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BurnieBurns

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Everything posted by BurnieBurns

  1. It's possible there could by an autoimmune component of what your experiencing. There are ways of testing for these things and I'd be confident one of those doctors could get to the bottom of it or at the very least refer you to someone who could. Nothing is going to stop depression over night and battling hair loss is a marathon not a sprint. But if you set yourself up to see the best people, you can at least reassure yourself for the time being you've done the most proactive thing possible for your situation. Feel free to update the forum with how you get on. Good luck!
  2. I see. For regular androgenic alopecia, even if it's DUPA, is identified by hair miniaturisation rather than biopsy. However if you're getting those symptoms as well that could suggest something else, in which case a doctor might refer for a biopsy. Sounds like you're taking the right steps. If helpful, recommended surgeons in or near the midwest would include: Drs Ron Shapiro & David Josephitis in Minnesota Drs Raymond Konior or Vladimir Panine in Chicago Dr Robert Haber in Ohio (also specialises in dermatology) Dr Jerry Cooley in North Carolina
  3. It's understandable to be worried, maybe wait until you're seen by a doctor you trust before trying medication again so you receive proper guidance. Sometimes hair texture can change just with age but we can only speculate at the end of the day. It will first need to be seen by a doctor who knows what to look for with the right equipment, so he/she can give you a better idea of the circumstances.
  4. That will be a good start, in person is best but it's worth seeing what they come back with
  5. I don't see cause for the scalp biopsy from these pictures in my opinion. I understand how overwhelming it all must be but first and foremost you need to be seen by a qualified and recommended surgeon. What area do you live? You could start by going to someone closer to you
  6. Thanks for uploading the pictures. I'm not a doctor but here is my advice. It's too hard to tell unless magnified, and I know it's cut very short, but there may be signs of miniaturisation in the donor area. This should definitely be checked out by someone qualified to detect whether you have diffuse unpatterened alopecia. It could just be the lighting and the angle combined with below average density, but this needs to be confirmed one way or the other before thinking about surgery, Given your age and degree of loss, you'd be strongly recommended in my opinion to try oral minoxidil 5mg. This has no affect on libido. From there, it's worth trialing topical dutasteride once or twice weekly, ideally a formulation designed to limit absorption like Xyon. For consulting with clinics, I don't believe someone being depressed should rule them out, however you still need to be level headed, have a mature outlook, and not make any rash decisions. If I were your case I would consult with clinic specialising in high norwoods and have experience with beard hair. I know you said yours is non existant, but I have seen cases which have been able to extract a surprising amount. Eugenix or Dr Felipe Pitella. They may be able to to extract more beard grafts than you would assume. It's worth noting that Dr Pitella does not use finasteride on his patients If your scalp is very loose, FUT may be worth considering. Hattingen hair / Hasson & Wong come to mind. Lastly, you will need to have your expectations managed. Most patients with a NW6 + pattern in their 20s will need to forgo filling up the crown in favour of addressing the front where the the grafts will have more visual impact. You would also likely need a higher conservative hairline to allow adequate density behind it. This is my two cents. There will be well intentioned people who will believe the depression is caused by a deeper issue than hair loss, but if you are absolutely, 100% sure that this issue is the driver, then it may be worth sensibly investigating all the options with good information before throwing in the towel.
  7. Don't hedge any bets on verteforfin just yet and I think holding out for it won't do you any good for your wellbeing. From the sounds of things you may well still have options. Restoring hair loss isn't as simple as 'oral finasteride or bust'. Depression from hair loss is awful and crippling, but please know that so many of us have been there and understand. I second what Al said, how about you post some pictures and we can see if we can help you on a path forward?
  8. Incredibly natural hairline that will age very well. A night and day difference already but no doubt there will be more thickening up over the next few months!
  9. Marc Dauer I believe is regarded as one of the best in the world for eyebrow restoration but I haven't seen any of his head hair work. I'd presume he would be similar to Dr Mohebi in price. If cost is a barrier for you then I'd agree with the others, definitely look outside California. The names Melvin mentioned would be promising. Most here would also stress that if you're in any position to pay more, even after saving up for a while, the last thing you would want to skimp on is a hair transplant. It is a genuine surgery and will affect you lifelong
  10. I’m afraid it isn’t that simple if the formula has had to change due to the patent. I can confirm having received farmacia para ti formula in the past year that the ingredient list on the bottle is completely different and has also resulted in some side effects. For anyone with only this as an option who has a history of sensitivity to the drug, I’d recommend getting a lower concentration
  11. I strongly recommend contacting your surgeon about it. Cases of nerve damage very much can occur in the recipient area, more so with less experienced or lesser skilled surgeons. Overall I think it's a lot more common than online will show, but many don't even notice or just aren't bothered by it. Sensation going back until the vertex area is all from 'trunks' of nerves stemming from the 'eyebrow zone'. I.e. damaging the main nerve trunks will also damage all the nerves branching off it. Whether it's permanent or not is another issue. It depends on whether the nerves have been damaged versus completely severed. I went to an inexperienced surgeon who made very low incisions which created complete numbness going back for about 6-7 months. Since then I've had very slow but sure recovery of sensation. I consulted with a dermatologist who was used to doing skin cancer removals, with his knowledge of the nervous system, since there has been a small degree of recovery he said to expect it to recover completely over the next few years. Sensory nerves are resilient and tenacious. If it's 100% numb at say 7 months, that might point to severed nerves. Take from that what you will, I'm not a doctor but I'd say this warrants medical supervision.
  12. How old is the video of Dr Josephitis? I recall in a podcast this year Dr. Shapiro said beard grows just as well. I’m paraphrasing though and may have misunderstood
  13. Dr. Joe does all the FUE extractions at the clinic, regardless of whether it's his or Dr. Shapiro's case.
  14. Glad it's helpful. It's hard to give a definitive list of the 'best', it's worth taking your time to look at the cases presented here to get a decent idea. The forum recommended list is a reasonable bet however some are particularly 'renowned'. At the end of the day it comes to who's best for your specific case and goals and the only way to get answers is through a lot of research and multiple consultations. e.g. how aggressive you want your hairline, do you care about the crown? How dense? How many procedures are you willing to go through? Will your donor be enough for future loss? To be more specific it would be good to know what your 'advanced balding' is. Where would you be on the Norwood scale? Also is it thinning or slick bald in the affected areas?
  15. Bloxham and Bargouthi are the only ones trying even trialing verteporfin. Pitella and Mohebi have agreed but jot started. There’s a long time until it becomes a commercially available treatment.
  16. There’s a yellow button called “forum recommended surgeons”
  17. RU58841 have very mixed results from my view. some it works great, some it does nothing, some get no sides, others get sides. On top of that you have no idea when you're getting in the mail at the end of the day. Anyone can say '3rd party tested' and no government will enforce it. You're free to try whatever you want but I've never seen a case of someone whose used RU as a monotherapy with success over the long term.
  18. If Xyon is available to you, maybe you'd do ok with only a 30% reduction. Most hydaoalcaholic solutions are very easily absorbed systemically
  19. Every surgeon in Australia is sub-standard at best. Worldwide there is no one best surgeon, only the best for your case. You'd be wise to consult with multiple clinics and going with who's most aligned with your goals, you connect with their approach and philosophy, and feel the most comfortable with. Drs Path and Laorwong are great but frankly, I don't see traveling to thailand or any other country to be any different in terms of logistics. Location shouldn't be a deciding factor. If it comes down to preferring one surgeon but it would be a longer wait, ask yourself this: 'In 10 years from now, would those extra 8 months really be still annoying me?
  20. Nerve damage is very much a legitimate risk in hair transplants and should be discussed more. It can exist as numbness and/or pain. I admit I haven't heard of a case of symptoms coming and going for a few weeks at a time. Try addressing it with your general physician if no luck best bet is a neurologist or a dermatologist with experience removing skincancers. Have some hope the sensory nerves can heal well beyond 6 months even years after the damage so it's unlikely to stay as it is now.
  21. Beautiful amount of early growth. Going to be an ace hairline!
  22. Who did you consult with? Most docs are not comfortable operating on diffuse until it's very sparse but there are also a good handful of elite ones who are confident inmaking incisions between existing hair. Some have also developed techniques to mitigate shockloss. Your case looks similar to my did and I had a great result with Dr Jerry Wong
  23. Could be worth just contacting the clinic to follow up
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