Hello all! I'm a male, age 40, experiencing thinning (coverage density), general individual follicle health decline (mix of fat & healthy/many strands, and few & thin strands), and slight receding hairline. Hairline and a half-oval area back a few inches are very thin, with rest of top & vertex still thin but less so. Sides and back, generally healthy and not experiencing any of those issues above.
Photos attached.
This thinking has been gradually ongoing since my early 20s, from "barely noticeable to most people, except myself" to: I'm very self conscious, have got handfuls of comments over the years, and every day I must deliberately style my hair ONE WAY in order to cover and feel comfortable about my thinning.
TREATMENT HISTORY:
I feel dumb for never sooner trying to nip this in the bud. So here I am, 40 and finally taking action.
About 7-isg years ago, I did try an "iRestore" laser light helmet, for about 9 months and 4-6 sessions per week, which had no perceptible effect so I stopped.
I began oral Viviscal pills nearly 1 year ago, and only took them for about 6 to 8 months (hard to remember for sure). Long story short, I ceased taking them after those 6 to 8 months, for side reasons not directly related to their performance or lack thereof. During that time and towards the end of taking them, I did not think I noticed any positive improvements. However, since stopping for a few months, I feel like I possibly had experienced a subtle improvement with hair health and "feeling", and less effort & stress while styling it, that has now reverted. I have just re-ordered my Viviscal subscription.
I recently ordered "hims" shampoo & conditioner, and also:
"Hims" topical minoxidil & finesteride mixture. Awaiting their arrival.
PROFESSIONAL TREATMENT:
Just visited "Maxim Hair Restoration" in Virginia for a consultation. Felt slightly rushed, but long story short, not judging them on that alone due to tangent circumstances.
I had done research on FUT, FUE, etc, and indicated I was leaning toward FUE due to less scarring, and probably more natural looking implants(?). With FUE, they advised they could get probably ~2,200 grafts (to be safe & conservative with donor areas), that would implant into my "hairline", and then advised stem cell and/or PDO for the rest of my scalp & vertex & crown area.
This made it seem that the ~2,200 grafts would only go toward my "hairline" area and shortly back into my scalp/top, and nothing on mid scalp & crown/vertex.
I did get the name of their surgeon who would be performing the work, and will try to research today (Josh Simpson PA-C).
QUESTIONS:
1) Does that potential donor count sound accurate or fair, for this procedure, and considering my photos?
2) Does the implant target area & plan sound "good" & reasonable? (Hairline implants, then stem cell and or PDO over scalp & vertex).
3) At my age (40) and considering my photos: does it seem "worth it" to first give a year or 2, to trying my above detailed plan of oral Viviscal plus Hims treatment with minoxidil & finesteride and hair care products, and to actually expect significant improvements? Before considering FUE or FUT?
4) Opinions on FUT vs, or in conjunction with, FUE?
5) Opinions on "PDO" for hair restoration? This seems relatively new, and I'm having trouble researching.
6) Opinions on stem cells for hair restoration?
7) I am tempted, inclined, to first try nonsurgical PDO, and/or stem cells, in conjunction with my personal Viviscal & Hims plan described above. Thoughts?
And generally, I would love and appreciate any and all general responses and advice based on my photos and post!
Thanks all!