gillenator

Hi Talonload,

Welcome to this forum! I wore hair systems myself for nearly 11 years and had three procedures for a total of 4400 grafts. I wish you the best as your procedure grows in.

Now hopefully you have not had the procedure yet. If not, you want to purchase a new system with a slightly larger template. That way the edge of the system will be attached a little bit lower in circumference so it does not adhere to any grafts. Obviously you would not any tape over any part of the recipient area. In addition, purchasing a new system will allow you to reduce the density of the system or certainly have your existing system(s) reduce density. This will help with the transition in appearance once you go from wearing it to not wearing it. I have found this out in my own experience and also working with other patients helping them also to transition out of hair systems. People get used to seeing us with high density in systems and is part of the problem with detectability. If you methodically begin to reduce the density over a period of time, hopefully your current system will better parallel the density of your fully matured transplant.

The other thing to consider is having the surgeon situate your hairline a little bit higher say a full cm if you cannot buy another system. You can always have it lowered in a subsequent procedure once the first procedure grows in. Most guys who wear systems will want a second and even maybe a third procedure to achieve sufficient density, meaning "the illusion of coverage". If you choose to not purchase a new system, you can always go to an anchoring method instead of tape or polyfuse.

Consider having as many grafts safely placed as possible without compromising yield. The reason is that you do not want to have to continue wearing the system once the first procedure grows in. You want to be able to go for the subsequent procedure as soon as the first one matures.

Lastly, wait 8-10 days post-op before you begin wearing the system again. Be sure all of the crusts (scabs) have come off which usually takes a week or so. Consider utilizing a post-op healing treatment like Graftcyte to expedite the healing process. You may want to consider taking some time off from work to allow the recipient area to heal.

I sincerely hope this has been helpful to you and best wishes.

Well if part of his donor scar is visible, possibly he had more than one procedure. Definitely sounds like he is enjoying an on-going, successful career.

The guy I really feel sorry for is Tom Arnold and he was just on the Tonight Show. I know he had multiple procedures, but his transplants were situated so high that his hairline commences "behind" the front forelock. Everytime I see his side view it looks his hairline starts in the vertex area, but if he is happy with it, then he achieved his goals. Still I think he would look better with more grafts placed "at least" in the front forelock area to "pull" everything togethor. Then he would simply look like he has a very high hairline but it would at least serve to frame his face better, IMO.

Hi Bill,

You are doing fine and yes there is more to come both in new growth and caliper development.

At 4-5 months post-op you have approximately 50% new growth and then add another 10% for each month that passes thereafter.

But it does take as long as 14 months post-op to achieve full maturation. Since caliper is the single most important factor in achieving the illusion of coverage, you really won't see the full visual benefit for a year or so. I went through it myself, especially after my third and largest procedure of 2400 grafts. I also had been using Toppik until that time. All the while though, I kept looking in the mirror and saying to myself "this should look like more coverage" and I could still see a little scalp until 14 months later. It was like one day I realized that I could no longer see my scalp once my hair was dry and groomed in place. That is when I truly could visualize the full benefit.

You said you are noticing the new skinnier hairs, not as fat as the other ones. But a year or so later those new transplanted hairs will be as fat as the others and that's when you will notice the full benefit too.

That is why I always advise patients to wait at least one year before their subsequent procedures. I mean who knows, one year later maybe you won't need as many grafts that you thought you might need looking in the mirror at say nine months post-op and trying to assess future needs. And everyone is a little different in their rate of growth, coarseness of hair, and hair characteristics like wave.

One thing I know for sure is that you have more comin' your way!

Dr. Beehner,

Thanks for the response. I know of one surgeon who claimed his post-op application bore an anti-oxidant to help retard the effects of ischemia reprofusion. I kept asking him if he was tracking the yield differentials but he never provided me a satisfactory response. Possibly there is some merit to his product and at least there was some effort in developing a retardent to promote graft survival.

Independents do not tend to "stack" procedures on the same day. This takes place more with the hair mills and believe me it has and still exists. It is called itinerant surgery scheduling. You see some mills have the same doctor covering as many as three clinic locations in the states they are licensed. They then break-up the month with the doctor in one city for a few days or even a week. They stack all of the enrolled procedures for those few days and will do as many as 8-10 cases in two days. They typically have their surgical staff travel with them from city-to-city. The techs are jumping from patient-to-patient, from one OR to another to get the grafts cut and placed. Having the same staff start at 7:30 am and not quitting until 9pm or so. The staff is worn out and yet they come back the very next day and do it all over again. They work on quotas because they have increased overhead to cover, namely the satellite office and the traveling expenses of the doctor and staff, not to mention the huge media advertising costs. I still hear about it every now and then, but not as prevalent as over the last decade (nineties).

Then the entire staff leaves until the next two weeks or next month and the only person left in the office is the sales rep who all along is selling as many procedures as they can for next month. No one there for post-op issues except the sales person who many times is more concerned about earning their next commission than post-op care of the patients.

You may not be as aware of this itinerant procedure approach, but it has and still does take place. Hopefully this is subsiding but I feel there should be some some limitations on caseload per day in the interest of quality and patient care.

Thanks again for your feedback.

Bill,

Possibly you have also read that hair follicules fulfill a three-phase cycle throughout our lifetime. The first phase is anagen (growth) and averages approximately six years or so in duration. The second is telogen (rest) phase and typically lasts three to four months. Then the hair sheath disengages from the root and dermal papllia which is the catagen phase (shed) before the follicule re-enters the anagen phase all over again.

It is true that re-growth in the crown can be slower. That can be related to the resting phase taking a little bit longer or the anagen phase coming in a little slower in the crown area. The blood supply in the post-anterior area (crown) may not be as rich as the frontal zone. The mid-anterior area (vertex) can be the same way and also can be more subject to shockloss as a result. Possibly these mid and post areas of scalp re-act more acutely to the trauma caused by the incisions.

The finer white hairs you are noticing may be some weaker natural hair that are coming back or it's the beginning of terminal hair growing in or a combination of both. Either way, the pigmentation should begin to resume as the new growth matures.

The area below the crown that you mentioned is starting to show thinning is the coronet area and can recede lower on those men transforming from a Norwood 6 to 7 in that specific area. Now it's a great thing you are on finasteride and I especially was happy to read your last post that the higher rate of shedding has stopped. You probably are aware that we shed hair on a daily basis which is normal. Yes finasteride can slow down the thinning in the post-anterior area and that is where finasteride is the most effective for genetic hairloss. However the chances of it growing back what you already lost are not very good. I wish I could say the opposite.

Through the years I have noticed that approximately 40% of men between 19 and 25 years of age have "re-grown" hair in the post-anterior area. Patients over 25, the re-growth is almost non-existent or very minimal. Even those cases over 25, the re-growth appeared very fuzzy and typically did not achieve the length and caliper that it originally did before the ill effects of DHT causing miniturization. So from what I have seen from a clinical standpoint, finasteride helps more to "maintain" what is left. Are there exceptions? Of course, but far and few between. So if you do realize some favorable re-grrowth, take it to the bank!

Give finasteride one full year to evaluate stabilization of hairloss and eighteen months to evaluate any re-growth. Just keep in mind that what is working today may not be effective over the long haul. I have been ingesting finasteride for about eight years and still quarter Proscar into four pieces. To date it has still been efficient for me so that is promising. Everyone reacts a little differently to meds especially over the long haul so it is prudent to plan restoration from a perspective of life-time planning, keeping some reserve for any future loss.

Also glad to hear the bumps are going away which does take time. Soon you will notice the redness going away as well. Do not be surprised should you notice a few red bumps in the recipient areas as the new growth comes in. In-grown hairs which appear as pimples can be common especially at the stage of post-op that you are at. Hey, best wishes Bill!

Dr. Beehner,

I applaud the posted findings of your clinical trials regarding yield and/or graft survival. This is the type of release we all appreciate and I for one have been insisting on this type of documentation for microscopic dissection methods of strip harvest and even more so for isolated extraction methods i.e. FUE, FIT, FUSE, etc.

Since transection has always been one of the main concerns regarding yield for this technology, not to mention the higher graft prices, why do you think there are not more clinical documentation being released? Possibly there are very few tracking this on their patients. Your method is very defined by identification of recipient area in cm2 surface areas. Are you utilizing a video telescope to aid in the count? I also heard of some medicinal trials using an ink that was colorless and can only be seen with neon lighting so tatoo ink would not show. I know some docs use "dots" to mark the areas but just in case the patient were to shave their head one day? I wonder if you have heard of it.

The yield results sound outstanding to me in the 90% and higher. Alot of us encourage larger sessions on the first procedure for the very reasons you pointed out (virgin scalp), and yet it is very interesting to read about the drop in yield when the number of recipient incisions are increased within the same surface area along with the decrease in subsequent sessions.

How much of a factor do you believe the effects of ischemia reprofusion have on graft survival? In those large clinics where three or more procedures take place on the same day utilizing the same staff, and the specimen sits outside the body, sometimes for hours before placement. Some say it has a pronounced effect, others say it's not that big of an issue. Still the isolated extraction techniques provide the ability for quick placement (sometimes seconds) into the recipient sites unless single hair grafts need to be cut.

Lastly, congratulations on the impressive yields and you have must have some very experienced and talented techs with microscopic dissection. Keep the data coming!

Rainman,

Good to hear things are improving day-by-day. You will find that over the next several months, things will start looking and feeling normal.

Now the best is yet to come, GROWTH!!! Keep us posted on your results when you can. Take care.

Rainman,

You might also be experiencing a knot that does not seem to dissolve? That can be snipped and removed if so. Also sometimes there are ingrown hairs that can appear at the suture line and may have to be opened to allow the hair to come through.

If you are close to your surgeon, possibly go in for a follow-up if you have any any discomfort in the area. Happy growing!

Hi TF,

Welcome to this forum! I have heard of and seen your situation with the female version of MPB. Since women also produce testosterone and DHT hormones like men, they can be subject to this same type of genetic hairloss, and it sounds like you are doing your research which is very good. I have noticed this type of genetic hairloss in approximately one of three women and there is alomst always a genetic history of MPB on one or both sides of the family.

Also glad to see you had the preliminary bloodwork done which is critical in ruling out the other potential causes of female hairloss which can be many.

Now you mentioned loss "on top" of your scalp. Is it isolated to that region or do you have any retro-alopecia just above your ears and possibly thinning that is commencing up the neckline in the back of your head? If the loss is isolated on top, go back and view the "ludwig" pattern of loss and see if you fit into any of those classes. Either way, from your comments, it does not sound advanced at age 30 and yes the other changes you mentioned can cause or advance hairloss as well.

You probably have heard of minoxidil which is the only FDA approved hairloss treatment for women. Have you tried that with any resolve? It comes in several strengths and as you may already know, can be purchased over-the-counter. There are other cosmetic products like Toppik which can work miracles visually speaking in hiding diffused thinning.

Since you are in NYC, there are several reputable HT surgeons who can further evaluate your situation by exam and may even suggest a scalp biopsy which I doubt in your case, but that is a subject you can discuss further with the doctor. The two I often recommend are Dr. Alan Feller and Dr. Robert True, both MDs.

Because you are open to travel, I would first compare some recommended doctors on this site as to their feedback addressing treating genetic hairloss in women. Ask them their clinical approach which includes transplantation, how many cases they have on females, how many female patient references you can contact, etc, etc. You may want to also consider someone like Dr. Sharon Keene in Arizona who is talented, ethical, and may have done more female cases. You can always e-mail you photos and background to any doctor out of your driving range and then begin to narrow your selection.

Also read and ask about potential shockloss which can be prevalent in patients with diffused thinning like yours. The trauma to the scalp from the recipient incisions can shock out the natural diffused hair you have there where you are thinning. Shocloss is also unpredictable so do not let anyone talk you into doing a large session, rather approach it more methodically because you can always add to the density later.

Make sure when you are examined that "your entire scalp" including the donor areas are examined for potential "miniturization". This will tell exactly where DHT is affecting your scalp. The HT surgeon can also examine the outer perimeter of the area that is thinning to evaluate future recession or loss in the future. That will provide you some additional insight for future planning when anyone considers their donor limitations.

Lastly, if you find a doctor on the internet and are unsure of their reputation you can ask about them on this forum and hopefully receive more feedback.

I wish you the best LF in your search for resolve and let us know how things go!

Smoothy,

Do you know for sure if this nurse Betty has excised tissue, made recipient sites, etc? I mean possibly some patients have posted this as a factual experience and I am unaware of those very serious claims. If it is true, those are very serious infractions since it is illegal. Unless there are facts to back that up, it's only rumor.

Spock,

Consistency of reputation is one of the key elements in evaluating a doctor and I personally have heard "hits" and "misses" with Dr. Frayser so he is not one that I would recommend.

However the other two docs you mentioned are definitely worth considering. Best wishes on your quest.

PC,

I agree with you that meeting with a consultant first is okay for the purpose of answering "general" questions the patient has. But it is absolutely imperative that every patient have their medical history cleared by the doctor and also have their donor areas examined and calculated for density, discussion of life-long goal planning, use of medications and scripting of such, etc, etc. Of course there are times an out-of-area patient may have to do a virtual consultation, but still an exam "prior" to surgery is critical. There are some areas of evaluation that only the licensed physician can discuss with the patient as reps cannot practice medicine.

So I agree, there's certainly nothing wrong with talking to a rep first, but from a legal standpoint, a rep cannot disqualify a patient for "any" surgical procedure, although it is common place with some clinics, especially the mills.

Hi Bonzo,

Hope you have been finding this forum helpful and it sure sounds like you had a good constructive consultation. CONGRATS!, you had the chance to meet the doctor! Dr. Keene I think once worked for MHR for a very short time and left. I will stand to be corrected on that if necessary. I have seen and heard good things in her work. She is truly a professional and have heard nothing but good things about her. I have referred other patients to her in the Southwest.

I wanted to ask you if your plugs are growing well and not pitted, cratered, cobblestone effect, etc. Do you have a wide or narrow hair-to-scalp color contrast? Although plugs do not have the aesthetic appeal, I have seen a fair amount of open-donor work over the years and some that are growing very well, without the afore-mentioned ill-effects to the scalp tissue.

Skilled surgeons in FUE can sometimes "thin" the plugs out by extracting the FU's within the plugs and then re-implant those extractions in the recipient area. In a nutshell, it can potentially thin the density of the plug and increase the aesthetic result by distributing the extracted grafts. Then of course you have the additional 1500-2000 grafts left in the donor area to add to it. There are of course situations where it may be best to leave the plugs the way they are and fill in around them so possibly this is your situation. Don't get me wrong, it's not that I disagree with Dr. Keene's assessment, but if you do have a wider color contrast, and the plugs seem to stand out like a sore thumb, you may want to talk to a couple of FUE surgeons who "specialize" in repair work for the added opinions. Just a thought.

And then there are situations where the plugs are surgically removed which is typically the plastic surgeons' approach, they are then dissected into seperate FUs and re-implanted. Most patients do not like this approach and also is done when the plugs are in bad shape. Once the plug is removed, the opening is closed with a single suture.

My encouragement to you is to become familiar with "all' of your options if you have not done so already and let us know how things go. Best wishes to you!

Take Arfy's post to heart on this one. The only thing I would like to add is that consider e-mailing your pics and background to the docs you have researched that are out of your area before you jump on a plane or drive cross-country. You will be amazed by some of the results. It will provide you a preliminary impression of that clinic "and" doctor. Be patient, because good HT surgeons spend alot of time in the OR and it may take a little while to hear back. Then after you get their initial responses back, not a consultant or sales person, but the doctor himself, consider who you think has your best interest at heart, in both results and patient care. If anything, it will probably help you to narrow your search before you get on an airplane. Best wishes in your search.

Tman,

I saw that drummer of the Doobies on an informercial before and I could have sworn it was for Bosley. Maybe he is in both endorsements!

Chris2b,

I wonder if Dr. Diodocha was in surgery at the time of your consultation. Meeting with the surgeon is the most important part of the consultation for the obvious reasons. It also provides the doctor the opportunity to review the patient's medical history. Hopefully you will get a chance to hear his opinion as I have heard some good things about him.

I know I also suggested Dr. Harris who as previously mentioned is doing FUE and developed some of his own instrumentation. Other surgeons including some of those who attended the last ISHRS conference speak highly of his work and respect him as a colleague.

I am clearly not a proponent of the hair mills for the reasons that I have stated on other threads.

Either way, you are the patient, and so decide on whomever you think will provide you the best result, has good ethics, and will give you the opportunity to meet with him/her pre-operatively speaking. Sometimes patients have to e-mail pics because the doctor of their choice is not in their immediate area. But it sounds like the docs you are considering are within your driving range and if so, I would insist on a comprehensive physical evaluation by the surgeon. Best wishes to you and hope things work out well.

Gavin,

Well how are things in Ireland? Being half Irish, I have always wanted to visit the country but to date have not made it as I am restricted from being in high altitudes like airplanes.

A couple of things you should know. The effective inhibition period for Propecia (finasteride) is approximately 90 days. In other words it takes roughly three months from ingestion for finasteride to begin "effectively" functioning as a hormone inhibitor. Its pharmacology classification is a "specific hormone inhibitor". So getting back on it will take a little time to see its effects and also do not be alarmed if you shed some more because you do have some follicules that will enter the shedding (catagen) phase.

Also be advised that both finasteride and minoxidil do not claim any effeciency in the frontal zone, only the mid (vertex) and post (crown) areas. The disclosures and clinical trials for both Propecia and Rogaine clearly disclose this in their packaging. Do not expect finasteride or minoxidil to save your hairline. I believe you would have sustained hairloss in the front even if you had remained on finasteride.

Hairloss is very progressive and unfortunately, a life-long event. When I used to be a consultant I would sometimes hear other consultants state to patients that if they started Propecia and then got a HT, they would be set for life, no more hairloss. This simply is not true. Genetic hairloss can be VERY unpredictable EVEN when on hairloss meds. I have heard from guys who have been on finasteride for 3,5 years or so and all of a sudden BANG, it begins again.

That's why it is SO important when examined by any HT surgeon to know the zones of demarkation (areas of miniturization) affecting your scalp bacause that is the indication of where future loss will probably manifest. And it's those areas that you will want to consider for future restoration. If your family history displays advanced hairloss classes for the men in your genetic background, all the more reason why one should have plans for addressing future loss and restoration.

I always caution men who desire complete coverage and yet visually show the potential of being in a Norwood 6 and 7 in the future. I "always" ask them, what happens if you lose more hair when you get older and you run out of donor? Some will say, "if I cannot get complete coverage (illusion of coverage), I don't want to even start". And I agree for those who will not want anything short of it.

Since you are beginning to experience loss in the frontal zone, just be sure that you know your donor limitations so you can plan accordingly. Some guys do not care about crown coverage and have plenty of donor for the front and mid-range, but only you can decide for yourself. Not everyone's goals are the same. Best wishes to you!

Hi DanielTaylor2,

The only thing about cutting the small tablet "free-hand" is the risk of cutting yourself with the blade. Alot of pharmacies sell the pill cutters and you do want one that has the "v" guide that the pill slides in to. That's the type I use and I have been cuting Proscar for many years now. Actually with practice you will find it easier and before you know it, you will master it.

It's true that finasteride has a long shelf-life so the minor irregularities in the pieces won't matter, and if one of the pieces come out bigger, skip a day. You can also put a note or checkmark on your calendar as to which days you are skipping, so it does not get confusing. Best wishes to you.

Any male 40 years of age or older considering starting finasteride for treating genetic hairloss should have a PSA test done prior to ingestion.

Further, any males that are using finasteride in a different form other than Propecia, should make sure the prescribing physician charts the fact that the medication is for treating hairloss. Lots of guys are quartering Proscar to save money but many PCPs and even Dermatologists are unaware that this economical approach is being used by patients.

Hi chris2b,

Welcome to this forum! You may also want to consider Dr. James Harris who is an MD and part of this network. Just go to the home page and click on the state of Colorado and I believe he practices out of Englewood.

He also does FUE, and developed instrumentation for it. Best wishes to you on your search.

Hi Patti,

Hey, welcome to this forum! Just wanted to encourage you to have "complete" blood work done if you have not already done so.

There are many more potential causes of hairloss in women than men, generally speaking, and you want to be sure that your hairloss is in fact genetic. Sometimes thyroid problems, hormonal changes etc, can be treated medicinally with a chance of your hair growing back.

My point is, know exactly what you are dealing with before you invest your hard earned money into other cosmetic approaches. Best wishes to you!

Hi mss28,

What FS stated is very true. I just spoke with one of Dr. Rose's patients yesterday and he had his third procedure which he thinks will be his last one. He looks awesome! He used to surf these forums quite a bit when he was going through his research stage. I asked if he was still active on the forums and he advised me that he no longer had any need to. So I too see lots of folks move on with their lives unlike some of us hair junkies!

Anyway, my first transplant was in 1996 (nine years ago) and is still growing! Had my second HT in 2001 and the last one in 2002. All still growing!

I mentioned in another thread that I still see patients who had open donor 25 years ago or so and the plugs are still growing in most cases. Although there is no aesthetic appeal, the hair is growing!

Hi TM,

You look like a completely different person now! The pics on your other post were very good in displaying total views, even from the top.

I noticed your surgeon placed more grafts in the front forelock area and coronet area of crown. Are you very tall? If so the mid-range or bridge area does not typically need as many grafts since that area is not well seen by others. I saw the singles in the hairline just above the frontallis area so I think the placement looks very natural and compliments your face symmetrically speaking. Your more narrow color contrast is also helping.

Another pass would be awesome for density if that's what you want. You must be getting alot of compliments! Are you planning on posting some pics at 12-14 months? Take care!

Hi Hairbank,

Thanks for the additional info and I agree totally with you that placement is a very important issue. Now there are a couple of things to consider.

First, find out your total potential grafts from the donor areas. Harryone made some interesting points to consider especially regarding coverage for those of us in the more advanced Norwood classes. Once you have a better idea of how much your donor will produce, you can better analyze where you want coverage in a lifetime. As grafts are added and then fully mature you will see the result and then again make decisions on where you want additional hair in future procedures. Most of us will inform you that there is more of a clinical advantage in doing a larger session to start with, but if you have budgeting concerns, you can still start with 1200 grafts. Your question however is where to place them right?

That gets back to your goals for Hairbank and only Hairbank. You are now 38 so I would presume you are not trying to acheive youthful density. In addition you mentioned you are considering 80% in the front and 20% in the back. Since the real impact of our appearance is viewed from the front, you are definitely on the right track. In fact after the first procedure grows out, you may elect to have even more grafts placed in the front to mid-scalp range to get the most aesthetic benefit possible. Now I have not forgot about your crown area but again by your comments, it appears that the front is ranking higher in your decision of coverage.

Since you prefer not to use finasteride, minoxidil, etc., the crown will undoubtedly lose more natural hair or at least plan on that happening. The circumference of that area can potentially demand as much as 50% of one's available donor (excluding body hair). That does not leave that much for the frontal and mid-range areas. You can always add a single pass through the crown area later by visually reducing the thinnig area, but it will not acheive full coverage unless you later add body hair in that area.

Now let's discuss potential shockloss. You have diffused thinning throughout the top of your scalp. One of the potential dis-advantages of doing mega-sessions is the probability of shockloss to the natural hair that is up there right now in the recipient areas. Since you are not taking finasteride or using minoxidil, the level of shockloss could be higher than expected and the natural hair may or may not grow back. The finer diffused hair that now looks like peachfuzz will not come back. Shockloss is unpredictable so patients with a diffused thinning pattern need to consider how large of a session they want to start with.

Remember, hair caliper (coarseness) is the single most important factor in gaining the "illusion" of coverage. The fatter the hair cylinders, the better coverage obtained. If you have not already, take a look at Ramo's pics. He just had I believe a 1300 graft procedure 7 months ago with most of the grafts in the frontal zone. Take note that he has a natural wave characteristic to his hair. His newly grown in hair in the hairline and front forelock area displays alot of volume or body for 1300 grafts, so the wave provides him additional benefit. Both of you have a wider color contrast but also notice the visual benefit he received as he is viewed from the front.

I wish you the very best in your planning and results!

Robert,

Just saw your six month pics. WOW! Incredible! I know you have mentioned that using MSM has helped to put the medal to the pedal regarding growth and it obviously has helped quite a bit. With 2300 grafts and at six months, just wait until you hit that one year mark.

If the girls are after your ball cap now, just wait till everything fully matures! They'll be chasing more than that! How about a six month pic view from the front looking straight on. My bet is that you look younger. Happy growth!

Damo,

You should be at about 7 months post-op now right? The work looks nice especially the hairline on the most recent 6 month pics. The front forelock also looks like it is blending in quite well.

I compared the pic of the frontal recipient area just after surgery to the last front view pic and I can definitely see the hairline and temporal lobe areas growing in from where the recipient sites were made.

It looks like the hairline over your left eye has some growth yet to come so don't worry, you still have some coming. Your frontal view looks great man!

Hi Hairbank,

Thanks for posting your pics! How many grafts are you planning on and what recipient areas are they going in? Are you are on Propecia (finasteride) or minoxidil? How many potential harvestable grafts do you have in the donor areas? What are your goals in the first session? How old are you and to what extent is genetic hairloss in your family history? Any men in the Norwood 7 class like grandfathers, uncles, father, brothers, etc?

I do not mean to present so many questions at one time but more info would be helpful to give you some concrete feedback.