HUVUD1987 Posted October 12, 2013 Share Posted October 12, 2013 Hi! I'm having a really hard time deciding if I schould do 5000 grafts with FUE, or just do a MHT with HIS hair. If I do a hair transplant I will be sporting the buzzed look, with like 4-6mm in growth. Positives and negatives with FUE: +I can have hair:) -Costs a lot of money -Scared of FUE scars -Scared of schock loss and bad growth - Worried it will look odd Positives and negatives with MHT: +Relatively cheap +Dont have to wait a year for results +I will look like I have no hairloss +I look ok with a shaved head -Its weird to have hair follicles tattoed -I must shave to the skin every morning -My hair gets very light when shaved -Must be careful with the sun -etc etc If I will do a hair transplant I will do it in India or Turkey. What do you people think? Am I a candidate for hair transplant? What do I need to think about with FUE/MHT? If you take a look at the picture named 44444(the one with the "long" hair), thats the look I would like to have. Link to comment Share on other sites More sharing options...
Senior Member Jotronic Posted October 13, 2013 Senior Member Share Posted October 13, 2013 I'd recommend against either. You are not a NW6, you are a NW7 because your parietal humps are gone and the sides have dropped. Even 5000 grafts would not do much, especially at the length you showed the one photo as being your expected outcome. To raise the sides enough for a natural appearance would be difficult and with the lower density obtained while doing this, it would potentially look unnatural. That, and you cannot get a guarantee that the scarring from FUE will be unnoticeable. With permanent ink, you're stuck. If you don't like it due to bad artistry or bad technique, you have to go through several sessions of expensive and painful laser to remove it and once you do that, the scalp most likely won't be the same as it was before the treatments. The best thing to do in my opinion, if you go the ink route, is to go with the temporary option. There are several clinics in Europe (your profile says you are in Sweden) that offer it now, including one in Belgium and of course Milan, where you can go to the originator, Milena Lardi. This way, with the temporary option, you will at least know if you like the look of ink on your scalp. If you do not, just give it time and it will disappear completely, without turning blue or green. The Truth is in The Results Dr. Victor Hasson and Dr. Jerry Wong are members of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Regular Member Baldtom Posted October 13, 2013 Regular Member Share Posted October 13, 2013 So are you saying that a Norwood 7 should not consider a transplant or just a FUE? Link to comment Share on other sites More sharing options...
Senior Member Jotronic Posted October 13, 2013 Senior Member Share Posted October 13, 2013 On him, I'm saying since he is considering the ink solution, then he should forget the surgery option for now and try temporary ink first. On some patients that are NW7, surgery can work well as long as expectations are realistic. This particular case is not only a NW7, but the head shape appears long so there is more ground to cover and that crown would get little attention, and if any grafts were placed in that crown, little difference would be achieved. If he's going to keep his hair very short post surgery then the lack of density on the sides, where they have dropped, will be apparent. When the hair is grown longer, long enough to be styled, then the sides won't be as noticeable and it might be doable. So, I'm not recommending against surgery completely, just suggesting a third option to his two current considerations. The Truth is in The Results Dr. Victor Hasson and Dr. Jerry Wong are members of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
HUVUD1987 Posted October 13, 2013 Author Share Posted October 13, 2013 I'd recommend against either. You are not a NW6, you are a NW7 because your parietal humps are gone and the sides have dropped. Even 5000 grafts would not do much, especially at the length you showed the one photo as being your expected outcome. To raise the sides enough for a natural appearance would be difficult and with the lower density obtained while doing this, it would potentially look unnatural. That, and you cannot get a guarantee that the scarring from FUE will be unnoticeable. With permanent ink, you're stuck. If you don't like it due to bad artistry or bad technique, you have to go through several sessions of expensive and painful laser to remove it and once you do that, the scalp most likely won't be the same as it was before the treatments. The best thing to do in my opinion, if you go the ink route, is to go with the temporary option. There are several clinics in Europe (your profile says you are in Sweden) that offer it now, including one in Belgium and of course Milan, where you can go to the originator, Milena Lardi. This way, with the temporary option, you will at least know if you like the look of ink on your scalp. If you do not, just give it time and it will disappear completely, without turning blue or green. Thank you so much for giving me an honest and detailed answer! Appreciate it! So I'm really a NW7? Didnt think it was that bad:). Well I think 5000 grafts would look okay with a 3mm buzz cut, and with a receeded hairline. The picture that was my "expected outcome", is not really my expected outcome, thats way to much hair even I understand that. But I agree with you, ink is the best route for me, definitely. Yes Im from Sweden! Uploaded a few more pictures. So I'm a clear nw7? Link to comment Share on other sites More sharing options...
HUVUD1987 Posted October 13, 2013 Author Share Posted October 13, 2013 On him, I'm saying since he is considering the ink solution, then he should forget the surgery option for now and try temporary ink first. On some patients that are NW7, surgery can work well as long as expectations are realistic. This particular case is not only a NW7, but the head shape appears long so there is more ground to cover and that crown would get little attention, and if any grafts were placed in that crown, little difference would be achieved. If he's going to keep his hair very short post surgery then the lack of density on the sides, where they have dropped, will be apparent. When the hair is grown longer, long enough to be styled, then the sides won't be as noticeable and it might be doable. So, I'm not recommending against surgery completely, just suggesting a third option to his two current considerations. Ok so it having long hair is better than, short? Thought it was the opposite. Would these haircuts be possible to make with a hairtransplant on me? (ofcourse with a higher hairline) https://www.google.se/search?q=hitler+jugend+hair&safe=off&client=firefox-a&hs=OOm&rls=org.mozilla:sv-SE:official&source=lnms&tbm=isch&sa=X&ei=uOJaUpbfNYz24QTdvoGQDg&ved=0CAkQ_AUoAQ&biw=1366&bih=612&dpr=1#q=paradise+hotel+frisyr&rls=org.mozilla:sv-SE%3Aofficial&safe=off&tbm=isch&facrc=_&imgdii=_&imgrc=hAs6MPIPB7RKgM%3A%3B8X5nCQSVWenKCM%3Bhttp%253A%252F%252Frebeccaroenningen.blogg.se%252Fimages%252F2009%252Ffrilla_66170532.jpg%3Bhttp%253A%252F%252Frebeccaroenningen.blogg.se%252F2009%252Fdecember%252Fnya-ful-frisyren-underbara-lilla.html%3B341%3B340 I schould add, I have had a consultation with a hair surgeon, and he said I had naturally a very low hairline, and that my face could work with a fairly high hairline. Link to comment Share on other sites More sharing options...
Senior Member Jotronic Posted October 13, 2013 Senior Member Share Posted October 13, 2013 HUV, Ok so it having long hair is better than, short? Thought it was the opposite. 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. The Truth is in The Results Dr. Victor Hasson and Dr. Jerry Wong are members of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
HUVUD1987 Posted October 13, 2013 Author Share Posted October 13, 2013 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. Yeah I think the sides are to high up to be a nw7. So since viewing the other images you think Im a nw6? I understand its hard to make a good evaluation from these pics. The first pictures I posted are in the back(back=donor zone?). Guess you want a more close up? Thanks for helping me! Link to comment Share on other sites More sharing options...
HUVUD1987 Posted October 13, 2013 Author Share Posted October 13, 2013 Also I wanna ad that my hairs on the scalp lay very "flat". A lot of people didnt think I was balding for a long time, since the few hairs I had left covered a lot of ground. Attached a small drawing to show you what I mean:) Are there any difficulties laying transplanted hair that flat? Link to comment Share on other sites More sharing options...
Regular Member marcin872 Posted October 13, 2013 Regular Member Share Posted October 13, 2013 What you can do is combine fue and smp Link to comment Share on other sites More sharing options...
Senior Member stinger99 Posted October 13, 2013 Senior Member Share Posted October 13, 2013 in my opinion u are between a nw 6 and 7. do u know what ur donor density is? if it is above average say 80/sq/cm, then you could probably get 6000 fue grafts which would make a nice difference, but i think ull have to have a high hairline and probably not get the full crown covered. the risk with doing that if that if ur sides drop in the future ull likely hsave exhausted all ur donor grafts. Link to comment Share on other sites More sharing options...
Senior Member Jotronic Posted October 13, 2013 Senior Member Share Posted October 13, 2013 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. The Truth is in The Results Dr. Victor Hasson and Dr. Jerry Wong are members of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member Nick153452 Posted October 13, 2013 Senior Member Share Posted October 13, 2013 I think your best bet would be to save your money for the time being and hope for future hair treatments. Hair doubling may or may not be on the horizon, and may be able to promise something that is more cosmetically pleasing with more style options. In all honesty, 5,000 grafts wouldn't do much. It would either cover a small area with a larger density, or a large area with little density. My Hair Loss Website Surgical Treatments: Hair transplant 5-22-2013 with Dr. Paul Shapiro at Shapiro Medical Group Total grafts transplanted: 3222 *536 singles *1651 doubles * 961 triples, *74 quadruples. Total hairs transplanted: 7017 Non-Surgical Treatments: *1.25 mg finasteride daily *Generic minoxidil foam 2x daily Link to comment Share on other sites More sharing options...
Senior Member scar5 Posted October 15, 2013 Senior Member Share Posted October 15, 2013 Jotronic, (HUVUD, just asking on UR behalf, and my dog, who is very curious about your case) Do you think this guy would have any hope on Fin, to drag him back to a NW6? Cause I'm thinking, he might, just might benefit from an FUE/SMP combo, although he would also be fine bald. Link to comment Share on other sites More sharing options...
Senior Member Nick153452 Posted October 15, 2013 Senior Member Share Posted October 15, 2013 Jotronic, (HUVUD, just asking on UR behalf, and my dog, who is very curious about your case) Do you think this guy would have any hope on Fin, to drag him back to a NW6? Cause I'm thinking, he might, just might benefit from an FUE/SMP combo, although he would also be fine bald. Haven't you been anti SMP?? My Hair Loss Website Surgical Treatments: Hair transplant 5-22-2013 with Dr. Paul Shapiro at Shapiro Medical Group Total grafts transplanted: 3222 *536 singles *1651 doubles * 961 triples, *74 quadruples. Total hairs transplanted: 7017 Non-Surgical Treatments: *1.25 mg finasteride daily *Generic minoxidil foam 2x daily Link to comment Share on other sites More sharing options...
Senior Member scar5 Posted October 15, 2013 Senior Member Share Posted October 15, 2013 So this post is about our HUv guy in Sweden, and I think he would be fine with FUE and SMP combo, but I wonder about his med situation. In my case, I have had SMP since 2003 and will have more in 2014. And yes, they are terrible and dodgy, but if dealing with the devil is what ya gotta do, then ya gotta do it. Link to comment Share on other sites More sharing options...
Senior Member Number47 Posted October 16, 2013 Senior Member Share Posted October 16, 2013 I think joe' s advice is by far the best in this thread though it hurts to hear you are not a good candidate , Temporary SMP could be an idea cause even if you don't like it, it can always fade away. Permanent SMP is too risky for me, I don' know t if the inks change color and how it looks down the road but even the fact alone that you might not like it could bring you to an unnecessary world of pain Link to comment Share on other sites More sharing options...
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