9 hours ago, Rafael Manelli said:

It looks great, and like the meds are working. If the meds are working, it’s a great indication for surgical candidacy because you are safer from future loss.

However, you really need to look at yourself and ask what it is you want from surgery. Do you want to change the hairline shape? The position? Do you want to pull off certain styles? Surgery is a big commitment. How many centimetres above the glabella and the eyebrows does your hairline sit?

Thanks for the kind words and taking the time to weigh in. At this time, my goals with the procedure would be to just reinforce my current hair line and add density to it as its become quite see-through. While my crown seems to be slowly thinning, I'm hoping the meds will stabilize the loss and I can get away with just reinforcing the hairline.
I'll have to measure the distance between the glabella and hairline and get back to you on that. 

Jasmine Daze

10 hours ago, Melvin- Moderator said:

Actually, when I compare your photos, it looks like you have more vellus hairs now. I think your perception of it looking thinner is a result of seeing more vellus hair. 
 

January 

 

March 

 

I have to say your hair looks freakin killer. Looks like meds are actually working for you. I wouldn’t recommend getting surgery.

Hey Melvin, 

Thanks for taking the time to do this, always appreciate your comments - especially the comparison to Chris Hemsworth hahah I wish
I do see what you're saying. Always trying to decipher between some regrowth and further miniaturization. The pictures of my hair pulled back always give me hope of regrowth, yet when I look at my hairline in the mirror without it pulled back, it seems to look more and more see-through. 
I think at this point I need to give the oral minox and dut a good year and decide if I want to move forward with reinforcing the hairline with a transplant. In the mean time, likely to find a different haircut that better suits the current condition of my hair. 
Thank you again so much for taking the time to reply and your kind, encouraging words!

Attaching some updated photos. I have further thinned through the front of my hairline and temple regions. While I still have good coverage on the crown, the hair is definitely thinning there as well. Also, just for the record, this is not how I style my hair, just have it pulled up and back to more accurately show the problem areas. Let me know what you guys think!

Hey everyone,

Thanks to everyone that has replied and I apologize for my absence since posting. The state of my hair, especially my hairline, has unfortunately worsened since posting, which isn't entirely a surprise. Of course my wishful thinking self would like to believe it's due to a shed from either or a combination of the oral min and dutasteride I've been taking for the last few months, but who knows. 

At this point, I think I'm going to book with Dr. Pekiner in January 2024 after I've been on both of these medications for 1 year. Part of me is tempted to book at the end of August this year, but we'll see. 

Hey guys, 

Long time lurker here, finally posting to get some thoughts and opinions from everyone. 

For context, I'm a 32 year old caucasian male from Canada. I've been using topical minoxidil for the better part of the last 7 years, 1mg/day finasteride for 4 years, started microneedling with a dermapen once/week @ 1mm about 4 months ago, added 2.5mg oral minoxidil 2 months ago and incorporated 0.5mg dutasteride once/week (1mg fin the other 6 days) 1 month ago. For those interested, I've only been experiencing further loss for the last 8 months or so and likely experiencing a shed from the oral min and dut, as my hairline continues to look even thinner after incorporating the oral min. Growing up I always had dense, thick hair and began noticing some minor thinning in my hairline around 22 years old. While I have noticed thinning through my scalp, I have maintained decent density and coverage throughout, with my hairline being the most affected area. 

Anyway, the reason I am posting is because I recently had online consultations with both Dr. Pekiner and Dr. de Freitas. 

Dr. Pekiner quoted me at "roughly 1500" grafts for a high density FUE procedure (55 grafts per cm2) and Dr. de Freitas quoting me at 2,100 grafts.

I'm not too concerned about the number of grafts quoted as I know this is subject to significant change after an in-person assessment and buzzing my hair. I am curious, however, what your guys' thoughts and opinions are on the choice of doctor considering my case. I believe both of these doctors to be of high-class and really just hoping on some insight to help me make my decision. Also may be worth noting I'm not looking to necessarily lower my hairline or alter it really, just fill in the thinned out areas.

I'm happy to provide any [important] additional information that I may have missed. 

Pictures attached below: