Regular Member alexskan Posted January 31, 2013 Regular Member Share Posted January 31, 2013 Hi, First of all apologize for my bad english as I'm not eng mother tounge. I need to admit I was really naive when I decided to have the first HT because in Italy. I underevaluated the complexity behind that, the results were very poor, had the donor area painful for so long time. Now I've decided to go for the second HT and I feel a bit scared but agreed with Dr. 3500 grafts HT. Not sure about: How much can I push the Dr to cover the temples and why all drs are generally reluctant to fill all the temples? What is the risk of my native hair shock loss due to the HT? What are the risks and reccomendations, based on your experience, I should ask the Dr before the HT? Please see the attached pics showing the current situation. Thanks in advance for your help! Link to comment Share on other sites More sharing options...
Senior Member 1978matt Posted January 31, 2013 Senior Member Share Posted January 31, 2013 I guess you are not on minoxidil or Finasteride? You should try both. 3500 grafts is not a lot to fix the amount of thinning you have. In my opinion, keep the hairline more or less where it is, but pack in extra grafts to give a good density. Then use the rest of the grafts on the mid scalp but forget about the crown. Trying to fill in your temples just wont work - it will use too many grafts and your result will be unsatisfying and thin. Fix the front so it looks good and come back to the crown another time if you have any grafts left for a 3rd HT. 4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013 1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018 763 FUE grafts (2,094 hairs) with Ray Konior, MD - January 2020 Proscar 1.25mg every 3rd day Link to comment Share on other sites More sharing options...
Regular Member alexskan Posted January 31, 2013 Author Regular Member Share Posted January 31, 2013 Thanks a lot Matt for your prompt answer, really appreciated and I will take in consideration your proposal. I'm taking finasteride, 1 mg/day (interesting you're taking so low dosage a 0,5 mg/week) and discontinuously minoxidil but not sure this is enough to protect my native hair as they're thin. The Dr. said he could have been able to cover the crown, mid scalp, lowering to some extent the hair line and temples with a density of 55-60 fu/cm2 in hairline and 45 behind. What do yo think? Link to comment Share on other sites More sharing options...
Senior Member 1978matt Posted January 31, 2013 Senior Member Share Posted January 31, 2013 Thanks a lot Matt for your prompt answer, really appreciated and I will take in consideration your proposal. I'm taking finasteride, 1 mg/day (interesting you're taking so low dosage a 0,5 mg/week) and discontinuously minoxidil but not sure this is enough to protect my native hair as they're thin. The Dr. said he could have been able to cover the crown, mid scalp, lowering to some extent the hair line and temples with a density of 55-60 fu/cm2 in hairline and 45 behind. What do yo think? I've restarted on fin as I got sides the first time. Just a small dose to start with! Difficult to comment as I'm no expert and not sure where your 1st HT covered. But your doc is an experienced one so I guess there is no reason it's not possible. Hope you get a good result. 4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013 1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018 763 FUE grafts (2,094 hairs) with Ray Konior, MD - January 2020 Proscar 1.25mg every 3rd day Link to comment Share on other sites More sharing options...
Senior Member Cant decide Posted February 1, 2013 Senior Member Share Posted February 1, 2013 Personally, I dont think your hair is that bad. 3500 will make a nice difference. I do strongly suggest leaving your hairline where it is with minor temple tweaking and use most grafts on the frontal core and midscalp with a very light sprinkling on the crown. Good luck. Who is your doc by the way? 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...
Regular Member alexskan Posted February 1, 2013 Author Regular Member Share Posted February 1, 2013 hi Matt, I roughyl used the graft calculator here: (link to Harley Street Hair Clinic graft calculator removed because they stole it from our website and used it without our authorization. See below. Click here to view our graft calculator.) and according to that density I should be able to cover that. Do you think that either that calculator is not reliable or the real effect will be different? I didn't get th reason behind you strongly suggest to keep the current hairline. However if there's cons I'd see more appropriate to cover all areas in a first session and in a second , if applicable, increase the density. Dr. is Rahal. Eager to get all your feedback Link to comment Share on other sites More sharing options...
Bill - Seemiller Posted February 1, 2013 Share Posted February 1, 2013 It appears that The Harley Street Hair Clinic has stolen our graft calculator. Their stolen copy is at http://www.hshairclinic.co.uk/hair-loss/graft-calculator/. I will now have to contact them asking that they immediately remove this from their website. In the meantime, I've modified Alexskan's post to include the link to our calculator since we are the ones who designed and published it for use. Best wishes, Bill Link to comment Share on other sites More sharing options...
Senior Member 1978matt Posted February 1, 2013 Senior Member Share Posted February 1, 2013 (edited) hi Matt, I roughyl used the graft calculator here: (link to Harley Street Hair Clinic graft calculator removed because they stole it from our website and used it without our authorization. See below. Click here to view our graft calculator.) and according to that density I should be able to cover that. Do you think that either that calculator is not reliable or the real effect will be different? I didn't get th reason behind you strongly suggest to keep the current hairline. However if there's cons I'd see more appropriate to cover all areas in a first session and in a second , if applicable, increase the density. Dr. is Rahal. Eager to get all your feedback If you lowered the hairline and went for a appearance of fullness in zones 1 and 2 then that is 1500 grafts used up already. That's why i think you should work around the current hairline - increase the density around hairs from your first HT. Good example here showing how many grafts it takes to fill in the temples: http://www.hairrestorationnetwork.com/eve/135250-dr-rahal-4357-graft-strip-dense-pack.html Edited February 1, 2013 by 1978matt 4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013 1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018 763 FUE grafts (2,094 hairs) with Ray Konior, MD - January 2020 Proscar 1.25mg every 3rd day Link to comment Share on other sites More sharing options...
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