Dr. Felipe Pittella Posted January 13, 2022 Share Posted January 13, 2022 VIDEO - Watch this NW 4a - Full Video SOLVED Comb through Age: 52 yo NW: 4a Donor Area: GOOD Total Number of Grafts: 4554 Number of Sessions: 1 Surgical Plan: Lower the hairline with good density, increase density in midscalp and crown areas. Rx: Topical and Oral Minoxidil, clobetazol and ketoconazol Shampoo, biotin (NO FINASTERIDE or any other 5-ARI) 6 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted January 13, 2022 Senior Member Share Posted January 13, 2022 Stunning work ! Thanks for posting @Dr. Felipe Pittella🙏 1 Link to comment Share on other sites More sharing options...
Senior Member SLA Posted January 13, 2022 Senior Member Share Posted January 13, 2022 Very nice @Dr. Felipe Pittella... I think most of us are in admiration of your work ESPECIALLY those super tough cases you have exhibited. I notice how it seems NONE of your patients are taking any 5-ARI. Do you think it is possible to stop the progression of baldness only with what you have been prescribing including Topical and Oral Minoxidil, clobetazol and ketoconazol Shampoo and biotin? Also, what dose of oral minoxidil do you prescribe- 2.5mg or 5mg? Thank you and look forward to continue to see some of your more challenging cases! 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted January 13, 2022 Administrators Share Posted January 13, 2022 Wow incredible 👏🏼👏🏼 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...
Dr. Felipe Pittella Posted January 13, 2022 Author Share Posted January 13, 2022 24 minutes ago, SLA said: I notice how it seems NONE of your patients are taking any 5-ARI. Do you think it is possible to stop the progression of baldness only with what you have been prescribing including Topical and Oral Minoxidil, clobetazol and ketoconazol Shampoo and biotin? Indeed I don't like to prescribe Fina or Duta because of the possibility of one losing his libido. If so happens, the patient will give up using any rx at all. For that reason I do not rely on 5-ARI to get a good result. I must admit that it is much more dificult to stop baldness progression without it (5-ARI). In some cases when the genetical target is not so "strong" for baldness, it may be possible to stop progression (with oral minoxidil). 4 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted January 13, 2022 Author Share Posted January 13, 2022 33 minutes ago, SLA said: Also, what dose of oral minoxidil do you prescribe- 2.5mg or 5mg? Men starting with 2,5 and then up, if well tolerated 2 Link to comment Share on other sites More sharing options...
Senior Member Mike10 Posted January 13, 2022 Senior Member Share Posted January 13, 2022 (edited) I would agree with Dr Pitella's position. I am only on PRP since 4 years and hair is stable . It is really a case by case decision. Edited January 13, 2022 by Mike10 1 Link to comment Share on other sites More sharing options...
Senior Member A Fue Good Men Posted January 14, 2022 Senior Member Share Posted January 14, 2022 @Dr. Felipe Pittella I see you prescribe clobetasol to many of your patients. How often do they use it? Since it is a super potent class corticosteroid, can it have the possibility of thinning the skin over time? Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted January 14, 2022 Valued Contributor Share Posted January 14, 2022 I'm becoming a huge fan of your work Dr Pitella! Another great result! 🙏 1 GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted January 14, 2022 Author Share Posted January 14, 2022 11 hours ago, 5BetaReductase said: @Dr. Felipe Pittella I see you prescribe clobetasol to many of your patients. How often do they use it? Since it is a super potent class corticosteroid, can it have the possibility of thinning the skin over time? great question. twice in week. Since there is no deposit of cobetasol under the skin, i.e., the foam is rapidly washed away after 5 minutes in the shower, there is no significant tissue alteration. 2 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted January 14, 2022 Author Share Posted January 14, 2022 11 hours ago, Gatsby said: I'm becoming a huge fan of your work Dr Pitella! Another great result! 🙏 thankyou! 1 Link to comment Share on other sites More sharing options...
Senior Member A Fue Good Men Posted January 14, 2022 Senior Member Share Posted January 14, 2022 (edited) 19 minutes ago, Dr. Felipe Pittella said: great question. twice in week. Since there is no deposit of cobetasol under the skin, i.e., the foam is rapidly washed away after 5 minutes in the shower, there is no significant tissue alteration. Thank you doctor. So are you prescribing the shampoo version? Is it a combination version of ketoconazole and clobetasol in one? Edited January 14, 2022 by 5BetaReductase 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted January 14, 2022 Senior Member Share Posted January 14, 2022 Please keep posting results 👍🏽 And/or encouraging your patients to post also. 1 Link to comment Share on other sites More sharing options...
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