Senior Member hairman22 Posted April 19, 2022 Senior Member Share Posted April 19, 2022 Hi As you can see i believe im heading to a nor 6 or maybe even 7. My donor isnt great either. It is short in those pics I am going to Zarev next year but im not too optimistic I am just very worried about my diffuse hairlossm. My donor isnt great so im very unsure what to do I have had 2700 gtafts in the frontal third which worked great. But i cannot take meds due to sides so im not sure another transplant is actually viable atm Just looking for sone opinions Link to comment Share on other sites More sharing options...
Senior Member HappyMan2021 Posted April 19, 2022 Senior Member Share Posted April 19, 2022 (edited) 48 minutes ago, hairman22 said: I am going to Zarev next year but im not too optimistic trust your gut. go to Vegas if you want to spend 10k+ and feel skeptical about the ROI, not surgery. Very unsure what to do? Not getting surgery is always an option. Edited April 19, 2022 by HappyMan2021 Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted April 19, 2022 Author Senior Member Share Posted April 19, 2022 8 minutes ago, HappyMan2021 said: trust your gut. go to Vegas if you if you want to spend 10k+ and feel skeptical about the ROI, not surgery. Very unsure what to do? Not getting surgery is always an option. Being bald isnt an option. Maybe with smp Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted April 19, 2022 Administrators Share Posted April 19, 2022 I don’t see you being a Norwood 6/7 at all. Looks more like Norwood 3v at most. 2 Quote I was just an inch away from booking a a hairmill based on google reviews before i stumbled upon this goldmine of a forum. I’m a paid administrator for Hair Transplant Network. I do not receive compensation from any clinic, and 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 Ryan Daniel Posted April 19, 2022 Senior Member Share Posted April 19, 2022 Use your hand or a comb, and show the hairline please if you can Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted April 19, 2022 Author Senior Member Share Posted April 19, 2022 5 minutes ago, Melvin- Moderator said: I don’t see you being a Norwood 6/7 at all. Looks more like Norwood 3v at most. This is where hair length comes into it Now im at the early stages but im quite certain i will be a nor 6. Now this is probabky 10 years away at least. I will know more after i see Zarev. But i have norwood level 6/7 in my mothers side. So im not too optimistic. Link to comment Share on other sites More sharing options...
Senior Member Mike10 Posted April 19, 2022 Senior Member Share Posted April 19, 2022 (edited) You can't take Fin or Minox? Have you considered alternatives.... PRP; Laser Cap, Vitamins? I am not sure surgery is a good option Edited April 19, 2022 by Mike10 Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted April 19, 2022 Author Senior Member Share Posted April 19, 2022 9 minutes ago, Ryan Daniel said: Use your hand or a comb, and show the hairline please if you can Its ttansplanted back in 2017. Link to comment Share on other sites More sharing options...
Rahal Hair Transplant Posted April 19, 2022 Share Posted April 19, 2022 Hairman22, So what makes you think that you’re going to be a Norwood class 6 or a Norwood class 7? Based on the photos you presented, I don’t see any evidence of that. Are you basing this on the family history or what you’re seeing in the mirror because the photos you presented translate to a much lower Norwood class. Also, I apologize if you mentioned this in another post or topic but how old are you and are you taking medication? Most young men with minimal hair loss are typically not good candidates for hair transplantation. I’m guessing you’re 22 based on your alias. If that’s true, I strongly suggest trying medication for at least a year or even longer before undergoing surgery. Best wishes, Rahal Hair Transplant 1 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. Link to comment Share on other sites More sharing options...
Rahal Hair Transplant Posted April 19, 2022 Share Posted April 19, 2022 Hairman22, Okay, I see that you responded to this topic literally as I was writing my response. So you’re basing the advanced hair loss prediction on your family history rather than your current level of hair loss is that correct? while family history can and should be used as a guide, it is not definite that you were going to advance to the same level as other members of your family that have advanced hair loss. In addition to using family history as a guide, you need to look at your own hair loss pattern. At 22 years of age, your pattern may not be fully established yet. I think it’s good that you are planning for the worst case scenario. However, because of this, jumping into surgery is not the way to go. Instead, non-surgical solutions would be your best bet right now. Finasteride and minoxidil in conjunction with one another would be what I would recommend at this time. But be sure to research and be aware of the potential side effects and make an informed decision. Best wishes, 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. Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted April 19, 2022 Author Senior Member Share Posted April 19, 2022 4 minutes ago, Rahal Hair Transplant said: Hairman22, Okay, I see that you responded to this topic literally as I was writing my response. So you’re basing the advanced hair loss prediction on your family history rather than your current level of hair loss is that correct? while family history can and should be used as a guide, it is not definite that you were going to advance to the same level as other members of your family that have advanced hair loss. In addition to using family history as a guide, you need to look at your own hair loss pattern. At 22 years of age, your pattern may not be fully established yet. I think it’s good that you are planning for the worst case scenario. However, because of this, jumping into surgery is not the way to go. Instead, non-surgical solutions would be your best bet right now. Finasteride and minoxidil in conjunction with one another would be what I would recommend at this time. But be sure to research and be aware of the potential side effects and make an informed decision. Best wishes, Rahal Hair Transplant Thanks. I am 31. One of my uncles was way worse at my age. I just cannot take DHT blocking anything. I took it for 2 years no issues until the last 2 months & I then developed mild PFS. I recovered but im too sensitive to them. I just want to get a transplant to get my hair better at the crown but Im juts looking for opinions would that be a good idea. I know my donor isnt the best although it is very short in those photos. But my temples are receded a long time & woukd really like them done too to frame my face better. My hairline is very good. Not too low Link to comment Share on other sites More sharing options...
Senior Member BurnieBurns Posted April 20, 2022 Senior Member Share Posted April 20, 2022 19 hours ago, hairman22 said: Thanks. I am 31. One of my uncles was way worse at my age. I just cannot take DHT blocking anything. I took it for 2 years no issues until the last 2 months & I then developed mild PFS. I recovered but im too sensitive to them. I just want to get a transplant to get my hair better at the crown but Im juts looking for opinions would that be a good idea. I know my donor isnt the best although it is very short in those photos. But my temples are receded a long time & woukd really like them done too to frame my face better. My hairline is very good. Not too low How many grafts was your transplant in 2017? Is your goal now to prevent further loss or improve anything? Link to comment Share on other sites More sharing options...
Senior Member Fue3361 Posted April 20, 2022 Senior Member Share Posted April 20, 2022 Call me crazy, but if you’re 31 looking like that while not on meds at all, I think it is safe to assume you will most likely never be a Norwood 6+, at least not for a very long time Check out my journey here: Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted April 20, 2022 Author Senior Member Share Posted April 20, 2022 3 hours ago, BurnieBurns said: How many grafts was your transplant in 2017? Is your goal now to prevent further loss or improve anything? 2700 grafts in frontal third mostly in mid scalp & in crown. I would like to improve my crown & temporal peaks. But i am unsure whether to proceed atm. Im going to Zarev next year see what he says. Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted April 20, 2022 Senior Member Share Posted April 20, 2022 Why do you want to touch your temporal peaks if you aren’t on medication and believe you are heading to a NW6/7? Your crown should be left well alone as well, at this stage. Link to comment Share on other sites More sharing options...
Senior Member Mike10 Posted April 20, 2022 Senior Member Share Posted April 20, 2022 (edited) I doubt surgery is the right move now Edited April 20, 2022 by Mike10 Link to comment Share on other sites More sharing options...
Rahal Hair Transplant Posted April 20, 2022 Share Posted April 20, 2022 Hairman22, When did you start losing your hair? Also, when did you stop taking finasteride? Have you lost any additional hair after you stopped taking it? At 31 years of age with a lot of remaining hair on top, I can't imagine that you'll ever experience hair loss as advanced as a Norwood class 6. However, it's hard to advise you without knowing when you started losing hair and whether or not you've continued losing hair after you stopped taking finasteride. I know you decided on a clinic. But generally speaking, just make sure you've done your research and are satisfied that the clinic you've selected has a proven track record of producing outstanding results. You may also want to consult with a few additional clinics recommended by this community to garner their input on a strategic short and long term hair restoration plan. Note that I'm not familiar with the clinic you mentioned nor is any of my advice specific to the clinic you mentioned. The above is advice I'd give anyone considering a hair transplant. Ultimately, it's far better to get it done right the first time because if you select the wrong clinic, you'll end up spending a lot more money and wasting precious donor hair. Best wishes, Rahal Hair Transplant 1 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. Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted April 20, 2022 Author Senior Member Share Posted April 20, 2022 I started losing hair at 17. Was on propecia for 2 years at 25-27 still lost some hair on it but had to stop. I just grafually lose hair every year. Its relatively slow but not isnt stable sadly Link to comment Share on other sites More sharing options...
Senior Member mrmane85 Posted April 20, 2022 Senior Member Share Posted April 20, 2022 Can you try oral minoxidil? If you have a face-to-face consultation with Dr Zarev he will be able to let you know what is achievable based on the exact amount of donor you have left and how much of your recipient needs filling in. He's extremely ethical. Link to comment Share on other sites More sharing options...
Senior Member BurnieBurns Posted April 21, 2022 Senior Member Share Posted April 21, 2022 6 hours ago, hairman22 said: I started losing hair at 17. Was on propecia for 2 years at 25-27 still lost some hair on it but had to stop. I just grafually lose hair every year. Its relatively slow but not isnt stable sadly I hear what you're saying. Some people get advanced baldness in a way where everything just slowly keeps thinning rather than increasing bald zones as per NW Scale. In low lighting they can give the illusion of full hair for quite some time. Billy Joel for example had a 'full' head of hear even at 40 yet still became a NW6 Either way, I think most would agree you need an in person consultation with an expert. One might say there's a trade off to be had on whether you get a fuller crown or better frontal zone but that just speculation. Meanwhile, it's worth looking at oral minoxidil and PRP, and even laser and ketoconazole shampoo to get you some form of stability as least for now Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted April 21, 2022 Author Senior Member Share Posted April 21, 2022 3 hours ago, BurnieBurns said: I hear what you're saying. Some people get advanced baldness in a way where everything just slowly keeps thinning rather than increasing bald zones as per NW Scale. In low lighting they can give the illusion of full hair for quite some time. Billy Joel for example had a 'full' head of hear even at 40 yet still became a NW6 Either way, I think most would agree you need an in person consultation with an expert. One might say there's a trade off to be had on whether you get a fuller crown or better frontal zone but that just speculation. Meanwhile, it's worth looking at oral minoxidil and PRP, and even laser and ketoconazole shampoo to get you some form of stability as least for now I have no problem with my frontal third. Thats been transplanted More so crown and future loss Link to comment Share on other sites More sharing options...
Senior Member SeanT1 Posted April 21, 2022 Senior Member Share Posted April 21, 2022 (edited) If you're happy with the front, then get some SMP on the crown for density & not worry about a limited donor. Edited April 21, 2022 by SeanToman Link to comment Share on other sites More sharing options...
Regular Member Lightmare Posted April 21, 2022 Regular Member Share Posted April 21, 2022 (edited) Hairman, have you tried topical DHT blockers? They are getting more popular now and the side effects are less common than the orals. Both topical finasteride and dutasteride are available now. Edited April 21, 2022 by Lightmare Link to comment Share on other sites More sharing options...
Senior Member Min12 Posted April 21, 2022 Senior Member Share Posted April 21, 2022 On 4/19/2022 at 4:46 PM, hairman22 said: Hi As you can see i believe im heading to a nor 6 or maybe even 7. My donor isnt great either. It is short in those pics I am going to Zarev next year but im not too optimistic I am just very worried about my diffuse hairlossm. My donor isnt great so im very unsure what to do I have had 2700 gtafts in the frontal third which worked great. But i cannot take meds due to sides so im not sure another transplant is actually viable atm Just looking for sone opinions It’s a pain trying to contact dr Zarev, his consultation form isn’t working and his phone lines do to seem to work. Any idea on how to get in contact with him? Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted May 3, 2023 Author Senior Member Share Posted May 3, 2023 (edited) 11 months back on topical minox 6 months on 2.5mg per day. What do you think of hair before and after? Edited May 3, 2023 by hairman22 Link to comment Share on other sites More sharing options...
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