NW7 story but even a NW7 -> NW2.5 with low density and SMP to add density.

I was wondering why there’s such a stigma to get a hair transplant for young patients who have noticeable balding (NW4+) and have very conservative requirements (Ie high hairline, lower density in mid scalp and crown, willingness for use FUT/BHT if needed). Maybe this would make sense 15 years ago, but with the advent of techniques from clinics like hasson and Wong, Eugenix, Zarev, Hattingnen, etc, it seems we can even get a NW7 to have a reasonable hairline and density.

Whoops you’re right – my point still stands for Eugenix. Why not FUT first then Eugenix if needed?

I’ve seen Eugenix, Bisanga, Hattingten recommended for high Norwoods, amongst others. However, they only perform FUE but research shows doing as many FUTs and then FUEs maximizes lifetime yield. tagging some ppl who are doing this: @Melvin- Moderator@Gatsby

Hmm perhaps that’s why some clinics were offering a HT procedure before. This is because I’m already NW4. They were giving a very conservative hairline, which I was fine with. I’m surprised my possible dupa emerged so quickly.

It might be because I had sent them the longer hair pictures I had in the other post. Maybe the possible dupa wasn’t apparent in those.

Yeah, I thought about it for a long time, but ultimately couldn’t pull the trigger

I am surprised people are saying ethical clinics won’t do this. A couple of the reputable clinics offered to do this such as hasson and Wong and eugenix. Some did say no, however, such as Dr. Bisanga.

I’m 21 – I have met with a derm but with my hair longer and she didn’t mention anything about dupa.

This is the other side of my head and the back. I’ve been on finasteride for a year and minoxidil for 5 years or so.

I’m considering having a hair transplant at some point in the future if my hair loss stabilizes, but just cut my hair and noticed that the sides look very sparse for some reason. Is this retrograde alopecia or is it normal?

I think I'm going to end up shaving my head. I can grow a decent beard. There's just too much uncertainty -- even if I continue taking fin, I may end up still balding and be constantly chasing my hair loss. I've let it define me for so many years, and I just want to move on with my life.

@aaron1234 @qui bono @GatsbyIn case you were interested, I consulted with Eugenix and unfortunately they mentioned that I basically have to take finasteride to get a transplant. Despite me having a good donor area, because I'm so young, they aren't sure whether I'll develop DUPA or if my donor will thin. And they said after 10 months on fin, if I'm not having major side effects, they would recommend I continue it as it is unlikely any severe side effects will develop. I'm still uncomfortable with this, but I guess I'll have to think about it.

@aaron1234Yeah, I've tried taking it every other day. And again, the side effects aren't super severe, but it's more the thought of being on this drug lifelong at an age where I'm not really sure how much hair matters to me. I initially got onto it hoping I would have good thickening, given my very young age and diffuse pattern. But when I only found maintenance, I wasn't sure if that was worth staying on the drug, especially since I was hoping that I wouldn't have to get a HT if I got on fin (and LLLT, microneedling, minoxidil, and nizoral).

Yeah, @qui bono, I was really hoping that the crown and mid scalp and hopefully even the hairline would have thickened up during my 10 months on fin, but it didn’t appear to do so. So I believe fin will either maintain what I have right now or slow down loss over the next couple decades, but I’m not expecting any regrowth at this point. Thanks for your advice.

And maybe I’m being too harsh on myself in terms of lack of progress, so here is a photo two months into fin.

@qui bonoI’m not sure what you mean by slick bald vs diffuse, but I’ve attached two pictures if that helps. @GatsbyYeah, I completely agree. These consultations are more about whether it’s okay for me to stop fin and still have a chance at a decent HT in 5-10 years, if I decide to go for a HT then. If I’m not on fin, I’ll definitely wait till my late 20s. If they say that I can get a transplant without fin, that would be ideal. But if they say fin is the only way I can get a transplant, I would need to think more about whether to continue fin.

@GatsbyCan you please link that list for those who specify in high Norwood cases? I haven’t tried topical versions for two main reasons: 1) there isn’t much evidence on efficacy and safety, 2) my derm suggested that it would be pretty useless for my level of balding. And yeah, I think about either just accepting my hair loss or wearing a hair system. It’s just hard to deal with it at such a young age, but it may be a route I take.