SoSoz

If you have enough donor & money for future procedures then no, you don't need medication.

19 minutes ago, mr_peanutbutter said:

also what do they mean by strenghten? new hairs or do the existing hairs get thicker?

I think they can get thinner a bit but they will never fall off. if you use finasteride just for donor, maybe some hair will thicken up

@DrMunibAhmad can patients get away with medication when choosing conservative hairline like on this patient, or maybe just minoxidil to maintain the crown?

2 hours ago, GoliGoliGoli said:

I asked my Dr and his response was "Most clinics don't prescribe anything, I just do it out of an abundance of caution". He also said he's never had an infection in 10+ years of doing HT's. 

Antibiotics are known to have negative health consequences (If you care for your gut microbiome) so I take them as rarely as humanly possible. I took one antibiotic the night after my surgery but didn't take any the rest of the time. If I were to ever get a 2nd HT I would not take any antibiotics.

 

That said, I also have a lot of trust in my immune system (1 mild cold only in past 7-8 years, which I think is partially due to never taking antibiotics). So if you're prone to infection historically maybe it's a better idea to take them? But I didn't and I wont take them next time either, but that's strictly for me so do what you think is best. 

Edit: What's also interesting is that study is from 2005 so I assume they're looking only at FUT patients? FUT is obviously a much more invasive procedure than FUE, so if even FUT patients didn't need antibiotics I doubt FUE would either. That said again, listen to your doctor and follow your gut (No pun intended). 

I also had a surgery like FUT scar size but on my back and never had to take any antibiotics. So I am wondering why is it needed for FUE procedure that much? Also a Dr told me that FUE is not really invasive

I was reading on this article https://pubmed.ncbi.nlm.nih.gov/15988072/ and they claim prescription of antibiotics after hair transplantation is unnecessary if the clinic follows strict adherence to the aseptic rules. What are your thoughts? Do all dr's prescribe it? I've seen that all turkish clinics do it.

@Dryasin were you on any meds?

I've watched one material about ht and the person said it's better to get 2x 2000 FUE procedures split between years instead doing 1 session with 4000 grafts because it will cause lot less scarring, is this really the case? At the end we will have extracted 4000 grafts, but how come it can cause less scarring if splitted? 

2 hours ago, Curious25 said:

- I've never taken Finasteride, but used to do topical Minoxidil when i was trying to maintain my hair. Would you suggest taking both of these alongside a HT? (If so, when should I start?)

If you are comfortable with giving the medication a go - start straight away! Give it 6-12 months to see how you improve, and then look at planning a surgery. The two in combination are very effective - I would be inclined to point you in the direction of looking into oral minoxidil as opposed to topical.

 

You literally proposed finasteride to someone who has almost 0 hair on his mid scalp. Even Dr like Bicer says to her patients that its pointless at this point.

OP get HT and think about oral minoxidil

I was thinking of getting a ht but leaving out the crown completely, even if it completely thins out. People say the front is the most important because thats where people see you. Is that a good option? Especially for someone with limited donor? Will having a bald spot on the back of head affect my mentality?

On my finasteride leaflet where they state side effects it says In rare cases breast cancer

Once you get gyno there is possibility of developing male breast cancer, you will have to live with that thought for the rest of your life. You can literally die just because you want to save your hair. You will have to get breast ultrasounds every year. Because breast cancer can only develop when there is gyno and you just can't ignore that fact. This would be totally stressful. Yes, this is very rare, but can still happen.

I noticed when washing my hair, whenever I pulled some hairs from the side at the red circle my hair are coming out, like 10 of them with white roots, literally every time I try to pull hair from there, not even having to use a lot of force. Why is this happening? Im nw3/4 and whenever I do this for my mid scalp or back of head maybe 1 hair will come out at max but I have to try hard. This is happening at both sides. Will this affect my entire donor?

On 9/14/2022 at 3:44 PM, Alexx said:

What about topical finasteride 0.25% that you put on scalp minoxidil style ?  It is true it have clearly less side effects ?

 

My dermatologist said it's 0 difference because it builds up in the blood as well, after some time it will have same amount as oral version

@Steff you on medication?

I've noticed a player in Morocco national football team and done some research

before and after:

Wondering if this is done with smp or more of a hair transplant?

1 hour ago, Gatsby said:

Was this surgeon offering these treatments for you to buy from him/her?

yes

I was consulting a hair surgeon and I told him im taking 1mg finasteride, he said that it's not enough and that I need to use supportive treatments such as laser therapy and special shampoos to stimulate the hair. How is that a thing? I thought that finasteride theraphy for long term is enough for maintenance of the hair.

I've started it again 0.5mg everyday. Didn't notice any sides after 3 days. Maybe I had nocebo effect. Will update every 3 months with pics.

Starting point:

Don't use this sh*t.. there are not enough clinical trials on this, also I seen a guy on YT stating that RU caused him irreversible heart problems and he claims he is dying from it

My doctor prescribed me finasteride, he says best way to take is 1mg every day and he says he takes it for 10 years that way as well. I was thinking of doing 0.5mg 3 times a week since the clinical tests show that 0.5mg is effective as well almost as 1mg. There are doctors on yt that claim 1mg a day is too much and 3 times is enough. So what in earth is correct dosage?

I've received oral minoxidil 2mg prescription as well, they make it at my local pharmacy. Is this dosage normal for starting oral minox? I've heard people doing 1mg

Did you have surgery before? Looks like you had a lot of existing scars

For me it's a joke that technicians are able to inject local anasthetic into person scalp

Some people claim that manual extraction leaves less scarring and less redness, and that after motorized technique back of the head looks butchered. Is that true? Is it better to consider manual type extraction surgery and pay more money?

1 hour ago, Melvin- Moderator said:

I doubt you’ll progress to Norwood 7 at 32, most Norwood 7s are completely bald by 32.

True that, my cousin is NW7 at 27

Can you add a pic of donor?

6 hours ago, StillAlive said:

You have hair loss because your hairline has receded to a NW4/5 pattern. 

If you are still actively losing hair (i.e seeing a lot of shedding, finding hair everywhere) you need to get the situation under control. Finasteride is a life long commitment if you choose to take it. If you stop, you'll lose any benefits gained while on it. To see results you need to take it consistently. You can read up online on side-effects and potential alternatives.

Again, there are no guarantees but it's the only proven medication to stabilize hairloss and thicken existing hair. It may even give you some regrowth on your crown if it's not too late for the hair there. 

You wont lose any benefits after stopping finasteride, you will just continue losing hair at regular pace like before you started fin.