I need some opinion

[potassium234]

Hi guys

 

I would like to tap on your expertise.

I am a 33 year old male of Asian origin, i was made known to a patch of hairloss over the vertex about 1.5 years ago by my hairdresser.

I don't have any hairloss in the front.

I put myself on dutasteride and minoxidil for those 1.5 year, I find less hair falling after starting dutasteride, minoxidil didn't do anything for me. So 1.5 years till now, no regrowth, no loss either.

 

I am here in another Asian country and i consulted with the countries top surgeons regarding transplanting the vertex

 

Surgeon 1: advised me not to do it, says it won't make much a difference because my pre-existing density is already in the "low normal range", he quoted about 100 hairs/cm2. So adding hair to already a good density wouldnt make so much of a difference.

 

If i was adamant about it, he would put the no. of grafts I need to be 1000

He did say I had a good donor area and a good hair diameter when i asked him.

 

Surgeon 2: advised me not to do it, he was actually in the middle of a surgery when he came out to see me, (don't like that), I didn't get a clear answer from him why. The patient advisor (non doctor) whom i don't trust, mentioned risk of shockloss if i get a transplant in the area.

 

Surgeon 3: advised me not to do it, said i don't need it. And that's it.

 

I do fully understand that crown transplantation is a "black hole", depletes "future" donor reserves that could be used elsewhere if hairloss in the front on hairline progresses and some surgeons probably have their own criteria of a age cutoff (too young) for crown transplantation.

 

I am really conscious about hairloss in the area "no matter how small" it is in the eyes of these hair transplant surgeons (and i trust their opinion because of their experience)

 

So my option would be to do it with the 1st surgeon since no. 2 and 3 don't want to do it for me

Before i pull the trigger with surgeon no.1 I would just like to ask for opinions regarding this. They would be much appreciated.

 

As I am overseas, this are the only pictures I have access to for the moment.

 

 

 

 

 

Thank you

[Shampoo]

If 3 doctors state they don't think you should do it now, then I'd wait.

 

The doctors must think your bald spot is going to grow as you age and they want a clearer picture of what's going to happen before they commit grafts there.

 

If it really bothers you, for the time being 1-2 sprinkles of black Nanogen would solve your issue.

 

I will warn you though, once you use Nanogen on that crown it is a bit addictive.

 

You will like the result so much you will use it almost everyday.

 

[potassium234]

Hi Shampoo

 

I am already applying hair fibres and frankly I am sick of it, i look forward to a day where I don't have to do it anymore. These 1.5 years have been a drag.

[Shampoo]

potassium....no doubt that's why I'm going in next month for my second session with Dr. Wong.

 

I don't love using Nanogen fibers everyday either....it's a "band-aid"...but we both still use it because for a lot of people it works and hides a bald spot really well.

[ArochaHair]

You could also consider tricopigmentation with a specialist that shows a consistent track record of excellence. We have seen some examples of this and the results can be quite impressive.

 

As Shampoo said, if three doctors have basically turned you down then this is a sign that you should not move forward with the surgical approach.

[1978matt]

The loss here is not bad enough in my opinion. I think under normal lighting (no flash) is doesn't look as bad.

 

The problem is, the density you have is probably what a doctor would give you if it were bald scalp and they were recreating a whorl. If they put more hair in thy may sever the roots of existing hair (permanent shock loss) and you end up back to square one.

 

At 33 you're better off than most people on this site. Save your grafts in case you need them for future frontal loss!

[MrGio-WHTCClinic]

Sounds like you still prefer to maintain the vertex by non-surgical means. You should consider platelet-rich plasma to manage the thin-looking appearance in the area.

[Sean]

Imo, you shouldnt touch that area with surgery just yet. Try to maintwin it with toppik or nanogen.

 

You can try prp but it is experimental unless you meet folks that had that as the only therapy and seen becore and after pics.

 

Crown is a black hole and can suck up grafts. Also, since you have native hairs there, it could be risky as you may get permanent shockloss if surgery is done incorrectly.

[potassium234]

Thanks guys. Now I can make an informed decision.

I actually had prp too did nothing

1. Risk of shockloss. I need the ask my first surgeon about this

 

2 progression of crown loss. I don't think it's an issue for me.

 

3 expectations. 1000 grafts might end up not giving me what I want. (Need more)

[Melvin- Admin]

Thanks guys. Now I can make an informed decision.

I actually had prp too did nothing

1. Risk of shockloss. I need the ask my first surgeon about this

 

2 progression of crown loss. I don't think it's an issue for me.

 

3 expectations. 1000 grafts might end up not giving me what I want. (Need more)

 

High risk since you're in the beginning stages of hair loss.

 

You're only 33 so you will lose more hair that is inevitable even if you're on propecia and minoxidil you will continue to lose hair.

 

1000 grafts would be enough, but the area is so small it's hard to tell even with high flash an inch away. Not worth the scars IMO