Timing on procedue - my specific case

[Deiter]

Hi All,

First time poster, thank you in advance for reading another post about procedure timing aka "should I get a procedure now?"

My specific case:

• 32 yo male.
• Light skin, dark brown hair.
• Norwood Type 2 (but more straight across vs V-shaped, whatever that's called).
• I've been on 5mg+ daily Finasteride since age 20, use Minoxidil foam 2x daily on front (not sure if works but possibly helps).
• I've lost about 1" of hairline in the front between age 20-32 (12 years).
• On the high side of donor hair according to local surgeon.

My genetic history:

• Father is Norwood Type 5, had sudden hair loss at age 33 but started Finasteride afterwards. 
• Mother's Father was Norwood Type 3, stabilized there. 
• Based on myself and my 3 brothers (including 2 older brothers age 37 and 39), it looks like our hair pattern is coming from Mother's Father, so I don't anticipate any loss in the crown/vertex, most likely all frontal. 

My questions please:

1. My main concern is around doing an FUE/FUT in the front, but the hair behind steadily receding in the frontal region, keeping in mind the Finasteride is slowing but not halting the loss. I visited a well-rated transplant surgeon lately, and their salesperson basically told me I could just keep getting FUEs to cover it up, but I am unsure about at what point? 
2. Given this first procedure would cover my hairline for the indefinite future, would you recommend FUT first for thickness? I wear my hair down, so perhaps and FUE wouldn't be as noticeable in terms of perceived density? 

Thank you!

 

 

[Kruchie]

Got any pics to show us? Also, have you tried Dutasteride? I went with Fin originally but it didn't work as well for me, also had some side effects with it. 

[voxman]

You will always maximize your grafts with a first round FUT - bear in mind that you will need a plan to deal with the scar it leaves, and that is a personal decision based on your hair style .  A FUE afterwards to keep up  is certainly a good plan but a FUE after FUE after FUE to play catch up shouldn't be part of your plan.   i have had two (2) FUT and my scar has never been noticeable but I keep my hair longer anyway. 

Edited July 15, 2020 by voxman

[Melvin- Admin]

36 minutes ago, voxman said:

You will always maximize your grafts with a first round FUT - bear in mind that you will need a plan to deal with the scar it leaves, and that is a personal decision based on your hair style .  A FUE afterwards to keep up  is certainly a good plan but a FUE after FUE after FUE to play catch up shouldn't be part of your plan.   i have had tow (2) FUT and my scar has b=never been noticeable but I keep my hair longer anyway. 

You’re back! 

[voxman]

Yes, I am back - I will be visiting and giving out my humble opinions and hopefully guiding the more 'mature' crowd here when needed...LOL!

[Deiter]

4 hours ago, Kruchie said:

Got any pics to show us? Also, have you tried Dutasteride? I went with Fin originally but it didn't work as well for me, also had some side effects with it. 

Attached. Haven’t tried Dutasteride but I think Fin is working and slowing the loss, just not completely halting the loss - should it be?

[Melvin- Admin]

You don’t need surgery at all! 99% of guys on this forum would kill for your hair. Definitely not worth the risk or money. Take that money and go on vacation, my advice.

[1978matt]

Yeah you don't need a HT.  Sure, it's a little more zig-zag than a straight hairline but not life debilitating.

[Kruchie]

@Deiter 

Definitely agree that you don't need a HT at all. I would kill for you hair, literally. 

[voxman]

zig zagging is good - straight as a picket fence always somehow looks a bit iffy.

[HTHope]

6 hours ago, Deiter said:

Hi All,

First time poster, thank you in advance for reading another post about procedure timing aka "should I get a procedure now?"

My specific case:

• 32 yo male.
• Light skin, dark brown hair.
• Norwood Type 2 (but more straight across vs V-shaped, whatever that's called).
• I've been on 5mg+ daily Finasteride since age 20, use Minoxidil foam 2x daily on front (not sure if works but possibly helps).
• I've lost about 1" of hairline in the front between age 20-32 (12 years).
• On the high side of donor hair according to local surgeon.

My genetic history:

• Father is Norwood Type 5, had sudden hair loss at age 33 but started Finasteride afterwards. 
• Mother's Father was Norwood Type 3, stabilized there. 
• Based on myself and my 3 brothers (including 2 older brothers age 37 and 39), it looks like our hair pattern is coming from Mother's Father, so I don't anticipate any loss in the crown/vertex, most likely all frontal. 

My questions please:

1. My main concern is around doing an FUE/FUT in the front, but the hair behind steadily receding in the frontal region, keeping in mind the Finasteride is slowing but not halting the loss. I visited a well-rated transplant surgeon lately, and their salesperson basically told me I could just keep getting FUEs to cover it up, but I am unsure about at what point? 
2. Given this first procedure would cover my hairline for the indefinite future, would you recommend FUT first for thickness? I wear my hair down, so perhaps and FUE wouldn't be as noticeable in terms of perceived density? 

Thank you!

 

 

What’s the reason behind using over 5 mg of fin? What exact dose r u on?

[Gabreille Nelson Mukhia]

You don't seem to require a hair transplant. Also, please don't take Finasteride at 5 mg. 1 mg should be sufficient for hair loss patients. 

[aaron1234]

As everyone has already stated, don't get a HT!  🦁 Stay on Fin... but 5 MG? Is that a typo?

[Dazed]

19 hours ago, voxman said:

Yes, I am back - I will be visiting and giving out my humble opinions and hopefully guiding the more 'mature' crowd here when needed...LOL!

Well you can't get much more mature than me.  I will be 73 in a month.

[Melvin- Admin]

12 minutes ago, Dazed said:

Well you can't get much more mature than me.  I will be 73 in a month.

*a challenger appears