SuperHans

How does the donor look after 2x FUE? P.s. I think you need a couple more passes, looks like you've left some bits unintentionally longer.

Your result looks amazing. Unfortunately my beard hair is like pubes. It would look terrible on my head, they're so thick & curly compared to my head hair. They're not an option for me 🤣

Personally I'd wait out at least 12 months on dut/oral min before deciding. That's a potent combo. Your loss does not appear to be aggressive & I would not be surprised if those miniaturised started to thicken up but at very least you will know if you're still losing ground and would require multiple procedures. The last thing you'd want is to be forced into a second or third procedure due to continued loss/not homogenised if you want to keep your hair that short at the back. Though saying that, I grew out of fade/tapers in my thirties, so maybe your taste will change, too!

Honestly, for me at least, being able to grow a beard is more important than having a full head of hair. As you get older a beard hides a multitude of sins, it's like makeup/contouring, for men! What's your body hair sitch? (I don't want to see it) but is that a viable option? Personally, I wouldn't do it.... But if you're going to go for it, Dr P is probably the best in the known universe to take on this kind of case! Good luck!

I have to chime in with the others and say that shaving would be the best option, though if you've not tried dut/oral min - give that a go for 12 month and see where you're at. Perhaps shave and jump on dut/oral min at the same time, if you see improvement then start considering HT, if you don't you'd have already taken the plunge. Imho the shaven look is always better than patchy balding. Check out the Baldcafe YouTube channel, shaving is never as bad as you think it is going to be, it's just hair. All the best.

I cannot imagine fin/min doing too much to the hairline at this point, but it is recommended to take medication if you're going for a HT (to strengthen your donor area, as well as the native hair in the recipient area and maintain as much of your existing hair alongside the transplanted hair the HT) . I'd recommend speaking with your doctor about getting in fin/min, stay on it for 6-12 months while searching out the surgeon that is right for you, if your hairline fills in with the medication alone, bonus, if it doesn't - you'll be in the best place to go for a HT. Good luck!

Thanks for the info. Nothing negative. The only reason I'd be tempted not to go for another surgery is that it looks good as it is. Especially considering your starting position and that Dr Reddy has already mentioned donor scarring from the previous HT. Yuu'll know this but there is always risk associated with surgery, even from the best, I think I'd enjoy what I'd already achieved if I were... Saying that, I am sure with the right plan and surgeon (Dr Reddy being a quality option) you will achieve even better!

I think this looks good, very economic use of the grafts. Not an approach I have seen before. I think as you have a fair complexion and your hair is light it gives a really good illusion of density. I'd be tempted not to go for a second surgery if I was in your situation, but Dr Reddy would be a great option if you want to add to what is a great foundation. Would you care to share the doctor / surgery? Thanks for posting.

Thank you for sharing this. There's not enough real life examples of UK surgeons on this forum, I really appreciate you taking the time do enrich the forum with your experience. The work looks good, I love the conservative hairline and those soft singles front and centre *chef's kiss*. Please continue to keep us in the loop with your progress, good luck and happy growing. P.s. As others have eluded to, I hope you're on some form of medication to slow down the erosion of your native hair 🙏

£3.85 per graft is a good price for a surgeon of his calibre. You're not going to get it much cheaper in the UK (for that many grafts). 5,000 is quite a lot of grafts, not a minor procedure. I'd want someone like Dr Bisanga working on me to increase the chance of a high percentage yield/efficient use of grafts, as that's quite a chunk of donor you'll be needing.

How many grafts was this quote for? UK: Dr Edward Ball, Dr Mani Mittal & Dr Ted Miln are my short list. There are a handful of other good ones too - Dr Reddy, Dr Farjo for example.

Unable to speak to the quality of the work or what the final result will be, but I think the design is spot on. It is very rare to see a natural hairline that is perfectly symmetrical. I've not had a HT yet and my temples are more asymmetric than yours for sure, looks completely "normal".

Probably an unpopular opinion... But at his current age, I think a "mature" hairline looks much better than he would with a hairline like the first pic.

Not even he has that hairline anymore:

Truth be told bud, this looks pretty good hairline wise, not at all aggressive, and the previous post op picture looks clean. My advice would be to leave it be and don't try pulling anything out, you'd be at risk of causing infection. Keep it clean and speak to one of your irl friends, in person, I guarantee you'll feel better about it when you get some real life perspective. Let nature take its course and reassess in a few months, your native hair should have started to grow back in at that point and life would have carried on, you'll feel better. Hair transplant is a major surgery, it will take you time to mentally adjust to the change. If you're still feeling down, speak with your GP.

I've not but I've had PRP and that didn't do much, neither positive nor negative.

Saw palmetto, nettle tea, green tea, biotin, prayers 🙏 I'd missed the 'Fit/Dut/anti-androgens' part sorry. You're left with prayers I think... Maybe add some marine collagen to the biotin, rosemary oil? I think without dut/fin etc you're running out of options...

I wonder if you had much loss after starting medication or did you have really aggressive early loss that the medication paused? Have you considered moving over to dut and oral min? I think that seems to be the most potent combination available right now. If you're not seeing any sides from meds so far, maybe speak with your Dr about switching across (also think you can get on Oxford Pharmacy in the UK) and seeing if there's any chance of kickstarting those miniature hairs before looking at a HT. Good luck with whatever you choose though mate, you're doing the right things taking the meds and doing the research, not just jumping in. All the best 🙌

Hi FredMitch, how long have you been on medication? If you've not been using fin/min for 12 months, I'd say hold fire to see what, if anything happens with those miniature hairs in the front third. I've followed Dr Ted, Dr Mani and Dr Ball for a while. All seem very decent UK options. As for a longer term Dr Ted patients, check out bowenick_44 on instagram. Dr Ted seems to have done a good bit of work for HQ Hair Transplants in Cardiff as well as the London surgery. You might be able to find some on their page, he's also opened his own surgery recently and is very active on his own Instagram recently. Seriously though, if I was your age with that aggressive loss, I might have considered shaving it and being done, it would be a very long journey ahead if you choose the HT route, I'd recommend checking out @Baldcafe on YouTube for an alternative take. (will probably get shot down for saying this :))

Good luck man, Dr Ted feels like a great option, I've spoken with both him and Dr Mani recently and I got really good vibes from both. I've decided to get back on Fin (stopped in 2022) for six months before going a head with any procedure but will be following your progress 🙌 Where are you based if you don't mind me asking?

My guess would be Dr. Ratchathorn Panchaprateep. Insta = @dr.ratchathorn_bonus

It does appear to be very selective: Hopefully someone more knowledgeable than me can say exactly why as I believe there are a small number of other UK based surgeons that have very good results and are not on there, Dr Farjo, Dr Tam and Dr Reddy for example. I've only just started my research journey but IAHRS seems to hold more recognition over other societies. Someone, please correct me if I am wrong.

ISHRS or IAHRS? What doctor have you chosen?

No problem mate. Completely understand what you mean about the hairline, not knocking yours, just saying it is always the most difficult to bring back from the dead because it's usually the first to go and by the time most get on meds it's unrecoverable without surgery. I think you'll be in good hands with Dr Mani. Not heard anything positive or negative about Wimpole, just been Googling them and if they're anywhere near as good as their website tells us they are, they could be decent. I'd check the others in their top 15 out before them though, as someone previously said - those 3 approved by the IAHRS (Mittal, Ball, Miln) are probably the best we have in the UK. Good luck!

That's disappointing to hear that the most convenient clinic was dismissive of you, I'd definitely consider giving them a second bite of the cherry if things don't work out with Dr Mani - yhe person you spoke with might have been having a bad day! That's odd that they cut your hair in the Dr Bisanga consultation, I would not worry about not being his specialism, I think that might have just been those in attendance that day - his results speak for themselves. Would the surgery have been in London or Belgium? If you're willing to travel there are some wicked surgeons I've seen on this site in Spain and Portugal, though I'd let others comment on them as I've only come across them since (recently) joining the site. Also... Should have mentioned in my original reply but medication has done you wonders! If I'd have responded that well I'm not sure I'd be in the market for a transplant!