SoSoz

1 hour ago, JohnnyR said:

It looks like you will become a norwood 6 in the future. You have aggressive hair loss, thats why you should take finasteride as soon as possible. You are too young for a hair transplant.

I dont have motivation to go on finasteride if I do not have a hairline, also I don't see a point in waiting to my 30's and then doing HT. There are many people who done it at age 23-25 if they were already nw3

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I am attaching some pictures. Could anyone experienced answer some of my basic questions?

Is crown naturally thinner like this or it started to bald already? I've never kept track of it before and recently took pictures of it. Also on norwood scale what would I be?

How many grafts would I need to restore the hairline?

Is my donor area okay?

Is my hairloss aggressive? Age 23(almost 24)

I've contacted some turkish clinics and they claim I need 4000-4500 grafts which seems like a huge number

Pictures are made using flashcam, 3 weeks of hair growth from 0

You probably switched to sugar pills and not fin

Lol why would you even pay for the procedure before you even had a consultation? Thats your own fault

@RicoRavage any updates?

11 minutes ago, LaserCaps said:

Typically a patient has multiple FUT procedures available to him.  It all depends on elasticity, donor density, size of head, pattern of loss, etc.  

More likely than not, a doctor will always return to the same scar to keep the donor area as pristine as possible. This process can be done multiple times until the doctor tells you, "the next time will be your last otherwise I will not be able to close the wound." This is due to lack of elasticity. How many grafts you do per procedure can also impact the number of procedures.  

Normally the donor area encompasses the area behind the head, ear to ear and the horizontal area, from the crown down to the nape.  A range commonly discussed is 2000-2500 grafts for a single procedure.  So, if a patient decides to move forward in stages, and start with 1200 grafts, the segment could start from behind the ear and go about 1/2 way.  If he as another procedure with a similar number in the future, the doctor would likely start on the other side and unite the line so as to create only one scar. 

How you scar heals is a result of wound physiology and how closely you follow the doctor's post-op instructions.  For FUT particularly, the doctor is likely to ask you to avoid weightlifting that affects the neck for at least 6 months as this can affect the width of a scar.  Despite verbal and written recommendations patients often disregard instructions, (nor read post op instructions) only to end up with a wide scar.  This is scar tissue which has no hair.  At the time of the second procedure, the yielding area is diminished - and this will have an impact in the number of grafts that are harvested. 

Hair loss patterns can also have an impact on numbers.  Consider a patient with an advanced pattern, dipping in the back and experiencing retrograde alopecia.  This would leave the patient with little to work with.

There are many other factors that are in play, including donor density, size of head, etc.

Going back to the scar.  The doctor has many tricks up his sleeve to help minimize scars and to make them less visible.  A trichophytic closure is one of them. Another is the width he takes in any given procedure.  If he takes a wide scar, this could lead to a wide scar as well.  Make sure to ask during a consultation.

Lastly, FUE is also available and this helps each and every patient take advantage of their entire donor.  This technique can also help patients add grafts to a scar if need be.  With all of these advances, (without putting my foot in my mouth too deep), good time to move forward, provided you find a doctor with experience, etc.

 

If doctor would take a strip with 2500 grafts, compared to doing FUE with 2500 grafts, how many grafts approximately am I going to have left for another FUE procedure in future? Would the difference be big?

Great result. Im 24 and thinking myself of doing FUT to maximize graft count in future

21 minutes ago, Rahal Hair Transplant said:

I also want to add that most individuals can achieve a large number of follicular units via FUE alone and don’t have to request  both procedures.

Now if you compare the procedures individually because you want to know which of the two procedures as a standalone donor excision technique can provide more eligible hair for transplanting over the long term, I would say it depends.

In general, I would say that they are very comparable and those who choose FUE can obtain just as many grafts as they could if they had underwent FUT.  That said, there will be some cases where FUE will provide a greater number of grafts and in other cases where FUT will provide a greater number.

That said, the difference won’t be substantial so at the end of the day, it’s best to speak to a reputable surgeon about which procedure they feel is right for you.

Most people covet and select FUE because it eliminates the linear scar associated with FUT and is FUE is less invasive.

I also want to say that as long as you’ve selected a reputable surgeon who specializes in FUE, the result you achieve will be comparable to that of FUT and in some cases, even better.  I say that because surgeons have the ability to cherry pick which grafts to extract in the entire donor area whereas with a strip, the surgeon is limited to those that have been excised within the strip.  This is particularly important for re-creating a natural hairline.

Best wishes,

Rahal Hair Transplant

 

What if you are 23/24 with NW3/4 already? Would I benefit from FUT just in case I need more grafts in future from FUE? It was a case for famous rapper Machine Gun Kelly, he got a FUT procedure at 23 and his hair look amazing to this day(he's 31) now.

Sorry I posted this by mistake in wrong section @Melvin- Moderator

Does FUT method allow to save grafts for the future? For e.g If we do a hair transplant on a 25 yo who is already NW4 would the person benefit from this? How many grafts approx. could be saved for the future procedure?

I heard that good surgeon can make the scar barely visible like pencil thin and you can't even see it if you grow your back a little bit.

5 minutes ago, MachoVato said:

Maybe topical finasteride would be better choice. I've never heard of anyone with side effects from topical.

 

but where to buy it in europe, and in what dosage it needs to be used?

Are you on finasteride? I've seen one of your 2019 videos where you had amazing hair but in 2022 looks like you lost some thickness and hair

1 hour ago, JoeMan said:

They are very similar Dr's in how they operate their clinics but I'm sure if you look at their work, you'd see some differences in HL design. Dr. Pinto is a little cheaper as well but that doesn't mean he's not as good. I chose Dr. Ferreira but I didn't know about Dr. Pinto at the time. Maybe get consultations from both if you can and this will help you decide. 

What's Dr Pinto price?

Try to use Wise or Revolut

I am thinking of using dermaroller on my crown, but I've heard that microneedling can create microscars on your scalp which can lead transplanted grafts to fall out, is that true?

 Any ways to buy this in europe?

53 minutes ago, Chilifight said:

Is DR. Yaman a valid option still? More than DR Turan & DR Gur? 

I think DR. Yaman just opens the implantation channels, rest is tech. Turan and Gur as far as I know do the procedure by themselves 

13 hours ago, Dillpickle123 said:

Dude just get on finasteride I was on topical finasteride for 6 months because I was just like u you guys scared of side effects now I’ve been on oral finasteride for a year no side effects the pills are small just take one everyday at night and done you still have a lot of hair left finasteride will save it and you can get a fut to maximize grafts take finasteride for one year then reassess dr bloxham would be great for fut I’m 23 rn so Ik as a young guy it sucks to have to take a pill everyday but it’s really not that bad 

The problem is I can't even swallow pills lol

On 3/31/2022 at 3:05 PM, Rahal Hair Transplant said:

SoSoz,

Who said said that you shouldn’t be on finasteride prior to her transplantation? I can’t imagine anybody on this discussion forum suggesting that.

Rahal Hair Transplant

You guys think any doctor will take me If i go on finasteride now, and wait untill next year when Im 25?

Are temples important to restore a good hair look? Would a person who has a lot of hair loss benefit from not doing temples? Would it look weird if they weren't touched? Could the grafts not better be placed on the hairline?

On 3/17/2022 at 3:30 PM, Keith2091 said:

Also, I've started taking Fin today. Going to give the microdosing a go.

I've taken 0.25 today and I'll take the same on Sunday. I'll take it again on Wednesday of next week and Saturday.

And then on the Tuesday and the Sunday of the following week. If all goes to plan, I'll up it to 0.5 twice a week and work up to 1mg every other day from there.

Have you experienced any side effects?

3 minutes ago, Bandit90 said:

Feel your situation, I started loosing my hair at 17 to. I would certainly stress the following points. 

1. Get on finasteride and stableize the hair loss. Being aged 23 you still have potential to lose more (once stabilised the surgeon will know exactly what they have to work with) 

2. Educate your self, get a realistic expectation of what can be achieved with a HT. i

3. Reach out to a reputable surgeon. One who has a proven track record of restoring higher norwoods and those of a younger age. 

I can't stress enough the need to get on fin! It will help thicken up and save what you have left, and what has been lost can be dealt with via a HT. Also stay away from FUT surgery (or at very least educate yourself on the implications of the surgery i.e large linear scaring). 

Providing you get on fin and stabilise the hair loss, your age shouldn't really be an issue for a transplant. In the meantime, reach out to a recommended doctor on this forum. 

Well doesn't FUE leave scars as well? Short haircut will look as bad as FUT since there will be a lot of dots. Also FUT could potentially allow me to save more grafts for future. Doctors in USA still say FUT is a gold standard today

1 minute ago, J.A.C said:

ABHRS/ISHRS is not a guarantee that the Drs are doing good work, Who is the one close to you? Some of the names on the list and truly horrible. 
I agree with the above that you should consider Fin, at best it will ensure you don’t have any further loss. As you’re already showing loss at a aggressive rate, it’s most likely it will continue, seek advice from your own Dr/Gp and/or a dermatologist. A long term plan is needed here, if you was to start Fin and review your situation in 12 months time you would be in a much stronger position for a hair transplant. Also consider that a lot of clinics will have a waiting list for at least 6-12 months, beware of those that can “fit you in” straight away. 
Also think about having a FUT procedure, it basically rules out any particularly short hair cuts. On the other hand it can be a way of maximising your donor area, personally I wish I never had mine… depends on who is doing the procedure.
So much to think about before taking any action, take your time here, research and conus it with as many decent/ethical/elite Drs/Clinics as possible. 

Dr Marwan Saifi