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Dr. Pekiner - 1805 grafts - Feb 1 2021


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@giegnosiganoe an excellent and well detailed write up! Your results are looking excellent at this stage. I think your temple points are pretty good and at 26 I would be more inclined to see how things pan out after twelve months at least. You want to know what you are working with for the long game is really what I am getting at. Your crown could very well improve from your meds alone. Thanks for sharing!

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On 6/1/2021 at 11:55 PM, Gatsby said:

@giegnosiganoe an excellent and well detailed write up! Your results are looking excellent at this stage. I think your temple points are pretty good and at 26 I would be more inclined to see how things pan out after twelve months at least. You want to know what you are working with for the long game is really what I am getting at. Your crown could very well improve from your meds alone. Thanks for sharing!

Yeah, you're totally right. I won't lie, I have a bit of the classic hair greed. Unfortunately I don't have the best donor so I'd be taking a risk in the long term. I'll try to rely on concealer in the short term if I really want to take the crown/temple points to the next level.

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Posted (edited)

Another couple things I want to add:

  • I was on oral minoxidil 1.25mg/morning + topical minoxidil at night, for 3 months from Feb 20 to May 20. I've since upped the oral minoxidil dose to 1.25mg morning and night, and have dropped the topical. Noticed pedal edema again - for example a couple of my socks go halfway up to my calves, and when I take those off I can feel an indent around where the top of my socks reach. Pretty trippy. I'm sticking to my low cut socks now lol. I'm honestly not sure if this is because I've raised the dosage or because I'm more mindful - it's possible I've had this even at 1.25mg/day without realizing. I'll keep at it and see if it goes away in a month or two. It's not affecting my physical activity as far as I can tell. Oh, and I can't say I've noticed any changes to my hair. It's difficult to say as a diffuse thinner anyhow, but it must be doing something positive.
  • Whereas up to month 3 was smooth sailing, I was pretty neurotic between months 3 and 4, not gonna lie. The expectation of growth was killing me, and I was obsessively comparing myself to others. Took multiple pictures of my hair every day, examining it very closely for growth. It sucked. Distracted me from work quite a bit. However since hitting month 4, I haven't been focusing on it nearly as much. Haven't taken any pics in a few days actually. I'm not sure if it's me just burning out from the obsessiveness, or because I'm pretty satisfied with how things are going right now. Maybe a bit of both.
Edited by giegnosiganoe
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1 hour ago, Rolandas said:

I'm doing all this transplants just to get to half of your baseline :D

Honestly, I've debated with myself on whether your starting position is preferable. Your donor is incredible, you're a NW5, whereas I'm a ~NW3V with diffuse thinning elsewhere. I think you'll win the long game lol. We'll see how the meds work for me.

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I think you could get a fairly good improvement for 1,000 grafts or less as far as the crown goes, but it's always kind of tough to ballpark the crown in diffuse situations. Still, the area doesn't look that large and it's also not slick bald either. The biggest thing to consider is whether you want to risk the shock loss given that your donor isn't the best to begin with. Might be worth asking a doctor directly how many grafts they'd recommend and then asking how it might impact the result if you had permanent shock loss of the natives in that area.

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8 hours ago, giegnosiganoe said:

Honestly, I've debated with myself on whether your starting position is preferable. Your donor is incredible, you're a NW5, whereas I'm a ~NW3V with diffuse thinning elsewhere. I think you'll win the long game lol. We'll see how the meds work for me.

And you just control it with meds. Fin/Dut/Min/Microneedling/RU/CB/Onion Juice (<-- think will work best for you)

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1st FUE28/01/2020 - 3659 grafts - Dr. Bruno Ferreira
2nd FUE - 03/06/2021 - 2881 grafts - Dr. Bruno Ferreira

Follow me on YouTube

I'm not a medical professional, thus any information given by me is my own observation and should not be treated as professional advice.

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Hey buddy! Everything is on point. You had an ugly shock loss like 95-99% of the patients and now there is huge improvement from last month.  About the crown: why dont you try finas/dutas and dermapen in combination with ur current meds?? I think surgery can be avoided.

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2 hours ago, EvansLawrence said:

Hey buddy! Everything is on point. You had an ugly shock loss like 95-99% of the patients and now there is huge improvement from last month.  About the crown: why dont you try finas/dutas and dermapen in combination with ur current meds?? I think surgery can be avoided.

Thanks man. I'm already on oral dut/min. Dermapen is pretty much the only thing I can add. But I've been on meds for 2 years now, so I doubt it will improve. But yeah, I shouldn't rush it.

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Have you thought about some SMP to the uneven nape/retrograde?? I’m thinking of getting some done at the back there to mimic a skin fade and lower the hairline at the neck line at the back after my transplant as I suffer slightly the same as you back there. 

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3 hours ago, Sitries1 said:

Have you thought about some SMP to the uneven nape/retrograde?? I’m thinking of getting some done at the back there to mimic a skin fade and lower the hairline at the neck line at the back after my transplant as I suffer slightly the same as you back there. 

Never thought of that. I was considering lasering/transplanting the hair at the sides of my nape to even it up with the middle. I feel like SMP probably wouldn't work too well unless it was blended in with hair (which I probably don't have enough of in the affected areas, definitely in the long term). And I'd probably have to commit to a short hairstyle.. Too many unknowns for me, I'd want to see someone else try it first. Do you have any pics you can share of your nape?

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  • 2 weeks later...

To be honest if you take off flashlight it will look incredible. Donor is spot on too!

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1st FUE28/01/2020 - 3659 grafts - Dr. Bruno Ferreira
2nd FUE - 03/06/2021 - 2881 grafts - Dr. Bruno Ferreira

Follow me on YouTube

I'm not a medical professional, thus any information given by me is my own observation and should not be treated as professional advice.

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