mphoenix Posted May 13, 2022 Share Posted May 13, 2022 Hi all, I'm 38, and stopped Rogaine when the pandemic started and drastically shed over the next year or two to what you see in the pictures. I don't want to be on Finasteride (low T currently) or Minoxidil (messed my skin up due to using too much), and wanted to evaluate hair transplant options now that I have my hairline for my age. I had a consultation with Dr. Voorhies in SC and Dr. Cooley in Charlotte. Their recommendations: Dr. Voorhies: * 2 day FUE: 3000 grafts in mid-scalp, frontal, hairline, and 2000 grafts in crown. Dr. Cooley: * 1 day FUT: 2500 grafts to front 2/3rds of my scalp and 500 grafts in crown Dr Cooley recommended FUT as I don't plan to shave my head, better chance of a take than a FUE surgery. Will match the current hairline. They recommended the normal Finasteride (light dose), oral minoxdil, etc. But I'm ok if I do lose more hair eventually and have to have a follow up surgery. I'll do all the non minoxidil/finasteride treatments though. I'm leaning towards Dr. Cooley. Money isn't really a factor and I'd gladly pay more/travel for the best transplant results I can get (that is, in case there is another doctor I should be considering). Does anyone have any recommendations for which direction I should go? Link to comment Share on other sites More sharing options...
Senior Member LaserCaps Posted May 13, 2022 Senior Member Share Posted May 13, 2022 15 minutes ago, mphoenix said: Hi all, I'm 38, and stopped Rogaine when the pandemic started and drastically shed over the next year or two to what you see in the pictures. I don't want to be on Finasteride (low T currently) or Minoxidil (messed my skin up due to using too much), and wanted to evaluate hair transplant options now that I have my hairline for my age. I had a consultation with Dr. Voorhies in SC and Dr. Cooley in Charlotte. Their recommendations: Dr. Voorhies: * 2 day FUE: 3000 grafts in mid-scalp, frontal, hairline, and 2000 grafts in crown. Dr. Cooley: * 1 day FUT: 2500 grafts to front 2/3rds of my scalp and 500 grafts in crown Dr Cooley recommended FUT as I don't plan to shave my head, better chance of a take than a FUE surgery. Will match the current hairline. They recommended the normal Finasteride (light dose), oral minoxdil, etc. But I'm ok if I do lose more hair eventually and have to have a follow up surgery. I'll do all the non minoxidil/finasteride treatments though. I'm leaning towards Dr. Cooley. Money isn't really a factor and I'd gladly pay more/travel for the best transplant results I can get (that is, in case there is another doctor I should be considering). Does anyone have any recommendations for which direction I should go? Wow, let's take it step by step, Hi all,I'm 38, and stopped Rogaine when the pandemic started and drastically shed over the next year or two to what you see in the pictures. (YOU LOST WHAT YOU WOULD HAVE LOST HAD YOU NOT BEEN ON THE MEDICATION. SO WE CAN ASSUME THE MED WAS HELPING YOU WITH RETENTION. I WOULD ENCOURAGE YOU TO RECONSIDER AND GET BACK ON IT). I don't want to be on Finasteride (low T currently), (THERE IS ACTUALLY MORE TESTOSTERONE UNDER THE MED THAN WITHOUT. NOT SURE IF I UNDERSTAND YOUR COMMENT). ADDITIONALLY, IF YOU HAVE LOW TESTOSTERONE AND LATER DECIDE TO GET SHOTS TO NORMALIZE, YOU'LL NEED A DHT BLOCKER TO MINIMIZE DHT WHICH IS AN IRRITANT TO THE FOLLICLE). or Minoxidil (messed my skin up due to using too much) (THE MEDICATION IS SYSTEMIC, PUT IT ON ANY ONE PLACE AND THE SKIN WILL ABSORB THE MEDICATION AND HAVE A UNIVERSAL EFFECT THROUGHT THE ENTIRE PATTERN. WERE YOU USING THE FOAM OR LIQUID? , and wanted to evaluate hair transplant options now that I have my hairline for my age.I had a consultation with Dr. Voorhies in SC and Dr. Cooley in Charlotte. Their recommendations:Dr. Voorhies:* 2 day FUE: 3000 grafts in mid-scalp, frontal, hairline, and 2000 grafts in crown.Dr. Cooley:* 1 day FUT: 2500 grafts to front 2/3rds of my scalp and 500 grafts in crown IF YOU ARE TRYING TO AVOID MEDICAL THERAPIES, DID YOU LET THESE DOCTORS KNOW THAT? FUNNY THEY WOULD RECOMMEND TRANSPLANTS TO THE CROWN IF YOU ARE NOT WILLING TO RETAIN. CONSIDER, AND THINK OF THE CROWN AS A CIRCLE. YOU FILL THE CIRCLE WITH HAIR AND THEN, BECAUSE YOU'VE SHOWN THE PROPENSITY TO LOSE - YOU WILL CONTINUE LOSING. NOW YOU ARE LEFT WITH A TARGET, AN ISLAND WORTH OF HAIR AND NOTHING AROUND IT. Dr Cooley recommended FUT as I don't plan to shave my head, better chance of a take than a FUE surgery. Will match the current hairline. They recommended the normal Finasteride (light dose), oral minoxdil, etc. But I'm ok if I do lose more hair eventually and have to have a follow up surgery. I'll do all the non minoxidil/finasteride treatments though. (KEEP IN MIND THE DONOR IS FINITE AND LIMITED. THERE IS TYPICALLY NOT ENOUGH HAIR TO ALLOW FOR A FULL SET OF HAIR IN THE FRONT, MID-SCALP AND BACK) IF YOU DO KEEP YOUR HAIR ON THE LENGTHIER SIDE, AGREE - EXHAUST FUT AND THEN MOVE TO FUE. YOU'LL HAVE ACCESS TO YOUR ENTIRE DONOR AREA.I'm leaning towards Dr. Cooley. Money isn't really a factor and I'd gladly pay more/travel for the best transplant results I can get (that is, in case there is another doctor I should be considering).Does anyone have any recommendations for which direction I should go? GET ON THE MEDS. DO ALL OF THEM (PROPECIA, ROGAINE, PRP AND LASER). GIVE THEM A YEAR. TRANSPLANT THE FRONT AND FORGET THE CROWN. ONCE HAPPY WITH THE RESULTS IN THE FRONT - AND CONFIRM THE MEDS ARE WORKING, YOU CAN THEN WORK FARTHER BACK INTO THE PATTERN. 1 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. Link to comment Share on other sites More sharing options...
mphoenix Posted May 13, 2022 Author Share Posted May 13, 2022 2 hours ago, LaserCaps said: Wow, let's take it step by step, Hi all,I'm 38, and stopped Rogaine when the pandemic started and drastically shed over the next year or two to what you see in the pictures. (YOU LOST WHAT YOU WOULD HAVE LOST HAD YOU NOT BEEN ON THE MEDICATION. SO WE CAN ASSUME THE MED WAS HELPING YOU WITH RETENTION. I WOULD ENCOURAGE YOU TO RECONSIDER AND GET BACK ON IT). I had a massive amount more hair before it, so it definitely was. I had just gotten to the point I was using 5ML twice a day (kept gradually adding more as I saw other areas to cover. Before it didn't really look like very noticeable hair loss (some, but not much). However, it messed up my skin and I have deep deep smile lines and crowes feet which I've had since age 27 (was on it for 3 years at that point). I don't want to be on Finasteride (low T currently), (THERE IS ACTUALLY MORE TESTOSTERONE UNDER THE MED THAN WITHOUT. NOT SURE IF I UNDERSTAND YOUR COMMENT). ADDITIONALLY, IF YOU HAVE LOW TESTOSTERONE AND LATER DECIDE TO GET SHOTS TO NORMALIZE, YOU'LL NEED A DHT BLOCKER TO MINIMIZE DHT WHICH IS AN IRRITANT TO THE FOLLICLE). I did recently learn that - but since I'm 38 and already had a bad side effect from the minox, was hoping to stay off meds, but knowing I may need additional transplants in the future. or Minoxidil (messed my skin up due to using too much) (THE MEDICATION IS SYSTEMIC, PUT IT ON ANY ONE PLACE AND THE SKIN WILL ABSORB THE MEDICATION AND HAVE A UNIVERSAL EFFECT THROUGHT THE ENTIRE PATTERN. WERE YOU USING THE FOAM OR LIQUID? , and wanted to evaluate hair transplant options now that I have my hairline for my age.I had a consultation with Dr. Voorhies in SC and Dr. Cooley in Charlotte. Their recommendations:Dr. Voorhies:* 2 day FUE: 3000 grafts in mid-scalp, frontal, hairline, and 2000 grafts in crown.Dr. Cooley:* 1 day FUT: 2500 grafts to front 2/3rds of my scalp and 500 grafts in crown IF YOU ARE TRYING TO AVOID MEDICAL THERAPIES, DID YOU LET THESE DOCTORS KNOW THAT? FUNNY THEY WOULD RECOMMEND TRANSPLANTS TO THE CROWN IF YOU ARE NOT WILLING TO RETAIN. CONSIDER, AND THINK OF THE CROWN AS A CIRCLE. YOU FILL THE CIRCLE WITH HAIR AND THEN, BECAUSE YOU'VE SHOWN THE PROPENSITY TO LOSE - YOU WILL CONTINUE LOSING. NOW YOU ARE LEFT WITH A TARGET, AN ISLAND WORTH OF HAIR AND NOTHING AROUND IT. Thank you, I did. Had an hour long consultation with Dr. Cooley's assistant and definitley recommended the big three, and they weren't going to do full restoration of the crown, but a lot of it. I'm ok if I do have to have a follow-on transplant in a few years though. 2 hours ago, LaserCaps said: Dr Cooley recommended FUT as I don't plan to shave my head, better chance of a take than a FUE surgery. Will match the current hairline. They recommended the normal Finasteride (light dose), oral minoxdil, etc. But I'm ok if I do lose more hair eventually and have to have a follow up surgery. I'll do all the non minoxidil/finasteride treatments though. (KEEP IN MIND THE DONOR IS FINITE AND LIMITED. THERE IS TYPICALLY NOT ENOUGH HAIR TO ALLOW FOR A FULL SET OF HAIR IN THE FRONT, MID-SCALP AND BACK) IF YOU DO KEEP YOUR HAIR ON THE LENGTHIER SIDE, AGREE - EXHAUST FUT AND THEN MOVE TO FUE. YOU'LL HAVE ACCESS TO YOUR ENTIRE DONOR AREA.I'm leaning towards Dr. Cooley. Money isn't really a factor and I'd gladly pay more/travel for the best transplant results I can get (that is, in case there is another doctor I should be considering).Does anyone have any recommendations for which direction I should go? GET ON THE MEDS. DO ALL OF THEM (PROPECIA, ROGAINE, PRP AND LASER). GIVE THEM A YEAR. TRANSPLANT THE FRONT AND FORGET THE CROWN. ONCE HAPPY WITH THE RESULTS IN THE FRONT - AND CONFIRM THE MEDS ARE WORKING, YOU CAN THEN WORK FARTHER BACK INTO THE PATTERN. Thank you again! Are there any other doctors you would recommend I should do a consultation with if I'm ok paying more? Link to comment Share on other sites More sharing options...
Eugenix Hair Sciences Posted May 14, 2022 Share Posted May 14, 2022 11 hours ago, mphoenix said: Hi all, I'm 38, and stopped Rogaine when the pandemic started and drastically shed over the next year or two to what you see in the pictures. I don't want to be on Finasteride (low T currently) or Minoxidil (messed my skin up due to using too much), and wanted to evaluate hair transplant options now that I have my hairline for my age. I had a consultation with Dr. Voorhies in SC and Dr. Cooley in Charlotte. Their recommendations: Dr. Voorhies: * 2 day FUE: 3000 grafts in mid-scalp, frontal, hairline, and 2000 grafts in crown. Dr. Cooley: * 1 day FUT: 2500 grafts to front 2/3rds of my scalp and 500 grafts in crown Dr Cooley recommended FUT as I don't plan to shave my head, better chance of a take than a FUE surgery. Will match the current hairline. They recommended the normal Finasteride (light dose), oral minoxdil, etc. But I'm ok if I do lose more hair eventually and have to have a follow up surgery. I'll do all the non minoxidil/finasteride treatments though. I'm leaning towards Dr. Cooley. Money isn't really a factor and I'd gladly pay more/travel for the best transplant results I can get (that is, in case there is another doctor I should be considering). Does anyone have any recommendations for which direction I should go? You will require two sessions for your transplantation procedure. The frontal zone and the latter half. The sessions can be done within a period of two days. You can also give donor grafts from your beard along with your scalp donor. We would highly encourage you to take finasteride as your baldness will progress and you will lose more hair. This will cause new areas to be empty. Taking finasteride can help prevent the progression of baldness any further. Link to comment Share on other sites More sharing options...
Senior Member LaserCaps Posted May 16, 2022 Senior Member Share Posted May 16, 2022 On 5/13/2022 at 4:37 PM, mphoenix said: Thank you again! Are there any other doctors you would recommend I should do a consultation with if I'm ok paying more? Dr. Arocha 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. Link to comment Share on other sites More sharing options...
mphoenix Posted August 15, 2023 Author Share Posted August 15, 2023 Amazing results man! Do you have pictures of the consultation hairline he drew to estimate the results? I had a consultation in January and paid my deposit. Or if you don't mind dm-ing if you prefer as it's not letting me message due to account age. Thanks much! Link to comment Share on other sites More sharing options...
mphoenix Posted August 21, 2023 Author Share Posted August 21, 2023 ahh right, agreed. Thanks man! Link to comment Share on other sites More sharing options...
mphoenix Posted August 21, 2023 Author Share Posted August 21, 2023 ahh right, agreed. Thanks man! Link to comment Share on other sites More sharing options...
mphoenix Posted August 21, 2023 Author Share Posted August 21, 2023 ahh right, agreed. Thanks man! Link to comment Share on other sites More sharing options...
Regular Member Grouse Posted August 21, 2023 Regular Member Share Posted August 21, 2023 (edited) @mphoenix did any doctors mention if you have enough donor? Yours looks similar to mine and I'm not so sure I can cover a NW6 pattern with my fine hair... Also, this forum usually recommends Dr. Sethi or Dr. Pittella for advanced cases, especially if you're open to using beard hair. Edited August 21, 2023 by Grouse Link to comment Share on other sites More sharing options...
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