Advice for 2nd Hair Transplant

[DCMB]

Hi All,

I had my first transplant in March 2015 by AEK. I have attached pictures showing my journey from September 2015 to early this summer.

I turned 36 a few months back and remember being told that I would likely need another one before I turned 40. Since early last year before the pandemic started; I feel my hairline is shrinking and hair has continued to thin since…..

Just want to ask how severe this looks before sharing more detailed pictures up close.

I’m curious to know if I’ll need to consider a HT as soon as things get back under control next year or if I can hold out until 2023?

[Melvin- Admin]

You've got a decent head of hair, what are your goals? Are you on medication?

[Balding Bad]

The transplant looked pretty solid, although I'm surprised to see that the transplanted hairs started to thin out. Did the doc harvest from your DHT resistant area or did you just not get a very large graft amount the first time around?

If I were you I would def consider getting the 2nd HT sooner rather than later. You frontal hairline is clearly starting to thin out again.

Also to echo Melvin, are you on Fin and/or Min?

[Ajamilo]

1 hour ago, Balding Bad said:

The transplant looked pretty solid, although I'm surprised to see that the transplanted hairs started to thin out. Did the doc harvest from your DHT resistant area or did you just not get a very large graft amount the first time around?

If I were you I would def consider getting the 2nd HT sooner rather than later. You frontal hairline is clearly starting to thin out again.

Also to echo Melvin, are you on Fin and/or Min?

Honestly, It is not a good idea at all . The first thing he should do is stabilize his hair loss by using finasteride or DUT for a year and reassess after that.
He has more to lose by doing a 2nd hair transplant in this situation sooner  than later

[Rahal Hair Transplant]

Well you’ve already had your first hair transplant so that means some of the hair that’s been transplanted is permanent. The more natural hair you lose, the more you’ll be left with only the transplanted hair. 

As for whether or not you can wait for a 2nd hair transplant is up to you. Hair loss is unpredictable so nobody can tell you how much additional hair you’re going to lose. It’s also difficult to tell from the pictures you posted of the results how much thinning you have in the crown and mid scalp area.

While the hairline can certainly be improved upon, lowered and made more youthful looking, how low we can take it will largely depends on hair needed to fill in the thinning areas both now and in the future. Therefore, future concerns of hair loss must be considered.

That said, you can always choose to get a hair transplant now or wait but it’s important to try to get your existing natural hair loss under control by using non-surgical treatments if possible. 

Rahal Hair Transplant

Edited December 10, 2021 by Rahal Hair Transplant

[Balding Bad]

11 hours ago, Ajamilo said:

Honestly, It is not a good idea at all . The first thing he should do is stabilize his hair loss by using finasteride or DUT for a year and reassess after that.
He has more to lose by doing a 2nd hair transplant in this situation sooner  than later

I agree with your assessment as well.

I am suggesting a 2nd HT under the assumption that he is currently on Fin or DUT (but we don't know for sure, which is why I asked if he's on anything), however if he's not then, yes, it would be strongly encouraged for him to get on that before considering a 2nd procedure.

[DCMB]

Hi All, apologies for the delay in response.

Yes, I can provide you with further information.

It was a 3200 Graft FUE and there wasn’t a lot placed in the temples or the crown compared to the scalp (I had been told that my age at the time was unwise, the crown expands until you reach late 30’s or 40 until it stops).

I have used Proscar Finesteride 5mg since March 2015 (1mg per day).

I have started to take a zipvit Saw Palmetto Plus/Pumpkin Seed and Zinc capsule daily.

I use Nizarol Shampoo twice a week every 3 or 4 days.

I have explored dermarolling and onion juice for the scalp also.

 I’ll add close ups later on.

I had been told I was likely to need another transplant in the future or likely loose it all eventually.

My goal is really to avoid being completely bald and have a thick enough density hairline… (I’m aware it will never equate to native density but close enough would be fine). 

[DCMB]

Top of head 

Edited January 2, 2022 by DCMB
Description

[DCMB]

Right temple

[DCMB]

Left temple

[Gatsby]

Patience is always key when it comes to hair loss and it’s medical and surgical treatments. I would definitely weight until 2023. All the best!

[Britanium]

1 minute ago, Gatsby said:

Patience is always key when it comes to hair loss and it’s medical and surgical treatments. I would definitely weight until 2023. All the best!

* Wait even 😂

[Gatsby]

Spell check is a bitch! 😬

[Britanium]

Just now, Gatsby said:

Spell check is a bitch! 😬

Your ducking write 😂

[DCMB]

On 1/3/2022 at 12:38 AM, Gatsby said:

Patience is always key when it comes to hair loss and it’s medical and surgical treatments. I would definitely weight until 2023. All the best!

Thanks, I feel like the pandemic has been a contributing factor to this as I felt a couple of years back my hair was relatively thick enough.

I’m curious now about what my budget will be from next year etc, I live in NI so need to plan ahead on where to consider.

I think europe generally is very expensive and Turkey generally has a very good selection of brilliant doctors who are not as expensive. 

Edited January 8, 2022 by DCMB

[DCMB]

On 12/9/2021 at 12:42 AM, Melvin- Moderator said:

You've got a decent head of hair, what are your goals? Are you on medication?

Hi Melvin, I have expanded on this a bit more.

[DCMB]

On 12/10/2021 at 1:57 PM, Rahal Hair Transplant said:

Well you’ve already had your first hair transplant so that means some of the hair that’s been transplanted is permanent. The more natural hair you lose, the more you’ll be left with only the transplanted hair. 

As for whether or not you can wait for a 2nd hair transplant is up to you. Hair loss is unpredictable so nobody can tell you how much additional hair you’re going to lose. It’s also difficult to tell from the pictures you posted of the results how much thinning you have in the crown and mid scalp area.

While the hairline can certainly be improved upon, lowered and made more youthful looking, how low we can take it will largely depends on hair needed to fill in the thinning areas both now and in the future. Therefore, future concerns of hair loss must be considered.

That said, you can always choose to get a hair transplant now or wait but it’s important to try to get your existing natural hair loss under control by using non-surgical treatments if possible. 

Rahal Hair Transplant

Thank you Dr Rahal

[DCMB]

I contacted Dr Bicer a few months ago and have been recommended that 2nd HT to keep my existing hair and regrow some lost hair is the best course of action.

I guess now I’m starting to think I’ll need to plan a trip back to Istanbul in March 2023

 

[SeanT1]

Quite surprised that your transplanted hairs thinned, especially while on finasteride.  I wonder what went wrong?

[DCMB]

3 minutes ago, SeanToman said:

Quite surprised that your transplanted hairs thinned, especially while on finasteride.  I wonder what went wrong?

The Temples didn’t have a lot of work the first time and I do recall the crown wasn’t filled in massively because I was only 29 on the 1st Transplant and told that Crowns don’t stop expanding until your mid to late 30’s.

I’m somewhat also suspicious that I caught COVID-19 very early on in 2020 which has lead to hair loss or it could be due to stress during this period… I’m not sure but My father is completely bald on top, My Maternal Uncle and their respective fathers (My Grandfathers on both sides) were bald which has made me somewhat damned despite Finasteride 

 

[Gokuhairline]

can you sell me the N64 ? 

[O Hare 57]

I may be wrong but I see a norwood 5 or 6 in your future.  Diffuse thinning is the worst.  I would get a full assessment B4 you do anything.  Your gonna need a ton of grafts if you want to maintain a real good head of hair over your lifetime.  I would expect you have two or more procedure in your future if you have the money, time and grafts.

Make sure you get a top notch doc or you may get graft failure.  Getting a lot of grafts from a cheap clinic is not worth it if you don't get a decent yield.  I would consider a large FUT procedure, followed by another FUT in two years, then A fue afterwards to finish off.  Hair loss is progressive and it sucks.  I didnt start losing a lot of hair until I hit 48 years old.

[DCMB]

18 hours ago, Gokuhairline said:

can you sell me the N64 ? 

I’m afraid that is long gone and given to charity.

[DCMB]

17 hours ago, O Hare 57 said:

I may be wrong but I see a norwood 5 or 6 in your future.  Diffuse thinning is the worst.  I would get a full assessment B4 you do anything.  Your gonna need a ton of grafts if you want to maintain a real good head of hair over your lifetime.  I would expect you have two or more procedure in your future if you have the money, time and grafts.

Make sure you get a top notch doc or you may get graft failure.  Getting a lot of grafts from a cheap clinic is not worth it if you don't get a decent yield.  I would consider a large FUT procedure, followed by another FUT in two years, then A fue afterwards to finish off.  Hair loss is progressive and it sucks.  I didnt start losing a lot of hair until I hit 48 years old.

I appreciate your honesty; both sides of my grandfathers had Norwood 5/6 severity.

I’m making inquiries and will ask about a full assessment about how to prevent such a possibility.

[RTC]

I never understood the need to post like 20+ photos, one from each angle would suffice