Senior Member corvettester Posted October 11, 2011 Senior Member Share Posted October 11, 2011 Gentlemen, I just had a nice follow up visit with Dr. Dorin. As usual, he was very welcoming and spent plenty of time with me discussing my concerns, one of which was Propecia. Basically, he said that if I wanted to start Propecia, he would prescribe it, but that he didn't think I needed it as of yet. Due to the dense and apparently stable nature of my Crown and Midsection, he didn't feel comfortable starting me on a drug that I would be on indefinitely simply for the sake of being overly-cautious. We also discussed the issue of side effects and Merk's updated warning label. Dr. Dorin had just come back from the ISHRS meeting in Alaska where he had discussed the matter at length with several leading doctors, including Dr. Bernstein. He basically told me that the recent controversy was overhyped and lacked credible scientific and anecdotal evidence. Thus, he said that he would feel very comfortable prescribing Propecia for me when the time is right. He actually offered to allow me to stop by every month for photos and to examine my crown and midsection if I was that worried about it. I declined his generous offer, but I told him we could just monitor it every three or four months, when I come in for my regular follow ups... Thus, I'm siding with Dr. Dorin's opinion that for the time being, it isn't really necessary and too much of a commitment and hassle to deal with. Of course, I'm open to starting it further down the road, at the slightest notice of thinning in the midsection or crown. Below you can see some pics of my crown and midsection (for high resolution pics, see my photo album or hair loss website, link below). The first photo was taken back in August, 2010. The other three were taken just yesterday, October 10th, 2011. I can see no difference among the pics, nor do I notice any difference in density when I run my hands through my hair. Let me know what you guys think... can you see a difference in my crown? Any thinning? What do you think about my decision to hold off on Propecia for now? Corvettester My Hair Loss Website - Hair Transplant with Dr. Dorin 1,696 FUT with Dr. Dorin on October 18, 2010. 1,305 FUT with Dr. Dorin on August 10, 2011. 565 FUE with Dr. Dorin on September 14, 2012. Link to comment Share on other sites More sharing options...
Senior Member Levrais Posted October 11, 2011 Senior Member Share Posted October 11, 2011 Corve, your hair look great and I think you have a wise doc! 5700 FUE in 3 procedures with Dr. Bisanga View my patient website: http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=1874 Link to comment Share on other sites More sharing options...
Senior Member NEWHAIRPLEASE Posted October 11, 2011 Senior Member Share Posted October 11, 2011 Corvette I certainly do like your new MO of referring to yourself in the third person! Your hair looks solid! Newhairplease!! Dr Rahal in January 19, 2012:) 4808 FUT grafts- 941 singles, 2809 doubles, 1031 triples, 27 quads My Hairloss Website Link to comment Share on other sites More sharing options...
Senior Member Cant decide Posted October 11, 2011 Senior Member Share Posted October 11, 2011 A wise choice CT. My Hairloss Web Site - Procedure #1: 5229 Grafts with Dr. Rahal Oct, 2010 Procedure #2: 2642 Grafts with Dr. Rahal Aug, 2013 7871 Grafts http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2452 Link to comment Share on other sites More sharing options...
Senior Member mattj Posted October 11, 2011 Senior Member Share Posted October 11, 2011 This makes sense. I think you should pay the most attention to the area immediately behind where the grafts were planted. Look out for changes there. (If that isn't so obvious as to make my comment completely redundant). I am a patient and representative of Dr Rahal. My FUE Procedure With Dr Rahal - Awesome Hairline Result I can be contacted for advice: matt@rahalhairline.com Link to comment Share on other sites More sharing options...
Senior Member corvettester Posted October 11, 2011 Author Senior Member Share Posted October 11, 2011 CorvetteI certainly do like your new MO of referring to yourself in the third person! Your hair looks solid! I only do that for the Title of the thread so that I can draw my buddies' attention to my threads... Corvettester is not an egoist! LOL! Corvettester My Hair Loss Website - Hair Transplant with Dr. Dorin 1,696 FUT with Dr. Dorin on October 18, 2010. 1,305 FUT with Dr. Dorin on August 10, 2011. 565 FUE with Dr. Dorin on September 14, 2012. Link to comment Share on other sites More sharing options...
Senior Member corvettester Posted October 11, 2011 Author Senior Member Share Posted October 11, 2011 This makes sense. I think you should pay the most attention to the area immediately behind where the grafts were planted. Look out for changes there. Mattj, Exactly! The forelock and bridge are now and have always been thinner than the crown and midsection. Dr. Dorin noted as much. However, I'm not sure how effective Propecia is at treating the forelock and bridge, but it would definitely be worth a try if they started to go. In other words, I would start Propecia if I noticed thinning there. Corvettester My Hair Loss Website - Hair Transplant with Dr. Dorin 1,696 FUT with Dr. Dorin on October 18, 2010. 1,305 FUT with Dr. Dorin on August 10, 2011. 565 FUE with Dr. Dorin on September 14, 2012. Link to comment Share on other sites More sharing options...
Senior Member mattj Posted October 11, 2011 Senior Member Share Posted October 11, 2011 I only do that for the Title of the thread so that I can draw my buddies' attention to my threads... Corvettester is not an egoist! LOL! Corvettester I actually find this relieving in a way. Propecia definitely can be effective in those areas you mention. I don't think you're in immediate danger of disaster if you don't take it though. I am a patient and representative of Dr Rahal. My FUE Procedure With Dr Rahal - Awesome Hairline Result I can be contacted for advice: matt@rahalhairline.com Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted October 11, 2011 Senior Member Share Posted October 11, 2011 Looks like a ormal crown to me. I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians. View Dr. Konior's Website View Spanker's Website I am not a medical professional and my opinions should not be taken as medical advice. Link to comment Share on other sites More sharing options...
Senior Member JayWalker Posted October 11, 2011 Senior Member Share Posted October 11, 2011 I think you're right to hold off. We need DHT. http://www.hairtransplantnetwork.com/blog/journal.asp?CopyID=10024&WebID=2832 October 2011 - 1647 FUT - Dr Dorin January 2014 - 1580 FUT - Dr Dorin Link to comment Share on other sites More sharing options...
Senior Member orlhair1 Posted October 12, 2011 Senior Member Share Posted October 12, 2011 Your hair does look solid and a cautious approach makes sense. In the end going with your doctor's advice is wise. The fact that you will monitor it closely and keep your options open also supports holding off because you can catch any thinning at the earliest stages and reconsider at that time. Surgery - Dr. Ron Shapiro FUT 6/14/11 - 3048 grafts Surgery - Dr. Ron Shapiro FUE 1/28/13 & 1/29/13 - 1513 grafts http://www.hairrestorationnetwork.com/orlhair1 Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted October 12, 2011 Senior Member Share Posted October 12, 2011 I would personally get on it - sometimes it takes awhile before hair loss is noticeable to the naked eye. But the good thing is is that you are closely monitoring your hair's condition with a great doc and you are willing to give fin a try if you notice further loss. In the long run you'll be fine either way. Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
Senior Member corvettester Posted October 12, 2011 Author Senior Member Share Posted October 12, 2011 Yes, it was a difficult decision to come to. In fact, it was harder to decide on whether or not to start Propecia than it was to get an HT! However, I feel really good about it now. It ended up just being a cost/benefit analysis. I feel like the costs out weigh the benefits for the time being. Also, although I do realize that you have to lose a decent amount of hair before you notice it, that doesn't mean there aren't any viable means of knowing/realizing when I'm losing hair. monitoring it closely isn't that burdensome. Thanks for all the help gentlemen! Corvettester My Hair Loss Website - Hair Transplant with Dr. Dorin 1,696 FUT with Dr. Dorin on October 18, 2010. 1,305 FUT with Dr. Dorin on August 10, 2011. 565 FUE with Dr. Dorin on September 14, 2012. Link to comment Share on other sites More sharing options...
Senior Member RCWest Posted October 13, 2011 Senior Member Share Posted October 13, 2011 I think it's a wise decision as long as you keep it monitored.What method does Dr. Dorin check density and miniaturization? Finasteride 1.25 mg. daily Avodart 0.5 mg. daily Spironolactone 50 mg twice daily 5 mg. oral Minoxidil twice daily Biotin 1000 mcg daily Multi Vitamin daily Damn, with all the stuff you put in your hair are you like a negative NW1? Link to comment Share on other sites More sharing options...
Senior Member corvettester Posted October 13, 2011 Author Senior Member Share Posted October 13, 2011 I think it's a wise decision as long as you keep it monitored.What method does Dr. Dorin check density and miniaturization? He looks it over in person and then compares the photos we've taken over the past 14 months... Why, is there a better method? Corvettester My Hair Loss Website - Hair Transplant with Dr. Dorin 1,696 FUT with Dr. Dorin on October 18, 2010. 1,305 FUT with Dr. Dorin on August 10, 2011. 565 FUE with Dr. Dorin on September 14, 2012. Link to comment Share on other sites More sharing options...
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