SY7

Is it normal to experience a shedding while taking oral minoxidi? The minoxidil I started taking 10 months prior to the hair transplant. I am now on 4 months after the hair transplant. Thanks in advance!

Ohhh haha, allright, thanks.

Months minoxidil should be around 10 or something. 

Hi Gatsby,

Thanks for your response. Minoxidil I started taking months before the procedure, probably months or something. I didn’t experience a shedding the first 4 weeks but now I do. I’ve read that normally you don’t experience a shedding, or at least not too much, with oral minoxidil. I was a bit worried since my lifestyle wasnt that healthy the last couple of days with a lot of worrying😨. So I thought that might have been the reason for the shedding. I have been careful with washing and touching it etc. What do you think? Thanks again!!!

I am shedding at 4 week mark. Also not shed before but taking 5 mg oral minoxidil. I thought with OM you don’t shed? I am stressing a lot which will probably not be good either. Is This also normal om oral minoxidil that shedding starts at 4 weeks? Or shouldnt it shed at all?

Great result. Looks like top 5 doctors in the world probably. 

Just now, Melvin- Admin said:

The technology is brand new. Scalp scan was just released. I don’t believe Zarev has even released his tools yet. I think in the next 5-10 years every surgeon will have to invest in some form of AI. It is the future. 

Ah ok, didnt know that. Thanks

Same thing for using the smallest punch possible; is it inability to do so or not wanting to do that or something?

59 minutes ago, Melvin- Admin said:

Pittella uses the scalp scan AI to plan his surgeries. The scalp scan uses LIDAR technology to quantify the hair miniaturization index, balding surface area and hair mass index to have a precise graft count that will achieve the desired density. It’s completely different. However, I think Zarev has developed his own tool.

I believe both of these tools allow the surgeons to accurately know how many grafts can be extracted without depleting the donor. Cutting edge stuff.

Why aren’t all top surgeons using these method? They are probably aware or behind in technology? I thought they usually meet during annual meetings? Or some doctors just simply don’t feel like doing so many grafts at once? I saw Dr. Bisanga  speaks about the A.I. aproach not sure if it was about the same thing. Maybe a bit silly questions but I am very interested in the differences in aproach of the surgeons.

Yeah, so but do the implanters make such a difference? I saw some Turkish hair mills also use DHI choi implanters as well. It always look like they seem to take more grafts without people noticing it. I saw a video and Zarev his way of planning etc looks impressive. It still is a bit unclear to me why some doctors tell you you have 3000 grafts max and Zarev can take 8000 or something. 

Ah you mean during the consultation planning, but minoxidil? Don’t they all prescribe it? Btw do you know what the difference in way of doing the procedure is between for ezample Zarev and Pitella and Eugenix? All specialists in High Norwoods?

Full follicular units? And minoxidil? You mean he prescribes it? Sorry

Awesome result! How do some doctors be able to get so many grafts while others can take a maximum of 4/5000 ? An average donor has about 5/6000 available or something? Does this doctor has a totally different way of extracting or something? Really nice result.

Thanks for the clear feedback! Apreciate it.

Thanks!!!! I thought it usually happens later then a week, thats why I was worrying a bit. Thanks for the response!

@Shadman thank God, thanks for the response!

Dear members,

Is it normal some hairs (a few, not a lot), come out with washing the scabs after a HT? I saw some of it came out during washing the scabs off and putting the Jojobo oil on.

Thanks!

17 hours ago, Aogl said:

Wont Finasterid in a years time maybe change it so I becom a better candidate for HT?

Isn’t oral minoxidil better for improving the donor area? Usually there isn’t much minitiurization going on there? Not sure though. 

5 minutes ago, A_4_Archan said:

Congratulations..you have chosen a great ethical and experienced doctor...ofcourse hairlines of bisanga is pretty good and he is experienced enough to handle high nw cases as well ....so you will be under safe hands...best of luck..

Thanks!!!!!

6 minutes ago, A_4_Archan said:

@SY7

If you are a high norwood case than you can consider fut+fue combo and hattingen is a good option if your budget is under 5 euros.

If you are reluctant to go with fue only than zarev is ofcourse a no brainer bt you have stated earlier that you can't afford him so the next best bet can be dr pittela who is under 5 euros....

And if your budget is around 2.5 euros than even hdc is worth considering 

Thanks for the response! I have booked with Kostis next year but was indeed considering HDC as well. Do prefer to stay a little closer to home (Netherlands). The thing was that I was reading on the forum and that some people said BHR was more for hairlines and others maybe more for high Norwoods? Thanks for the response though!!! Apreciate it a lot

On 7/7/2022 at 5:27 PM, Bailey99 said:

Photos today, just at the 13 month stage. I also switched over to oral Min almost 3 months ago so it will be interesting to see if that starts to make a difference soon. 

Looks incredible. Are you still on finasteride or only oral minoxidil? And how many miligrams? Thanks!

2 hours ago, BackFromTheBrink said:

When you say high Norwood doctors, I think or 4 surgeries - Hattigen, Zarev, Pittella and Eugenix. 

They all have different approaches. Hattigen are FUT and FUE combo, Eugenix are body hair and scalp and often over multiple sessions.

I'd say the other two are different.

Zarev is the outlier since he appears to carry out more donor analysis, uses .45 punches, uses the whole donor for a homogenous look, and unique extraction methods for very high survival rates.

I'm not sure about methods, but Pittella also achieves high graft counts in single sessions.

How many grafts do you need for full coverage? 

I'd say your choice is sound, and there have been superb results on high NWs by your doctor on this forum in 2023.

I think there are better (I'd have chosen Zarev if money and time were not a factor as I believe he's unique and his results are unrivaled), but you have selected a top surgeon.

Thanks for the feedback! That relaxed me a bit more. The first session would be 2700 head grafts and 500-1000 bht. My aim is the front/mid with mhp later. I saw Zarev prices and I cannot afford that. I have the Kostis with Bisanga assisting him package. Thank you for the explanation! Apreciate it very much.

I think Sikos usually does 2 sessions of 2500 everytime, at least every guy in his website. And Eugenix and Zarev too expensive?

54 minutes ago, SY7 said:

Yeah, I agree. The thing is what makes me curious is how certain elite doctors are known for higher Norwoods. It is not that they magically “create” grafts. Do they have a higher survival rate or they just take more risk? Something like that?

With that I mean do the “high Norwood” doctors take more risk in general or do the punch with higher surival rate or something? Btw thanks for the answers guys, I am always a bit of a hesitant person with decisions etc.

3 hours ago, laverita said:

Most cases from any clinic will not post, more so with the advent of copy and paste to social media and re-mixing etc, they are less keen to. Also I think higher NW scales will need to budget and by default will orient to clinics that can offer a price per graft more in-line with their overall budget and will look at 2 Euros or so a graft, so that means most of Europe is not going to be an option but south America and India etc are more viable when we are talking 10k grafts or more, so I would expect more cases there as a general rule if not an exclusive 

54 minutes ago, SY7 said:

Yeah, I agree. The thing is what makes me curious is how certain elite doctors are known for higher Norwoods. It is not that they magically “create” grafts. Do they have a higher survival rate or they just take more risk? Something like that?