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Hi just wondering what's best to do? Been losing hair for 5 years now and been trying to book an hair transplant in Turkey for over 2 years now but couldn't due to covid restrictions. Hair seems to have got worse. I've thought about trying finasteride but worried about the sides and not sure if it's too late now anyway, I was going to book for a 4400 graft transplant in Turkey but don't think it'll provide much density over the area, even with a second transplant later on. Feeling only option is smp tbh. 

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Firstly you should actually try Finasteride. A lot of the horror stories out there put off a lot of guys yet account for like 2% of cases and even then, most of them who stopped had their stuff return to normal and in some cases, it's because of underlying issues that side affects are worse. 

Looking at the top of your head, you look like you have diffuse thinning all over. Pump the brakes on any hair transplant for 12-24 months. 

#1 - Start Finasteride. Use 1mg 3x a week and then increase dosage if you feel fine. 

#2 - Add in Microneedling and Minoxodil + Nizoral (Ketoconazole shampoo) 

#3 - Use the 12-24 months to save up, do your research and re-evaluate your hair transplant once you know how the treatments above have worked. 

Believe it or not, if you can recover lost ground with the medication, this can drastically reduce how much grafts you might need and where. It's ALWAYS better to get your natural hair back with a treatment plan. 

You never mentioned your age but i'm gonna go out on a limb and say in your 20s. Don't make decisions that will impact the rest of your life rashly. 

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I'm about to turn 34. I can still feel all the hairs on my head. Like stubble. I would hope they would return from using finasteride. My crown has completely gone tho. Not much hope for that lol I know a lot of them reviews are complete nonsense but believe some are real

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Even if it can only strengthen your lateral humps, fin is worth it.  

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

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8 hours ago, Sean315 said:

I'm about to turn 34. I can still feel all the hairs on my head. Like stubble. I would hope they would return from using finasteride. My crown has completely gone tho. Not much hope for that lol I know a lot of them reviews are complete nonsense but believe some are real

With you being 34, it could indicate you have got over the moat aggressive part as it tends to slow in our 30s but i seriously recommend you do what i said above. 

Anything you can save through treatment and restoration is significantly better and you look like you're a good candidate to try recovery first, not a transplant. 

The forums called hair restoration network because treatments and transplants are two sides of the same coin, but it's on a case by case basis and you should exhaust the non-surgical route first.

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Sean315,

Believe it or not, only an exceptional few have side effects when using finasteride. And those that do, typically stop experiencing them if you cease using the medication.   As far as hair transplant surgery, did you have an actual consultation yet?  4400 is a large number however, given the extensivity of your baldness, I agree that it’s not going to provide much density. In my opinion, I would focus on re-creating a natural and conservative looking hairline with a natural fade into the scalp‘s midsection.  Then, you can go back for a second procedure in a year or so to cover the crown as much as possible.

That said, if you are still experiencing hair loss and it hasn’t stabilized, you have to plan for its ongoing  progression. This is where finasteride becomes a key component in your long-term hair restoration plan.

Best wishes,

Rahal Hair Transplant

Edited by Rahal Hair Transplant

Rahal Hair Transplant Institute - Answers to questions, posts or any comments from this account should not be taken or construed as medical advice.    All comments are the personal opinions of the poster.  

Dr. Rahal is a member of the Coalition of Independent of Hair Restoration Physicians.

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What expectations could I expect if I started taking finasteride right away. Would it thicken my thinning hairs. I've still got a lot of hair in the front and mid section. Feels just same as my back and sides. They've just thinned a lot and lightened in colour which is giving the appearance it's worse than it is. If it thickened and darkened the hairs I'd only maybe need some density adding and the crown by fue

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You've hit the nail on the head! Mos people expect. (If I do something, I expect something in return). When this doesn't happen, patients become frustrated and stop the medical all together - not understanding - the medication is not to help you grow anything. It is to help you retain and not lose any more. Thus, if a year later you look the same, the medical did what it was intended to do.  There is documented evidence Propecia/Rogaine, is the best combo to help with retention, particularly in the crown area. 

PRP/Laser combination can help reverse the thinning.  We are seeing results throughout the head.

Patient Consultant for Dr. Arocha at Arocha Hair Restoration. 

I am not a medical professional and my comments should not be taken as medical advice. All opinions and views shared are my own. 

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I'm not expecting miracles. I'm aware 68 percent of patients saw some regrowth. I was just asking if the already thinning hairs would grow back fuller and darker due to dht being blocked. I'm a bit at a cross roads now tbh. I'm not really happy with it looking as it is. I'm aware I've been late in starting fin. I just want a thicker appearance and then look into a transplant

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33 minutes ago, Sean315 said:

I'm not expecting miracles. I'm aware 68 percent of patients saw some regrowth. I was just asking if the already thinning hairs would grow back fuller and darker due to dht being blocked. I'm a bit at a cross roads now tbh. I'm not really happy with it looking as it is. I'm aware I've been late in starting fin. I just want a thicker appearance and then look into a transplant

Bottom line is you need to take Finasteride and use Minoxidil in combination with a Microneedling device to see the best results. Adding in a Ketoconazole based shampoo like Nizoral just adds to things. 

Ultimately you are gonna have to decide whether you want to try treatment or not. Nobody can force you or keep you to a treatment plan. It's ultimately how bad you want to get the results etc. imo. 

Consistency is the key to success. 

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On 2/1/2022 at 1:38 AM, NARMAK said:

Firstly you should actually try Finasteride. A lot of the horror stories out there put off a lot of guys yet account for like 2% of cases and even then, most of them who stopped had their stuff return to normal and in some cases, it's because of underlying issues that side affects are worse. 

Looking at the top of your head, you look like you have diffuse thinning all over. Pump the brakes on any hair transplant for 12-24 months. 

#1 - Start Finasteride. Use 1mg 3x a week and then increase dosage if you feel fine. 

#2 - Add in Microneedling and Minoxodil + Nizoral (Ketoconazole shampoo) 

#3 - Use the 12-24 months to save up, do your research and re-evaluate your hair transplant once you know how the treatments above have worked. 

Believe it or not, if you can recover lost ground with the medication, this can drastically reduce how much grafts you might need and where. It's ALWAYS better to get your natural hair back with a treatment plan. 

You never mentioned your age but i'm gonna go out on a limb and say in your 20s. Don't make decisions that will impact the rest of your life rashly. 

Narmak thanks for your advice. I've gone with the exact recommendation you suggested. I'm literally getting the derma roller and fin today, already have minoxidil. I've got to at least try do something. I regret leaving it too late. The lighting in the pics doesn't help to be honest. Apart from the crown area, I've still got all the hair at the front and top, just lightened in colour and thinned really bad. I know it's gonna take at least a year and not expecting miracles but excited to see if this combination strengthens and darkens the hair already there. If I don't get any result at least I can say I tried and be happier knowing I did something about it. Then it'll be pretty much shave it off and get smp. More to life than hair, like your health and kids health or a roof over your head. I'll keep updating. 

Thanks

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7 hours ago, Sean315 said:

Narmak thanks for your advice. I've gone with the exact recommendation you suggested. I'm literally getting the derma roller and fin today, already have minoxidil. I've got to at least try do something. I regret leaving it too late. The lighting in the pics doesn't help to be honest. Apart from the crown area, I've still got all the hair at the front and top, just lightened in colour and thinned really bad. I know it's gonna take at least a year and not expecting miracles but excited to see if this combination strengthens and darkens the hair already there. If I don't get any result at least I can say I tried and be happier knowing I did something about it. Then it'll be pretty much shave it off and get smp. More to life than hair, like your health and kids health or a roof over your head. I'll keep updating. 

Thanks

Narmak I tried to get a prescription for finasteride from superdrug but they've declined and refunded me. Said there's basically no hope taking it? 

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