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  1. Hi all, I started losing my hair around the age of 16. Both my maternal and paternal sides lost hair at a young age. I started my hair loss journey at the age of 19 and began using topical minoxidil and finasteride daily. My hair improved drastically, and all miniaturisation was gone. But by 23, I found my hair had become unstable again, and the quality of my had become variable. I put this down to poor diet and stress, and this was when I implemented positive lifestyle changes; changing my diet, lowering my stress and creating an exercise regime. Another point I must stress is keeping your help healthy is vital! I found minoxidil can cause dandruff or even seborrheic dermatitis. Making sure I treated all this has significantly improved the quality of my hair. Also, regarding post-workout shakes, I use a product from help hair which is rich in biotin. By utilising these steps, I was able to maintain a Norwood 3 despite having an overly aggressive form of hair loss (if I didn't seek intervention I probably would have been an N4-5 by now). However, despite all the clean eating and medication, I knew that I would not be able to grow back areas which had no hair, so I started looking at surgical procedures. I had been considering the procedure since 19, but as a university student, I didn't have the funds. After doing my research, I had come to the following conclusions: I wanted a surgeon who worked locally or at least in Australia, as hair loss is a lifelong journey, not a day trip. I wanted a surgeon that would be more conservative and realistic with my hairline and the number of grafts. I wanted a hairline that didn't look receded and also one that wouldn't look like I had a hair transplant when I go into my 30s. For me, the goal is not to defy the natural ageing process, but to emulate someone who does not possess the gene for MPB. Plus, you can always get subsequent procedures 10 years down the track if you really want to lower your hairline further. I think its important to make sure your hair loss has stabilised. As a 25yo, I cannot be certain that this is the case. The consult I decided to go with Dr Vikram for the following reasons: He consulted with my prior (a lot of clinics will make you consult with a salesperson and not the surgeon). He expressed the same affinity towards safeguarding against future loss by performing a procedure that wouldn't decimate my donor area (e.g. recommending the 1200ish range and FUT procedure due to my age). His practice was near my apartment. He was well-spoken and seemed very engaged in new and emerging hair restoration technologies - check out his YouTube channel! He offered reasonably priced FUT procedures. What I had done I had FUT 1200 grafts + Regenera done. If you don't know about Regenera, look it up. It's similar to PRP - which you will see at many famous hair restoration clinics - but uses the tissue from the strip graft. The growth factors will be specific for hair and give the grafts the extra boost to survive and grow more quickly The surgery day step 1: draw out the hairline. step 2: receive a sedative that takes away the anxiety you might be feeling. step 3: numbing the front and back of the scalp. To me, this feels like a cat scratch. step 4: removing the strip step 5: making the holes that the grafts will go in. Not painful but creates a unique sound. step 6: planting the grafts reapplying local as it starts to fade. It doesn't hurt as the area is quite numb. step 7: injecting the Regenera into the recipient area. Step 8: injecting a long-lasting local into the back again, so you feel minimal pain that night. Comments: his staff were also fantastic. The head nurse was very motherly, attentive and brought great positivity to the operating room. I am currently one-day post-op, feeling mild pain from the donor area. However having had my wisdom teeth removed a few months prior, I can say with certainty; this is nowhere near as bad. I will update you all as I progress. Thanks again to Dr Vikram and the team at the Knudsen clinic.
  2. Hi everyone, I am 26 years old and considering a hair transplant (FUT, recommended 2500 grafts by Dr Cooley in Charlotte, NC). I am receding in front hair line and also thinning slighty in crown area, althought the worst is definitely the front third of my head. I wear my hair relatively long so I am able to hide the receding temples pretty well at this point. But when my hair gets wet or is not fixed, it bothers me very much. I wear a hat most days as I am very self-conscious about my hairline appearance. I have been on Propecia (1mg 3x per week) for about 9 months and rogaine once a day. It has certainly helped stop and thicken slightly. But, of course, this is not going to grow hair in the receeded hairline area. Luckily, I have experienced no side effects. Now, I am considering a transplant. Does anyone have any experience/advice to offer with regards to the below? - What is it like to get a transplant in 20s? Pros and cons? - Should I worry about hair looking patchy in future if I continue to lose hair after transplant? -Will having to stay on Propecia for the future cause issues longterm? Thanks! Looking forward to hearing people’s thoughts!
  3. I am a NW2 and aged 28. No sign of rapid baldness or hair loss. I have very slow progression of hair loss. I am planning for HT to lower my hairline little bit. I DONT WANT TO TAKE FINASTERIDE after transplant. My queries are.. Will all the transplanted hairs grow even if don't take finasteride after surgery? Does transplanted hair fall after sometime? or is it permanent? I have read the transplant hair also undergoes miniaturisation and eventually fall off. I comfortable being bald in my late 40s. But I am skeptical about whether my hairline will look bad if only surrounding native hairs fall out.
  4. Dear all, Its always a hot topic, Finasteride use and whether pre and post op hair transplant patients should take it. In the following video Dr Bhatti uses his expertise to explain away the phobias associated with Finasteride use and explains in detail the relationship with Testosterone levels. Again, a must see for so many of you out there.
  5. Good evening friends, I am 24 years old and have been suffering from hair loss since I was 21. I wanted to do an HT with Dr Kaan Pekiner. We did a Facetime, which I thought was really great. He said that if he did an op with me now, he would have a good result, but recommended that I start with Finasteride 0.5 mg first and generally strengthen the hair on the back of the head everywhere and then do the HT. I will start with Finasteride 0.5 + Regaine from now on. (Have used Regain for 5-6 months) Loved his honesty. My question to you ... has anyone had good experiences with finasteride with 0.5 mg? And what do you say about my hair status? Best regards
  6. Hi all, Please share your real life experiences with finasteride / propecia use and comment if you want to add anything else. Feel free to suggest more poll options ! You can choose more than one answer if needed.
  7. What Treatments besides the big 3 have you guys used? Do any of you have any experience with RU58841 or CB-031? How To Stop Hair Loss
  8. Hi Guys. So after fretting about my hair loss for years, this weekend I started booking online consultations for a HT. I was really excited to rebuild my hairline and take charge of the narrative. So imagine my shock when a respected hair restoration clinic sent an email back based on my photos saying I was not a good candidate for a hair restoration procedure because my final pattern of loss is aggressive and my donor reserves are limited – thanks in part to a retrograde loss pattern. I had not noticed any thinning from the bottom up. (And I've never heard of retrograde alopecia until now.) Maybe I'm in denial, but I'm wondering if my quarantine cut, shaving my neck too high (when trying to clean up stray hairs), and the sun bleaching my neck hairs (I always wear a cap when I walk my dog) created the illusion of thinning at the bottom. Earlier today, I snapped a bunch of pics of my back stoop in direct sunlight to get a good, well-illuminated look of my donor area. Curious if it's as bad as the doc thought and if I should really abandon my dreams of getting a HT to restore my hairline. I've never tried finasteride, and I'm not comfortable with it. I've been aware it was an option for years, but have a drug phobia and knew I'd be too freaked out about the sides. Yet had I tried it and been able to tolerate it starting years ago, I'd have a much better situation to work with now! I recently got some topical minoxidil foam (Kirkland 5% foam), which I had procrastinated starting also for fear of systemic absorption and cardiac sides. I did notice some mild chest pain the days I used it but I think the chances of that being psychosomatic were high. I read about topical minoxidil/finasteride formulations that doctors claim will result in fewer sides. Is there truth to this? I read that plasma levels of finasteride from topical formulations were comparable to taking oral finasteride, which seems to indicate systemic sides would be just as likely. I spoke with Dr. Bisanga's folks and they mentioned a finasteride scalp gel that was formulated to stay local in the scalp, which sounded promising. I'm thinking if I start using the topical minoxidil and maybe spring for one of those iRestore caps, it could improve my situation. I'm starting to consider even taking the plunge on finasteride and trying a low dose (either 1 mg/2-3 days or .5/2 days) to see if I tolerate it and feel relatively normal. I have a feeling finasteride would greatly improve my crown and the quality of the donor hairs in the back. Would love to hear your thoughts. Does my safe donor zone look that small? If I'm unwilling to take finasteride, or if I can't tolerate it, should I even bother with a hair transplant? Thank you!! Really love this site. It's been an invaluable resource for me.
  9. Hey everyone! I'm a new poster on here, having followed this forum for quite some time! Before I start, I just want to give my thanks to Melvin and all the regular posters who continuously work to make this into a valuable and informative network for all of us! It has certainly been of great help to me. So I recently contacted a doctor recommended by the ISHRS about my hair situation. Having looked at my photos, they suggested I get on finasteride for a year before looking to operated. I was previously hesitant on starting it but its now getting to a point of now-or-never, and the doctor assured me that overall the drug is safe the reported side-effects only effect a small percentage, and even then he has never seen any permanent side effects. He also mentioned that the nocebo rate associated with the drug. Today I started on 1mg finasteride daily. I was quite excited to get started as I was starting to see quite a few small hairs growing along my hairline and in my temples from just under two months of minoxidil 5% foam (twice daily). However, I can't helped get concerned about people online saying stuff like "finasteride ruined my libido", "I wish I'd never started" and everything concerning fertility issues (probably what I'm most concerned about), etc. My question to the forum is, based on your experiences with finasteride, what should I expect in terms of side-effects and hair growth? Please let me know if I need to elaborate on something or give more details. Thank you in advance!
  10. I got my ( great English) from a compound pharmacy a few weeks ago. The dropper that was included is unmarked. So if anyone knows I was curious how many drops should be applied. I am in the midst of contacting my surgeon and the pharmacy is obviously difficult to get a hold off because of the crisis going on. I was also told to apply it only once a day. I do have the droplet from the minoxidil. But I was looking online and it was almost impossible to find any information except from Dr. Bauman who said to apply ten drops through three parts of your hair. so I was curious if anyone else knows the answer to this question thanks
  11. Hello all, My hair is thinning quite a lot on top I have been taking fin for 3 months now daily. My temples have no hair, I was looking up close and see all these small hairs. What are the chances of these hairs growing back normally? What was your experience like? I was thinking if getting FUE to fill in my temples, but seeing these hairs I am not sure what to do. If they do grow back, of course I would not go for a transplant (I really hope that is the case) Thank you for any input.
  12. Hi everyone, I have a question for long-term finasteride users (1 year + on the drug). When did you start seeing results and how would you characterize your results (hair stayed the same? hair regrowth? if you experienced hair regrowth, in which areas?)? I'm curious as I've experienced rather rapid hair loss over the last 3 years, with most of my hair loss happening in long shedding periods. I was wondering if I can expect to see my hair return to the stage it was say a year ago, after a year of continuous finasteride + minoxidil usage? Thank you!
  13. Hair transplant restoration surgery result of 5,308 Hair grafts from the frontal to the crown area on advanced Norwood 4/5 hair loss pattern during one year follow up by Dr. Diep. 5,308 Hair grafts breakdown: One hair roots= 691 grafts Two hair roots= 2,670 grafts Three hair roots= 1,392 grafts Four hair roots= 555 grafts Total hair roots= 5,308 grafts To view this client in detail, please click on the following Youtube video link
  14. Hi All, I am looking for advice. I am turning 30 in a few months and over the last year have noticed my hair is feeling thinner. Over the last few month, it definitely seems that i am getting much faster recession on my temples and it looks like i have lost a few mm on my hairline as there are now hairs the same length growing in front of it. I am also losing smaller hairs of around 2/3cm. Probably losing between 100/150 hairs a day (that I notice) and have some slight itching and dandruff that I have never had before. Nothing on the crown although definitely feels thinner and looks it when looking through my hairline. As ridiculous as it sounds hair loss has been a fear of mine for a long time as my father started balding at 18 and the process only took 5 years. This has been driving me crazy over the last month and I have become a little obsessive. No one has noticed or mentioned it yet even my girlfriend, but i am afraid it is just a matter of time. Asked my hairdresser who wasn’t sure but said there could possibly be more temple recession than previously. After scouring various articles and forums for weeks would starting to take finasteride1mg or Avodart .5 now be a good idea? I am fully aware if i start it would be a life long commitment. The other option in to wait and get a FUT at some point especially as the shred i will experience will terrify me? Any advice would be great
  15. I have been on Minoxidil since 2012, when I first noticed hair loss. I initially started with 2% but switched to 5% since I heard it was more effective. At first I was fine, but I started noticing side effects such as a painful scalp, itchiness etc.. I did not think much of it and consulted a few dermatologists that claimed everything was okay. In 2015 I had my first hair transplant, which for some reason failed and I was told I may have scarring alopecia, due to the fact that there were a lot of pimples on my scalp. The biopsy came back inconclusive so I decided to proceed with a second hair transplant. Dr Yaman brought up the fact that Minoxidil might be causing me the side effects, which makes sense. So far, the results have been quite good, but over the past month I started applying minoxidil again and noticed a lot of pimples on my recipient and donor site. I initially thought it may be due to the fact that I was four months post op and reading online pimples are quite common, but I ran out of minoxidil last week and noticed my scalp clear up a few days later. Is it possible minoxidil can cause folliculitis? If so, are there any other alternatives I can use? I am on Finasteride, which I will continue using if minoxidil is indeed causing problems
  16. I've been taking Fin for about week now, with Oral Min and Derma Pen currently in transit from AllDayChemist. My plan is to start Fin for 90 days to determine if I get sides, and switch to Dut while taking 1 Mg of Oral Minox per day along with Derma Pen 1.5mm 1x per week and Nizarol Shampoo + Biotin for a year and connect my results with a HT. I'm a NW6 for sure, and am hoping that at the very least, I can thicken up my donor area + try to get some of the miniaturized hairs on my crown to go Terminal, but I'm not expecting a miracle by any means. I do believe if I'm able to regrow a bit and thicken up my donor, that a 5,000 grafts would give me an age appropriate hairline + midscalp coverage and would atleast look better than what I have now. I'm aware that I could also have temporary SMP in the thin areas at the midscalp, etc. + fibers for additional density. At that point I would return for a 2nd HT IF (and a big IF) I had any remaining grafts, or live with it until/if new technology (Follica, Dr. Tsuji, etc.) hits the market, although I'm not holding my breath. Am I delusional? I've seen some pretty incredible results from the Big 4 on here + HairLossTalk and know I won't be able to live with myself if I don't atleast try to do something about this. I wasn't even aware that there were hair loss treatments that even worked when I was actually losing my hair, and try not to beat myself up about doing anything about it while I was younger. Anyways, any advice / thoughts on my current plan would be helpful. I'm cautiously optimistic about the next 12 months.
  17. Hi, I am 30 years old. Have lost the frontal hairline and it is going back day by day. Pretty much like this but mine is worse The above thread prompted me to post my doubts here. So, I visited few of the surgeons from this list https://www.hairtransplantnetwork.com/Consult-a-Physician/surgeon-list/IND/India Darling Buds and Medispa and many other renowned surgeons who are not on the list but people have achieved great results from them. Everyone suggested me around 2500-3000 grafts. All of them were doing the transplant using FUE technique and gave one PRP session along with the transplant. Here are my doubts- 1. I met many patients who came for follow up visits in their clinics. Almost everyone said that they were told say 5000 grafts but in reality the grafts injected were way too less i.e. they didn't get the required density. Any way to make sure that one gets what he has paid for? Someone else has same doubts 2. Everyone said that the surgeon constructed the hairline in the front and the rest of the work was done by their staff. Shouldn't the surgeon do all the work here? 3. All hospitals told me that the existing hair line receding and hairfall will stop after the PRP session which is done at the time of the surgery. But they were mum when I asked that if PRP is that effective then why isn't it recommended in place of propecia or finasteride? Also why isn't the same FDA approved? They had no answers. Any thoughts? This is my biggest concern. 4. All the surgeons listed on this website are super expensive. No one charges for per graft in reality but they have made packages. If one opts a surgeon which is not a member of ISHRS or IAHRS, just on the basis of results of other people, then is there any parameter which one should keep in mind while selecting them? 5. Is it true that DHT does not affect the transplanted hairs? If yes then why? 6. Is it true that in extreme cases even the transplanted hair doesn't grow or they also recede with time? Please enlighten me with any other points which one should keep in mind while selecting a surgeon, pre and post surgery. Thanks
  18. I’m 44yrs old. Had an HT with Hasson 14yrs ago. Very successful. Had been on finasteride 1mg/day for 10yrs. Then over the next 4 yrs started to reduce the dose, going down to 1mg per week for the last year. I had decently thick hair and no noticeable loss of hair until 6mths ago when I noticed thinning. This progressed for the next few mths. About 4mths ago I started back to 1mg/day. So far no improvement. If I continue at this dose, will I likely get back the lost hair I had approx 8-12mths ago or is that now lost having effectively “stopped” the finasteride?
  19. I know a lot of you guys have had a hair transplant without finasteride, but check out what Dr. Charles has to say. Dr. Glenn Charles Answers: Can I Have A Hair Transplant Without Finasteride
  20. For those of you who switched from finasteride to dutasteride, did you notice an improvement or any differences? I would love to hear the communities input. Should You Switch To Dutasteride For Hair Loss
  21. What are the cheapest treatments and where do you buy them? I’ve seen Keeps sell a 3 month supply of minoxidil for $30 and an generic minoxidil for $25 per month. I’d love to hear where you guys are getting good deals, let’s all chime in! Top 3 Cheapest Hair Loss Treatments That WORK!
  22. I am 23 and last year my mother noticed the hair near my crown thinning. I have been pretty paranoid since. I get a lot of conflicting opinions from people close to me, ranging from ‘everything is perfectly’ fine to ‘you will be bald within 2-3 years’. Thought I would get an opinion from more experienced people on here who have gone through similar journeys. I am currently taking daily: 10,000 mcg biotin pills, 500 mg Saw Palmetto pills, 350 mg beta-sitosterole and shampoo daily with either bitoin shampoo/alpecin (both which claim to block DHT, the latter using caffeine). And every 3-4 days I also use Nizoral 2% since I have dandruff. I am a bit afraid to start fina, mainly because of side-effects which 2% of the people noticed. Also I am not sure how much it would cost to get a prescription as I don’t have a lot of money and my insurance will not cover appointment for this kind of hairloss (at least thats what I think) so 2 questions for the community: 1) How bad is the hair loss from pictures (taken from iphone front camera) and how much time approximately before it is extremely noticeable and irreversible? 2) What treatment should I opt for? Shouls I continue my regimen or switch to fina ans minoxdil combo? Anyone noticed positive effects from saw palmetto and/or beta-sitosterole? Thanks in advance!
  23. Finasteride might just be the most misunderstood drug or the most manipulative seducer. Especially when it comes to the part of a physician prescribing it to the patients or not prescribing it, it becomes almost impossible to come out unscathed. One most definitely does not want to be blamed for being the cause of anybody's sexual disintegration. If the physician prescribes it, the patients are really not sure if they are walking down the right path. Especially when it comes to the sexual side effects, most patients are super sensitive about it. "Thou shalt not mess with my libido!!!" But then again they want to lose no more hair. Sometimes the effects are Psychogenic. However, that's the worst. Real side effects stop after withdrawing from the medications. People who "think" that they have side effects with the medication "feel" that the negative effects have been sustained in their bodies. Now how can one ever cure a feeling!!! The devotion towards "Lord libido" can cause irrational and biased fears. If the physician does not prescribe the medication, then the patients feel violated at worst. They feel misinformed, underinformed or downright cheated. If you discourage then from taking it then they will feel that "nothing is impossible" and taking useless treatments (I shall not name them for my own safety 😉😉😉), would do the trick. However, Mr. Dihydrotestosterone is least bothered and the other treatments can "talk to the hand!". If the physician gives the patients a choice... Lord almighty, all hell breaks loose!!! Nothing in the world can compare to the mayhem then! The level of indecisiveness exhibited with taking Finasteride is overwhelming when you see the poor individuals battle it out within themselves. Sometimes no amount of reassurance can be of help. But facts and figures apart, is it ethical for the doctors to prescribe this medication - Finasteride to the patients? It is FDA approved but definitely not "Lord libido" approved. And "Mr. Dihydrotestosterone" does not have very nice things to say about it. Sometimes "Lord libido" must be revered. But what if the fear of this "Lord libido" demands for the sacrifice of the virgins called "hair"? But most times it's "All hail Lord Libido"...
  24. We have a community poll, but I would like to hear some direct input. Everyone who has used or is using finasteride do you experience side effects? Does Propecia Have Side Effects?
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