Dr. Guncel Ozturk

Can you also share your photos while your head is dry? That would open a door for more health suggestion for you. Hair transplant procedures can be a delicate process and can require a lot of expertise and experience to achieve the desired results. I am sorry to hear that you had a bad experience with your hair transplant procedure. Let me address your concerns and questions. Firstly, it is good that you have started taking oral minoxidil and finasteride for your diffuse hair loss. These medications have been proven to be effective in treating hair loss and promoting hair growth in many patients. However, it is important to note that the results may vary from person to person, and it may take some time to see visible results. Regarding your options for correcting the misdirected hair, there are a few things to consider. If you decide to go for a repair procedure, it is important to choose an experienced and skilled hair transplant surgeon who specializes in repairing previous hair transplant procedures. The surgeon may recommend extracting the misdirected hair and transplanting new hair grafts to correct the hairline and density. However, it is also important to note that repair procedures can be more complicated and risky than primary hair transplant procedures, and the success rate may be lower. It is important to discuss the potential risks and benefits of the procedure with your surgeon before making a decision, and not every surgeon is capable of doing repair transplant. As for your question about regrowing the area with medication, oral minoxidil and finasteride can help promote hair growth, but their effectiveness may be limited in areas where hair follicles have been damaged or lost. Finally, regarding the removal of the straight hair, it is possible to remove them, but it may require a careful and precise extraction process to avoid damaging the surrounding hair follicles. Again, it is important to choose an experienced and skilled hair transplant surgeon to perform this procedure. In summary, it is important to carefully consider all your options. Wish you a quick and effective recovery from this!

I can tell you that the best time of year to get hair transplant surgery will depend your individual preferencse, such as: Comfort: Hair transplant surgery can be a lengthy procedure, and it is important to be comfortable during the process. If you live in an area with extreme temperatures or weather conditions, it may be beneficial to schedule the procedure during a milder season. Healing time: The healing process after a hair transplant procedure can take several weeks, and it is important to avoid sun exposure, sweating, and other activities that may irritate the scalp during this time. Scheduling the procedure during a less active or busy time of year can help to ensure that you have sufficient time for recovery. Lifestyle: Consider your work schedule, social obligations, and other commitments when scheduling your hair transplant surgery. Some individuals may prefer to schedule the procedure during a vacation or extended break from work, while others may prefer to work from home during the recovery period. Overall, there is no "perfect" time of year to get hair transplant surgery, as the decision will depend on your individual situation and preferences. It is important to discuss your options with a qualified hair transplant surgeon and to schedule the procedure at a time that works best for you.

Hello, Can you share a few photos from around your head?

I can understand your concerns about hair loss and your desire to find the best strategy for addressing it. Based on the information you have provided, here are my thoughts and recommendations: Hair transplant strategy: Given that you ar e experiencing thinning in both the hairline and crown areas, it may be beneficial to consider a comprehensive hair transplant strategy that addresses both areas. This can help to create a more natural-looking result and provide better overall coverage. It is also important to consider the long-term implications of future hair loss anpotential donor area depletion. Finasteride and Minoxidil: Based on your previous experience with finasteride and the gradual thinning you have experienced despite using minoxidil, it may be beneficial to consider going back on finasteride after the hair transplant surgery. Minoxidil can also be continued post-transplant to help maintain hair growth. Backup donor hair: While beard and body hair can be used as backup donor hair if needed, it is important to keep in mind that these hairs may not always have the same characteristics as scalp hair, and may require additional expertise to extract and transplant effectively. Ultimately, the best course of action will depend on your individual situation and goals. I recommend scheduling a consultation with a qualified hair transplant surgeon to discuss your options and develop a personalized treatment plan.

Yes, DUPA can be inherited. If your mother has DUPA, it may increase your risk of developing the condition, although it is not a guarantee that you will develop it. Early intervention can be key in slowing down or preventing further hair loss, so don't hesitate to seek medical advice.

Yes, you are correct. Minoxidil and finasteride are primarily meant to slow down or prevent hair loss, and they can also help to increase the diameter of miniaturized hairs in some individuals. It is important to note, however, that they are not meant to increase the diameter of non-miniaturized hairs. The diameter of your hair is largely determined by your genetics and may not change significantly with these medications. That being said, slowing down or preventing further hair loss can still have a significant impact on the appearance of your hair and can help to maintain your existing hair density. It is also possible to achieve further improvements in hair thickness and coverage with hair transplant surgery, if desired.

Based on these photos, you may benefit from hair transplant to help restoring your density, improving the overall appearance of your hairline and crown.

Your concerns about your donor area are valid. It is important to make sure that you have enough donor hair to achieve your desired result without causing significant thinning or patchiness in the donor area. Looking at photos you've shared, you have hair in parts that should be preserved and should not get damaged cause of operation, because of this my assumption would be that 4000 grafts needed with DHI technique. If your doctor has advised that 2500 grafts are feasible after face-to-face consultation, I'd advise trusting their professional judgment. However, it is also important to consider the long-term implications of hair transplant surgery, including the potential need for future procedures and the availability of donor hair. Regarding your temple area, it is true that hair loss in this area can be more challenging to address with medication alone. Hair transplant surgery can be a safe and effective option for restoring hair in the temple area, as long as there is enough donor hair available and the procedure is performed by a qualified surgeon. Taking oral finasteride and planning to use minoxidil after the hair transplant surgery can also help to maintain the results and potentially slow down further hair loss.

Yes, minoxidil and oral finasteride are not specifically designed to increase hair diameter, although some studies have shown that they may have this effect (particularly in patients with advanced baldness). The earlier you start using these medications, the better chance you have of preserving your existing hair and preventing further hair loss. Results may vary from person to person; in general, it is unrealistic to expect a significant increase in hair diameter, especially if you have minimal hair loss or a mature hairline. That being said, taking these medications can still have many benefits, including preventing or slowing down hair loss, maintaining the density of your existing hair, and potentially increasing hair diameter. They can also improve your chances of success with future hair transplant procedures by providing a stronger donor area. That being said, the benefits of preventing or slowing down hair loss can be significant, and may even include regrowth of some hair in some cases. If your doctors have recommended starting minoxidil and finasteride based on their assessment of your hair loss, it may be worth considering.

It's good to hear that your scalp is feeling better and that the redness and cobblestoning may have been a result of inflammation or a mild infection. The antibiotics and ointment you were prescribed may have played a role in reducing any potential infection. It's not uncommon for the scalp to feel itchy during the healing process, but it's a good sign that you are seeing improvements. I'd recommend just continue to follow your post-op instructions and avoid scratching or picking at the area to prevent any further irritation. Once the ointment is washed away, the greasy film should go away as well. If you have any further concerns or if your symptoms persist or worsen, don't hesitate to follow up with your doctor. Wish you all the best!

Hi! FUE scars typically get better over time due to a combination of factors: First, after the initial healing process, the scar tissue begins to remodel and fade over time, which can lead to a reduction in their appearance. Additionally, hair growth in the surrounding areas can help to conceal the scars and make them less noticeable. Finally, the quality of the initial FUE procedure can also play a role in the long-term appearance of the donor area. A skilled surgeon who uses advanced techniques and takes great care during the procedure can help to minimize scarring and promote optimal healing. Overall, while it may take some time for the scars to fully heal and for hair growth to fully cover the area, most patients find that their FUE scars improve significantly over time.

As a doctor, I must clarify that a hair transplant and a hair system are two different solutions to hair loss. While a hair system may provide immediate density, it is not a permanent solution and requires maintenance and replacements over time. On the other hand, the density achieved through a hair transplant can vary and depends on various factors, including the patient's hair characteristics and the surgeon's technique. It's challenging to give an exact number of hairs per cm². However, your estimates seem reasonable based on what's commonly seen in the industry. As for how many grafts it would take to equal one, a few key factors such as the size of the balding area, the desired density, and the characteristics of the patient's hair should be considered. In general, a hair transplant can achieve to add a density of around 40-50 follicular units per cm², which can be increased with multiple sessions if needed.

Nape can be used but many surgeons would not recommend it unless for some specific cases. Also it is difficult to make a generalization about the longevity of NPA as donor hair. Depends on various factors: genetics, hair characteristics, lifestyle habits, etc... Yes, some studies shown Nape hair is more prone to falling out, however, it is not a universal phenomenon, many patients have reported good results with Nape hair as donor hair. Additionally, the technique used to extract and transplant Nape hair can also impact its survival. Each patient's case should be evaluated individually. I would recommend getting personalized evaluation your concerns and goals.

It seems that you have been experiencing mild hair loss, it has not progressed yet, and you have been using topical finasteride and minoxidil for 10 months. Consider the potential risks and limitations of getting a hair transplant. Have a realistic expectation of the outcome. Hair transplant may not be suitable for you at this time, but this may change as your hair loss progresses. You have a limited donor supply, so it would be the best to get your surgery, at the right moment to harvest your donor (as long as you are eligible with enough donors) It appears that the density of the healthy native hair in your crown area is too high for surgery. If a surgery is performed in that area, it may damage your native hair and cause graft competition, which can affect the survival rate of the implanted hair and the development of healthy hair. Additionally, if you get hair transplant on the temples due to the skin elasticity not allowing for reaching native hair density you may not achieve a natural-looking result you look for, as you age, future recession may cause the transplanted hairline to look unnatural, which can be mitigated by continued use of medication post-surgery. In the meantime, I suggest keep using topical finasteride and minoxidil to maintain your existing hair and potentially slow down hair loss progression. You don't have to rush for HT for your case, but it would be the best to keep what already you have.

Important to note that postoperative discomfort and pain are common after surgery, especially during the first few days following the procedure, however, if you are experiencing an increase in pain, burning sensations, itching, tingling, and a general feeling of tightness in the recipient area, best to take note and report these symptoms to your surgeon. The fact that you had to go a little firmer to get scabs off might have caused inflammation in the area, which can cause discomfort. Itching, tingling, and tightness are normal sensations that may occur as the transplanted hair follicles start to grow, but they should not be accompanied by significant pain. With regards to your concern about a possible infection, observe the area closely for signs such as redness, swelling, heat, and tenderness. If you can monitor your temperature and report any significant changes to your surgeon. Based on the information provided, it is advisable to contact your hair transplant surgeon and discuss your symptoms to determine if a further evaluation is needed. The surgeon may recommend a follow-up appointment to examine the recipient area and assess if any treatment is required. Lastly, try to avoid obsessively taking pictures of the recipient area, as this can cause add additional stress and anxiety both to you and your scalp, which may exacerbate your symptoms. Good luck on your healing journey!