Who is my best bet?

[Munchlax]

Long time lurker on this forum so just looking for some advice or opinions on which doctor will be best for my hair loss, on medication for years which has stabilised the loss but didn’t get much regrowth. I’m 27 and have been losing hair since I was 19 so been in and out of this forum looking at results and researching for a while, My type of hair loss is diffused so this has sort of made my choice of doctor a lot harder for me, a lot of my top choices were doctors whose results I’ve seen have been with people who have receded hairlines and aren’t diffusing. 

The options of doctors I was considering are Dr Bruno Ferreira, Dr De Fretias, Dr Bruno Pinto and more recently been looking at more work from Eugenix as they seem to have a lot more results with people of my type of hair loss.

Not had any consultations with any doctors yet so not sure yet how many grafts I’d need, just from what I’ve seen with others I’d be thinking 3000+. Any advice or opinions on who else I should consider would be appreciated.

[MachoVato]

I think you're underestimating the number of grafts needed. I would think you need 4000 just for the hairline and mid scalp. Maybe an additional 2000 for your crown.

That's a great list of doctors. Ferriera did brilliant work with Mr. Rolandas, who had a similar level of hairloss. It took 2 procedures to get full coverage and good density. Eugenix doesn't have an advantage with high norwoods.

[Melvin- Admin]

What type of medication? Have you considered switching? Perhaps it might be worthwhile to consider topical dutasteride. You have diffuse hair loss which is difficult. If you get on proper medication, you could potentially get regrowth in the crown and midscalp, significantly lowering the number of grafts you need.

[Curious25]

16 hours ago, MachoVato said:

Eugenix doesn't have an advantage with high norwoods.

What do you mean by this? 

[MachoVato]

7 minutes ago, Curious25 said:

What do you mean by this? 

Exactly that. What makes a large clinic like this better than any other doctors for a high norwood? Are they able to do more grafts in one session? No. Their high norwood cases are done over 2 or 3 procedures. Any good doctor can do that. Especially if the donor is there.

Are they better at using body hair? No. In fact, in one video, Sethi himself says that the best beard hair is from the cheek, not from under the chin/jaw, but he uses them all the time. And in my personal opinion, using chest/pubic hair shouldn't be done. Don't get me wrong, I'm interested in seeing those results, but it's not good donor and most doctors wouldn't do it.

So what makes Eugenix special? That they are willing to go into "last resort" areas for grafts? I suppose. But making a blanket statement that Eugenix is the best for high norwoods is silly. All good doctors can do it with multiple transplants. The only doctor I see that seems to specialize in extreme, mega sessions cases is Zarev. Just my opinion. 

[Curious25]

20 minutes ago, MachoVato said:

Exactly that. What makes a large clinic like this better than any other doctors for a high norwood? Are they able to do more grafts in one session? No. Their high norwood cases are done over 2 or 3 procedures. Any good doctor can do that. Especially if the donor is there.

Are they better at using body hair? No. In fact, in one video, Sethi himself says that the best beard hair is from the cheek, not from under the chin/jaw, but he uses them all the time. And in my personal opinion, using chest/pubic hair shouldn't be done. Don't get me wrong, I'm interested in seeing those results, but it's not good donor and most doctors wouldn't do it.

So what makes Eugenix special? That they are willing to go into "last resort" areas for grafts? I suppose. But making a blanket statement that Eugenix is the best for high norwoods is silly. All good doctors can do it with multiple transplants. The only doctor I see that seems to specialize in extreme, mega sessions cases is Zarev. Just my opinion. 

Cool - I’m not agreeing or disagreeing with you, I just thought it would be interesting for you to elaborate a bit more on that point, as there is usually a particularly strong opinion, or better said, consensus on the forum that they have become the go to specialists for higher Norwood cases. 
 

I think discussion like this, and the points you have raised makes for a much more beneficial and healthy environment for research to take place. 

[MachoVato]

4 minutes ago, Curious25 said:

Cool - I’m not agreeing or disagreeing with you, I just thought it would be interesting for you to elaborate a bit more on that point, as there is usually a particularly strong opinion, or better said, consensus on the forum that they have become the go to specialists for higher Norwood cases. 
 

I think discussion like this, and the points you have raised makes for a much more beneficial and healthy environment for research to take place. 

There's a LOT of groupthink on here. No one heard of Bicer 1.5 years ago and now she's the undisputed best in Turkey. /sarcasm

All forums, Facebook groups, Reddit, etc. all have this groupthink. And it changes over time.

[Munchlax]

19 hours ago, MachoVato said:

I think you're underestimating the number of grafts needed. I would think you need 4000 just for the hairline and mid scalp. Maybe an additional 2000 for your crown.

That's a great list of doctors. Ferriera did brilliant work with Mr. Rolandas, who had a similar level of hairloss. It took 2 procedures to get full coverage and good density. Eugenix doesn't have an advantage with high norwoods.

Yeah you’re right in saying that I’m underestimating the amount of grafts I need to get full coverage but knew I’d need to get a couple of procedures over the coming years. Anyone else you recommend for this type of hairloss? I know all the doctors on my list would be able to give me great results just by what I’ve seen with their previous results.

[Munchlax]

3 hours ago, Melvin- Moderator said:

What type of medication? Have you considered switching? Perhaps it might be worthwhile to consider topical dutasteride. You have diffuse hair loss which is difficult. If you get on proper medication, you could potentially get regrowth in the crown and midscalp, significantly lowering the number of grafts you need.

Thanks for the reply Melvin, I’m on the big 3 for medication. Was looking into trying some topical duta as I’ve heard it working for some others when Fin hadn’t gave any regrowth. Been on this stack for almost 3 years so was kinda hoping I had some regrowth in the crown, has made me rethink options on Drs as I was hoping to just get a transplant on the hairline had I regrown a sufficient amount in crown and mid scalp. 

[mrmane85]

12 hours ago, Munchlax said:

Thanks for the reply Melvin, I’m on the big 3 for medication. Was looking into trying some topical duta as I’ve heard it working for some others when Fin hadn’t gave any regrowth. Been on this stack for almost 3 years so was kinda hoping I had some regrowth in the crown, has made me rethink options on Drs as I was hoping to just get a transplant on the hairline had I regrown a sufficient amount in crown and mid scalp. 

Look into adding Retinoic Acid to your Minoxidil solution. You can try topical Finasteride + Minoxidil + Retinoic Acid. 

Retinoic acid helps if you're not a good responder to plain Minoxidil. 

[mrmane85]

12 hours ago, Munchlax said:

Yeah you’re right in saying that I’m underestimating the amount of grafts I need to get full coverage but knew I’d need to get a couple of procedures over the coming years. Anyone else you recommend for this type of hairloss? I know all the doctors on my list would be able to give me great results just by what I’ve seen with their previous results.

Look at Dr Zarev

[Eugenix Hair Sciences]

On 4/24/2022 at 12:29 AM, Munchlax said:

Long time lurker on this forum so just looking for some advice or opinions on which doctor will be best for my hair loss, on medication for years which has stabilised the loss but didn’t get much regrowth. I’m 27 and have been losing hair since I was 19 so been in and out of this forum looking at results and researching for a while, My type of hair loss is diffused so this has sort of made my choice of doctor a lot harder for me, a lot of my top choices were doctors whose results I’ve seen have been with people who have receded hairlines and aren’t diffusing. 

The options of doctors I was considering are Dr Bruno Ferreira, Dr De Fretias, Dr Bruno Pinto and more recently been looking at more work from Eugenix as they seem to have a lot more results with people of my type of hair loss.

Not had any consultations with any doctors yet so not sure yet how many grafts I’d need, just from what I’ve seen with others I’d be thinking 3000+. Any advice or opinions on who else I should consider would be appreciated.

You do have diffusive hair loss. Are you taking finasteride? In your case, the new grafts have to be transplanted in between the pre existing hair where there is sufficient gapping. It has to be done in a very conservative manner. You can have a detailed consultation with our doctors. 

[Munchlax]

13 hours ago, mrmane85 said:

Look into adding Retinoic Acid to your Minoxidil solution. You can try topical Finasteride + Minoxidil + Retinoic Acid. 

Retinoic acid helps if you're not a good responder to plain Minoxidil. 

I’ve tried retinol before as I also microneedle and it didn’t seem to show any improvement, I think I’m just the unlucky percentage who sees no regrowth but might give it another chance 

[Munchlax]

5 hours ago, Eugenix Hair Sciences said:

You do have diffusive hair loss. Are you taking finasteride? In your case, the new grafts have to be transplanted in between the pre existing hair where there is sufficient gapping. It has to be done in a very conservative manner. You can have a detailed consultation with our doctors. 

I am on finasteride, has helped with stabilising my hair loss so has done it’s basic job at least. I know the difficulty in having a transplant with diffused thinning and the problems that can occur but seeing others with the same problem or in a worse condition get successful transplants has definitely gave me optimism. What is the best way to get in contact for consultation? Email?

[Adrenaline7]

You hair loss actually looks similar to mine, maybe just a little more advanced. 
 

Any updates with what you ended up doing?