Regular Member Rizgari Posted January 19, 2021 Regular Member Share Posted January 19, 2021 (edited) In the summer of 2015, I started using Minoxidil and Nizoral shampoo. I was a very good responder, but I could not maintain my good results because I was too scared to take Fin. In spring 2020 I was diagnosed with Hashimoto and I believe that this could also play a relevant role in my fight against hair loss. Currently I am using medication (T4 hormones) and I am gradually approaching the right dose for me (every 3 months blood test + adjustment/increase the dosage) Now I am standing here and I finally have to do something. Meanwhile I can still use Toppik and Dermmatch to cover up my hair loss and style my hair to some extent. Since the hair loss is progressing more and more, styling is becoming more and more difficult. I would like to target the front so that a reasonable hairline is formed again. For a possible hair transplant, I have so far asked a few clinics for an initial online consultation: Asmed: recommendation to take Finasteride because hair loss unstable and ongoing. Furthermore, Erdogan sees a DUPA in the early stages as far as the donor area is concerned. He also said that miniaturizing hair may experience shock lock after transplantation. HLC: "Based on your photos, we estimate approximately 2800-3200 grafts for closing the receding hairline and thickening the hairline to mid-top of the head. The exact number depends on how much the corners are closed and the hairline is shaped. We can then decide this together on site during the live consultation. The density used should be about 50 grafts /cm2 to achieve a dense and natural result." Dr. Cinik: 2200 - 2700 grafts - isn't that much too little ? Cosmedica Dr. Acar 3500 - 4000 grafts. "We will first create a new natural hairline, fill the receding hairline, front and middle area as desired with a high natural density" What are your impressions about the recommendations. my hair status and the clinics themselves ? I am of course skeptical because of Fin and the side effects, but probably can not avoid a try. Furthermore, I would prefer FUE over FUT. Edited January 19, 2021 by Rizgari additional information Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted January 19, 2021 Senior Member Share Posted January 19, 2021 If you're not on Fin, then a HT would likely permanently shock out the rest of your native hair leaving you no better off, possibly worse. 3 Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
Regular Member Rizgari Posted January 19, 2021 Author Regular Member Share Posted January 19, 2021 19 minutes ago, aaron1234 said: If you're not on Fin, then a HT would likely permanently shock out the rest of your native hair leaving you no better off, possibly worse. I will definitely try FIN, but what options do i have in a scenario where i have to quit FIN due to side effects ? Link to comment Share on other sites More sharing options...
Senior Member UnbaldEagle Posted January 19, 2021 Senior Member Share Posted January 19, 2021 16 minutes ago, Rizgari said: I will definitely try FIN, but what options do i have in a scenario where i have to quit FIN due to side effects ? A topical antiandrogen, like dutasteride. No side effects. 1 Link to comment Share on other sites More sharing options...
Senior Member follically challenged Posted January 19, 2021 Senior Member Share Posted January 19, 2021 10 minutes ago, UnbaldEagle said: A topical antiandrogen, like dutasteride. No side effects. Genuinely curious, is this safe...? Is it as effective as Fin? If so, why doesn't everyone skip fin and go straight to topical Dut? Link to comment Share on other sites More sharing options...
Senior Member Westview Posted January 19, 2021 Senior Member Share Posted January 19, 2021 (edited) 9 minutes ago, follically challenged said: Genuinely curious, is this safe...? Is it as effective as Fin? If so, why doesn't everyone skip fin and go straight to topical Dut? Because most people get a script from their doctor for FIN pills and dont realize you can buy topical FIN or DUT online Edited January 19, 2021 by Westview 1 Link to comment Share on other sites More sharing options...
Regular Member Rizgari Posted January 19, 2021 Author Regular Member Share Posted January 19, 2021 What do you guys think about the clinics ? Im little bit worried about my donor area Link to comment Share on other sites More sharing options...
Senior Member UnbaldEagle Posted January 19, 2021 Senior Member Share Posted January 19, 2021 11 minutes ago, follically challenged said: Genuinely curious, is this safe...? Is it as effective as Fin? If so, why doesn't everyone skip fin and go straight to topical Dut? It wasn't easy to procure topical dut before some HT surgeons started compounding it. Right now there's 2 I know of who sell the stuff. It's safe because it won't go systemic, molecule is large and cannot penetrate deep, acts locally. @mustang had some great results with the stuff, check out his thread. Link to comment Share on other sites More sharing options...
Senior Member follically challenged Posted January 19, 2021 Senior Member Share Posted January 19, 2021 5 minutes ago, Westview said: Because most people get a script from their doctor for FIN pills and dont realize you can buy topical FIN or DUT online hmmm, if this were simply the case i feel like I would have heard WAY more about topical Dut on the hair channels that i follow... Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted January 19, 2021 Senior Member Share Posted January 19, 2021 (edited) 6 minutes ago, Rizgari said: What do you guys think about the clinics ? Im little bit worried about my donor area It’s worth doing some virtual consulting with some more top clinics and getting their opinion on your donor area. To my eyes it does not look super strong. As others have mentioned Fin would be a good start to stabilise/strengthen your position. Edited January 19, 2021 by JohnAC71 2 Link to comment Share on other sites More sharing options...
Senior Member UnbaldEagle Posted January 19, 2021 Senior Member Share Posted January 19, 2021 (edited) 4 minutes ago, follically challenged said: hmmm, if this were simply the case i feel like I would have heard WAY more about topical Dut on the hair channels that i follow... The 2 hair channels I follow, Kevin "The Man" Mann a.k.a. Our Godsent Hair Loss Mentor and More Plates More Dates (guy is more knowledgeable, knows his pharmacology) both talk about topical dut extensively and recommend it. Edited January 19, 2021 by UnbaldEagle 2 Link to comment Share on other sites More sharing options...
Senior Member Westview Posted January 19, 2021 Senior Member Share Posted January 19, 2021 3 minutes ago, follically challenged said: hmmm, if this were simply the case i feel like I would have heard WAY more about topical Dut on the hair channels that i follow... https://minoxidilexpress.com/product/regrowth-labs-d5a/ https://www.cfspharmacy.pharmacy/dutasteride-topical-gel-compounded https://www.alviarmani.com/topical-dutasteride-is-available-from-dr-baubac-hayatdavoudi-and-alvi-armani-in-beverly-hills-california/ Link to comment Share on other sites More sharing options...
Senior Member Westview Posted January 19, 2021 Senior Member Share Posted January 19, 2021 I even know guys who use both topical FIN and topical DUT together Link to comment Share on other sites More sharing options...
Senior Member UnbaldEagle Posted January 19, 2021 Senior Member Share Posted January 19, 2021 2 minutes ago, Westview said: I even know guys who use both topical FIN and topical DUT together * puts his hands up * + oral fin and dut and spiro. Overkill much? Well, maybe, idk. Link to comment Share on other sites More sharing options...
Senior Member giegnosiganoe Posted January 19, 2021 Senior Member Share Posted January 19, 2021 44 minutes ago, follically challenged said: Genuinely curious, is this safe...? Is it as effective as Fin? If so, why doesn't everyone skip fin and go straight to topical Dut? Because applying a topical is a pain in the ass and most people don't get side effects from the oral version. Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted January 19, 2021 Senior Member Share Posted January 19, 2021 1 hour ago, UnbaldEagle said: It's safe because it won't go systemic, molecule is large and cannot penetrate deep, acts locally. Is this scientifically legit though , because forgive me for saying it sounds pretty bro sciencey . . I’m not denying it’s true, I’m just wondering. Link to comment Share on other sites More sharing options...
Senior Member hairlossPA Posted January 19, 2021 Senior Member Share Posted January 19, 2021 your donor area looks completely normal. idk what everyone is talking about Link to comment Share on other sites More sharing options...
Senior Member ITA Posted January 19, 2021 Senior Member Share Posted January 19, 2021 (edited) 5 hours ago, Rizgari said: What do you guys think about the clinics ? As for the clinics, I feel I can only recommend HLC, the others are hair mills, and then as he writes @JohnAC71 you should hear the opinion of other renowned clinics / doctors. Edited January 19, 2021 by Egy 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted January 19, 2021 Administrators Share Posted January 19, 2021 I would probably look into different clinics. Expand your horizons beyond cost. You may want to try oral minoxidil. I will be trying it and sharing some results on YouTube. Stay tuned. 1 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. Link to comment Share on other sites More sharing options...
Senior Member Dillpickle123 Posted January 20, 2021 Senior Member Share Posted January 20, 2021 10 hours ago, Westview said: I even know guys who use both topical FIN and topical DUT together How do we get a prescr 10 hours ago, Westview said: https://minoxidilexpress.com/product/regrowth-labs-d5a/ https://www.cfspharmacy.pharmacy/dutasteride-topical-gel-compounded https://www.alviarmani.com/topical-dutasteride-is-available-from-dr-baubac-hayatdavoudi-and-alvi-armani-in-beverly-hills-california/ How would we go about getting a prescription though? What strength is recommended ? Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted January 20, 2021 Valued Contributor Share Posted January 20, 2021 I wouldn't be doing anything in the way of surgery at the moment. I would trial Finasteride for at least 12 months and see what results you may end up with. All the best! GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Senior Member deitel130 Posted January 20, 2021 Senior Member Share Posted January 20, 2021 Talk to your doctor and give meds a try before opting for surgery. The meds will most likely thicken thinned hair and also stabilize loss. You may not need a surgery then. Link to comment Share on other sites More sharing options...
Senior Member yesplease Posted January 20, 2021 Senior Member Share Posted January 20, 2021 15 hours ago, UnbaldEagle said: A topical antiandrogen, like dutasteride. No side effects. Unfortunately, the data we do have does not necessarily support this. There was a study done that showed topical fin reduced serum DHT (throughout the body) to the same extent that oral fin did. So, physiologically, there isn’t much basis to assume that the topical formulation can’t cause sides. Link to comment Share on other sites More sharing options...
Senior Member Westview Posted January 20, 2021 Senior Member Share Posted January 20, 2021 10 hours ago, Dillpickle123 said: How do we get a prescr How would we go about getting a prescription though? What strength is recommended ? You dont need a prescription for some of these sites. Just click buy. If I were you though I'd start with topical FIN. This site sells good quality topical solutions: https://www.minoxidilmax.com/ Link to comment Share on other sites More sharing options...
Senior Member Dillpickle123 Posted January 20, 2021 Senior Member Share Posted January 20, 2021 2 hours ago, Westview said: You dont need a prescription for some of these sites. Just click buy. If I were you though I'd start with topical FIN. This site sells good quality topical solutions: https://www.minoxidilmax.com/ Is it cheaper than making it myself? Prescription is 30$ a month for a month supply plus topical minox Link to comment Share on other sites More sharing options...
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