SeanT1

4 minutes ago, NARMAK said:

Firstly i wish you well on your recovery and hopefully getting s great final result. 

Regarding the Finasteride, you will experience what you have as a common side affect. They're not an indication imo that is a guarantee you will be affected by more serious side affects and in fact, because you may not have used Finasteride previously, the drop in DHT requires your body to re-calibrate. That's what happened to me. It took a few months tbh and then now i would personally say i feel fine on the medication. I don't have any issues with the lower libido or not getting as much morning wood as it were. The most important thing imo is that in the moment, you can perform without issues caused by the medication however, i would strongly preface that statement to bear in mind, men who don't take the medication still have issues whether related to age, stress or anxiety in the moment to perform and falling short. So don't be too quick to blame the medication if an issue arose. Usually there's other signs. 

I think within a few months, you should find things go back to a more or less normal baseline and you will have to indefinitely take the medication to try preserve your hair long term. 

This is an interesting thing to say.

I don't think anyone can argue against the idea that side effects from stress & anxiety from hair loss itself, could be mistaken as finasteride side effects.

For most people, hair loss causes a huge dip in confidence, which we can assume would also cause a dip in libido and sexual performance.

Eugenix is also a great choice, they work wonders with hairlines & temple points.

2 minutes ago, HortonC said:

Yes I know. I'm on 1mg 3x/week.

I'm just wondering what if side effects become worse and to the point where I need to stop taking Fin. I've only been on it for two months and I've read of cases where people had to quit after 5-6 months.

You could try topical finasteride if this is the case, apparently it has no side affects compared to oral. 

In regards to the affect on your HT recovery, it's better safe than sorry & just take the finasteride.  It's a wound on your head essentially, you want as little conflict going on up there as possible.  Your grafts need to find themselves.

1 hour ago, StillAlive said:

I've only been using Nizoral 2% shampoo so far (sparingly, about once a week, just for maintenance as it keeps the dandruff away and leaves my scalp feeling quite healthy) and I have a personal prejudice against both min (it's like a chemical wig, you stop it and any hair it sprouted or kept, will fall -not interested) and fin (will not accept any risk of side effects related to testosterone as it's been the...guiding force in my life so far :D) but will probably go on a happy placebo cocktail of saw palmetto and multivits. 

With a bit of luck, I'll only have to go in once more at about 50 to touch up my crown a bit and we are good

PS I was quoted 3500-4000 grafts online, may be a few higher or lower once the in-person consultation takes place. 

3500-4000 is a solid amount, you should expect good results.

Donor hair is DHT resistant, not DHT immune.  There is a risk of transplanted hair falling out over time if you're not on medication.

I have an allergic reaction to minoxidil personally so just finasteride every other day does the job and spacing it like so prevents side effects.

3 minutes ago, HortonC said:

Hello all,

I just recently had my HT two days ago and I have been taking Finasteride for about two months now. My surgeon told me I'm required to keep taking Finasteride for at least a year otherwise it will negatively affect my natural and freshly transplanted hair.

My question is - what if the side effects become bad? A few weeks ago I've noticed the usual lower libido and less nightly errections. At the moment it's not at a point where I'd stop taking Fin, but there is a possibility that it does get worse over the next 12 months and then I'll have to reconsider.

Is it really problematic to stop Finasteride within 12 months post-HT? Would it really have a bad impact on my results?

You're meant to stay on finasteride for most of your life if you have hair loss, not just a year.

What dose are you on?  It's common for people who have lower libido to take finasteride every other day rather than every day.

Finasteride prevents your hair from receding any further. 

Hi, Definitely optimistic for you.  How many grafts are you getting?

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I'm 40, no meds ever.

Make sure to start medication after your surgery.  Finasteride every day or every other day, don't listen to some of the fear mongering you'd find online regarding it.
Between the surgery and starting medicine, you'll have a great result.

Shockloss is only temporary, and it's likely those thinner hairs would've fell out to grow back thicker anyway once you went on medication.

Regardless, rooting for you.

1 minute ago, Savemyhairline said:

Think I need to take a few days, let the disappointment settle then decide. I do find it interesting that Hasson was willing to book me without an in-person consult based on my photos. I am booked for June with a fully refundable deposit with him as of now. I definitely don’t want to make a permanent mistake here though, of course.

Same situation happened with me also at elithair.  It was just an analysis based on photos, booked for a procedure then on the day the doctor checked my donor area quality before doing the surgery the same day.
(Which was so so, a bit below average)

1 minute ago, follically challenged said:

This is great for fine hair. Where did you get your procedure and are you on meds?

Elithair in Istanbul, something like 2400 Euro I think.
Been on finasteride for a year prior to the surgery & ongoing.

Full journey here;

3 hours ago, Savemyhairline said:

I definitely trust his assessment, just a bit saddened by it I guess. Idk I guess I was thinking I could finally put an end to my #1 insecurity, my hairline. Diffuse thinning sucks. 

Honestly, looking at your photos I think your hairline can be saved with a solid 3500 or so grafts.  I'm sure others would have more insight.

People in worse situations have had good results.

Just now, Savemyhairline said:

That does look like a nice result. I wish I could slick my hair up or back but it just looks stupid so I have to comb it to the side to hide my temples. I feel like fibers don’t really work well for temples either, they’re more for midscalp and crown. Though I’ve only ever just used the fibers and no spray or anything so I guess I’ll experiment.

Maybe get a second opinion regarding a transplant also.
How long have you been on finasteride for?

To be fair I'm 26yo and I got a hair transplant to bring back my temples.
Didn't have any permanent shockless either.  It's in no way perfect but it's much better than the hairline I had before.

My hair is naturally thin too whereas @Savemyhairline looks to have thicker hair.  Just food for thought.

(Before hair transplant)

(After hair transplant)

(Donor after transplant)

You can pretty much style it what ever way you please, assuming you achieve the right density.

Another thing to be cautious about is that some clinics transplant the follicles in a different direction than the rest.
For instance; my hair transplant grafts point at an upwards angle, causing it to be a bit more difficult to have a fringe.  But also it takes little to no product to style it upwards due to this.

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• I was on Propecia from 1999 for 10 years and then Avodart from 2009 but stopped in 2012 (stupid I know but I was done with it all and honestly forgot about it for a decade).

With respect, I believe this is the cause of your final outcome.
DHT can still affect transplanted follicles.  Not being on finasteride for over 10 years will have consequences.

Hairloss isn't always due to DHT either, some people have had transplants due to head trauma or stress induced hairloss.
I assume this is why we sometimes hear success stories of HT patients that have kept hair without DHT blocking medications.

Made a similar post about a month back.  The majority of people said to hold off on a second transplant and save those grafts for any future hairloss.

Your result is incredible by the way, great density all around!

I've seen people hit their heads and dislodge grafts.  You'll only know if you see a stream of blood running down your head.

The common rule is; no blood = no issue.

23 minutes ago, watde said:

I have chosen to go with SMP route for now, I believe I have enough hair to probably give it a better effect when shaven.

I  went with buzzcut look for the past year with  toppik which gives a smp look (cheap but lifestyle restricting option) so I know what to expect and my head compliments the look.

I will keep taking meds and will incorporate dutasteride perhaps it may a reach a point where it stabilizes with and I could be a better candidate in the future for a transplant without taking unnecessary risks which could hurt me long term. 

I will reassess my position when I reach 24-25 and could be by then verteporfin be shown as useful.

 

 

 

Amazing!
It's important to note that SMP can look a little goofy for the first few days after getting the procedure.  The dots are bigger and darker.

But after a week or two it looks amazing.
Multiple sessions are needed to add a 'textured' look.  After the first session it might look a little flat.

Sorry to hear about your situation..

However, one thing that is an important factor is how far back your hairline was naturally as a child?
As I kid I had a far back hairline prior to any balding.  This could make your hairloss look worse in your 20's.

Just from your photos and post alone it looks like you're not responding to hairloss medication.  It's pretty tragic at 21.

Hope you find a solution or comfort in being bald.  Accepting balding is the best thing for a man to do.

Alternatives for you could be shaven with SMP work.  Or even try out a hair system if you don't mind spending around £1000 per year.

Amazing!  By month six you'll notice how much shape it's taken compared to previous months.  You'll still experience thickness & growth from six months onwards also as your hair finds itself.

45 minutes ago, bootz said:

Thanks SeanToman, I think it looks great, I can definitely see less scalp that's for sure. Have you had any issues when the wind blows like @Rasputin was saying?

Thank you!  Personally no I don't have wind issues after my FUE.
However sunlight can really affect the appearance of density.

SMP does a decent job camouflaging this but it doesn't work as well under very bright white indoor lights.

Regardless, any SMP is an improvement to a hair transplant in my opinion.  Even if it's small.

Hi, I did SMP for hair density after a FUE transplant. 
Here is the result (left = before, right = after);

SMP doesn't do a whole lot but it's definitely an improvement.  It helps hide your scalp if your hair is thin and gives a boost.
 

18 minutes ago, ssimpson7511 said:

You only spot the bad ones though, like bad HT's.  And if your  system never matched your native hair then someone made an error.

I don't know man...
I've also tried several pieces from several places, all with different prices.
They just never seem to get the hairline right.

Sure.

Feel free to check out my log;

This is going to be a great result!

It's going well for two months.

9 minutes ago, BaldV said:

first time I hear this, have you tried?

I personally got PRP after the first month and my redness was away by the second.  But to be fair it could also be related to age.  I'm 26.