Regular Member Michael Vories, MD Posted April 11, 2015 Regular Member Share Posted April 11, 2015 38 year old male presented to our clinic 7 months ago with primary concern of vertex hair loss. On examination his frontal forelock also had significant loss, but his primary concern was his vertex (crown). We grafted approximately 3500 grafts, 2000 to the vertex, and the remaining 1500 to the frontal forelock. The patient is stable on finasteride, 2.5 mg every other day. During his 7 month follow up, the patient was very pleased with his vertex coverage, and now is considering further grafting into his hairline for increased coverage. 0.85 mm Vortex punch used for extraction due to very good hair caliber, and Hans Hair Implanters used for placement. All grafts harvested and placed by the physician. Dr. Mike Vories is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted April 11, 2015 Senior Member Share Posted April 11, 2015 Dr Vories, Nice work! Also, can you share some information about your finasteride prescribing practices? It seems like a lot of your patients start on finasteride/Propecia after surgery? Do you routinely prescribe the medication post-op? It looks like a lot of your patients are good finasteride responders. We hear a lot about the dreaded sexual side effects from the drug on the forums as well. Do you ever get patients complaining of these after starting the meds post-op? Thanks! "Doc" Blake Bloxham - formerly "Future_HT_Doc" Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum All opinions are my own and my advice does not constitute as medical advice. All medical questions and concerns should be addressed by a personal physician. Link to comment Share on other sites More sharing options...
Regular Member Michael Vories, MD Posted April 11, 2015 Author Regular Member Share Posted April 11, 2015 We believe that for many patients the use of finasteride can turn a good result into a great result. For this reason, as long as there is the potential to save existing hair, or even improve the caliber of existing hair, we encourage patients to begin finasteride post-op. Sexual side effects are real but uncommon. For most of our patients, if they have these side effects they occur within the first few weeks of treatment. So we counsel them to begin a trial dose to see if they experience any changes. If they get through the first few weeks with no side effects, then they are usually ok. Dr. Mike Vories is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member irishsailor Posted April 11, 2015 Senior Member Share Posted April 11, 2015 Nice work. Hair Transplant Dr Feller Oct 2011 Hair Transplant Dr Lorenzo June 2014 Link to comment Share on other sites More sharing options...
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