Jump to content

Recommended Posts

Hey guys, I'm looking for help on this. I've consulted hair transplant clinics and the majority are bottom dollar quacks. I'm 18. I've been balding since 14. My grandfather stabilized at late stage Norwood 6, which is where I am. Wigs are tedious and hats are itchy. I used rogaine for almost a year and had no results. When should I consider HT? And who is the best I can go to? And what is the best that can be done for a Norwood 6.

BaldFromtheBack.jpg.aec0c43eba24539fd5ba5abf35e394d5.jpg

BaldfromtheSide.jpg.f45cf6a82432d9221ac9b4aa415c74ca.jpg

5b32dd00a73f5_HighHairline.jpg.d24d0870c998410b6ceb4626e55de5b0.jpg

Share this post


Link to post
Share on other sites

Welcome! Looks like a strong donor... Look at some of the recommended physicians on this site, or consider some of the cheaper, but very good Turkish clinics (Maral, Estepera, Demirsoy, and there's more).

 

Whatever you do, think it through very carefully and do a lot of research. Explore all the options (micropigmentation, concealers etc.) before you decide to get a HT. This forum is an excellent place to start.


Aug 3, 2013 - 4800 grafts with a great Turkish clinic shamefully censored on this site

http://en.wikipedia.org/wiki/Damnatio_memoriae

Share this post


Link to post
Share on other sites

I was a NW 6. Check out my link below to my web page as well as the following link to my second op.

 

http://www.hairrestorationnetwork.com/eve/173722-cant-decide-5-5-month-post-op-pics-crown-procedure.html

 

Provided you have good donor, I suggest Rahal or H&W who routinely handle such large cases.

 

In most cases, a doc would not touch an 18 year old but your advanced enough that they likely would but again, as long as you have a good donor.


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

Share this post


Link to post
Share on other sites

H&W for sure and maybe some temporary SMP in the meantime.


go dense or go home

 

Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others

 

HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal

HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto

(*indicates actual experience with doctor)

Share this post


Link to post
Share on other sites

I vote for SMP for now.


4066 FUE Grafts with Dr Bhatti, India 9&10 Jan 2014

 

For my pics and thread click the link:http://www.hairrestorationnetwork.com/eve/173658-4066-fue-grafts-dr-bhatti-india-restoring-more-than-just-hair.html

Share this post


Link to post
Share on other sites

I'd go and see Hasson and Wong in person. That will allow you to know for sure firstly IF you are even a candidate, then what they could aim to do for you.

 

This is one of those ironic situations where actually, you could be better off for having such an advanced balding pattern. I'm almost 25 and wondering whether propecia will stop working and I'll advance to an NW25 (exaggerating of course) and live to regret my HT. But you, as you're already advanced, you know exactly where you are and wont be playing the "what if" game that many of us do.

 

As an aside, you might feel better if you hit the gym and get yourself in shape. That alone will do wonders for your confidence and maybe you'll be fine with the Statham/Willis look.

 

Definitely consult in person if you can (as they can assess your donor which is very important) with as many doctors as possible, but particularly those experienced in the very large cases.


** I wrote a book called Beating Hair Loss.

** It's available for FREE for 5 days at the start of August on Amazon kindle. Also available in paperback edition.

 

** Search for 'Beating Hair Loss' by Anthony Gambino on Amazon **

 

 

 

Travelled to New York from the UK for 2000 grafts in the hairline/front third region with Dr. Feller, July 27th 2012. Very happy with my results.

 

Propecia daily

12.5% minoxidil once daily

5% Kirkland minoxidil foam a few times per week

Avodart once/twice per week

 

 

 

.

Share this post


Link to post
Share on other sites

That's a very advanced pattern, especially for such a young guy. I would not go the strip route if I were you as those sides could very well drop even more and you're going to need a very long strip. The good news is I think the shaved head look suits you well. I agree that getting into shape, doing something a little more stylized with the facial hair, cool wardrobe, etc. could vastly improve your confidence. Of course it doesn't hurt to consult with some HT docs, but I would think long and hard before going the strip route.


I am the owner/operator of AHEAD INK a temporary/non-permanent Scalp Micropigmentation Company in the New York area. AHEAD INK is a Milena Lardi trained clinic and uses Beauty Medical equipment and products exclusively.

Share this post


Link to post
Share on other sites

What doctors do the large FUE cases?


** I wrote a book called Beating Hair Loss.

** It's available for FREE for 5 days at the start of August on Amazon kindle. Also available in paperback edition.

 

** Search for 'Beating Hair Loss' by Anthony Gambino on Amazon **

 

 

 

Travelled to New York from the UK for 2000 grafts in the hairline/front third region with Dr. Feller, July 27th 2012. Very happy with my results.

 

Propecia daily

12.5% minoxidil once daily

5% Kirkland minoxidil foam a few times per week

Avodart once/twice per week

 

 

 

.

Share this post


Link to post
Share on other sites

My opinion is to keep shaving your head and move on. You have a very nice head and the shaved look suits you. If you were over 50, you could probably get enough hair to make you happy, but being such a young guy, you would be fighting an expensive uphill battle. The best advice I think I could give you is to seek support on forums that promote head shaving and acceptance. Spend your money on school, clothes, a gym membership, etc. I believe that you would be happier in the long run. There is a small portion of people that transplantation is not a good option for and you appear to be in it, at least at this time. At 18, your sides could drop considerably and retrograde alopecia is a possibility. You may want to consider finasteride so that you have more options available to you as technology progresses. This is just my opinion and not medical advice. If you insist, make sure that you are consulting only top doctors, as this industry, along with any elective procedures, are filled with predatory clinics. Good luck.


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.

Share this post


Link to post
Share on other sites

Someone in your family will have similar hairloss so have a look to see what their donor hair is looking like, but even then I would try to wait as long as possible.

 

Let your hair grow out for a couple of months so doctors can see what kind of coverage it might give.

 

Maybe when you are mid to late 20s you might be able to get enough donor hair to create a natural hairline, done artistically to reflect a natural balding pattern (probably done by FUE).

 

I would definately not get a strip scar now. An old fella in my office must be a norwood '8' and his 'donor hair' is absolutely shocking. That has to be your worst case scenario.


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

500 FUE grafts (TBC) with Ray Konior, MD - 2020

My HT results thread from 1st procedure.

Share this post


Link to post
Share on other sites

Sorry to hear about your hair loss - it's not easy at any age for some of us, and at 18 . . .

 

The problem with a HT is that you are not going to get a thick head of hair. Given your level of hair loss, the best a HT would likely do is put a bit of hair on top and keep your crown bald. This is perfectly acceptable for a 40 year-old, but not an 18 year-old :cool:.

 

If you haven't, and you feel ok with it, get on finasteride to preserve what you have and maybe grow a bit more. This may keep options open in the future. The shaved look looks good on you - to create the illusion of more hair you could consider temporary scalp pigmentation, and see what a few years brings.

 

The beard looks good (frames your face well), and think about hitting the gym (adding to my list of things to do)!

Share this post


Link to post
Share on other sites

I will never, ever go the strip route. I've walked out of hair clinics simply because they suggested it. Strip method is barbaric, outdated and dangerous in many cases.. I would either go FUE or shaved. I can personally deal with a receded or high transplant hairline, as long as I no longer look like my biological grandfather. I have personal reasons for trying not to look like him, and his hairline is what really makes him look like him.

Share this post


Link to post
Share on other sites
I will never, ever go the strip route. I've walked out of hair clinics simply because they suggested it. Strip method is barbaric, outdated and dangerous in many cases.. I would either go FUE or shaved. I can personally deal with a receded or high transplant hairline, as long as I no longer look like my biological grandfather. I have personal reasons for trying not to look like him, and his hairline is what really makes him look like him.

 

Strip is far from outdated but I get your apprehension to not wanting to go strip. Sounds to me like you need to do some FUE and SMP as others have suggested.

 

Best of luck.


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

Share this post


Link to post
Share on other sites

To be quite honest, a perfect teenage hairline is the last thing I want. I like my high hairline. I would ideally thicken it and simply clean it up so it's less messy. High hairline works well with beards, and I always like it when people can tell I'm Irish at a first glance... So it all filters in quite well.. I'm simply trying to avoid looking like my biological grandfather, but I inherited most of his genes. A mature hairline with density far outweighs having a thin low hairline in my opinion. @Spanky, you're right though. I'm certainly going to keep it shaved until I can get a better idea of what it's going to do.

Share this post


Link to post
Share on other sites

If you are opposed to FUT I would highly recommend going the SMP route.

I think a megasession or two from one of the best clinics (H&W or Rahal) could work and have seen it on this forum but seems this is not want you want.

 

Though they may be out there and most likely highly expensive, I have yet to hear of FUE megasessions, so I don't think you are going to be able to achieve any significant density change with FUE.

However, FUE and SMP combination may give an improvement.


go dense or go home

 

Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others

 

HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal

HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto

(*indicates actual experience with doctor)

Share this post


Link to post
Share on other sites

There are clinics doing 3k and up FUE megasessions. The most affordable ones are in Turkey. Looking at your donor, it's tough to tell if you're a suitable candidate for FUE. I agree with hsrp; if you're just looking for a hairline and not full restoration, SMP/FUE combo is the way to go.


I am the owner/operator of AHEAD INK a temporary/non-permanent Scalp Micropigmentation Company in the New York area. AHEAD INK is a Milena Lardi trained clinic and uses Beauty Medical equipment and products exclusively.

Share this post


Link to post
Share on other sites
My opinion is to keep shaving your head and move on. You have a very nice head and the shaved look suits you. If you were over 50, you could probably get enough hair to make you happy, but being such a young guy, you would be fighting an expensive uphill battle. The best advice I think I could give you is to seek support on forums that promote head shaving and acceptance. Spend your money on school, clothes, a gym membership, etc. I believe that you would be happier in the long run. There is a small portion of people that transplantation is not a good option for and you appear to be in it, at least at this time. At 18, your sides could drop considerably and retrograde alopecia is a possibility. You may want to consider finasteride so that you have more options available to you as technology progresses. This is just my opinion and not medical advice. If you insist, make sure that you are consulting only top doctors, as this industry, along with any elective procedures, are filled with predatory clinics. Good luck.

 

I started losing hair very aggressively around his age, 15, but it got very visible at 16. I am now 25 and a stabilized NW3-4 because of using finasteride and minoxidil, not even religiously. I was on and off the stuff for 6 months at a time until 22 when I started using it every day. I would use it for half a year and then not use it for the next half, which is why I am not in a better NW pattern now, but also why i'm not NW6-7.

 

I would not tell him to give up, I would tell him get on fin and minoxidil and then think of an HT. I could have given up too since my hair started falling as far back as 13 years old, but I don't count it because I was an NW0, I count it really starting at 16 when I am sure I had lost 50% already. I didn't give up. Sure my hair loss is bad, but I halted/slowed it down to the point that an HT would get me where I want to be.

 

Giving up should not be an option for a young guy like him. I remember seeking advice from my dad, mom, and family members, "shave you head", useless advice, primitive. Thanks to the information I found around 3-4 hair loss forums, I found a way to battle hair loss.

Share this post


Link to post
Share on other sites

At age 18 I would def do something about it, even if you need to get more HT's down the line, that's ok as long as you can have some hair in your 20's once your 50 then u can rock the crown and receded hairline with pride.


I do not provide medical advice, recommendations, all responses are my opinion.

My Hair Transplant Journey

Melvin- Associate Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

Follow our Social Media Instagram @thehairtransplantnetwork FacebookPintrest, Linkedin and YouTube.

 

Share this post


Link to post
Share on other sites

based on the photos, your donor area, age, advanced pattern do not bode well for a meaningful result with hair transplantation.

 

rocking the shaved head look is certainly an option and you seem to have a decent head shape for that

 

I agree that micropigmentation may be worthwhile to consider.

 

Propecia may be beneficial as well.

 

-P


Patient Services Director for True & Dorin Medical Group

 

Dr. True and Dr. Dorin are members of the Coalition of Independent Hair Restoration Physicians

Share this post


Link to post
Share on other sites
I started losing hair very aggressively around his age, 15, but it got very visible at 16. I am now 25 and a stabilized NW3-4 because of using finasteride and minoxidil, not even religiously. I was on and off the stuff for 6 months at a time until 22 when I started using it every day. I would use it for half a year and then not use it for the next half, which is why I am not in a better NW pattern now, but also why i'm not NW6-7.

 

I would not tell him to give up, I would tell him get on fin and minoxidil and then think of an HT. I could have given up too since my hair started falling as far back as 13 years old, but I don't count it because I was an NW0, I count it really starting at 16 when I am sure I had lost 50% already. I didn't give up. Sure my hair loss is bad, but I halted/slowed it down to the point that an HT would get me where I want to be.

 

Giving up should not be an option for a young guy like him. I remember seeking advice from my dad, mom, and family members, "shave you head", useless advice, primitive. Thanks to the information I found around 3-4 hair loss forums, I found a way to battle hair loss.

 

I did advise him to get on fin and we never know what the future has in store for us, but whatever it brings us, it will be better to have more hair to start with. I still stand by my post. Your situation is unique, as is everyone's, but my experience tells me that an HT at this time is not a good option for this fellow. Of course, not everyone will follow good advice and there is a great example on the board now of this and it does not look like it is working out for the pt. It is easy to say "don't give up", which I agree with which is why I recommend finasteride, but to say "screw it, go for it" would be bad advice. While it only takes a moment to type a comment like that, the pt will have to live a lifetime should he follow that advice. His donor and pattern are just not stable enough for strip or FUE to be a good idea at this time. I am not writing these things to be discouraging, I am writing them because he needs to hear it.


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.

Share this post


Link to post
Share on other sites

Very good post Spanker.


** I wrote a book called Beating Hair Loss.

** It's available for FREE for 5 days at the start of August on Amazon kindle. Also available in paperback edition.

 

** Search for 'Beating Hair Loss' by Anthony Gambino on Amazon **

 

 

 

Travelled to New York from the UK for 2000 grafts in the hairline/front third region with Dr. Feller, July 27th 2012. Very happy with my results.

 

Propecia daily

12.5% minoxidil once daily

5% Kirkland minoxidil foam a few times per week

Avodart once/twice per week

 

 

 

.

Share this post


Link to post
Share on other sites

SMP or nothing. Any doctor that would consider giving an 18 year old with advances hairloss any form of hair transplant in my opinion is plain wrong. No doctor in my opinion can predict or see if they are actually harvesting hair from the safe zone on an 18 year old.


Representative for Hasson & Wong.

 

Dr. Victor Hasson and Dr. Jerry Wong are esteemed members of the Coalition of Independent Hair Restoration Physicians.

 

My opinions are my own and do not necessarily reflect the opinions of Hasson & Wong.

 

My Hair Loss Website - Hair Transplant with Dr. Hasson

Share this post


Link to post
Share on other sites

Need better pictures as the ones posted are either blurry or don't show the full extent of your hairloss. I do feel for you in regards to losing hair at such a young age and I can certainly understand that you want to remedy your situation. However I feel that without stabilizing your hairloss, you should not even consider a hair transplant of any sort as it could be basically setting up a recipe for disaster. Let us say you went in for 3,000 grafts tomorrow and received decent coverage(at the expense of density) but that native hair continues to miniaturize you then have circa 3,000-4,000(average) scalp-hair grafts left before needing to resort to body hair and/or SMP. Given that a naturally non-balding individual has 30,000 grafts on the top of their head, you can see how paramount it is to make those 7,000 eligible donor grafts at the back and sides of your head count. It is just too difficult to predict where your hairloss will end up at this stage and too easy to inaccurately assess. I would hold it off for now.... I know you don't want to hear this and I am sorry as I hate giving out bad news, but you DO NOT want to end up having to undergo a massive body-hair transplant session because you depleted your scalp hair grafts.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

×