Jotronic

Did Dr. Deyarmen not discuss Propecia with you? Being 32 years old this should be your first priority, to prevent further loss. I was 32 when I first started Propecia and at 44 now I'm still holding on to what native hair I had twelve years ago. Mind you, it wasn't a lot but my hair overall has a much stronger quality because of Propecia.

Thanks for the comments, fellas. We don't expect much more loss for this patient as he's a steady user of finasteride with his loss stabilized. Obviously there is not guarantee against future loss but his donor zone is solid and should provide enough hair in the future should he need it.

What are your expectations for a result? Are you taking Propecia?

We have a few spots left for this visit so fill out the registration form now to secure your spot.

No, we are in San Francisco every few months.

Anything is possible. The question should be; should it be done? This is highly questionable as you have to have the ideal characteristics in order to get enough grafts to not cause visible thinning, of the donor zone and the healing has to be good enough for the scarring, and there IS scarring, to not be visible. Patients with more coarse hair tend to have better results overall and coarse hair means that fewer grafts will be necessary to get a cosmetically acceptable result. Post up some pics, let us have a look. Are you on Propecia at all?

The speed at which one loses hair is completely unpredictable. It can be slow at times then kick into overdrive and accelerate at a shocking pace and it can happen at any time. That is where family history comes into play as well as just eye-balling it from a birds eye view. Sometimes a seemingly full head of hair can actually show indications of future loss in very distinct patterns. I can't count the number of times someone came in for consultation seeking minor hair line work only to be shocked to learn they have a slight outline of a diffused NW5A developing.

I've flown many airlines in the past, Emirates is an excellent one but I wouldn't say avoid European airlines. Lufthansa is good and I've always enjoyed British Airways. Don't believe the TV news about Turkey or Southwestern Europe but one should believe the TV news about the United States? That's a bit of a double standard, no? The United States doesn't have to worry about Canada or Mexico going through a civil war with the use of WMD's as seen in Syria, which is on Turkey's border. I'm not saying that Turkey is dangerous but to say it's safer than the US is a bit of a stretch. Just sayin.

I'm sure it can be done but beard transplantation can take a lot of grafts to do right. Dr. Wong did a case for a young man several months back and it took 4000 grafts. Even though the result was really good he came back for another 600 or so to add more to the "goatee" area. I think it would be wise to not rush into things and just tackle one problem at a time especially since you are already experiencing hair loss. You don't want to exhaust your donor trying to address your beard and hairline then not have enough hair for the top or the crown should they ever go. Prevention is key, start with the meds to arrest your loss and then move forward based on your results.

So last week was the 2013 ISHRS Conference in San Francisco. I went to help present some surgical patients for Dr. Wong but I also spent a lot of time in the booth set up by Beauty Medical. Before the show I had our tricopigmentation tech, Carmen, fill in HALF of my crown so that all attendees could see a side by side comparison of what SMP can do for a thickening effect. http://youtu.be/5LrQudyworA

This local patient came to see Dr. Wong about thickening the frontal zone as well as the crown. Dr. Wong moved 2160 grafts in one procedure for the result shown below which is at 9 months post-op.

Well, I've had six (four with Dr. Wong), seven if you count a small scar revision test done several years ago. I think Spex has had ten. I know one guy that had 16 or so but they were tiny strips of a few hundred grafts each back in the 80's and 90's.

Aha! I wondered if that was you but I didn't think to ask until after the live patient viewing was over with. You should have said something when we met:) It was nice to meet you and the work looked good. Congratulations.

If you're a NW2 or early NW3 then I'd say you are in a great position since I recall that you were the same if only moderately better off when you first joined the boards.

Hell hath frozen over. I never thought I'd see the day, lol! Good luck.

Our representative Mike Ferko will be in our San Francisco office from November 25-27. He will discuss with you how Hasson & Wong perform our procedures and answer your questions. Call 1.800.859.2266 to reserve your spot by going to our website Hair Transplants | Hair Transplant Surgery | Hasson & Wong and filling out the registration form. You can also email info@hassonandwong.com or call 1.800.859.2266.

Our West Coast rep will be in our Los Angeles office in the Yahoo Center this November, from the 20th to the 23rd. You'll receive an education about how Hasson & Wong perform our procedures and information that can help you to make a decision about your hair restoration needs. This is a no cost, no obligation consultation. Our Los Angeles meetings fill up quickly so call now to schedule your time slot. Register by going to Hair Transplants | Hair Transplant Surgery | Hasson & Wong and filling out the registration form or call 1.800.859.2266.

PRP/Acell has unfortunately not shown to live up to the hype. As Greatjob said, there was quite a bit of potential in the beginning but the past few years have shown that the potential has fizzled but unfortunately a lot of clinics still offer it, charge a premium, and have little to show for it. Most of what I've seen as far as results go are the typical wet before pictures and dry, combed and styled after pictures. The healing abilities of Acell have also been over hyped with the results under delivering. It all boils down to you paying 3000 dollars for nothing more than kitchen sink science.

HairPhnatic, Sorry to potentially hijack your thread. Congratulations on your procedure:D

Scar5, I grow tired of forum members making silly statements regarding our clinic, be it describing what fits our "model" or even our supposed surgical schedule. Those that submit photos and information to our clinic receive an appropriate assessment based on two factors; surgical characteristics and expectations. With characteristics, this includes donor density, donor laxity, size of area of loss. With expectations, this includes if the expectations are realistic, unrealistic or unrealistic but can be potentially turned to realistic with further consultation. If one or both of these factors are not favorable the patient would be advised as such and surgery would most likely not happen. Unsurprisingly, this is the same "model" that every reputable clinic adheres to or SHOULD adhere to. I specifically take issue with the reference to us having a skewed eye that would encourage someone away from surgery in general. I'm rather surprised that telling someone that surgery is a bad idea is even remotely presented as a negative. This is a classic scenario of "damned if you do, damned if you don't". And I have no problem saying that I've told some people not to have surgery at all. I've done it before and I'll do it again. If they listen to me or not is up to them but I certainly won't tell a NW7 that a combination of head hair and body hair will look natural. I'll leave that to those that believe in fairy tales, prp, Acell, donor doubling and bank account quadrupling.

No, not necessarily. As I was saying in my initial post, extraction method is irrelevant. With FUE, the grafts are the same diameter of the punch used to extract them. With FUT, the grafts are reduced to their natural groupings and each clinic will usually have an amount of supporting tissue around the grafts that they are comfortable dealing with. Some clinics feel more confident with "chubby" grafts so they'll leave more fatty tissue around the follicular unit. Some clinics have consistent success with skinnier grafts and will trim away more of the fatty tissue. This is very rudimentary as there are varying circumstances that will influence the size of the graft but you should get the idea.

Just a reminder, the meetings start in two days so register now. We've got four slots left.

I apologize, the one image you posted by yourself, where you are facing the camera, made it appear that your parietal humps were still present but I no longer think that is the case. You may still have some residual hairs in this area but it is safer to assume you are closer to a 7 as the sides clearly would need work. This part is without question. With the shape of your head you have a LOT of area to cover and 5000 grafts would barely make a dent. I think the SMP route is the best way to go first (temporary) and then see how you like it.

HUV, Sometimes it is better to go short. It's just that it is wrong to assume this to be so for every guy that has a lot of hair loss. If you look at the side of a NW7, the hair has receded down the side and the side hairline is closer down to the top of the ear. Not quite all the way, but maybe half way between the top of the ear and the top of the scalp. The hair below this area is closer to full density, maybe 60 per cm2 on the low end, maybe 80 or 90 per cm2 on the high end. When you try to build the sides back up, on a patient like this, the sides will obviously have a severe density deficit that can only be hidden with hair that his long enough to comb. A NW6 does not have this problem as the sides are still completely intact so they can get away with much shorter cuts and with surgery it is much easier for the patient to get away with lower density on the top. Make sense? The hair cuts you reference are certainly possible but the actual appearance with these hair cuts will not nearly be the same as the density from surgery would be far too inadequate. These models you referenced have full heads of hairt. You'd need 8000 grafts of head hair at a bare minimum and then you'd need lots of Toppik and/or Dermatch and a creative mind and even then it wouldn't be the same. Your photo is difficult to gauge but you appear to be a NW6 as I think I see the outline of parietal humps but your image is a bit too blurry, not to mention I see no images of your donor zone or the crown.

Dr. Wesley, Thank you for your reply. However, I am not certain how Dr. Beehner's findings relate to your presentation. The presentation reviews graft size alone, not how the grafts were extracted. You stated... But the question his HOW? There has been no distinction presented between the reduced amount of protective tissue from "skeletonized" grafts via microscopic dissection from FUT vs. the FUE grafts which also have a reduced amount of protective tissue (assuming same sized grafts of course) and that this, by your own statement, may not be "advantageous" for the FUE grafts. In other words, what would be the difference between a two hair FU from strip and a two hair FU from FUE. Assume both will go into a .8mm incision. This goes back to my point that extraction method is irrelevant and I posit that INCISION method makes all the difference in the densities that can be achieved with successful growth.