Dr. Felipe Pittella Posted February 17, 2022 Share Posted February 17, 2022 SURGERY VIDEO POSTED 1 YEAR AGO PATIENTS INSTAGRAM`S PROFILE Age: 43 yo NW: 5? Donor Area: Good (Thick hair) Total Number of Grafts: 5159 Number of Sessions: 1 Surgical Plan: Midscalp and crown priority (see video). High density on bald region and degrade to front area and hairline. Rx: Topical and Oral Minoxidil, clobetazol and ketoconazol Shampoo, biotin (NO FINASTERIDE or any other 5-ARI) 3 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted February 17, 2022 Senior Member Share Posted February 17, 2022 Absolutely fantastic work ! Yeh that really is a odd level of balding. But the result is stunning 🤩 1 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 17, 2022 Author Share Posted February 17, 2022 35 minutes ago, JC71 said: Absolutely fantastic work ! Yeh that really is a odd level of balding. But the result is stunning 🤩 Thank you very much 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 18, 2022 Administrators Share Posted February 18, 2022 Mind blowing results 👏 bravo 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 stephcurry30 Posted February 18, 2022 Senior Member Share Posted February 18, 2022 UNBELIEVABLE! 1 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 18, 2022 Author Share Posted February 18, 2022 8 hours ago, stephcurry30 said: UNBELIEVABLE! THANK YOU VERY MUCH Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted February 18, 2022 Senior Member Share Posted February 18, 2022 Nice coverage. I’ve noticed a few of your patients not on any 5ar inhibiting medications, is there a particular reason for this? I also notice you prescribe oral minoxidil quite frequently, so you often times notice much regrowth in patients with this ? 1 Link to comment Share on other sites More sharing options...
Senior Member SLA Posted February 18, 2022 Senior Member Share Posted February 18, 2022 Extraordinary! You seem to get very high yield with your patients, Dr. Pittella. What's the secret :)? 1 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted February 18, 2022 Senior Member Share Posted February 18, 2022 3 minutes ago, SLA said: Extraordinary! You seem to get very high yield with your patients, Dr. Pittella. What's the secret :)? We are all wondering… What is the magic ? 😁 1 1 Link to comment Share on other sites More sharing options...
Senior Member SLA Posted February 18, 2022 Senior Member Share Posted February 18, 2022 ...and of course we don't expect that you will tell us your exact 'secret' (lol), HOWEVER, do you feel that you tend to get higher yield because of something in particular you are doing that other might not, are you using the grafts more strategically and/or just using a high graft count in general? Much appreciated 1 1 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 18, 2022 Author Share Posted February 18, 2022 1 hour ago, Curious25 said: I’ve noticed a few of your patients not on any 5ar inhibiting medications, is there a particular reason for this? That is correct. I do not prescribe 5-ARI (finasteride, dutasteride) to my patients. The reason for that is because those medications MAY cause (in a small percentage of patients) sexual dysfunctions, such as libido loss or decrease in ejaculatory volume. The patient needs to use baldness medication for the rest of their lives. And if at any moment he feels a decrease in libido, he will abandon all the treatment. I know this is a controversial conduct though this is my medical opinion. I understand that finasteride and dutasteride are excellent in hair growth, and as I do not prescribe them, I need to rely only on my surgery skills in order to achieve a good result. I cannot count on 5-ARI to reach any goal. 6 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted February 18, 2022 Senior Member Share Posted February 18, 2022 Just now, Dr. Felipe Pittella said: That is correct. I do not prescribe 5-ARI (finasteride, dutasteride) to my patients. The reason for that is because those medications MAY cause (in a small percentage of patients) sexual dysfunctions, such as libido loss or decrease in ejaculatory volume. The patient needs to use baldness medication for the rest of their lives. And if at any moment he feels a decrease in libido, he will abandon all the treatment. I know this is a controversial conduct though this is my medical opinion. I understand that finasteride and dutasteride are excellent in hair growth, and as I do not prescribe them, I need to rely only on my surgery skills in order to achieve a good result. I cannot count on 5-ARI to reach any goal. Thank you for this detailed response 🙏 2 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 18, 2022 Author Share Posted February 18, 2022 4 hours ago, Curious25 said: I also notice you prescribe oral minoxidil quite frequently, so you often times notice much regrowth in patients with this ? Oral minoxidil to all. I don't expect any regrowth. I just want to avoid the progression of the baldness to higher norwood classes. Oral minoxidil is the treatment closest to finasteride in terms of result we can get. Even so it is pretty inferior. 1 Link to comment Share on other sites More sharing options...
Senior Member kirkland Posted February 18, 2022 Senior Member Share Posted February 18, 2022 9 minutes ago, Dr. Felipe Pittella said: Oral minoxidil is the treatment closest to finasteride in terms of result we can get. Even so it is pretty inferior. What is the dosage that you prescribe for oral minox? Link to comment Share on other sites More sharing options...
Senior Member kirkland Posted February 18, 2022 Senior Member Share Posted February 18, 2022 2 hours ago, Dr. Felipe Pittella said: That is correct. I do not prescribe 5-ARI (finasteride, dutasteride) to my patients. The reason for that is because those medications MAY cause (in a small percentage of patients) sexual dysfunctions, such as libido loss or decrease in ejaculatory volume. The patient needs to use baldness medication for the rest of their lives. And if at any moment he feels a decrease in libido, he will abandon all the treatment. I know this is a controversial conduct though this is my medical opinion. I understand that finasteride and dutasteride are excellent in hair growth, and as I do not prescribe them, I need to rely only on my surgery skills in order to achieve a good result. I cannot count on 5-ARI to reach any goal. really tempted to say here that any libido concerns would be instantly resolved by visiting your clinic... 2 Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted February 18, 2022 Senior Member Share Posted February 18, 2022 3 hours ago, Dr. Felipe Pittella said: That is correct. I do not prescribe 5-ARI (finasteride, dutasteride) to my patients. The reason for that is because those medications MAY cause (in a small percentage of patients) sexual dysfunctions, such as libido loss or decrease in ejaculatory volume. The patient needs to use baldness medication for the rest of their lives. And if at any moment he feels a decrease in libido, he will abandon all the treatment. I know this is a controversial conduct though this is my medical opinion. I understand that finasteride and dutasteride are excellent in hair growth, and as I do not prescribe them, I need to rely only on my surgery skills in order to achieve a good result. I cannot count on 5-ARI to reach any goal. That’s certainly an innovative approach you take, in comparison to traditional hair restoration practices anyway. Have you considered looking into the topicals that are gaining popularity within the market? Would also be keen to hear your oral minoxidil dosage prescriptions - as a lot of anecdotal and clinical results suggest regrowth is quite common at dosages towards 5mg daily. Link to comment Share on other sites More sharing options...
Senior Member SLA Posted February 18, 2022 Senior Member Share Posted February 18, 2022 1 hour ago, Curious25 said: That’s certainly an innovative approach you take, in comparison to traditional hair restoration practices anyway. Have you considered looking into the topicals that are gaining popularity within the market? Would also be keen to hear your oral minoxidil dosage prescriptions - as a lot of anecdotal and clinical results suggest regrowth is quite common at dosages towards 5mg daily. I think Dr. Pittella said he starts at 2.5mg and progresses to 5mg if tolerated (correct me if wrong). 1 3 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 18, 2022 Author Share Posted February 18, 2022 3 hours ago, kirkland said: really tempted to say here that any libido concerns would be instantly resolved by visiting your clinic... I LAUGHED LOUD HERE. 3 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 18, 2022 Author Share Posted February 18, 2022 53 minutes ago, SLA said: I think Dr. Pittella said he starts at 2.5mg and progresses to 5mg if tolerated (correct me if wrong). that is correct. For women i start with 1mg mid 1 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted February 18, 2022 Senior Member Share Posted February 18, 2022 23 minutes ago, Dr. Felipe Pittella said: I LAUGHED LOUD HERE. Lol 😆 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 18, 2022 Author Share Posted February 18, 2022 2 hours ago, Curious25 said: Have you considered looking into the topicals that are gaining popularity within the market? It seems that the incidence of adverse fx are similar. And topical finasteride must be made in gel, and not liquid or foam. The correct formulation is not easy to find. 1 Link to comment Share on other sites More sharing options...
Senior Member kirkland Posted February 18, 2022 Senior Member Share Posted February 18, 2022 2 hours ago, SLA said: I think Dr. Pittella said he starts at 2.5mg and progresses to 5mg if tolerated (correct me if wrong). Thanks Dr. Pittella. Not sure why so many physicians are reluctant to prescribe oral minox but seems the tide is slowly turning... 1 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 18, 2022 Author Share Posted February 18, 2022 8 hours ago, SLA said: something in particular you are doing that other might not 😁 Once I thought about showing this at a congress but then i realized.... "wait a minute...." 1 Link to comment Share on other sites More sharing options...
Senior Member SLA Posted February 18, 2022 Senior Member Share Posted February 18, 2022 29 minutes ago, Dr. Felipe Pittella said: 😁 Once I thought about showing this at a congress but then i realized.... "wait a minute...." Wait (lol)...Oh I get it, you decided not to give away your trade 'secrets'- very smart :). 1 Link to comment Share on other sites More sharing options...
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