I recently did a consult with Rahal and I found his recommendations interesting but still kind of caught me off guard and I'm having a hard time getting completely on broad with them I really didn't want to have to deal with incremental HT's or temporary ongoing procedures like SMP's and find myself still looking for a better alternative.
Anyways here's some of what they had to say below along with a link to his pre and post op instruction and treatment plans and resent picture of my hair-loss wet
Wondering how his pre and post treatment plans compare to other doctors I don't know if its just me but do they seem a little intense ?
I ran your photos by Dr. Rahal and he agreed that it is a bit early to be targeting your crown area. The diffuse thinning you are experiencing in that area means high risk of shock loss so they fear is you will not see enough benefit to be worth targeting the area. He is however more then happy to fill in your temple angles and strengthen your hairline and frontal zones. You should also consider adding our PRP with your hair transplant, and as an ongoing treatment to prevent future loss.The cost to add it with your procedure is $650 +hst. The other procedure we discussed was Scalp Micropigmentation (SMP). I know you weren't a huge fan of the idea but it can be a great way to add density to your crown area that we are not targeting with surgery SMP is a small semi-permanent pigment that we do on the scalp to help boost the illusion of density by minimizing the contrast between your hair colour and skin tone. It lasts about 5 years. The cost for a density treatment for the crown area is $2,800.00 CAD+tax. It normally takes 2 treatments designed as a layering effect to give the most natural appearance and duplicate the appearance of native hair follicles. If this is of interest we could coordinate this to be done when you make the trip for surgery.
Picture taken on 11-12-18 exactly 9 months post op.
I'm thinking of going to two months now between updates, up to 1 1/2 years. I'm sure my hair has some to go, just that any observable changes are slowing. When it's wet, on top shows a little more thinness than I'd like. Fortunately when it dries, you can't tell at all. The crown is a little thin, but that doesn't seem to bother me.
I don't know if it's the adjusting of some meds I was on, the DHT blocking shampoo I'm using, but I'm noticing almost no hairs falling out. Nothing in the comb, just a few in the shower every couple weeks or so. I guess if I've made it this far in my life, chances are there won't be too much more hair loss, if any. I hope.
I enjoy seeing everyone's updates. Quite a few though, seem to stop posting altogether way before their year and a half.
Come on you guys...keep posting your updated pictures.