shiba1985

healthy skepticism is never a bad thing. 

Without microscopes and using the smallest punches ever head off, are we just supposed to believe he is extracting complete follicular units? There is no breakdown of the grafts used i.e. how many singles, doubles and so on... just 12000 grafts units, 8000 grafts and so on. 

Guess what, if someone extract 6000 doubles and cuts them up that also makes "12000" grafts. 

At the end of the day results are the only thing that matters though. So if a patient has trust in him they should no doubt go to him. 

But a healthy skepticism is never a bad thing. 

13 hours ago, GeneralNorwood said:

The thing is that you are not Nw4. But i undederstand your thinking, because i was downgrading myself too before my HT. 

 

This is your hairloss pattern (red area). This is Norwood 6 pattern : 

 

And you can say "but i have hair there". Yeah, but they are miniaturised, thin, light colored. This hair have limited lenght. Compare them to healthy hair on your sides, it is like night and day.

 

You need 8000 + grafts for the whole area and it will start too look good. Of course you could skip the crown and leave it bald, it would reduce amount of grafts needed. So the questions is what is your plan. If you want full coverage, FUT is the best option. 

 

Now, if could turn back time, i would do FUT for my first procedure. It is way better for higher Norwoods. You can extract 100% grafts from area that has  very strong DHT resistance, so it is best longterm option. And you will still have thousands of grafts in the bank for FUE procedure. 

 

Listen, before my procedure i thought that im Norwood 3V, but in reality i have Norwood 6 diffuse hairloss pattern. I had 2500 implanted on the front, 720 on the temple points and only 350 on the crown. Now contrast between front and back is huge, because on the front i have new, strong, healthy hair and behind them i have miniaturised hair. You can read my journey and learn from my mistakes. 

BTW, because of unnatural look, i want to do next HT. Luckily i have some donor left and although it will be second procedure, i want to do FUT anyway. Harvest won't be so rich, but i think it will expand my donor possibilities anyway. 

 

If you to do 2500-3000 FUE for frontal third only, expect result like this: 

 

Do you like the outcome? I don't

I remember commenting on your thread 

“ This is a ball-sy restoration for someone with your level of hairloss and your balding pattern. I would have recommended something much more conservative to keep it looking natural. From the side view you can see there is a gap between where you existing hair stops and where the hair transplant begins. “

I wish more clinics would be real and plan with the long term cosmetic appearance of the patient in mind, instead of just looking at short term gratification.

2 hours ago, mister_25 said:

I like this approach. Whoever I select for a second procedure I will be asking towards surgeries/procedures tailored towards maximizing yield in every possible way. I think 1500 at a time is the safest bet I have and will only take me two or so procedures I think to get me somewhere I want to be.

If its anything worth noting, I believe the crown is coming in at the expectations that I had, and it only had 950 grafts implanted in that area compared to the 2900 in the front. Might be a sign that I am sensitive to more tightly packed grafts.

 

I think my beard hair might not be ideal for my situation because of the very big difference between my scalp characteristics and my donor characteristics. It is something that I will have to ask. Are any of the options I listed renowned or have notable skill in using beard hair?

Also I will never know until I get my beard checked, when I first posted photos of my donor asking opinions on it everyone was telling me that it had fantastic characteristics such as high density, coarse hair and numerous other factors. I even had my scalp examined under a microscope and they told me I had a large amount of triples compared to the average person.

Now that my result is less than stellar, other people have come out and said I probably have DUPA and that my donor was below average and quite poor. Who knows if this could also apply to my beard and it could be very below average as well.

I generally doubt that this is the case. I imagine H&W could be liable to some form of negligence in their duty if they saw a potential sickness/illness arise that could compromise the surgery and continued anyway. Correct me if I'm wrong on this.

Also if this is the case I would of been lied too which isn't ethical in anyway.

This is true and is a saving grace, but most of these people come from stories where they made foolish ill thought-out decisions at the beginning, and they come back with the right research, planning and selection. I am stumped on where to move forward considering the universal conclusion is that I did everything right since the very start.

 

 

as you know,absolutely NOTHING can 100% guarantee a successful surgical result. All you can do is try your best. 

You did your best researching and planning. Things did not work out but you can hold your head high that you crossed all the Ts and dotted all the Is and made a very informed decision, which as a patient is all you can do. 

I would say before you commit to another full blown procedure, who ever you select for the next surgery do a test run with 300-500 grafts. See how they take. Then plan on a larger procedure. 

2 hours ago, Turkhair said:

Explain Patrick Dempsey hairline to me. It’s not unnatural, it’s not bad.

 

No one says low hairline looks unnatural in old age.

the devil is in the detail:- LOW transplanted hairline will look unnatural because there will never be enough grafts available to reach the density required for a natural looking low hairline in 99.9% of transplant patients. That combined with the abnormal looking pattern that will develop as the patient will age and lose more hair will look absurd. 

7 hours ago, Joe2432 said:

I rather not say my Dr. just to keep unbiased opinions, but this is where I stand close to 5 months in and I don't know if its a good thing or bad thing.  I received 2400 grafts in frontal third.

Your post history reveals the doc. Did you end up going to the USA operation site? 

53 minutes ago, BackFromTheBrink said:

From what I remember, there was a study in rats on much higher doses of finesteride which resulted in androgynous offspring.

However, there hasn't been a case reported where the lower doses we take for hair loss have had a negative impact in humans. There have been many children conceived when taking the medication without issue.

That said, I can completely understand people not wanting to take any risks in that regard. Psychologically, most parents would prefer to know they did everything they could to prevent any issues with their children, and would prefer to know that if they had a child suffering from a genetic disorder that it was not due to anything within their control.

 

absolutely, I agree not wanting to take any risks. But inhibiting dht can do a lot of things effecting your genes it doesn’t . 
 

37 minutes ago, singh said:

In my consultation, I went with a history of traction alopecia but no MPB. Doctor couldn't conclude MPB either, and have no family history of baldness either. But doctor didn't rule it out and suggests finesteride post-op to reduce chances of shock loss. I don't understand how fin would help strengthen my native hair in the affected area if MPB isn't conclusive, I don't feel comfortable taking fin if I don't even have MPB. Am I wrong? Because my hair hasn't changed a bit in the last 2 years of stopping the hairstyle that caused traction alopecia.

I'm wondering if I could take oral minox post-op and quit it. 

Do you want my honest opinion.

You seem to have a lot of anxiety surrounding your mild hairline recession. No one can promise you no shock loss or even guarantee results. You also seem to be fooling yourself into believing you will never have Androgenetic Alopecia. At 20 there is no way to predict the future of your hair genetics. IMO you are too young and not mature or stable enough psychologically to understand the risks benefits of the hair transplant you want. 

Sorry just being honest form the numerous thread you have made on this topic. you may not like it but i think people should be told the truth. 

I am very surprised too. post op looked impeccable enough that I thought this was going to be ahomerun. Wonder what happened. What did the doctor say. 

11 hours ago, Youth_Again said:

Update: I got offered to go second week of September 2023 or last week of may 2024.

i don’t really know what to do, I am willing to do it in September but I feel unprepared and need to organize my travel etc.. 

 

 

there is nothing to prepare. buy tickets go in september. 

dont try to overthink. you will find a prp place, and lets be honest prp is not going to make or break the result. 

if you go in september by summer 2024 you will be enjoying your new hair. if u go in 2024 you will not enjoy it till 2025

There are dermatolgists that "know" hair, and then there are dermatolgists that "REALLY KNOW" hair. Every dermatologist will get exposure to alopecia during their training. So when they come out, they can market themselves as hair loss treating doctors, which is true for the average population they have enough knowledge to tackle 95% of the patients, and the patients will be satisfied. 

But the average patient on THIS forum is obsessed with our hair loss, and we know stuff that the average patient doesnt. For patients like you and me you have to go to Dermatologists that live, breathe and treat hair conditions. They are not as common. 

looks good. you have had very minimal shedding

Dr Laorwong. What are the size of punches used in this case? they look very small

you are suffering from some body dysmorphia to be obsessed with something so minor but at the same time, if anyone can afford to be aggressive , it is someone like you. Go for it. get on the waiting list. 

everytime i click this thread, I am impressed by the results. Just wow. one of the best results i have ever seen.

35 minutes ago, hairman22 said:

diffuse thinning case 

https://www.hairlosstalk.com/interact/threads/zarev-march-2021-consultation-and-december-2021-operation.132413/

fantastic. yes cases like this.. Would love to see more of these. 

26 minutes ago, Gatsby said:

That's an incredible result. If the patient had his temple points restored slightly it would be quite literally a 'perfect' result! 🙌 I know I will get flamed for saying this but my only concern with Dr Zarev is that I haven't seen the number of results that other high Norwood 7 surgeons (and their patients) show such as Dr Pittella and Dr Sethi. Both these surgeons have shown lots and lots of videos of how they go about the areas of a Norwood 7 scalp in detail and how they will (and do) address the areas that need addressing. I've never seen this with Dr Zarev. Having said that Dr Zarev is incredible from the few results that I have seen.

Also, results where the hair loss is not as advance. Sometimes it is "easier" to restore a completely bald surface area. You are transplanting grafts without any worry about collateral damage. As long as there is good growth it will look good. 

Sometimes it is a lot more technically challenging to restore someone with a lower degree of hair loss that needs careful transplant to minimize collateral damage with existing hair in that area.  

really good. Look at how high the hairline starts. It is almost half an inch into the scalp. It is a must if you want to restor extensive real estate with decent coverage. If you suggest most patients on this forum that hairline they start having an emotinal breakdown. 

while he does sound credible, just cause an MD posted something on youtube and quoted a few "new" studies does not make it the new truth. 
The link between finasteride and prostate cancer is still pretty complex the last I reviewed. It may decrease cancer but may cause more cancers as it can delay detection. AKA your PSA maynot increase despite harboring a malignancy due to finasteride. While someone not on finasteride will have a sharp rise causing a red flag sooner, and hence able to take action sooner. 

Not saying that he may not be right but take it cause you want to to prevent hair not cause of this. 

12 hours ago, Hannah-M said:

Hello, 

i am new to the world of HT and this forum. I have had some consultations with clinics in Turkey but am nervous about going to a hair mill or getting a very unnatural hairline.

I don’t have any hair loss .. just an unfortunate hairline

I had a consultation with Dr.Epstein in FL, and he would cost around 12k for 1400 grafts; FUE.

i am now considering FUT because I I don’t want to shave my donor area. 

any other women who have had this done and want to provide advice? Thank you!

On 5/16/2023 at 8:13 PM, ChefP said:

Hi 

I have posted here before but I'm uploading pictures for the forum to evaluate my current hair loss condition and what treatments I could have. I have consulted a few Dr's already and have had some options presented but would love the collective wisdom and evaluation from this forum to help. 

Those are so far:

H&W 4500 grafts FUT recommended. ( They can do FUE but said FUT in my case maximises donor area for future ops)

Dr Nakatsui 3500 grafts. Either FUT or FUE

So some context:

I'm 43 year old male.

Been using topical Minoxidil (5%) Finasteride (0.1%) foam for 4 months.

Used to take oral Finasteride but I think the recommended dose of 1.25mg daily was to high as caused some libido side effects. Nothing some coaxing doesn't fix. TMI. 

Just started back on oral Finasteride but this time will take 3.5mg per week on alternative days. (seen YT vid from Hair docs in Oz recommending this). Thinking of combing the foam and pills at the same time.

 

Never had a hair transplant before. My hair is fine. My Father has very little hair left on top but has on the sides and back he is 73 now. Mum's side some have hair some not as much.

At everyone tagged below from previous topic FUE VS FUT, thought it would be easier to reply on this new topic, as have pics now to show you. 

 

@Rahal Hair Transplant @Z-- @mr_peanutbutter @Bucky O Hair @Vann @AlexMeister21

 

I've attached some pics that show the front, back, sides and top view. Sometimes I'll have my hair a little shorter on the back and sides but this is generally the style and length I've been using with my current head of hair. 20 years ago I would slick it up a little and style it. Would be nice to get back to those days again...

 

I'm looking to get a transplant done, all being well in the next few months. 

 

Appreciate all the help and information you all provide. 

 

Thanks so much.

 

you have never had a hair transplant before? this will be your firsT?

On 5/12/2023 at 6:32 AM, A_4_Archan said:

Donor seems to be sparse ...but still need to see better pics with a hair length shorter than this..and can you please post pre op pics so evryone can see the difference ....you had 3500 grafts which are not less and should have made some difference at least....and imo you should get your scalp as well as your donor checked by a good local doctor..if there is some issues with scalp than you need to solve that first...and if there is no issues with scalp thn you should get your donor checked and see how much grafts you cn extract without damaging the donor....best of luck...

I am eager to know how you can say anything about donor area from those photos? 

very nice. 

How long was each day? Do you have any pics in between days, like after day 1 , day 2. Did he break it down between each day - front and back or middle and sides?

19 minutes ago, FUEtile said:

It’s supposed to not cause the same sides cuz it’s not stopping DHT it’s blocking the androgen receptors 

You can stop the formation of DHT or you can block the DHT binding to the receptor. The end result and the sides will be the same. It is not like it will only block the androgen receptor in the hair follicle. Any little bit of it that gets absorbed and becomes systemic will block the androgen receptor in your genitourinary system as well.

12 minutes ago, FUEtile said:

Theres been a bunch of hype on cosmeRNA but I think pyrilutamide is gonna be a safer bet

https://en.kintor.com.cn/news/245.html

isnt pyrilutamide allready avaliable through compounding. I dont know what is so earth shattering about using an anti androgen to treat male pattern baldness. Obviously it will work, but brings all the risks on blocking androgen with it. 

Please correct me if i am wrong

It can be swelling. sometimes it makes the lines really uneven temporarily. Once the swelling subsides the lines become like they were drawn.