Overthinker

5 hours ago, Turkhair said:

You got checked by a doctor with a microscope/magnification who is top notch and he says he didn’t see any thinning but you expect some randoms who aren’t doctors to tell you based off some camera photos? 

Yes you are destined to be a NW6-7, all of us who get hairloss early are destined to be. The meds worked reversing miniaturization and so the surgeon can’t see it. 

Hair loss is progressive, the only people who know for certain they won’t lose hairs are the ones who are NW0 well into their 20s, 30s and 40s and 50s. You are NW3, you are definitely heading to NW4 maybe then NW6.

Thanks for your reply! I didn’t get checked by microscope from the doctor who did the surgery, but that was 2 years ago with Lorenzo and he saw miniaturised hair and he told he would enhance the area if he did the surgery. Yet my procedure was only the hairline. Also I thought the community is built for sharing thoughts and concerns about hairloss.
 

i don’t agree completely with this. You lose your hair in patterns, that’s why norwood scale exist in the first place and how every surgeon plans on working on your head for you to have hair into the future as long as possible. That’s also how elite surgeons from here work with donors “out of the safe zone”. 

3 hours ago, consequence said:

OP's username checks out.

Maybe I am not much in this life, but at least I’m honest with myself 😂

8 minutes ago, BRITA-XL said:

You have had what looks like a really good hair transplant, as mentioned the meds appear to be working well. I don’t see any issues whatsoever at this early stage, I think you will end up with a excellent result and will see you didn’t  have anything to worry about 😉

Amen to that brother! May all of us get what we are after! Thanks for the courage! 

7 minutes ago, duckling said:

for your peace of mind you can get a trichoscopy test done which will give you clear idea which areas of scalp has how much density and you will be told if miniaturized hairs are there and many more details. you can set that as baseline and in future whenever you think you are losing hair then get another test done and compare. This way its easy for you to know which areas you are losing and can see pattern before it actually forms on scalp due to a lot of thinning over a time period.

3 minutes ago, mr_peanutbutter said:

i think your density 3 years ago even in the midscalp was worse then today. the meds are working. nothing to worry. enjoy life no need to stress yourself with neurotic thoughts

Thanks guys for all the information and the help! Really appreciate it! 

5 minutes ago, duckling said:

Its not just your miniaturized hair that he would have seen but also how much hair per cm2 all over your scalp.

you cannot see follicle to follicle. see with HT you want to add illusion of density because you will be putting way less grafts than what a person without hairloss will have. but because your donor hairs will be thicken and you use meds you hair will be quite thick.

but in your case they cannot add hair in places you have hair already as its exceeding the hair count per cm2 which they would have added with HT. so much dense packing is fine when you have them naturally but when adding with HT, you can damage nearby hair easily so you lose some existing hair and also your transplanted hair might not survive as you may not have that much blood flow in that area to supply to both existing hair and transplanted hair . your scalp tries to adjust when HT happens by increasing blood flow but it can only do so much. so some hair will be lost there too. 

perfectionism doesnt exist in HT.  being an ethical surgeon he has to help you with scalp coverage wherever actually necessary . ( places where scalp is visible even when your hair length is decent). Sure if you are lower norwood he can give aggressive hairline because there transection wont happen. he gets bald area to put hair into.

and atleast for now you dont look like diffuse thinner to me too. 

I get your points and I totally agree. Thanks for your reply. I know beforehand that ht is all about the illusion and I got on heavy medicines all in once trying to achieve the best I can and then retain it for as long. I wouldn’t do so also if my donor wasn’t measured giving a total of 10.500-11.000 grafts without visible thinning. Even with the miniaturised I couldn’t see scalp, I just got worried about the pattern and the usage of my grafts and if I did was correct. 

4 minutes ago, mr_peanutbutter said:

 

i dont see much tbh, could be just the way the hair grows out..if there is a loss of density its at the very very early stage...

did you buzzcut your hair ever before? could be that you "lost density" there already before you started medication...and that is stabble now, hence no miniaturized hairs

 

 

Yes I did, 3 years ago and my situation was this. Lorenzo told me the density is the same but they’re all miniaturised in my forelock. Freitas told me my density also is great no thinning. So I probably am going crazy into this phase. 

4 minutes ago, TheGreatPretender said:

Dude, you have a great hairline, your donor is precious, your frontal to crown is also golden I really doubt styling will be for your concearn. 

Honestly, take solace in the fact that guys like me envy to be on your spot. Just sit back, relax and enjoy the ride. 

I am going there on the 28th, but my case is more complex then yours, hopefully I can come out happy aswell...

It’s really good to hear those words cause honestly I felt that I did a mistake. 
 

Hes a great doctor and a great clinic that’s why I’m going for the touch up there, you won’t have any complaints from them, I’m sure about that. 
hope everything goes great for you and you get what you really wish🙏🏼

6 minutes ago, A_4_Archan said:

From pics it didn't look like a bigger patern..but surgeon can only tell you the exact situation ..and you have get yourself checked with some best ones and when they say you don't have a bigger nw pattern than all of them can't be wrong 

Thanks for your reply man. Yes and I really trust their opinions, as I’ve seen doctor De Freitas have told some of them if they have some diffuse thinning or anything like this when the head is shaved, so I believe that he also would tell me so if there was anything. I was just scrolling through the photos and my perfectionism got me worried looking from follicle to follicle.  But he didn’t access my scalp with the microscope so I guess the miniaturisation couldn’t be seen with the eye 

2 minutes ago, A_4_Archan said:

His forelock was thicker but he made the hairline little lower then the forelock and the dense hairline which you are seeing is lower 

That’s why I’m asking for your help, if it’s just the anxiety that I see a bigger norwood pattern now in the ugly duckling phase. And feels like my donor grow stronger and faster  than the rest 

4 minutes ago, TheGreatPretender said:

You look great, I wouldnt really worry too much if I were you. Work also looks very clean and professional, should be in for a good result.

PS: You would likely still had looked great without a HT and you also have a great donor. Now it’s the waiting game.

Thanks brother, appreciate it. I’m just freaking out cause I couldn’t style it anymore with them being miniaturised that’s why I don’t know why he didn’t put any in between .I can tell the difference in the texture of the hair between my donor and my frontal region and middle. It feels like they are thicker on the donor. Is this a thing ? 

1 minute ago, A_4_Archan said:

You already have enough hairs there and if he implant more grafts over there than there is a chance of damage to your native hairs....

Thanks for the reply! I know but I’ve seen many cases by him where he implanted even a few grafts just to thicken it up. 
 

take a look at this thread where his forelock was stronger than mine:

8 minutes ago, mr_peanutbutter said:

can you circle the areas where you think you are losing ground?

All this area was itchy for days after the procedure and I know my forelock had miniaturised hair from two years ago when I had my consultation with dr Lorenzo in person.

Dr de Freitas told me it can be a combination of the light and the haircut. But the density when he shaved me was good. I really don’t know 

5 minutes ago, Big Rome said:

looks like good, clean work to me. hairline looks real nice 🔥

Yes, the work is absolutely incredible I don’t doubt that, he did a great job! 

5 minutes ago, mr_peanutbutter said:

i dont get your problem, could you put in one sentence?

i am worried I have a higher norwood pattern even though every doctor that saw me told me I was norwood 2 and I don’t get why they didn’t put any grafts in my forelock and midscalp. 
im stressing because of the pictures , and mostly the texture between the hair on top and the donor ones.  Could it be the haircut from the clinic? Or the use of topical minoxidil for 2 years ? Is it naturally thicker in donor area ? 

I am one month post a hair transplant with dr De Freitas. 
3 years ago when I noticed my hairloss the one thing that bugged me the most was the miniaturised hair I have in the front and I couldn’t style my hair like I did. 
I had consultations with Lorenzo and Bhr in Greece and some other clinics all told me my crown was good but I have miniaturised hair in my forelock. Everybody, including dr De Freitas the day of the procedure told me that I was a norwood 2. I asked him 4 times during my procedure if there’s thinning or miniaturisation somewhere else in the scalp and he told me there’s not and for now I am good and I don’t have to stress. 
Before I chose him I saw some procedures that he implanted between native hair on the forelock even when people didn’t have a problem there, you can see it in all the different cases recently here. But I was surprised he didn’t put microscope and a single graft in mine he just did my hairline. Don’t get me wrong he did an excellent job on my hairline, and I asked him about a touch up and he told me I might need 800 or less to increase the density. 
but it’s getting on my mind though that I have a bigger norwood pattern , even though Lorenzo examined my scalp with a microscope and he told me too that I was a norwood 2 and possible norwood 3 in the years to come. 

so what’s going on here and why didn’t he put grafts in between ? I asked the clinic several times and they tell me doctor says it’s good and I have to wait until 3 months because they grow thicker after.  I’m on heavy medication for 2.5 years , everyday fun and fits , minoxidil topical that switched in oral after the ht and vitamins. 
I got relieved when he told me that I was a norwood 2 because I have a great donor and I could get the result I’m dreaming of. But now Im depressed and I can’t have peace of mind cause I dont know what’s happening on my head and what to expect.
 

Im attaching photos 3 years ago to see what I’m talking about and after my operation and today.

what should I do ? 

1 hour ago, BeHappy said:

You said you are on finasteride, dutasteride, and minoxidil for over a year, so perhaps those improved your forelock area since the time Dr Lorenzo saw you 2 years ago. Anyway, it doesn't make a difference now as you already had the hair transplant. Let the transplant grow for a year and see how it is. If you need a touch-up then you go back for that. That's all you can really do. Don't make yourself go crazy over it.

 

45 minutes ago, Gatsby said:

This is normal and you have to realize that it takes 12 months to judge a hair transplant. For the first three months it's not even worth bothering yourself about it if you have gone to a good clinic/surgeon which you have. Rather than focusing on your immediate post op results, try and keep yourself busy for the nest six months at least with work or something else. All the best and trust in the process.

Thanks a lot for the replied and the support guys! Indeed I thought I would have peace of mind after the procedure and just wait, boy I was wrong. 

2 hours ago, HappyMan2021 said:

to the benefit of Dr. Lorenzo, he is a well-established doctor with proven and consistent results. I assume you did your research, and he is the surgeon you went with. At the end of the day you have to trust the surgeon you chose. 

Contrary, to the benefit of not being naive, sometimes doctors will promise you the world during consult, but when it is surgery day they will lower expectations and/or refuse to do additional work that will - for whatever reason - complicate surgery or adversely affect their financial bottom line. 

I can't tell if which is the reason without photos. 

Also keep in mind that basically 90% of guys will need multiple HT's to be happy. If this is your very first HT - even with Dr. Lorenzo did a 10/10 job - just due to the nature and science of MPB and hair transplants, you may need a 2nd sugery to take care of the forelock area. 

Sorry for the misunderstanding, I actually did the consultation 2 years before with dr Lorenzo and he quoted me less grafts back then even if he would have added in the forelock as he said.
I had my procedure with Dr De Freitas. And I have to say the best for them and the work done on my hairline.

That’s why I’m confused. He didn’t touch my forelock. I have very good communication with the clinic and I asked them more than 5 times and sent them multiple photos also after and they are telling me that everything is normal after the doctor have checked them and I trust them. They also told me that in a second surgery ( I expressed my interest for a second pass for adding density in the same area and he agreed) they’ll check if there’s miniaturisation and they’ll address it. But for now there’s no thinning evident as they have told me. 
So I guess that it’s maybe the angle of the photos, the bad haircut for the shaved head ( people around me telling me so when they see me close) or just a slight miniaturisation. 

Feel safer with pms 

Hello,

I’m 14 days post up my 2-day procedure and my mind is going crazy.

Almost 2 years ago Dr Lorenzo saw my head with a microscope and told me that except my temples that were missing, the density in my forelock was the same but they were miniaturised and I could also see the hair were weaker than the rest without showing any scalp. 
 

When I went for my procedure , the other doctor checked me and my hair were long and he didn’t say anything and drew the hairline and entrances. Then they shaved my head and he spent some time with me deciding the hairline. 
Before he started with the incisions I asked him several times if there’s thinning or miniaturisation somewhere else and he said multiple times it doesn’t seem to have thinning somewhere else , don’t worry about it now and don’t get stressed because it can affect the outcome. 
 

Now I’m on 14 days post up and as the hair grows I can see that there’s no issue in density but I can feel and see the difference under certain circumstances between my middle and forelock and the sides in thickness and color ( like a little lighter) . I asked the clinic I sent pictures and the told me that thing are looking normal no need to worry about it, it is the length and the light of the photos that they make it that way.
 

In every case I’ve seen from him there’s always some grafts put in the middle. Not in my case though.

It’s an elite surgeon on here and I’m taking  oral fin and dutasteride for over a year and topical minoxidil.
Could it be because of the haircut of the clinic ? 
can someone please send me a pm so I can share photos and ask for your opinion ? 

Hello guys, 

hope you’re all doing great! Have a great new year! 
 

So I have some questions of different subjects which I want to ask for my specific case cause I haven’t seen it already posted, at least some of them.

I’m having my procedure on April 27-28th. We in Greece usually go for seasonal working during summer and the period varies between May and September. For those who don’t know already Greece is full of sun especially during summer and hot temperatures especially on islands.

my questions :

1) how many days before should I quit smoking and liquid minoxidil?

2) how many days after can I use hair fibers without risking the result? 
 

3) how many days after would you advise me to wear a hat and avoid the sun ? 

4) and the last one , what would you do in my position ? Would you go for work there or would you relax the whole summer and begin to work in September somewhere else ?

I’ve already asked the clinic the same questions and waiting for an answer , I just wanted also someone else’s opinion so I can proceed with the right one for me.

1 hour ago, BeHappy said:

 

That's pretty standard. Everyone wants more. We all get hair greed.

 

I know , I already have it before even my first , but I wanted to have a more clear vision about the budget when adding density into areas pre transplanted ! 

37 minutes ago, MachoVato said:

No, that wouldn't be a repair.

A repair usually includes things like taking out poorly placed grafts, excessive scarring, overharvested donor areas, etc. Adding density is normal.

30 minutes ago, LaserCaps said:

No, it would not be considered a repair job.  The patient is probably looking for either a better price or a better surgeon. 

When things are bad, however, this becomes a much interesting question.  The second doctor is now taking on the responsibility of what the first surgeon did. This is a pandora's box that can go in many directions.

1 minute ago, Rahal Hair Transplant said:

Overthinker,

Getting a second or third hair transplant procedure from a different surgeon is not considered a repair procedure if the previous procedure turned out OK.

A hair transplant “repair“ is exactly that - undergoing surgery to correct a previous one that didn’t turn out the way it was supposed to. Some people go to the same surgeon to repair their previous procedure that didn’t work right or they could go to a different surgeon.  But unless something actually went wrong with the previous procedure that requires correction, subsequent procedures are not considered repairs whether it’s with the same surgeon or not.  That means the price for subsequent procedures would be that of a normal hair transplant and not that of a repair.

I hope this helps.

Rahal Hair Transplant

Thank you all for your responses!

I just wanted to make it clear with you who have done it before , because I see all the time people claiming they are not “happy” with the density and want to add more but I wasn’t sure how surgeons react to this. 
That helps a lot 🙏🏼

Hi guys, 

I have a question that hasn’t been answered yet or I missed it somewhere for those who had two or more procedures with different surgeons.

Let’s say someone does the procedure at his frontal third and it’s all good but he wants more and then goes to a different surgeon to add density. Is this considered a repair job by the different surgeon , so you pay it that way , or like the normal HT prices by his clinic ?
I’ve seen that some surgeons charge different and many more for repair jobs , that’s why I’m asking . 
 

thanks in advance ! 

Questions :

 Let’s say someone has 7.000 grafts to use total and his hairloss is minor so he uses 2.500 of them :

1. Can you transplant BHT grafts in the area where the 2.500 grafts taken of ? Is it risky for permanent sock loss in the donor area ? 
 

2. Can the surgeon seperate the BHT and the native hair in donor area if he does a second hair transplant , so he chooses only the native ?

3. Can that all happen or you have to use all of the possible donor grafts first and then rebuild some with BHT grafts ?

That’s an interesting topic . I was thinking the same thing today , and also that thing about family history said. How is this a measure ? 

i mean if you think of it in a closer look , you are comparing to your grandfathers , your dad , your uncles etc. and let’s say one became a norwood 6 and the uncle 4-5. But I did my research and every male above them , they all reached norwood 3 or tops 4 or some of them had no hairloss until they passed. So where they inhibited their advanced pattern from ??? 
If you step also a little further , let’s go to the first man who developed a hair loss pattern. Doesn’t this mean that every male after him either had no hairloss or had the same pattern as him ? So there should be only one pattern. 

So in conclusion, I think it’s a little irrelevant as for the pattern. I think that either you have inhibited the condition or not , and you develop your unique pattern , as every individual is different.