mmokin

3 minutes ago, SadMan2021 said:

Go to your local skid row and observe all the homeless addicts with amazing (albeit dirty) hair. Walk into any AA or NA group - with people who have experienced decades of drug or alcohol abuse and other rough living - and observe all the people with zero hair loss. 

its true, i cant buy the whole stress causes hair loss thing when i run into people who have been sleeping rough for the past 10 years with nw0 and high density hair

7 minutes ago, Baldingat22 said:

Hmm ya I’m on Paxil which is an ssri. I’m worried I’ll further progress

i think prozac is the most hair friendly but dont qoute me on that, but dude trust me the hair loss from anti depressants is most likely temporary shedding and the hair comes back after a month if you stay on it, stay on fin or whatever hair loss prevention routine your on and you'll be ok. but stay on medication if you need it, its not worth worrying about the potential small shedding if it means risking your mental health

1 hour ago, Baldingat22 said:

I’m 22 and just started Paxil but you hear so much about SSRIs causing hair loss. My doctor wants me on it for a year. Will it make me bald? I am a Norwood 3 I’d say but just bald at temples. I do take fin daily so don’t know if that will combat this. Just curious thank you!

i dont think the hair loss is permanent also different ssris cause different amounts of hairloss im on zoloft and havent had a problem but im also not that prone to hairloss

16 minutes ago, Curious25 said:

Think about what I said , and then think about what you are saying. 
 

I said, the advocation of microneedling to enhance the efficacy of minoxidil (micro needle first, then apply Minox topically) . . Is basically a process that is designed to increase systemic absorption. 
 

I also outlined that I do believe micro needling alone (in monotherapy) does probably have some benefits itself, regardless of minoxidil use. 
 

Tbh , with your proposal of not using minoxidil on days you micro needle ,  I would hypothesise that the systemic absorption of topical applied minoxidil would still be increased up to 3-7 days post micro needling, due to the fact that there is still likely to be open wounds to an extent, present in the scalp. 

i do not agree you can dermaroll at depths of up to 1-0.75mm for systemic absorption of topical drugs but these do not reach the stem cells bulge in the hair follicle that triggers hair cell regeneration and the growth of new hair in the hair cycle you have to be at a depth of 1.5mm or more usually to reach the bulge.

the mechanism for dermarolling at 1.5mm relies on the addition of new growth factors to the hair during wound healing and the stimulation of the stem cell bulge in every hair follicle the affect is compounded with minoxidil, it is not just systemic absorption. also your skin heals wounds from dermarolling extremely quickly if it was sizeable in anyway it would scab up in a matter of hours 

On 2/9/2022 at 4:45 PM, Curious25 said:

 

An addition of a topical AA. 

The advocation of microneedling with minoxidil to increase its efficacy, whilst I am not denying there are probably some benefits from microneedling as a treatment in itself, is largely due to the fact that it is helping it go systemic, hence the increased efficacy . . IMO. So for that reason, I would say low dose OM is a more convenient option, if you are aiming to achieve this systemic effect. 

 

This isnt true you can dermaroll on days that you dont apply minox and still get the same benefits

14 hours ago, Melvin- Moderator said:

I'm interested to hear the communities thoughts, why do you guys think these three drugs are the most effective at stopping hair loss? Or do you think theres another combination more effective? 

How Does The Big 3 Stop Hair Loss?

theres definetly more nuclear options to get an even greater effect of course, like using topical RU or breezula instead of nizoral, with oral dutasteride instead of fin and combining minox with tretinoin + microneedling, but the "big 3" is the best bang for buck protocol when it comes to safety, cost and ease

11 hours ago, Melvin- Moderator said:

I'm interested to hear the communities thoughts, why do you guys think these three drugs are the most effective at stopping hair loss? Or do you think theres another combination more effective? 

How Does The Big 3 Stop Hair Loss?

the ketoconazole is a far far weaker version of a topical anti androgen like RU but is so weak that it could be comparable to a placebo, minoxidil is an actual growth agonist that increases blood flow to the hairs to offset the damage from androgens but only to an extent and finasteride stops the root cause of androgenic alopecia by supressing DHT

23 minutes ago, londonla said:

Hmmm so I dont have the post op report yet, will post the numbers when I get them but I seem to remember it was getting pretty close to 40 hairs per square cm which I think was pretty good. Will update when I have the actual report though. 

from the picture it looks like 10-20 grafts per cm but could be zoomed in a lot we will see the outcome in 6 months so im hoping it works out

5 hours ago, londonla said:

So I had my procedure yesterday. To give some context I am a Norwood 5/5A, started microneedling and fin a couple months ago. I had some growth on the hairline but it was very thin and whispy hair - the dermatologist I was seeing said it would grow into thicker hair over time.. When I talked to most clinics they recommended two procedures - one for the hairline/mid scalp/outer crown and then one for the inner crown a year later. The plan was Fin and Min would recover a fair bit of hair in the inner crown so less grafts would be needed and it would give time for the donor area to recover. 

The original plan was for the Doctor to go to the bottom of this new hairline which is at the white line in the photo - you can see the little white circles are the hairs already growing back. 

However he decided instead to go a bit higher with a zigzag pattern. This is as he thinks the implanted hair will blend into the existing hair (white circles) and thus make it look much more natural. If that doesn't work out - if the hair in the white circles doesn't grow out properly - then he would do the hairline properly during the second procedure. 

Tbh I agreed with it at the time as it made sense but looking for second opinions now - what do you guys think of such a strategy? Makes sense or too conservative? 

thats way too spread out to look good

btw this was my skin 1 month or so post op and it looked fine the raised bump appeared after a few months

27 minutes ago, ciaus said:

When it comes to shaving your head back down after a bad transplant, I'd be more worried about 'ridging' than cobblestoning, especially along the hairline. Its not as common as it previously was, but factors for preventing it still cannot be perfectly controlled for. Its going to come down to your doctor's skill, tooling, and how well your body's repair processes handle the surgery trauma. And the scarring in your donor area is going to come down to similar factors, and how much contrast there is between your normal skin tone and the tone of your scar tissue. Typically the darker your skin tone the more visible the scars will be.

If you're already shaving your head, willing to continue doing that in the worse case scenario, and have very limited financial resources, I'd just keep shaving your head and forget about HTs. There's some topics below with pics that show guys trying to address ridging:

 

 

 

 

i feel kinda bad now being tagged in a post like this but it is what it is.

im getting kenalog injections to flatten the surface of the skin, i cant tell if i have obvious discoloration as i havent shaved off my transplanted region to see.

im looking into a second transplant so the bump should be invisible under the new hairline but hopefully i can get it flattened out with the steroid injections, btw it was completely flat 1 month post op and appeared around 4-5 months so i do suspect it could be scar tissue i read someone say it disappeared after a while for them so im hoping mine does as well.

worst case scenario i have to remove the skin surgically 

your a diffuse thinner the trauma from surgery wont be good for your remaining hair and i dont think any of the clincs in istanbul are great but dr bicer is the best of the ones your looking at 

1 minute ago, mustang said:

Not true

So how soon? Im getting a transplant from mwamba in less than a month and planning smp when would be ok to get it done?

also i heard you have to wait a year after a hair transplant for smp as the scar tissue is new and the skin is healing so more likely for the dye to bleed out and look like a smudge instead of a dot

1 hour ago, mustang said:

The first SMP session from a few years ago didn't, it turned blue and looked horrible. I got it removed with Picoway laser (which is the only laser that doesn't damage the surrounding hair follicles).

I then had, after the BHT sessions with Mwamba, another 2 sessions of SMP which unfortunately faded quite quickly, I might have taken a very conservative and light approach in fear of it turning blue in the future, it looked great for a few weeks but then it faded. 

I am now booked in April with Dr Mwamba for a final FIT Farming session 

It is important to note that getting PRP with Acell (PRP plus it's called I believe) is an important step of Fit Farming as it creates new blood vessels on scar tissue be it FUT or FUE giving the grafts a better chance of quickly reconnecting and avoiding hypoxia. Acell is also used in the custom solution to store the grafts which has increased the survival of BHT grafts in recent years.

This will be my last BHT with Dr Mwamba to fix my left donor and also repair my beard (another clinic in Turkey over harvested it under my chin) 

After this I will give SMP another try a little but more aggressive to see if it stays and call it a day with my donor.

Did you go to a qualified place for the first smp? I thought the dye never turns blue like tattoo ink

did the smp on the donor area not work out? 

i know it must be very stressful but since your young and just started losing hair i think you could get a lot of regrowth if you start treatment soon

thats very strange your losing hair all over, you could have an autoimmune disease i would go to a derm and get it checked

26 minutes ago, Smacias15 said:

Ok that's good. What if I start  taking minoxidil for the survival of the new grafts and go off if it after a year, will thise hair grafts fall off?

No you might shed but it grows back 

4 hours ago, Smacias15 said:

Will taking oral minoxidil help the survival rate of new hair grafts ?

Maybe, but its better for shock loss recovery and faster hair growth

15 hours ago, Hair Transplant Reality YT said:

hmm, I mean I obviously disagree when the hair is grown out ... but all hair transplants are obvious when you shave them to a 0 theres no way to do = density across a large Norwood 6-7 area theres not enough grafts... its all about making it look good when its growing.

why is there a red outline of where your hairline is? is it scarring from the procedure? would it disappear if you used a razor to shave instead of beard trimmer?

where did you go? it help us give an answer

On 10/30/2021 at 7:52 AM, mustang said:

What I would if I were you is to extract more grafts from your donor area so the mouth eaten appearance go away, this is called homogenous depletion and ironically enough by taking 2.000 grafts (or whatever number the surgeon decides) your donor area will look much better than now. Those grafts can be used to give your frontal third proper density.

6 months after this and only if you really need it you can implant 1.000-2.000 BHT grafts into your donor area to make it thicker and add some SMP. This is what I did, you can check my thread were Dr Mwamba repaired my donor with body hair. I am actually having another session today of 200 grafts. 

There is a solution but it won't be cheap.

Lastly, about your TRT or hormonal use, finasteride or dutasteride, neither in topical or oral form will be enough to prevent further hair loss. The Andorran pharmacy is now selling CB0301 but it's quite expensive, 250 EUR plus shipping for 60ml. At least it's pharma grade and the right vehicle.  You need a topical anti androgen to saturate AR tofight off testosterone from your scalp. Finasteride or Dutasteride will only stop DHT but won't do anything to prevent Testosterones from reaching your follicles. 

I'm sorry about your bad results but there is a fix, stay positive. 

how much per graft to implant body hair into the donor i want to be able to do this with beard/chest hair in the nearish future and want to go with mwamba if possible

On 10/28/2021 at 8:55 PM, Hairgains said:

I’m pretty dissatisfied with my first fue. I was barely balding and had only 2400 grafts and my hair is still thin... I have to style it down. Anyways back of my head looks thin. I’m afraid if I get 2nd hair transplant. It will look bad (back of my head will have bald spots )

 

will skin tattoo fix my donor area if it ends up looking patchy with bald areas? ... Do I have enough donor area or should I not get 2nd hair transplant . 
 

Pictures now are almost 2 years post fue....

I can only style my hair down ..

 

my hair  when wet in the attachment shows my real density. So I must style it down... also attachment shows my donor area 

 

damn i wish you posted abou them in the past i went with HOI as well a year ago and regretted it ever since, they are experts at hiding their bad work

Id say shave to a buzz and try concealer at that length or shave to a bald fade