londonbased

I think overall your hair now looks v good. Nice thick hair. I’d take finasteride or dutasteride going forward, if you can, so the nice low hairline stays full.

Thanks arthurSam. I’m hopeful that is the case.

They are from same area of my scalp (just behind left hairline) at the same point of time (yesterday). Maybe that answers my question, I should look at the same section over a few months and note any changes. That would make sense.

Hi all, I had a hair transplant 13 months ago, and a follow-up procedure two weeks ago. In terms of meds, I have been on oral fin 1mg daily and topical min for 2 years. Added oral duta 0.5mg (2x per week alternating with fin) about 5 months ago and oral minox 2.5mg daily about 3 weeks ago. Being curious, I bought a microscopic camera to look at my scalp in more detail. As per the pic, I am noticing a lot of shorter hairs that appear not too wispy. I am hoping they might be late blooming new hairs from first HT or due to new medication I am taking recently (oral dut and minox), or some possibly from the recent HT. That these will grow out into longer healthy hair, as I could really do with some thickening up of my scalp, especially as my remaining donor hair is apparently now very limited. But they might just be weak hairs that only grow a short length (nothing further) or even be hairs that are miniaturising (balding). Which would be unfortunate. Can I draw any conclusions based on microscopic images such as these? Maybe not. Thanks.

Ok. I assumed you are based in Ireland so could have been a decent local option. But makes perfect sense to travel elsewhere for the right doctor. Just be careful you don’t get a deal that is too good to be true, especially when budget is very important for you (understandably so). I’m sure some others on here have great recommendations of where to go. I see you are on your second HT so you are likely aware of the above. Good luck. ☺️👍🏻

My brother went to the Ailesbury Clinic in Dublin for 3 transplants over the past 10 years or so. He was happy with the result and it looks good. That said, he is just one case and I have no personal experience of the place myself. Obv you’d need to research them (and others) a lot more.

Thanks YodaHead, and great username by the way.

Thanks Gatsby. Interestingly, my surgeon also said that Nizoral is not that helpful. I might buy the caffeine scalp treatment (Inkey brand) and layer with topical minoxidil onto the scalp before bed. I am a little hesitant to increase from 2.5mg to 5mg oral minox at this point due to potential side effects -- I don't want to push my luck as I have not had any sides with finasteride or dutasteride.

Hi, I am NW 6/7, male 46yo. Below is my current med regime. Anything you would change? Oral finasteride 1mg 5x per week Oral dutasteride 0.5mg 2x per week Oral minoxidil 2.5mg daily Topical minoxidil daily (Rogaine foam applied before bed) Nizoral Ketoconazole shampoo once per week Derma-roller 0.5mm once per week When I see it typed out, it is actually a lot of stuff. A mini pharmacy. My HT surgeon also recommended caffeine stimulating scalp treatment. I have not got this yet as I already apply topical minoxidil at night; ideally don't want to put something in the morning which could make hair greasy. Thanks.

Thanks Al.

Thanks SuperHans. Sure, I had the first surgery performed by Dr Ismail at the Wimpole Clinic in London. As mentioned, it was overall a good experience for me, in particular they provided great communication and were very supportive both pre and post op. Just curious, why would you be tempted not to go for a second surgery? Cheers.

Thanks Hairwolf. I think they did 2500 grafts as here in the UK they are generally adverse to large sessions. I am making an assumption there; I could be incorrect. After the first procedure we would see the results and assess how much donor hair I have left. If I went all in with 4000 grafts in one session, they said there would be a risk of lower graft yield. Of course I could get a larger amount done in consecutive days, but at the time I was greedy and wanted to get it all done in one day.

Thanks Gatsby. That is what I am hoping. One more pass, supported by meds. ☺️👍🏻

Thanks Ajamilo. Yes, I am NW7 at top but have a bit higher coverage on the sides, helped by the meds. My estimated donor capacity of 4k grafts might seem very moderate for a lot of posters, as I mostly read write-ups on 6-8k+ capacities.

@Shadman The design outlined by the clinic concluded I would require approximately 2500 grafts (each containing 1-3 hairs), which would be used to establish a suitable frontal hair line, thickening back throughout the frontal two thirds of my scalp, but leaving the crown area at the back, as this would use-up grafts that would be better-used towards the front. I am planning to get a touch-up to refine the front and thicken up. Does it look what one might broadly expect for 2500 grafts? Realise we can’t perform miracles on a bald head (at least not on the first pass).