Adriam

Hello guys I need advice. I am concerned that if get a hair transplant my hair will fall again due to underlying health conditions that I am not aware of. I’m wondering if there is any tests I can do for my health, gut, or genes to give me a more definitive answer to the hair loss (I know the million dollar question). Also I am concerned of this because I have had my hair grow a lot in the past after starting meds and then I got Covid and was stressed and it all thinned again and stayed as it is now, (never recovered) I suspect some sort of chronic telogen efflueivium, DPH - maybe DUPA (doubt DUPA). Ultimately I am going for a hair transplant soon. The hair transplant will be successful if the hair doesn’t fall from shock loss or any health condition I’m certain of that however I am scared some sort of permanent telogen effluvium is gonna hit. I just don’t know exactly what to do or if I should go for a hair transplant. any advice would be helpful. With this all said the hairloss has been stable for many years on hair loss meds and remains very diffuse, the donor is not bad though and when grown is quite thick. What u guys reckon go for a ht now or wait? I’ve had my hairloss consistent for afew years now with meds and seems no adverse events have caused the hairloss to progress. 

7 minutes ago, rja said:

not sure about the scars. when i grow my hair a little i can certainly see a difference in density from where follicles where taken compared to where they weren't touched, but that's to be expected.

I intend to grow my hair long, chin-length or more, so i'm less worried about scars, personally, if there are/will be any.

okay makes sense! honestly nowadays SMP can fix pretty much most scars which is awesome i plan to get it done when i pull the trigger!

2 minutes ago, Adriam said:

ah okay still early! hows your donor still the same? congrats and happy growing

lots of scars btw? im planning to go to laorwong and get a short hair style, buzz the sides / fade. maybe smp later on.

39 minutes ago, rja said:

hey man. I'm waiting another 10 days to post my 4-month update (at the 4-month mark ), but I don't see a lot of change. I guess I'm also seeing myself in the mirror every day so I'm probably not a good person to judge either hehehe

ah okay still early! hows your donor still the same? congrats and happy growing

hey man any update on your hair? how is it? i have a similar donor and i am also thinking about going with laorwong!? let me know please!

Last post for now, sorry once again guys for spam!

 Ive been to local clinic awhile ago (Hair doctors: bondi, sydney, australia) they said my donor wa s fine and could do work but suggested monxidil first. (been doing it and its fine)

With that said they used some tech to scan my hairs and gave me a report. If any of you guys could look at it and give me a run down on what it means, see attached photos.

History:

• On meds for long time: finasteride 1mg daily, oral minxodil 2.5 daily, dutasteride 0.5 3x week
• hairloss has not progressed for 2+ years (STABLE)
• donor is questionable and diffuse patterned hairloss
• 29, fit and decent health, non smoker
• proposals from gur, turan, laorwong, 3500 first ht, second 1500 mix of beard and donor.
• wanting a improvement without destroying my donor and or losing any hair on recipient zone, not seeking perfection. Limited expectations.

SORRY TO SPAM YOU GUYS im gonna make afew posts, this is just a to follow up from my last recent post with photos of my hair longer as people requested.

INDOOR LIGHTENING, LIGHTS ON, NEAR BIG WINDOWS DAYTIME, some of the photos make the hair look better i think. I don't actually know though because i don't have eyes behind my head and NEVER GROW MY HAIR OUT.

History:

• On meds for years, hair stabilized (on everything tried everything)
• 29 years old, i think im healthy, fit.
• proposals from laorwong, gur, turan, eugenixs. they suggest 2 surgeries. First 3500 - fronto, mid. Then beard growths on crown.
• HLC - they suggest 1500 from donor rest from 1000 beard.
• i am going to get my crown done with my beard whoever i see also (suggested by most)
• Hair doctors: said my donor was not bad.

THANK YOU WHAT YOU GUYS RECKON?!!

A.g

MORE PHOTOSMY PHO

Just now, Gatsby said:

Have consultations with several doctors that you are thinking of having a hair transplant with. If there replies are consistent then that places you in a good position of confidence. 

Ive had several consultations with some of the big names, alot of them say 3000 - 3500. HLC was the only one that said that i should do 1500 grafts from donor and rest beard. Loarwong and gur / turan all said 3500 is fine and then crown just all beard mainly.

7 minutes ago, TakeAction said:

I'm in the same boat brother. Yeah I would say it's below average but you can definitely get a transplant, it may not be the most perfect result like a NW3 with a great donor would get but you can still make massive improvements, especially with two procedures.

thats all i want, i dont want perfection. just a improvement a significant one would be stellar. And ASLONG as the donor doesnt look too bad, and the top doesnt lose any hair then im ALL FOR IT! loarwong wants to use beard grafts on donor also, luckily i got atleast 200-500 i could use.

5 minutes ago, TakeAction said:

Use hair fibers/dermmatch while you're growing it

ill try, im gonna get alot of weird looks tbh. if i wasnt working in retail itll be easy, i just wear a hat.

12 hours ago, Gatsby said:

@Adriam if you have had a consult with Dr Laorwong and he is confident then he could be a good choice. We have seen a lot of great results come from Dr Laorwong. 

he said my donor was good, which i know isnt true. so why would he say that?! he quoted me for 3500? should i be careful with that?

5 hours ago, A_4_Archan said:

Your donor is looking average so a proper donor management is required if you decide to go for a HT...even if you are on meds there is a possibility that you can loose more ground so plan accordingly...one positive thing is your head size is small so you will require less grafts to cover the bald area.

Actually you look great in buzz cut so one more thing you can consider is just fix your hairline without lowering it and distribute rest of the grafts evenly and than do smp to creat an illusion of density and than keep a very short hairstyle..you can hide your scars on donor with smp too.

Yeah also i wouldnt wanna lower my hairline id just want to maybe add abit more density on the entire top. Like truthfully it doesnt have to be perfect, ill take any improvement as LONG AS the donor doesnt get too bad and the top of the head doesnt lose any more hairs! im okay with that ill take that trade, im super desperate?! im just trying to understand what is the likeiness that, that will occur that itll actually make it worse?!

Just now, Adriam said:

thank you, yeah tbh my donor isnt good. but always shaving it honestly makes it look ALOT Worse. when it grows for afew months it gets alot thicker. its still very risky

problem is i cant grow my hair out man it looks so bad, i go to work etc and i just get judged hard im very insecure about growing it out because im so bald on the top.

7 minutes ago, TakeAction said:

Grow your donor out more and it won't look nearly as thin. I would just grow everything out for at least 4 months so you can actually see how much coverage your native hair gives you. I think you'd be somewhat surprised with how much you'd get. Feel free to use hair fibers in the meantime if that would help you.

Lots of peoples' donors look bad short but turn out to be fine. You can also get a microscope and check for miniaturization in the donor, but I doubt you have a large amount.  I have a donor that looks somewhat thin on the sides but under the microscope the hairs are thick and healthy. The sides are also generally thinner than the back for most people.

You have at least a few thousand grafts worth of hair on the top your head and if you're stable on meds you should be good to go. You may want to add or switch to dutasteride in the future. 

thank you, yeah tbh my donor isnt good. but always shaving it honestly makes it look ALOT Worse. when it grows for afew months it gets alot thicker. its still very risky

5 hours ago, A_4_Archan said:

Your donor is looking average so a proper donor management is required if you decide to go for a HT...even if you are on meds there is a possibility that you can loose more ground so plan accordingly...one positive thing is your head size is small so you will require less grafts to cover the bald area.

Actually you look great in buzz cut so one more thing you can consider is just fix your hairline without lowering it and distribute rest of the grafts evenly and than do smp to creat an illusion of density and than keep a very short hairstyle..you can hide your scars on donor with smp too.

Im totally okay with losing hair due to age and or genetics in the future despite being on meds. At that point its okay and ive tried everything, i would just resume shaving. this way of thinking is smart and makes sense, but truthfully it doesnt make sense not to use some grafts when i really need them. What the point of waiting or anticipating for the future if right now its absolutely necessary, considering ive done EVERYTHING in my power to fix and maintain what i got. With that said my main concenr about this is that this surgery will do more harm then good, for me i am not expecting perfection and if all goes bad ideally i would like to still be able to buzz my head like i do and just move on with it. My main concern is that native hairs on the top will be nuked, and the donor will become very decimated, otherwise i want to try it truthfully. I am not phased if the donor becomes more thin, as long as it looks homogenous. ive been thinking for so long ive wanted it i know my chances are grim i dont expect perfection, but i would honestly regret not trying this atleast once.

With that said i would regret though if it went horribly and my donor got really really bad and i got really scarred and lost more hair on the top of my head. Truthfully as long as it doesnt get worse itll be a success for me. But if you and others think its really bad idea and its just gonna get worse i can totally appreciate that and am thankful for the truthful advice. I wont lie i know its risky. All the surgeons want to put beard grafts on the crown, which i think is sound idea, ive got plenty (even though it doesnt seem that way). Perhaps maybe if i do go ahead with it i request they do less the first round? anyways thanks for advice

2 hours ago, Ajamilo said:

Bro You have a good hairline and really few people look good with the buzz cut as you do. You don’t need a hair transplant and I do think it will do any good thing for you after seeing the donor area 

thats what im worried how bad the donor area will look? maybe i should go for less grafts??

4 hours ago, GoliGoliGoli said:

Disagree. This is a starkly below average donor. 

 

@Adriam how old are you? You look to be late 20's early 30's. If your donor looks like this now, you have to anticipate what it will look like in 15 years. It might be the case that you simply don't have a "safe" donor at all. So if you got a HT it's possible that a lot of the transplanted hairs would simply miniaturize over time. 

I hate to say it, but I think your best option is to not get a HT. It isn't worth the money you will spend now, and the money you will have to spend later chasing further loss. It's one thing to be bald, it's another thing to be unnaturally bald with hair at the front that doesn't look natural. As someone else said, you look great with a shaved head so my advice is to not get a HT. 

im 29, my hairloss hasnt changed for a long time now. i dont care if in the future it all recedes or gets worse (with me being on meds). thats fine. but if there is a possiblity it can improve my situation abit and not decimate the donor and look abit fuller or filled out thats all i really want. As long as i have the option to going back to fully shaving everything and it looking still fine, if it doesnt go well.

the surgeons want to use beard grafts which i have quite afew, for the crown. Which i think is a great idea because personally idc about my beard at all.

2 hours ago, Vann said:

Could you brush your donor hair down and see how it looks long and short?

You could potentially get a HT, but if I was in your position, personally, I would not go with any of the doctors you have suggested but to differ from that. I think I would look at patients who are similar to your case and see what steps they took.

I would consider a few local surgeons and see what they evaluate you. Then show your potential HT surgeons your case in person and try to get as much feedback as you can in any approach that you take. It would definitely need long term planning and docs with a long history or track record would be your best bet.

Realistically, I think you would still need much more then your donor has and to perhaps go with a mature design with a slightly thinning approach. Therefore, I would probably consider only doing fue and staying with the same surgeon for multiple small sessions.

yeah totally fair, i got pics and videos of me playing with my hair abit longer well (same lenght as the dark photos) ultimately im fine where the hairline is, i just want my crown and top of head to just have more hair even if its not perfectly dense. If worse comes to worse i just go back to shaving my head but instead have my hair match the top and mid abit more. Really my main concern is if the donor will become very bad after HT. If the donor becomes bad and the top and mid end up growing okay then im okay with that. loarwong wants to use beard grafts on the crown to fill it up.

1 hour ago, Ajamilo said:

Bro You have a good hairline and really few people look good with the buzz cut as you do. You don’t need a hair transplant and I do think it will do any good thing for you after seeing the donor area 

you reckon itll look worse after ht? like truthfully im just wanting to know if it will all look worse after a ht, keep in mind laorwong wants to do a beard HT to my crown second time around. i dont mind if it doesnt turn out perfect or that great. but if it improves it and gives me more hair on top even if its a illusion id be happier. i guess the main risk is to see how bad the back of the head gets from ht, thats what im worried about.

4 hours ago, GoliGoliGoli said:

Disagree. This is a starkly below average donor. 

 

@Adriam how old are you? You look to be late 20's early 30's. If your donor looks like this now, you have to anticipate what it will look like in 15 years. It might be the case that you simply don't have a "safe" donor at all. So if you got a HT it's possible that a lot of the transplanted hairs would simply miniaturize over time. 

I hate to say it, but I think your best option is to not get a HT. It isn't worth the money you will spend now, and the money you will have to spend later chasing further loss. It's one thing to be bald, it's another thing to be unnaturally bald with hair at the front that doesn't look natural. As someone else said, you look great with a shaved head so my advice is to not get a HT. 

Yeah thats totally fair, what doctor should i go with if i was to consider HT? eugenix perhaps and just do lots of body hair? laorwong wants to do first HT front mid with donor hairs. and the crown mainly beard and some mix of donor.

1 hour ago, Gatsby said:

@Adriam are the darkest pics of your hair the results from being on meds and the pics with your donor thinner pre medication? If so I think you would make a good candidate if you have realistic expectations and you can accept an appropriate hairline for the future. 

Nope thats just when i grow the hair more, and lightening. Some of the pics shadowing is abit more present, but in general when i grow my hair the sides and back thicken up, not perfectly their are still rows and some gaps, but there are plenty of spots were it gets dense. I hardly ever grow my hair out because i cant bare see myself look like that or go to work like that. i have more photos and videos if youd like to see and comment it would be very helpful. Laorwong said i have good donor which is weird because i dont think so and this also scares me maybe hes just plucking for my money?. He said no problem and wants to book me. Edit: ive been on meds for long time and its pretty much remained unchanged, hairloss is stablized for long time now. 1-2 year plus. Also with that said i wouldnt wanna change my hairline, id just leave it where it is do you think thats a smart move? thank you for your input

1 hour ago, baddecisions said:

you look great in your shaved hair, keep it and enjoy life away from surgical procedures

bro why )::: i really wanna do it. im just scared it might look worse then better, or kill native hair or bad donor.

53 minutes ago, hairman22 said:

i think you need an in person consultation.

you can certaintly get one but i think your donor looks thin when short but good be fine hard to tell

okay true fair! can i book and then ask the surgeon to tell me what they think, and if they cant confidently on the day tell me my donor and back of head will be okay turn me away? or would laorwong not do this?!

14 minutes ago, Doron Harati said:

Thin donor but can get 3500 grafts for 1st session.

Seems you'll be NW6 in the future, so the surgeon must preserve your donor for 2nd procedure in further years.

Hairloss meds can help a lot.

im on them and have been on them for years, hairloss is stablised!