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needmorehairs

2nd HT Procedure, FUE recs?

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Hi All,

I am 34 years old and had my first FUT HT procedure in 2011. I had the procedure done with Dr. Wong and had approximately ~4000 grafts put in. Even at that time, I had pretty serious thinning from the front hairline to the crown. I have pretty thin hair and we focused our efforts on the front 1/3 of my scalp, then the crown and left the mid-section between front and crown relatively untouched. At the time, I wanted to lower my hairline as well, however because my hairline was already so receded, it was recommended to have a higher hairline and focus on density. I've been on Propecia since then as well.

As my native hairs have slowly been falling out (despite Propecia) I have been thinking about repeating a second HT procedure, this time with the FUE method. My scar has healed very well however I'd still prefer the FUE procedure. I know Dr. Wong is very skilled and I will be reaching out again, however I wanted to get your thoughts on other docs to consider. I currently live in NYC.

I know that my hair is pretty thin so I have realistic goals as to density and fullness. My main goals right now are to fill in the crown area (pretty large bald spot at this point), lower the front hairline, and strengthen the thinning hair behind the front hairline as well.

Please let me know your thoughts and if you have any recommendations! Thank you!

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I think Dr Wong does some of the best crown work in the business. I'd be very tempted to stick with him for a crown procedure personally.

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While I can understand the desire for FUE I'd strongly consider at least one more FUT.

I would have done if my hair were a moving target but it has been stable (more or less) the last 7 or 8 years, and I am 41.  You also have quite fine hair which is more challenging to get density.


4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013

1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018

500 FUE grafts (TBC) with Ray Konior, MD - 2020

My HT results thread from 1st procedure.

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I think you should have H&W strip you again from the same strip scar area - cutting out the original leaving you w/just one scar (which you already have).  You'll get the best of the best donor area & you'll preserve outside that zone for an FUE down the road if you desire.

You have fine hair and alot of real estate to cover for your 2nd surgery & you already have a scar.  Down the road you could have fue into the scar if you want to go for shorter hair & you'll still have more hair for a full FUE session if you want.

You are only 34 and you'll continue to slowly lose native hair even if you were on stronger meds such as Avodart and oral minox (over time) - just more slowly than w/finasteride.

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