blufforfold

For sure, i dont expect my hair loss to be finalized completely, but the areas I am talking about are significantly safe zones in comparison to hairline, crowns etc - the temple having more hair loss isn't a surprise that it came at some point, but its strange that the sides towards the bottom near my ear and the hairline on my neck are whats thinning... those are not at all typical spots for someone with my hair loss at 32 y/o and only began after taking Fin

Appreciate it, its just a strange coincidence I guess because Im theoretically thinning in some strange areas like super safe areas and im not even an advanced loser or aggressive loser at all so its just been weird to see new areas that had previously no issues at all and are pretty safe all of a sudden feeling thin

Thanks for the reply. Thats what I thought. Its just such a strange coincidence and whats weird is its thinning in weird areas it feels like. It kinda reconfirmed for me when I got a haircut a few days ago and the hairdresser told me about raising my hairline a tad like I said because the natural point wasn't straight. Ive gotten essentially the same style haircut for nearly 8 years now, never had someone say that until the other day. Very strange

I am not diligent enough in photo taking and Im in a rush been very busy lately so I apologize if this is a huge repeat question as it might be. In general is it noticed by physicians that in some percentage of patients that Fin actually makes hair loss worse? I know there will be non responders but how about making things worse. My hair just overall feels thinner throughout my scalp tbh and then a few specifics. I personally feel the back of my head below the donor zone has gotten thinner and my hairdresser commented for the first time that she brought my neck hairline up slightly because it wasn't even and some areas were longer than others (thinning?) and also I am feeling i am seeing skin through my hair way easier right next to my ears on my sides. Now Im feeling like my right side temple which was already worse than my left but IMO has been like that for years and years and hasn't really shifted much in a while is all of a sudden in a 2 month span showing signs of receding further to the point where I actually noticed something in such a short period. I never once have even been very concerned about my hairloss in the front only my crown as you can see from my thread(s) and now all of a sudden I feel like I should be concerned about my temples. I have been on oral Fin for about 11 months. I am seeing July 7 2021 on my calendar. Ive kinda bounced around between 3x a week (MWF) to Every other day to also 5x a week as well. Right now I am doing MWF at 1mg. (Always been 1mg). Ive used a few different pharmacies, is there a known place I should go to? CVS? Walgreens? Etc? I know there can be a "shedding phase" and I dont think thats it. About 7 or 8 months in is where I started to wonder if it was making things worse. Again in a bit of a rush so I will link to my other thread to get an idea of my hair loss. On my crown I think things have been relatively similar maybe things got slightly worse, its honestly hard for me to tell. I have photos from late 2020 and then also in Early 2022 and I personally think they are marginally comparable. I also started red light cap. It almost feels like the more I do the worse things get tbh and when I did nothing things were progressing the least. Obviously I'm aging and it could very easily be coincidence but not sure.

Thanks for the reply again Dr. At a Norwood 5 should my donor be sufficient to have decent coverage into my 40s and 50s? I still consider myself a bit of a newbie but it seems like as long as I went with a good surgeon I would have enough grafts, maybe not for a super low hairline if it got worse than expected but at least something reasonable. You can DM me some hair piece companies, I will look into it. I am not comfortable going on minoxidil if you think that the risk of accelerated loss is not unrealistic. I really doubt I will be on it for life and I totally get what you mean by mechanism of action, it makes sense why minox would happen more than finasteride. Would you think that natural products would also cause a similar thing if they happened to work for an individual? I know we consider most natural products to be snakeoil but lets say someone used something like Revivv and it worked for that individual, would you see a similar risk of accelerated loss when continuing to minox or minox specifically As far as shockloss, like someone above commented, should I basically consider all my native hear in my crown dead and a surgeon would basically totally disregard it and implant as if that hair doesn't exist at all and wont be there? Lets say I didnt want to do the hairpiece and I wanted to move forward with a surgery, what would your advice be to me? Do you think I could achieve something decent with 2000-ish grafts with a good surgeon, stay on fin and see what happens? I am also new to LLLT which might thicken up the hairs some as well.

Ah I see, but I do feel like quite a lot of the times when its on the crown, those people dont have any prior surgeries on the crown so the area of native hair actually is their natural native hair. I do get your distinction but in a lot of the examples when someone is losing lets say 80% front and 20% crown and they just leave their crown untouched until later surgeries, those crown areas dont have transplanted hairs so should theoretically be susceptible all the same. In that case would you feel I should be worried about perm shock loss in my situation if I want to do a crown surgery?

Question about shockloss. We see a lot of people with minimal hair loss (I even have been warned about shockloss though I have more hairloss than OP) but when it comes to people getting their 2nd,3rd,4th surgeries we rarely see anybody comment about shockloss, why is that? You see people thickening up their hairline, and we certainly see lots of crown surgeries on surgery 2/3/4 when the person is already pretty full sometimes they are just doing that list fill if 500-700 grafts in the crown. Why are those people never told that they are risking shock-loss but then people in OPs position are always told that they are risking shockloss. Im a newbie so I dont understand the double standard, is there an actual reason for this? IMO this happens even in cases when somebody has no prior surgery in the crown and never had that bad of crown to beginwith, so lets say a NW3 or even a NW4 who happens to have a not overly bad crown, comes in for his 2nd or 3rd surgery for the crown with tons of native hair and nobody ever talks about shockloss that ive seen in those threads doing my research lately

Did you ever go back to Dr. Gabel with your concerns? Looking at Gabel and curious about this "negative" result. Let me know if you are still around and receive updates. Would love to hear what happened and whether you spoke to Dr. Gabel about your results

Can I ask if youre still around why you think that it was the Fin that grew your crown rather than the minox? From what Ive read minox is praised more in the crown than anywhere else and fin is less likely to even grow hair rather than just keep.

Ty for the reply Dr, means a lot to have a physician reply. A few questions 1) A little surprised to hear you say 3000 as that is the most I have heard and I did about 4 online consults and 2 in person. You also said "at least" which sounds like 3000 is more towards your bottom number. 2) In your experience with my type of hair loss, what do you think my future hairloss will be like or do you find my hairloss pattern to be too strange to tell? Would love input from someone who sees as many patients as you have. 3) Im not sure you interpreted my point about maintaining my hair, what I meant to get across is I care a lot more about my hair from now at 32 until my low 40s than I do about my hair after that. I would hope that I have found my woman in the next 10-ish years and after that I am not as concerned. Not because all there is in life is finding and getting women but more so that once you start to have a family etc naturally your priorities shift and how you look to friends and colleagues matters less and at that age it also simply is more common and acceptable. 4) In your experience do you have patients who have started meds and then their hair accelerated upon stopping those meds? 5) Can you point me into a few hair piece companies? I didnt even look at that route. I still find this similar to concealers but I will not say I am 100% opposed to it.

Thats pretty incredible work. I am trying to do my best to look at results from various Drs but honestly not many people are posting crown results. Dr. Wong seems very good to me but uses a lot of grafts to get his results, which does concern me as I havent lost much in my hairline but no idea what will come for me in the future. Dr. Konior seems very good, concerned about his prices and wait time however, for me it will depend what his confidence level is at what graft count when I do a consult with him. If hes confident in using a lower number of grafts with my desired fullness I will definitely consider him as an option. Dr. Wesley has actually impressed me when looking at his results and it seems like he does a lot of no shave surgeries which is great for me. He has now become someone I am 100% doing a consult with and considering for my crown work. Dr. Ahmad at Fuegenix has some great crown results on the website but I did not like some of the replies I saw on the website from them. Would love if anybody could comment more as to their work, going to look more at their results on this website. Eugenix results seem to be mostly large surgeries but they do have some good crown results on their website, but I think with my desire to have a top notch result I would think most people will suggest I see someone like Dr. Konior, Wong or Wesley rather than Eugenix. Dr. Bisanga - honestly again I admit Im a newbie but his results are not impressive to me at all. I do respect that he uses low graft counts but both his before/after on his page on the website & the reuslts in the group do not impress me at all as a newbie. I would not be happy with the density and lack of coverage in almost 50% of the results I see from him but he is using low graft counts for sure. Would love some input on why I seem to not be impressed by his results at all? Dr. Freitas - still looking into him but seems to have incredible results but I cant find any crown results from him so far. If anybody knows of any that would be great. Dr. Gabel - I would say the end results Ive seen from him are close to what I would want but he is using pretty low graft counts so I think I would get decent coverage and not destroy my donor with him Who else should I be looking at that isn't on this list? I am open to travel anywhere, more than open to going to EU if Elite Drs there are better than USA for less money which I keep continually reading.

Just editing a post I made about PRP that was way too long. I was seeing a sports pysician who advised me to get PRP on the scalp with him which IMO was a mistake and caused my hair to get worse about 3-3.5 years ago. We did like 8 injections in an 8 week period or so. Way too much and IMO he didnt know what he was doing cause you guessed it he was a sports physician. Im sure PRP done by a hair clinic wont make things worse but the pattern of my hair loss followed the exact pathing he used for his injections. I had no mid-scalp at all prior to the injections which were on my crown + mid scalp and my crown got worse too, certainly didnt decrease my hairloss thats for sure, at best it did nothing

Yeah I dont know its pretty weird, maybe its not the case. Im not saying definitively it has, I never had thin sides so didnt pay attention to them but these days they do randomly look thin? Tbh IDK but I do suspect I had a natural slight widows peak. The left might be my natural and the right went up a little bit is my guess, but ive had this hairstyle for something like 10 years now and just never really looked as I had no signs of losing hair so never thought twice about it. I can try to find some old photos of me as a later teenager with long hair I tied back a lot and see how my temples look there. Why do you say oral minox over topical? Id probably feel less comfortable taking oral. I definitely plan to talk to the Drs about the meds and also the risk of stopping them and acceleration occurring. Dont think theres literature on it but Drs may know. Dr Wong is who I was originally looking at the 2nd research round when I was looking for crown results and then learned about Dr. Konior on here. Both are going to have incredibly long waits which is a big bummer and really expensive but Im starting to think that might be what I need if my goals are to be achieved, hopefully Ill get more feedback from people on other Physician options as well in my situation

Thanks, this is what most people told me in my consults in Dec 2020. They felt my hair was good enough and a lot of balding men would be plenty happy with my current situation and they dont think I need a HT but were okay with operating on me if thats what I wanted. I am tolerating Fin I believe, my mental has gone down since then but its also possible it is unrelated. Sex drive is still there. Is shock loss risk at all relevant to skill of surgeon? Genuinely asking, do you rate my donor as average mostly because of the side shots? I really feel my sides have thinned since starting Fin, it could be that I pushed out some weaker hairs, not sure, its been almost 9 months. I didnt pay attention to the sides that strongly but I never felt I thought they were even remotely thin but I do feel they like just a tad thin these days I had online consults with a handful of people with photos and the lowest graft quote I got was 1500 from Dr Yazdan and the highest I got was 2500 from Dr Scott Alexander in AZ. As I asked above, is there more risk associated with shock loss the less skilled the surgeon is and the equipment they use? Not much discussion took place with my previous consults about shock loss but its definitely something I will discuss in my newer consults. EDIT: one last question about FUE vs FUT total grafts available vs how many I will need down the road. Do we have any guesses as to my final advancement of hair loss with my age, my current hair loss, and my dad/brothers hair loss? They both had a lot of front hairline loss and I dont yet so IDK doesn't feel like I am following their pattern. I also had a huge trauma to the back of my head as a child, could have been the beginning of why my thinning at crown first. I had surgery and nearly broke my skull.

Thanks I also made a much more detailed thread here which is more than just about "crown surgeons" but more about me, more photos etc - I just made it @DrTBarghouthi