duckling

my god the resemblance !.. great results btw.. hairline looks so natural

13 hours ago, booyaka7777 said:

I can pay maximum 5000 euro for the procedure. Thanks for your opinions guys. Yes. I will definitely try the medicine. Cheers. I am currently staying in Poland. I am geussing I have to get in touch with a hair surgeon here and talk to him about such medicine?

then for turkey stick to the ones you have consulted. in poland you get dr saifi but i think he maybe out of budget with graft count taken into consideration. in thailand you get dr laorwong who does good work and he is slightly cheaper than saifi but if graft count goes higher then might go out of budget. you can still consult them.

in brazil you get pittella who does higher norwood cases and uses lot of beard grafts too so you might consider him if travel is not an issue. Price will be cheaper and in budget for your case.

in india you get eugenix who does higher norwood cases too and uses lot of beard grafts too so you might consider them also if travel is not an issue. They have different packages which might fit budget.

my suggestion will be to keep taking meds for atleast 6+ months to a year and then get a qoute from everyone . 6 months is sometimes better if waiting period is long for surgeons then you will be waiting more 6 months to 1 year anyways post consultation for surgery date.

probably if budget increases by that time then add more clinics to your list and get qoutes. if meds work then your required graft decreases and you get option of paying higher per graft. but if graft required is higher then cost per graft is low and options get limited.

at age of 17, meds wont be given to you and shouldnt be given to you. need to be 18 to get even topical minoxidil.  finasteride micro-dosing or topical finasteride should be used for you from when you turn 18 to till you reach 20 then start proper oral finasteride regime of 1mg 3x a week and then latter go to the 1mg 7x a week.

at this age dont get on medications without proper consultation, you need to wait a bit for them.

you have maintained well with meds. good decision to use them for 3 long years before surgery. The hairline drawn looks good on you and lets see how it looks all grown out. 2500 grafts is going to give a good dense look.

good luck and happy growing !

they should allow your girlfriend to click photos during the pre-op and post-op photo session when they themselves click lot of photos during those times and during breaks (lunch/snack break) she can click some pictures again.

in other times just ask them if any of the assistants can click pictures time to time with your phone. Best if any outsider is not allowed in OT.

13 minutes ago, booyaka7777 said:

I don't care much about my beard. I think I look okay without it, but I care about the hair. So worst case scenario could't they just use the hairs on my beard for my head? I also don't expect to have hairs like I am 16 years or something, but at least not bald. So I am not so concerned about my hair being super thick.

So, besides Dr yaman and Demirsoy. Would you recommend guys somebody else?

can you tell the budget ? based on that lot of surgeons can be recommended. the surgeons you have currently named are best in the 1-1.5 euro per graft category in turkey.

the reasons its advised to use meds one year before HT are that:

1)if any of the hair follicles in your bald/balding areas are still alive even if miniaturized a lot and can be revived ( aka regrowth ) then its best to try this before going for HT because they may not survive the HT trauma(shock loss) or are easily going to be transected. you would have seen people who look completely bald and get insane/ decent regrowth from meds sometimes so why not take chance that you may be one of them before going for surgery. If they would have done HT first then they might not have got back their existing miniaturized hairs back.

2)if you get any regrowth then well and good (consider yourself lucky as complete turnaround is always rare) . the main thing is that meds will thicken your existing hair(which have miniaturized only a little bit) and surgeon can get idea which areas are thick enough and which areas need the illusion of density with transplanted hair. (where meds didnt help)

both meds and HT helps to provide coverage for scalp and its best to use them when they are most effective.

why switch to 0.5 mg once a week. should have taken daily 0.5 mg ( that is the ideal dosage for dutasteride when not taking finasteride at all if it stops working for you).

if finasteride was working then, finasteride 6x and dutasteride 1x a week is the dosage you should have used when adding dutasteride. later if hair loss starts again then go finasteride 5x and dutasteride 2x a week until it works.

check if with your doctor on dosage again whichever route you want to take.

by week 7,8 there maybe lot less hair due to shedding phase. Its just a phase, so relax and wait for results , if you dont see much shed and are lucky then results might come sooner else it starts to come by month 6 onwards till 1 year mark.

1 hour ago, BillyHopkins88 said:

I have intense pressure top of chest and abdomen

stay in touch with the doctors. keep the anxiety in check and dont worry about losing the gains from meds. once you are fit & fine then check with more doctors about what triggered this and if it was hairloss meds to get some clarity. 

@BillyHopkins88 its sad to hear this. Recently only i had commented on your thread and saw good progress. Would have been nice to see you continue your progress and go for the HT but nothing comes before health. Things happen for a reason and maybe you use the time you spent on hair, on something else like hobby which you always wanted to take up or career goals and get confidence from that too. Its not necessary that only hair improves your personality and gives confidence. I know its easier said than done, but a little positivity always goes a long way. Do stay active if you wish to and join the fight with FUT later on if you wish to or get SMP. All is not lost. 🙂 maybe some new meds come up in future. 

@mustang good luck for your medication journey. hope you are the rare ones who get good benefit from these. after so much of fin+min+keto , dut+min+keto stack results. will be good to see someone try something else. 

looks really great and that too for the decent graft count looks so dense.

33 minutes ago, eternal.denied84 said:

What was the package cost of Dr Somesh ?

think its 125 inr + 18% tax per graft.

10 minutes ago, Eli_Avdikian said:

In my opnion, he's not staying at 2.85 euros for long ...

that price is for next year. current is 2.7 euros. after that i think he might increase but in turkey thing is that lot of competition is there so cant increase a lot suddenly. 

4 hours ago, Patro1995 said:

Hi i read on a few forums that you can make minoxidil with finasteride in 60mll add 2,4 mg to minimize sife effects as much as possible its 0,005. I used a dose of 0,025 for a long time ago and i had depressive symptoms. I want to minimize it as much as possible it make sens? what do you think? I must find a way for me, but this is hard, greeting.

you can try.. something is better than nothing. hope it works for you.

There are many factors which contribute to this (just my opinions):

1) in US, surgeons probably stuck to FUT as the gold standard and didn't move fast towards FUE when time was right.

• FUE opened new opportunities like harvesting out of the claimed "safe donor zone". this way surgeons could harvest more areas of scalp and now you see dr zarev taking out 10k + grafts from scalp itself. by taking out grafts in pattern such that donor doesnt look depleted.
• FUE enabled beard hair transplant and also hair transplant from other parts of body were later introduced. This enabled clinics like eugenix , pittella to give patients 11k+ lifetime grafts in some cases. this way scalp donor didnt look depleted.
• with FUT , you cannot do multiple seating so close and there is risk of too many big scars with multiple FUT. other parts of world combined FUT and FUE early. when they didnt have experience doing lot of FUE grafts a day

2)when US surgeons moved to FUE , some used ARTAS which ended up as a failure. when they thought it would be successful in future.

3)main thing is that cost was so high even with FUT technique in US, that the patients went to other parts of world and when you have huge number of cases which ultimately means more experience and more chance of bringing new innovative tweaks by surgeons to either their tool or their technique as they keep doing thousands of cases. 

although i think in US they dont overharvest(mostly) at cost of high density when doing FUE now and they stick to safe zone with FUT. so its not a bad thing as they are saving your donor but it does come at cost of lower satisfaction with density.

57 minutes ago, transplant49584 said:

Is it recommended to apply minoxidil to new grafts as well as existing hair eg crown? 

use on non transplanted area. keep it to crown and mid-scalp at first.. 

looks good. i like the irregularities he has given in hairline, should be a natural looking hairline. lets see how it looks at 1 year mark. 

7 minutes ago, transplant49584 said:

Would you recommend oral vs topical?

topical is easily available over the counter but oral minoxidil you will need prescription and also tough to find sometimes (depending on where you live) as topical is the one which is said to be the much safer version and have more studies about efficacy. i will suggest to start topical first. if you dont get much results or want more result then go oral later. (which is gaining popularity in forums)

12 minutes ago, transplant49584 said:

I've actually just caught the front of my hairline on my t-shirt as I pulled it off, so I'm hoping that hasn't damaged any grafts

no, nothing should happen with tshirt just touching them lightly. probably use shirts to avoid this scenario. and just dm your clinic and confirm about this to get assurance.

8 hours ago, ViktorX said:

I took 500mg of caffeine (two caffeine pills and a redbull, which is normal for me)

I cant say about it affecting HT results or not but its well above the safety limit for health itself. probably reduce it.

can you post the close up image of other side also ? and any reason why you arent on minoxidil (either topical or oral) ?

great write-up. 2400 grafts is good enough for nw3. if you wanted very high density then going towards 2.7k(count as per initial assessment) would be better but i think its best to save grafts for future than going very aggressive in hairline. 

the work looks very clean and you should get a good result.

finasteride should help your crown area which looks slightly thin. minoxidil would be a great addition and works great there too.

12 hours ago, Rick sanchez said:

I’m considering topical fin now though and doing routine blood panels to ensure serum dht levels aren’t decimated

you can try this. it works for many and may work for you. something is better than nothing. and topical fin works same as oral for good amount of people in the studies.

12 hours ago, Rick sanchez said:

topical minoxidil, ketaconazole shampoo, and a LLLT comb. I also take daily biotin and collagen supplements

use the topical fin+min regularly without fail. rest are your secondary treatment which can enhance the result.

12 hours ago, Rick sanchez said:

Any recommendation for a surgeon that would excel with my specific case?

after a year on topical fin you can re-evaluate the situation. keep checking the forum and stayed updated with work of surgeons. if after 1 year you are not satisfied then combine your research and create a new thread with updated images of progress and ask for recommendation. also do update us progress pics monthly here in this thread if possible. 

you need FIN, either topical or oral. not a HT as of now atleast. 

Great results! Expecting more such higher norwood cases. 
donor looks great considering 6k extraction. 

On 6/14/2023 at 3:42 AM, Jarrod said:

 

what an amazing density..congrats ! when i saw 3k grafts with pekiner then this was expected.

dont like this at all. not expected from him. i think you could have gone with someone else. it was a simple hairline fix.