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Raphael, It's good to advanced work in researching crown restoration and I have heard that Hasson and Wong are preferred, but my personal advice is to stay out of the crown area until after you've dealt with the top and front sufficiently to your satisfaction, leaving the crown for the last.

Aguafria, Welcome to this community! You need to be certain your hairloss is from MPB. Have you checked with doctor? You need to go on and stay on meds. Minoxidil and finasteride. It is a pity that the country you are in doesn't allow generics. Are you in the European Union? Ireland? After you've had a hair transplant, you'll be more concerned with the scar and you will have revise how you want to present yourself, i.e. with buzz cut. To reconstruct your hairline and add density you will need initially 2500 grafts minimum, staying out of the crown. You seem to have extensive hair loss and will eventually need more. One option may be to do a megasession sometime in the future (Hanson and Wong are good)

No.

From those who have had hair transplants, I would like to get input on the following questions: 1. How rapid was your hair shed from the transplanted grafts? Did they ALL shed in the 2nd week or 3rd week? 2. What has been the Earliest & Latest times for noticable emergence of hair from the scalp following a hair transplant surgery? 3. Has this time frame changed, advanced forward or delayed, for those who have had multiple hair transplants? I.e. for the suceeding hair transplants, did the hair follicles remain dormant for longer periods of time your personal experience? Thanks.

From those who have had hair transplants, I would like to get input on the following questions: 1. How rapid was your hair shed from the transplanted grafts? Did they ALL shed in the 2nd week or 3rd week? 2. What has been the Earliest & Latest times for noticable emergence of hair from the scalp following a hair transplant surgery? 3. Has this time frame changed, advanced forward or delayed, for those who have had multiple hair transplants? I.e. for the suceeding hair transplants, did the hair follicles remain dormant for longer periods of time your personal experience? Thanks.

That doesn't make sense. Generic dutasteride and brand name dutasteride are identical.

bash77, This sounds like a whole different topic that should ideally be dealt with by starting a new topic thread.

Sunchaser, What you are experiencing, neuropathic pain, is something I personally have experienced, and I am quite sure that most of us here who have had transplants have experienced it from time to time. It is akin to phanthom pain and has symptoms of a sudden sharp pain. You seem to have it very severely. You have taken good steps by seeing a health care provider. Be careful with powerful pain killers.

I believe it happened to me, but I can't be sure. But you must remember that even if the transplanted hair does not shed within the specified 2-6 weeks time that it is expected to, it WILL shed eventually in keeping with its cyclic behaviour.

Great info Bill! Thanks a lot!

Additionally hairlust, it is important for you to understand that you should stay aware from any hair products that contain alcohol in it, such as hair gel etc.

Jessica, Firstly let me say that you have nothing to fear from myself nor Bill nor Spex nor PGP nor Jotronic nor any of us. Secondly, while scientifically trained in biology and chemistry, I am not a qualified medical professional nor health care provider and any one who takes my advice should always consult with qualified medical professional or health care provider, before making a decision. Thirdly, I think, that Gary's question may have been sufficiently answered knowing that minoxidil and finasteride are the only chemicals empirically proven to regrow hair. Fourthly, perhaps it is best that you initiate your own thread "who may be a better candidate for dutasteride than finasteride?" where other members can post responses to your inquires.

No. But you should be aware that non-atrophic hair does lose hair mass over time as the body ages. This is natural.

There have been no serious differences in side effects between finasteride and dutasteride, in both phase II and phase III studies, but patients need to tread cautiously. The precedent, as always, is to try a prescribed medication, allowing for the results to become evident, before moving to another drug. Until a clinical determination has been arrived that finasteride is an obsolete chemical intervention in favour of dutasteride, a patient should follow a qualified medical professional's advice (which is what most prescribe) and administer finasteride.

Yeah,it's kinda funny; a very non-clinical way of saying euthanasize.

David78, Welcome to this community! The only proven treatments for hairloss are minoxidil and finasteride. If your side effects are severe, then you must contend with other non-proven therapies, almost all of which have no empirical data to support their claims. How severe are your side effects? Please be advised negative/undesirable side effects subside with time when your body returns to baseline.

This depends on the scalp laxity and the amount of hair follicles that the surgeon and patient decide to excise.

Rify, Welcome to the community! YES. Nothing. Atrophic hair follicles will minituarize. Medication delays this process, which is genetically pre-determined.

Steve_H, Welcome to this forum! Please post some pics as a picture is worth a thousand words.

The recepient area will be a mosaic of native atrophic and non-native non-atrophic hair. Native will have varying calibres. Non native is supposed to initially sprout as vellus and finer terminal hair both increasing in calibre until the ultimate size is achieved.

Joe Riley, I am not going to hijack your thread with a meaningless argument with someone less. All comments ideally should be addressed to you on your thread. You must make your own decision about the use of drugs and surgical restoration (if you decide to go this route, after professional consultation). Please do your independent research about the use and limitations of drugs and hair restoration surgery. And please take time to take care of your mental health/well being and peace of mind.

I'm not disputing that, but the fact remains that he needs to keep taking medication for the rest of his life. Even non-atrophic hair minituarize over time and medication can aid with this. That's a software program calculating restoration for the entire scalp, including the crown. I am non-professionally advising that he can stay out of the crown, ergo, he may need less that 8000FUs, even with finer hair. He needs to work on his self-esteem first.

Too many posters are giving this kid the wrong advice. He FIRST has to deal with his own perception of his own beauty and his self esteem. He NEEDS to keep taking medication for the rest of his life. It will work...in delaying the miniaturization process. Just like me. Just like Bill. Just like Jotronic. Just like Jason. Just like PGP. Just like Spex. If he does proceed to surgical intervention after due deliberation, he can achieve the illusion of density with less than 8000FU and he must be aware that donor reserves must be preserved at all costs. (A professional HT surgeon's opinion is vital here.) Framing of the face and densification of the top without crown restoration may be an option if he is indeed heading towards a NW7.

Any more comments?

Cautious, I use dutasteride, but alternate with finasteride (only because I have the finasteride and I need to consume it). I have no side effects.