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hairback423

Results of 2000 FUT w Dr. Scott Alexander from April 1st 2015

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3 hours ago, Upshall said:

Can you show us where your scar is located. Just want to make sure it’s in the safe zone. 

Also, when you saw doctor A, did he agree that his worked has thinned? Did he provide an explanation as to why? 

All he said was I may be in a shedding stage. Then discussed doing another transplant. I will take pictures of the back as soon as I get home.  Thanks for your help. 

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Unfortunately, I dont have just scalp focused pictures after a year. Truthfully at that point everything was amazing and looked just the same as 6 months that I showed. I was happy with that and it never got any better or worse, until recently. I can post pictures from Facebook around that time if it helps, so you can see the hairline.  This started happening around September of 2018 when I actually noticed and got sick to my stomach and the pictures I posed are from yesterday. Unfortunatly it is just getting worse.  This was my worst fear. 

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Is there a chance we could get some pictures of dry hair and none bathroom lighting?

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Hey Hairback, 

Sorry to hear you are feeling your HT has thinned out. Not the first time ive ever heard of this however this could well be a few reasons. 

1. further loss of native hair in the frontal region ( I experienced it and needed further work to keep up with the progression of loss ) 

2. Seasonal shedding which can make hair appear very thing. See my topic here. 

 

 

Sorry if i missed it but how long have you been feeling your hair is much thinner now than it was , weeks, months years  ? 

Can you take some pics in comparable lighting to your 5 months pics in start of the topic and not harsh bright light with wet hair. 

Regards

Spex

 

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Posted (edited)
25 minutes ago, PeloDinero said:

Where is Spex now? 

Im here just not on the forums anywhere near as much as i used to be, why ?

Not like you to try and imply something negative toward me though, so let's have it....lol 

Regards

Spex

Edited by spex

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On 3/19/2019 at 4:57 AM, hairback423 said:

Zoloft for depression. Not more stress than usually especially now. If its stress related will in come back. What can I do. I would obviously get another transplant I just can't afford another 9k at this point. Also I'm terrified this would happen again and I'd be in the same boat. 

Been some links to Sertaline (Zoloft) usage and hair loss however seeing as the area that is thinning out seems to be the area that was transplanted in, it may not be the cause in your case. Have you noticed any thinning on any other parts of the scalp?

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Its honestly only in the transplant part. Would it still be seasonal shedding that's continuing for over 6 1/2 months?

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9 hours ago, spex said:

Hey Hairback, 

Sorry to hear you are feeling your HT has thinned out. Not the first time ive ever heard of this however this could well be a few reasons. 

1. further loss of native hair in the frontal region ( I experienced it and needed further work to keep up with the progression of loss ) 

2. Seasonal shedding which can make hair appear very thing. See my topic here. 

 

 

Sorry if i missed it but how long have you been feeling your hair is much thinner now than it was , weeks, months years  ? 

Can you take some pics in comparable lighting to your 5 months pics in start of the topic and not harsh bright light with wet hair. 

Regards

Spex

 

 

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I actually noticed a significant thinning around August of 2018.....but I would say 2018 is when this started happening.  But forsure from August 2018 until now March 20 2019 has become extremely noticeable. 

Here is with completely dry hair. I just got it cute the exact same length I always do. So it will is the same as in 5 month comparisons. Also, lighting is the same as before too. I'm not trying to pull a fast one. My hair is thinned so bad its embarrassing. I will guarentee you and tell you first hand. It has thinned and thinned alot. 

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Posted (edited)

And I went in actually and spoke with Dr. Alexander face-to-face in late November or early December of 2018 and was told it was a shedding period. I will be amazed if this 6 plus month "shedding period" returns to how it was. I'm sorry I just am extremely upset I was told this hair was resistant to DHT. I have no idea why this happened, but it was my worst fear. 

Edited by hairback423

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On 3/19/2019 at 4:15 PM, Upshall said:

Can you show us where your scar is located. Just want to make sure it’s in the safe zone. 

Also, when you saw doctor A, did he agree that his worked has thinned? Did he provide an explanation as to why? 

Sorry for the delay. Here it is. 

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I think all you can try to do it ride it out and try not stress over it. I KNOW that's difficult but your high anxiety levels will only be feeding the fire so to speak. Keep hair short, wear a hat when needed and try not to scrutinise it. Reason being it is what it is at this stage. You need try park it to best of your ability in order to  get the stress levels down assosiated with it ( vicious circle )  and then in a few months arrange to see Dr Alexander again for him to access in person. 

Try get all other medication you are taking down to a minimum to get a stable control for the situ rather than a cocktail so to speak as this will only be counterproductive. In situations like these and seen them over the years from a range of patients is you need ride it out and give yourself the best environment to create a control of what the situ is. Get on a healthy regime and get yourself on Biotin and MSM too to promote healthy hair.

Try not apply too many 'products' and try your best to not fixate on it. I know its tough but based on experience this is the best advice I can offer and aim to speak with Dr Alexander in a few months so he can do his best to help guide you.

Regards

Spex 

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Ok all I am currently taking is zoloft (generic 100mg) 1x daily for general anxiety and depression and propecia (generic). If your referring to the other prescriptions in the picture as the cocktail so to speak, I share the bathroom with my girlfriend and we live together and both out prescriptions are in the same medicine cabinet. 

 

What is biotin and the other you recommended? Anything else I can do? How short do you recommend to keep it? Dr Alexander told me to never go lower than a 3 on sides to hide scar. 

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Best google Biotin ( Complex B vitamin) and MSM for hair and get on amazon for an order as not expensive or use local drug store. They both promote healthy hair growth. 

Id only add these in so to not over complicate things. Do Not start over applying anything such as minoxidil or any hair loss shampoos as these notoriously can cause shedding. 

Keep hair as short as you feel comfortable with. You need fined a length that you feel ok with and i agree with Dr not too low. 

 

You could in the short term consider Nanogen or a concealer fibre to help bulk things up as this might enable you to stop fixating on it, just an idea.

 

Regards

Spex

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2 hours ago, spex said:

I think all you can try to do it ride it out and try not stress over it. I KNOW that's difficult but your high anxiety levels will only be feeding the fire so to speak. Keep hair short, wear a hat when needed and try not to scrutinise it. Reason being it is what it is at this stage. You need try park it to best of your ability in order to  get the stress levels down assosiated with it ( vicious circle )  and then in a few months arrange to see Dr Alexander again for him to access in person. 

Try get all other medication you are taking down to a minimum to get a stable control for the situ rather than a cocktail so to speak as this will only be counterproductive. In situations like these and seen them over the years from a range of patients is you need ride it out and give yourself the best environment to create a control of what the situ is. Get on a healthy regime and get yourself on Biotin and MSM too to promote healthy hair.

Try not apply too many 'products' and try your best to not fixate on it. I know its tough but based on experience this is the best advice I can offer and aim to speak with Dr Alexander in a few months so he can do his best to help guide you.

Regards

Spex 

If stress is causing the shed, why is only his transplanted hair falling out? Also, do sheds caused by stress typically last longer than 6 months? 

 

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I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

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Posted (edited)

I’m not saying stress is causing it but it will  not be helping the situation as a whole. Trying to simply offer some support and offer advice I’d do myself if in same situ. Hard to say what’s caused HT hair alone to thin out as not particular common 4 years post op. Something has caused it but what as not like HT surgeons put a timer on the hair transplanted.

Edited by spex

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To be totally honest I don't think you can necessarily conclude these are transplanted hairs that have shredded. It looks like the transplanted hairs may have remained while the native hairs have continued to recede, and that is the most obvious explanation for what has happened here. It could also be the result of continued recession and also the natural growth/shed cycle of the transplanted hair.

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Your results look uniform.  I think you are right, you may have gone on to lose more native hair.  Had it not been for the transplants, you would be in worse shape. Now, the question becomes, is the native hair still there?  Why not go on a medical regimen, (Propecia, Rogaine, PRP, Laser), and do it for a good year.  Take good photos and see what happens.  Worse case scenario, you lose a year. Bet to say you may return to have as close a density as to what you had 5 months post op.

 

 

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Hey man I’m sorry you are experiencing this and I say that because I am experiencing the same exact thing, except my “shed” of transplanted hair happened just 10 months after my surgery. I don’t understand either man I’m so upset. I was so dam happy and my new hair line was looking so great I couldn’t believe it and it was suppose to get even better with a few months of growth left ! Then out of no where it just started to go and go and go. I reached out here on the forum and the only answer I got was from Spex and a few others that it was a shed and it’s more common than not? Just not really spoken about. Idk man. I believe you though and agree with you judging by your photos you posted. This has been going for 4 months now and I’m hoping things grow back in but my luck they won’t. I payed quite a penny for my procedure too and now I’m looking into and saving to have another one with a different doctor. I’m sorry brother I’m in the same boat. It’s heart breaking. 

I’m using Topic Hair fibers in the mean time, maybe they will help you as well. Best of luck

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Posted (edited)
2 hours ago, LaserCap said:

Your results look uniform.  I think you are right, you may have gone on to lose more native hair.  Had it not been for the transplants, you would be in worse shape. Now, the question becomes, is the native hair still there?  Why not go on a medical regimen, (Propecia, Rogaine, PRP, Laser), and do it for a good year.  Take good photos and see what happens.  Worse case scenario, you lose a year. Bet to say you may return to have as close a density as to what you had 5 months post op.

 

 

Bollocks to that

 

Clearly a lot of transplanted hairs have shed.  If that happened to me after a HT I'd be fuming

Edited by garethbale

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Just now, garethbale said:

Bollocks to that

 

Clearly a lot of transplanted hairs that have shed.  If that happened to me after a HT I'd be fuming

If your opinion that anything is "clearly" represented by a few low resolution photos taken from distances far too back to discern anything meaningful - then the credibility of your opinion seems suspect. The only thing that is "clear" here is that the photos are ambiguous. Could it be transplanted hair shedding? Maybe. Is it the likely cause of the thinning? No.

The reasons why it is not likely the cause:

1) The scientific literature has established fairly confidently that hairs transplanted when pulled from the safe zone typically do not miniaturize in people with MPB.

2) His photos indicate that the hair pulled was well within the safe zone.

3) The pattern of thinning here is relatively uniform. If this was a case of "some" of his transplanted hairs being outside the safe zone, then we might expect that the thinning pattern to be less uniform, unless you want to take the hypothesis that "all" of his transplanted hair were susceptible to MPB.

4) The more thin areas of his scalp are the exact areas that appeared to be receding prior to the transplant.

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2 hours ago, FUEblonde1985 said:

If your opinion that anything is "clearly" represented by a few low resolution photos taken from distances far too back to discern anything meaningful - then the credibility of your opinion seems suspect. The only thing that is "clear" here is that the photos are ambiguous. Could it be transplanted hair shedding? Maybe. Is it the likely cause of the thinning? No.

The reasons why it is not likely the cause:

1) The scientific literature has established fairly confidently that hairs transplanted when pulled from the safe zone typically do not miniaturize in people with MPB.

2) His photos indicate that the hair pulled was well within the safe zone.

3) The pattern of thinning here is relatively uniform. If this was a case of "some" of his transplanted hairs being outside the safe zone, then we might expect that the thinning pattern to be less uniform, unless you want to take the hypothesis that "all" of his transplanted hair were susceptible to MPB.

4) The more thin areas of his scalp are the exact areas that appeared to be receding prior to the transplant.

Are you a doctor? FUE Blonde? Or a surgeon that specializes in this?

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