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32 years and thinking about round 2 - Talk me in or out [pic heavy]


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  • Senior Member

Hair loss has been a part of my life since late teens when a few people had commented on my receded temples. At age 22 I really became paranoid ( I still had a lot of hair, but I was like any other kid facing reality). Consulted a few docs and all said no but Armani. Decided to wait and finally had my first transplant age 27 with Dr. Hasson in canada. I don't have a lot of photos from then but heres a small idea of where I was at with things

 

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and then here's what I look like after 2900 grafts placed in the shaved area

 

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and hears an idea of the finished product. Honestly, it changed my life. Hair loss was still a concern because I had to manipulate it to get it to look 'right' but at least now I had the option. Sorry no styled photos but you'll see some below

 

 

 

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The rest of these photos are just to give you guys a general idea of things. I've been on FIN since the transplant and its helped a ton, I may have slightly thinned elsewhere but I think its been my saving grace. I've taken a lot at different angles, with hair in different directions. These are photos with yesterdays styled hair, so there is product in it. My hair is horse like where its kind of dry and course/wiry.

 

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Hair to the side

 

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Hair pushed forward

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Donor/crown

 

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Original donor scar

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Then the hairline I'd want

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I've crinkled my forehead. I read somewhere that the top winkle indicates close location to original hairline. I'm not really after that, but it's still interesting to compare

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profile

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These are recent styled pics

 

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Here's a comparison to a coalition doc that took photo in blue in 2012 verse about 2 weeks ago

 

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My 'new' hairline would lower the peak by 1ish cm with a total distance of about 16. It does grow a bit as its making its way to the temples but no more than 2cm. In total its probably 26/27 square cm's. 50 x's 27 = 1350. I'm thinking a procedure of 1500 and we can either pack the hairline with a little more or thickin up the hair directly behind the hairline.

 

I think a lot of people would say, it looks fine the way it is, but really its not. It takes work to conceal it the way I do. I think styling would be night and day with that little tweak.

 

Feedback appreciated

t5C9gr8

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  • Senior Member
Not quite the feedback I was after, but it works =)

 

 

You mean the style? I really like my hair if I'm being honest =)

Oops, my bad. I didnt know you styled it like that on purpose.

I thought maybe you got some type of uneven hair transplant

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Hasson and Wong?

 

It currently looks quite thin in the hairline - i'm quite surprised, actually, as I thought Hasson and Wong did really dense hairlines.

 

I'm very skeptical about lowering lowering hairlines. Just not sure that it can be done in a convincing manner, regardless of the doctor.

 

If you focus on thickening up the current hairline it would almost certainly look better - to what degree it would look natural, well, that's where I get skeptical about any such lowering of the hairline procedures.

 

If you thicken up the current hairline, and THEN try and lower it more, I think you might end up with more thin area at the front.

 

One thing I've noticed since my HT, is that higher hair lines are quite abundant in young guys. I never really looked at hairlines before I got my own transplant, but after I got it I've looked at photos and photos and photos of young guys' hairlines (check out any dating website and you can stare for hours at hairlines all in the privacy of your home). In any case, higher hair lines are quite normal and youthful if they are thick - thinning, however, is what looks bad in my opinion. Better to have a high, dense hairline than a low thin hairline.

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Thanks for all the input guys.

 

@ dutchie- Only the bottom pics are styled ( not sure if you realize that or not). I think a lot of guys cherry pick their photos to show the 'best' . My goal was to give it in many variation without making it look worse or better. It gives better representation of reality.

 

@Harryforreal- Yes, Dr. Hasson did the work.

 

Like I said to dutchie. I think guys cherry pic. Guys are more willing to show pics when at their best probably to hear the positive feedback. What are your thoughts on Rahal or Erdogan? They both have really solid results with hairline work.

 

@thatoldchestnut - I wish I could say I was content. I get by and can lead a bit of a normal life, but I still have to mess with my hair daily. I guess I'm trying to give off the impression of no/minimal hair loss. I have a young looking face (often mistaken for low/mid 20's), and the hair can greatly impact that.

 

I'm not afraid of the transplant or the cost. My only concern is future loss and if I'd have enough donor hair to adequately keep up. Us balding bros got it bad =/

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I had the same impression as "harryforreal" .. I would definitely not lower your existing hairline. The area you drew first off looks completely un-natural and overly aggressive - it would never settle into a mature conservative hairline if you continue to loose hair behind what you already transplanted. And also again my opinion, I would hold off on doing anything right now. You addressed the frontal hair recession. Hold off until you're older to see if you will need a second pass on your mid-scalp, partial crown, etc. That donor supply should be saved so preciously like money in the bank....

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I don't know how to address the issue of long range donor supply - I simply don't know enough about it, but it is a very important point to consider for sure.

 

I see rather unnatural thinness center right, and also along the left side of the picture. Maybe if you could hit these two spots and add some density?

 

One thing I've noticed about docs who do really nice hairlines, often they are implanting hair behind and existing forelock or other native hairs - in essence adding density, not lowering the hairline. This means the front of the hairline of course looks very natural - because it is! When I used to look at Ferudini's hairlines I was amazed, and then I started noticing he wasn't really lowering the hairline in some of the pics that looked so amazing to me, rather he was adding density behind the hairline or to the left and right of a forelock. So make sure when looking at hairline photos that you don't confuse hairline reinforcement with hairline lowering.

 

I don't know if I'm the best to judge hairline docs - just haven't looked at that many. But I think I quite like some of the things I've seen Dr. Konior do.

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I don't know how to address the issue of long range donor supply - I simply don't know enough about it, but it is a very important point to consider for sure.

 

I see rather unnatural thinness center right, and also along the left side of the picture. Maybe if you could hit these two spots and add some density?

 

One thing I've noticed about docs who do really nice hairlines, often they are implanting hair behind and existing forelock or other native hairs - in essence adding density, not lowering the hairline. This means the front of the hairline of course looks very natural - because it is! When I used to look at Ferudini's hairlines I was amazed, and then I started noticing he wasn't really lowering the hairline in some of the pics that looked so amazing to me, rather he was adding density behind the hairline or to the left and right of a forelock. So make sure when looking at hairline photos that you don't confuse hairline reinforcement with hairline lowering.

 

I don't know if I'm the best to judge hairline docs - just haven't looked at that many. But I think I quite like some of the things I've seen Dr. Konior do.

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So, it definitely looks like you have miniaturized since your procedure with Hasson and Wong. Have you noticed that your donor is thinning too?

 

It looks like your donor is fairly poor.

 

So, that said, I would highly advise not dropping your hairline. If you are unsecured about your hairline, consider giving it a boost, which would probably take 1500 grafts in itself.

 

1500 grafts to drop your hairline like you marked out is a gross misestimate. It would take 2500 minimum.

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.

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Great points about the hairline strengthening behind an existing hairline "harryforreal". I've noticed the same thing. For the best natural looking hairlines, the best docs arent actually lowering the hairline as much as adding density behind an existing - sometimes miniaturized initial hairline zone. There are several great docs/clinics that do superior hairline work - they actually call Dr. Rahal the "Hairline King"! I'm also impressed with hairline work from Drs. Shapiro, Konior and of course both Hasson & Wong, have consistently produced some excellent, natural looking hairlines.

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So, it definitely looks like you have miniaturized since your procedure with Hasson and Wong. Have you noticed that your donor is thinning too?

 

It looks like your donor is fairly poor.

 

So, that said, I would highly advise not dropping your hairline. If you are unsecured about your hairline, consider giving it a boost, which would probably take 1500 grafts in itself.

 

1500 grafts to drop your hairline like you marked out is a gross misestimate. It would take 2500 minimum.

 

I agree 100% the sides of the donor area near the lateral humps look miniaturized 32 years old is still relatively young, lets say your hair continues to miniaturize even on fin, then maybe by 42 everything behind the hairline starts to thin, would you have rather stayed with the hairline you have now and be able to thicken everything else, or would you be regretting getting a juvenile hairline with everything else behind it thin?

 

Managing expectations goes hand in hand with managing donor supply, when were still young we want it all, I know im even younger im 30, in this war you have to be smart, don't waste all your bullets on one battle when the war isn't over.


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

Check out my final hair transplant and topical dutasteride journey

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

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One thing I've noticed since my HT, is that higher hair lines are quite abundant in young guys. I never really looked at hairlines before I got my own transplant, but after I got it I've looked at photos and photos and photos of young guys' hairlines (check out any dating website and you can stare for hours at hairlines all in the privacy of your home).

 

So let me get this straight, on Saturday nights you are lying in bed in your tightie whitiy underpants with your laptop navigating through dating websites starring at photos and photos and photos of young boys for hours?????? Okkkkaaaay

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So let me get this straight, on Saturday nights you are lying in bed in your tightie whitiy underpants with your laptop navigating through dating websites starring at photos and photos and photos of young boys for hours?????? Okkkkaaaay

 

lol too funny man. Maybe he was referring to vaginal hairlines?

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Thanks for all the replies. Hair shingles, especially on the sides. I think in part because of how I style and how dry and wiry my hair is, it doesn't show the exact reality. I'll try and snap some pics with it how normal people would style.

 

There's a lot of questions and comments. I haven't talked to the clinic and I actually won't be going back to them. No hard feelings but if I do move forward, I'll choose a different doctor for the touch up.

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It looks good and I think the style is great. Personally,I'd say do it again, just to increase density.

 

FWIW, my hairline on the top and sides has been moved slightly down and forward. Excellent results IMO. In the hands of a talented physician, I see no reason why a slight movement of your hairline should be an issue.

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You started your post by saying to talk you into or out of it.

 

I think the vast majority of input you got was to not drop the hairline. I don't think that I have seen one time where a person asked for advice, received it, then went against mass consensus and it turned out positive. You are a vet here and should know that. And I think you knew the answers you were going to receive too, but we're maybe hoping for something different? That said, it's your head.

 

Btw, I don't get the it looks weird comment. I like your style, and you are still miles ahead from where you started. Be smart.

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.

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So let me get this straight...

 

I was wondering if someone might make such a comment ^^

 

My response is that non-hetero men experience recession and thinning, as well. As for the age of such profiles, adult dating sites are 18+, just for clarification.

 

Hope that sets the record "straight". ;)

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I was wondering if someone might make such a comment ^^

 

My response is that non-hetero men experience recession and thinning, as well. As for the age of such profiles, adult dating sites are 18+, just for clarification.

 

Hope that sets the record "straight". ;)

 

Lol certainly does


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

Check out my final hair transplant and topical dutasteride journey

View my thread

Topical dutasteride journey 

Melvin- Managing 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: Facebook, Instagram, Linkedin, and YouTube.

 

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If you do anything, leave the front alone, but lower the sides of the hairline. At age 32, any hairline strengthening would be preferred over frontal hairline lowering. Adding grafts to lower the sides of the hairline would add more balance to the appearance of the existing hairline.

My opinions are my own. I am one representative of MyWHTC Clinic's European branch.

 

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The pics don't really show your hairline so i can't comment on that but all in all it looks pretty thick . Show us a tamed version of your hair and we can all give you the right comment .I would like to see pulled back pics of your hairline

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Dr. Konior what can I say, the man is a saint. I had 2 failed HT because of Lichen Planopilaris (LPP). He did the biopsy that prove LLP was active throughout my scalp and found me a specialist in California for treatment. Dr. K has never once not answer an email and he is my biggest supporter. We have no idea if the LLP will every become inactive enough for a HT to be successful but he continues to support me in my efforts to rid this problem. The man is the real deal.

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