z4ydi

18 hours ago, arthurSam said:

Just email them it is a liposomal gel formulation specificaaly designed from university of Milan to get less side effects. Email them your doctor prescritpion and they can do the percentage you want, etheir at 30ml with 4xpress=1ml or 100ml with 2xpress=1ml.

Many thanks for your reply. Can you please let me know what the email address is, I could not any contact information online. Plus I do not have a prescription, I am from the UK and I do not think the Dr will give me a prescription for this. How can I get this either online or otherwise here in the UK ?

17 hours ago, arthurSam said:

Topical fina from parati is a liposomal gel specifically designed by university of Milan to reduced systemic effect. You can email them the prescription of you doctor and they can make 30ml with 4x press for 1ml or 100ml with 2x press for 1ml at the concentration you want.

I am in the UK, can someone guide me how I can get this in the UK ?

I am based in the UK and wanted to get Xyon but they don't deliver here. My next best option is to go for topical Finastride (topical Parati formula)? Does anyone know where to get this from? I could not find it online.

I am in the UK and Xyon does not deliver here. Does anyone know where to get the the topical Parati formula, in the UK, which I read has reduce systemic exposure to a very small amount?

@BurnieBurns  thanks for sharing the video, it is quite useful. I am so confused whether to start with the topical Fin or go for a reduced 3 days a week oral does. I am in the UK does anyone know where to get the tablets or the topical Parati formula?

I would love to hear from those who are taking the topical Finastride to share their experience in terms of how effective it is and also the side effects.

I have taken Fin (1mg tablets) daily for over 3 years and around the 3rd year I started to feel sever side effects. I stopped the Fins and the side effects disappeared within 4-6 weeks. 

It has been a year since I stopped and I started to see my hair thinning and my hair loss is increasing. I am thinking of taking the topical Finastride. Is the side effect of topical Fin the same as the pills?

Should I try the topical Fin knowing that I already had side effects with the oral.

Secondly, if you advice to give it a try which concentration and vehicle will be the best for me to start with to minimize the risk of side effects?

Thanks 

30 minutes ago, BurnieBurns said:

What

There is actually a population of people who get late onset of side effects but it can be resolved with a 'wash out' period. e.g. not taking it for one month a year to let it all get out of your system before resuming. It might be worth checking the list of recommended surgeons here and consulting with one nearest you on the best approach

Is there such thing to get it out of your system and then restarting? Are there those on this forum who have done this to see what their experience was? If you know please direct me to those posts please. want to see what their experience is before starting the topical one

Just now, BurnieBurns said:

Right, Xyon are still working on expanding to international for now. How bad were your sides on oral finasteride? Did you try reducing the dosage?

If they were fairly minor there's a chance you might do fine on a standard formulation

my sides were not good I would say very bad - though I took 1mg for 3+ years and it was very strange the the sides started after 3 years. When I stopped, after 1 months I was the normal me. I did not reduce it just stopped it. Would topical be a better option ?

2 minutes ago, BurnieBurns said:

If you're based in Canada or US go for the formulation from Xyon Health, otherwise you'd want a liposomal version. All the liquid based ones result in high systemic exposure

I am based in the UK - I don't think Xyon delivers here. why is the Liposomal version better? and what concentration of Fin should I go for considering I already showed side effects to the oral fin?

9 minutes ago, BurnieBurns said:

It's the same drug so yes, he same side effects can occur. Secondly, no two topical formulas are the same. there are different concentrations (e.g. 0.1%, 0.25%) and different vehicles, e.g. trichosol, hydroalcoholic, and liposomal. All can affect the absorption and then of course it will vary from patient to patient. Some are more sensitive than others.

Many thanks for your reply. I had some side effects with the oral ones and I stopped. I now want to try the topical one at a very low dosage and one with vehicle that has least obsorbtion into blood if there is such thing. Which formula or concentration would be the best option for me? I am thinking of going for this one (Topical 0.3% Finasteride & 6% Minoxidil Solution). I am not sure how low/high is this in finastiride. Can someone advice please. 

I know that oral finasteride has side effects related to libido and others. Does topical finasteride have the same side effects?

Secondly, how does the side effect compares to the oral Fin ?

what 

On 1/12/2023 at 11:15 PM, Samuelg said:

Hello guys
So after I've had crazy sides with Oral Finasteride, I decided to stop it at the 3rd pill, waited a month, then tried Topical and I've had sides with with a very low dose 0.1g/ml (applied 1ml to my head), it took my body 5 days to go back to normal even after such a low dose (according to studies the difference in lowering systemic DHT isn't that much between 0.1mg and 1mg so I wasn't that surprised)
I'm thinking of trying lower doses probably 0.01g/ml or 0.001g/ml but I think my body is hyper sensitive to this drug, or maybe if the dose is too low to the point of no sides it probably won't do much also.
It's crazy how some people get their DHT levels to decrease by 80-90% and still function properly without any sides...makes no sense at all 

has anyone had success with very low doses using Topical Fin?


PS: please don't tell me placebo I'm very sure it's not. 

I know that oral finastride can have side effects but what side effects do you get with the topical fin? is it the same as oral finastrides which relates to sexual side effects or is it different? can you please explain as I am thinking of starting the topical fin. thanks 

21 hours ago, BurnieBurns said:

I've been battling with side effects from finasteride both oral and topical finasteride/dutasteride for the better part of 5 years. Even microdoses of the liquid formulations result in side effects which has been beyond frustrating.

Having recently had a hair transplant megasession with Dr Jerry Wong, I'm hellbent on trying out anything anything I can to target DHT.

Unfortunately, I cannot recieve the XYON formula because I am based all the way in New Zealand and we have no indication of when they can offer their services internationally.

I have, however, recently spoken to Shapiro Medical and may be able to order the Farmacia Parati Liposomal version through them.

Does anyone have experience this formula that previously had sides? If so, which medication/ concentration, etc

Would be grateful for any responses.

 

I can understand that you had side effects with the oral Finastride, but what side effects did you have with the topical Finastride, can you please elaborate? 

I want to have 2 HT sessions, 1 year a part - around 3500 grafts each time to mainly cover the hairline with good density and mid section and some coverage in the crown area .

I do not want to take Finastride before or after the surgery. However, after consulting with 4 clinics, recommended by this forum, I was given mixed advice which is really confusing me. As I have defuse thinning and vertical receding on the crown, see images, some of the recommended clinics are telling me to take Finastride for 12 months before the surgery while others say that it will be better to have but not a must. This is very confusing, what exactly is the risk of not taking Finastride before and after the surgery, in my situation? Would the HT accelerate the further hair loss?  or does it mean the my transplanted hair will not grow and it will be a failed HT? 

While I want to have a HT but I certainly do not want to take Finastride due to side effects. Have you been in my situation and did HT helped you without Fin ? any advice will be appreciated.

5 hours ago, NikosHair said:

• I would have a plan of 2-3 surgeries with 9-12months between surgeries.
• The 1st would be the front third at around 3000 Fu's.
• You have good temple points and assuming you get good growth from the surgery it will make a massive difference to framing your face.
• The 2nd surgery will allow you to assess and tweak the hairline from the 1st procedure, while hitting the other areas.
• If your donor allows, the 2nd procedure could be larger (3500+).

Thanks for your reply. Sorry for my ignorance and I am sure you might have a good reason for suggesting 2 surgeries one year a part. But what is that reason? 
secondly , would 3000 grafts really make any difference to my looks considering I have such a big area of baldness ? 

Here are some images

Which part of the surgery was done by Dr Turan and what part by the technicians?

On 12/29/2022 at 10:17 AM, MM89 said:

Hey man!

Dr Turan apparently has 2 packages: 

- below 3000 grafts: 1 day procedure, 3250€ (I might be wrong, double check this!)
- above 3000 grafts: 2 days procedure, 4000€

I went for the second option, everything was flawless. hope this helps

 

very nice hairline my friend. 

If you went with the 2 days' surgery option, he could easily implant around 5500 to 6000 grafts and give you good coverage in the crown area too. Why did he not do more grafts?

I need around 6000 grafts would he do that for 4000€ if I go for 2 sessions?

Finally, did he use any special technique or a normal FUE? I ask that because some surgeons like, Dr. Yaman uses a mixture of FUE + DHI (making incisions and using a pen to insert the grafts.)?

4 hours ago, StillAlive said:

I can help enlighten you here. 

First of all, don't worry, even with some limitations when it comes to communicating in English, Dr. Yaman is highly ethical and very skilled. I had my procedure with him and you can check my review thread as well as those of other members if you have not already done so.

Now, as Melvin wrote, some pictures of your pre-op condition would be really helpful in determining the extent of the work needed.

The 'DHI' method is not true DHI. Incisions are made first, then extractions and finally graft placement, as in a traditional FUE structure (3SE, Sapphire etc. are all marketing names for regular FUE). True DHI would involve a doctor implanting at the same time as making the slit. That being said and having picked Yaman's 'DHI' package, I'm super pleased with the results so far. I did 4550 grafts in a single session like that. 

He has teams of three techs working simultaneously both for extractions and implantation and that is why that many grafts can be done in a single session. Manual extraction is indeed slower and that's why it's spaced over two days, possibly at double the cost but with a higher total graft count implanted. (I believe there is a fairly recent Yaman review where our comrade had that exact experience)

The '5000 grafts per operation' limit is prudent, as mega-sessions higher than that may carry a higher risk of complications in some patients. I've also read reviews of mega sessions that went perfectly fine, but each patient's mileage may vary and there is always an element of risk involved in all hair transplants. 

If I were you, I'd play it a bit smart : get a single day procedure at a flat cost, wait to see how it turned out and then schedule another operation later on if more coverage is needed. 

I really appreciate your detailed reply and advice.

From your post, my understanding is that you went with the DHI option for around 4550 grafts in one session not the "3SE" option correct? if so, was the entire extraction done by the motor or was it manual.

Can anyone explain how risky is it to do the motorized extraction for the health of the graft. Is the possibility of damaged grafts too high with the motorized extraction?

I think you are right, I should get a single procedure at a fixed price of 3250 Eur; and if that covers it well then no need to go for the 2nd session. The only thing that puts me down with this option is the use of motorise extraction

I have been in communication with Dr Rseul Yaman. I just want to first confirm whether this Dr is recommended by this forum or is that a different Dr Yaman?

In the online consultation he offered me the following which I am not sure this is the correct advice; hence I need your opinion on this

1. recommends for your operation about 5000 grafts.
2. the method used will be DHI, will cost $3250

From my research I understand that 5000 grafts will be a huge number for DHI and hence I questioned him as to why he would suggest such a number for DHI. His response was as follows:

The biggest amount we can do with DHI Method is 4500-5000 grafts. But we have another option which the surgery will be done in 2 operation days. In that option we can implant 3000 grafts per each day and we can reach 6000 grafts in 2 days if you have enough donor side.(also it's possible to use beard hair in that option). In second option all extraction part will be done by manual extraction tool which is safer for big amount transplantations.

My question is, is this a safe option to split the surgery in to 2 days? would this not cause a negative impact on the survival of the grafts due to 2 shocks over 2 days? or any other negative impacts it might have which I will appreciate if you can share.

So I asked him what is this option called, he told me it is called 3SE Method

I said I never heard of this method do you mean it is FUE? he said the following:

It's mixed method; The consultation step will be done by 3D Scanner System.  Dr. Resul Yaman himself will open small channels to determine hair distribution and directions.  Extraction part will be done by manual extraction tool.  Implantation will be done by Special Implanter Pens. (It's improved DHI pen.)

Can you please advice whether this adds up and is a safe option to go for?

Thanks 

2 hours ago, Jackdaniels said:

There’s no problem if the tech is doing the extractions. In many clinics techs do the extractions and implantations like I said. 

if you can’t afford expensive clinics Then you could consider dr yaman, or dr Gur and and dr Turan. Their prices are at about 1+ €/graft and they are good options. 

Thanks for the reply again. I am sorry to be a pain but can you please give me the website for each as I do not want to mistakenly contact the wrong Dr.

Is Dr Yaman full name Dr.Resul Yaman? I contacted him, and he recommended DHI for nearly 5000 grafts. I have read that DHI is not a good option for such a large number of grafts. This is concerning me, any advice on his suggestion?

32 minutes ago, Jackdaniels said:

This is maybe not the HLC clinic. The HLC clinic has a price of 2.5 €/graft. This is their website: https://www.fue-hlc.com

in many clinics doctors just do the incisions and hairline design and the rest from techs. For example in eugenix, doctors do the incisions as well and extractions-implantation of grafts is done by techs. In Freitas clinic the extraction is also done by techs.
 

however In HLC all steps are done by the doctor also the same with dr Pekiner who is doing all the procedure by himself. 

Many thanks for sharing their website. I realized my mistake, I got a quote from LHC (Long Hair Clinic) not HLC. But 2.5 €/graft is way too expensive and outside of what I can afford. Since the hairline and the incision is the most important part of the surgery, would it still be risky if the extraction of the grafts and implementation is done by a tech? Especially considering the cost as well. Any advice?

I have been in communication with HLC. They offered me FUE Sapphire for $2600, to transplant 4700 to 5200 grafts. They also confirmed that the hairline drawing and the incision or channeling will be done by Dr Ahmet Yildirim and not a technician. 

I just want some advice on the clinic and Dr Ahmet, how good is their work and reputation?

Thanks 

12 hours ago, Jackdaniels said:

Good Clinics in Turkey in which doctors at least do the hairline design and incisions are : yaman, Gur, Turan, Demirsoy, Bicer, Pekiner, HLC, keser. 
 

All of these options are good to go depending on your budget starting from 1 €/graft 

Thanks, I have been in communication with HLC. Their offer seems very reasonable in price and service. For example they offered me FUE Sapphire for $2600, to transplant 4700 to 5200 grafts. They also confirmed that the hairline drawing and the incision or channeling will be done by Dr Ahmet Yildirim and not a technician. 

But I am still not 100% how good the clinic is and whether the above offer of the main Dr doing the main part of the surgery is a good offer - can you please let me know your thoughts?