M36 | Dr. Bruno Pinto | 1716 grafts | 17 May 2022

[Harry Bosch]

2 minutes ago, stephcurry30 said:

wow 10/10. Amazing result!

Cheers mate!

Funny enough, I was inspired by @Sitries1 refinement with Dr. Ferraira and considering a little touch-up way way way downstream to address a couple weak points. Hard to be unhappy, but also hard not get greedy in my position.

But that’s maybe a year+ in the future, and I plan to live a little in the mean time.

I am likely to begin a conservative TRT protocol, so getting ahead of some expected recession would be wise.

[Judelaw]

World-class work, the way he blended those extra 200 grafts is pure artistry. I can’t imagine getting a result like this then making a lifetime commitment to hop on the juice. 

[rambo man]

Fantastic result. Enjoy your hair

[jay80]

Stunning result. If it was me, I wouldn't be thinking of any type of "touch up"

[Big Rome]

14 hours ago, Harry Bosch said:

Yes, attached are pictures at 9.5 months.

MEDS

1.25 mg/day Fin

5 mg/day Oral Min

Topical Min 4-5x/week

Nizoral 1% 2-3x/week

 

PICTURES

Wet/damp hair immediately after shampoo + conditioner.

Presented in multiple states.  Messy, slicked back, and combed in both directions.

My hair and the overall cosmetic result look much stronger when hair is wet.  Weaker areas are exposed when hair is dry and dehydrated, which is common for my tumbleweed up top.

 

Jesus Wept… that’s a glorious head of hair lol you must be over the moon! Looks really good man 👏🏻👏🏻

[therambler]

Amazing result!! Congrats @Harry Boschenjoy your hair 😀

[Hairy Henderson]

Hair looks amazing now, although to be fair the base you started with was pretty decent.

[Harry Bosch]

18 hours ago, Judelaw said:

World-class work, the way he blended those extra 200 grafts is pure artistry. I can’t imagine getting a result like this then making a lifetime commitment to hop on the juice. 

Right, and that’s on my mind.  It’s a separate conversation.  There’s a few TRT vets who I’ve talked to on here on how proceed in hair-safe matter.

Important clarification is that TRT is not the same as anabolics or “juice.”  I’m just trying to return to healthy level and feel better.  It’s not a cosmetic decision but entirely quality of life.  Blasting into unnatural supraphysiological levels, and/or adding steroids, are the vanity based decisions that really threaten hair.

[Harry Bosch]

6 hours ago, Big Rome said:

Jesus Wept… that’s a glorious head of hair lol you must be over the moon! Looks really good man 👏🏻👏🏻

Thanks brother!

I will say that when my hair is dry or dehydrated, the result looks a bit weaker.  But that’s more about my hair type (wavy to curly).  Really thick hair in forelock and midscalp vs. lower density hair on the hairline and transplanted regions.

Making my hair look good always required moisture and product, even before my loss pattern progressed into HT territory 

[Harry Bosch]

On 3/2/2023 at 3:50 AM, rambo man said:

Fantastic result. Enjoy your hair

You’ll be there soon enough, too!  

[consequence]

Do you have before pics with your hair grown out to compare to your after results?

[consequence]

5 minutes ago, consequence said:

Do you have before pics with your hair grown out to compare to your after results?

I just saw your post later in the thread.

Wow, Pinto, wow.

[Chrisno]

On 3/2/2023 at 10:59 PM, Harry Bosch said:

Right, and that’s on my mind.  It’s a separate conversation.  There’s a few TRT vets who I’ve talked to on here on how proceed in hair-safe matter.

Important clarification is that TRT is not the same as anabolics or “juice.”  I’m just trying to return to healthy level and feel better.  It’s not a cosmetic decision but entirely quality of life.  Blasting into unnatural supraphysiological levels, and/or adding steroids, are the vanity based decisions that really threaten hair.

Just be mindful that testosterone also causes hairloss, but at a slower rate that DHT. Testosterone also slowly chips away at your hair. That's why a few men actually lose more hair when they switch from Finasteride to Dutasteride, because scalp testosterone increases by a large amount when your DHT levels are crushed, much more so than when on Finasteride.

[stephcurry30]

4 hours ago, Chrisno said:

Just be mindful that testosterone also causes hairloss, but at a slower rate that DHT. Testosterone also slowly chips away at your hair. That's why a few men actually lose more hair when they switch from Finasteride to Dutasteride, because scalp testosterone increases by a large amount when your DHT levels are crushed, much more so than when on Finasteride.

Anyway to prevent this? 

[Chrisno]

4 hours ago, stephcurry30 said:

Anyway to prevent this? 

Topical anti androgens RU, etc etc.

https://moreplatesmoredates.com/how-much-does-dutasteride-increase-testosterone-levels/

 

[stephcurry30]

17 hours ago, Chrisno said:

Topical anti androgens RU, etc etc.

https://moreplatesmoredates.com/how-much-does-dutasteride-increase-testosterone-levels/

 

Nice! Where have you gotten your RU from? Do you get the powder or liquid version? 

[Harry Bosch]

On 3/8/2023 at 3:58 PM, Chrisno said:

Just be mindful that testosterone also causes hairloss, but at a slower rate that DHT. Testosterone also slowly chips away at your hair. That's why a few men actually lose more hair when they switch from Finasteride to Dutasteride, because scalp testosterone increases by a large amount when your DHT levels are crushed, much more so than when on Finasteride.

Of course mindful.

My protocol will focus on steady, conservative deliver instead of weekly spikes.  One outcome of that strategy (hopefully) will be to minimize the onset of sides.

Interestingly, when I tried to introduce Dut in the past, I felt I responded poorly.  Both times were limited 1-2 month trials.  Maybe I overreacted to an initial shed.  In theory, my success with Finasertide would have been indicative of a good reaction to Dut.  Perhaps your remarks about additional T on the scalp could have been true.

Makes me wonder if I should re-introduce RU to be on the safe side.  I stopped using prior to my surgery.  Something that I wanted to get away from - sourcing and compliance are obviously a tall order.  Never loved working with gray market clinics.

I will say, my goal is not to blast into supra physiological levels where one really enters unsafe territory for hair.  Just return to that natural, healthy levels of a younger man and, obviously, feel better -- that's why I'm doing this, not for cosmetic reasons.  Although a boost in body composition would not be unwelcome.

If I do lose ground with hair, I can always get another procedure.

[Chrisno]

7 minutes ago, Harry Bosch said:

Of course mindful.

My protocol will focus on steady, conservative deliver instead of weekly spikes.  One outcome of that strategy (hopefully) will be to minimize the onset of sides.

Interestingly, when I tried to introduce Dut in the past, I felt I responded poorly.  Both times were limited 1-2 month trials.  Maybe I overreacted to an initial shed.  In theory, my success with Finasertide would have been indicative of a good reaction to Dut.  Perhaps your remarks about additional T on the scalp could have been true.

Makes me wonder if I should re-introduce RU to be on the safe side.  I stopped using prior to my surgery.  Something that I wanted to get away from - sourcing and compliance are obviously a tall order.  Never loved working with gray market clinics.

I will say, my goal is not to blast into supra physiological levels where one really enters unsafe territory for hair.  Just return to that natural, healthy levels of a younger man and, obviously, feel better -- that's why I'm doing this, not for cosmetic reasons.  Although a boost in body composition would not be unwelcome.

If I do lose ground with hair, I can always get another procedure.

Good idea on EoD delivery. I would aim for 600-700 levels, I'd consider that to be a safe zone, but of course that's individual. Some anecdotal evidence on testosterones impact on hair: literally every male in my workplace that's overweight (and have been for most of their lives) have great hairlines. My theory being that they aromatize more and thus have lower T and DHT levels - and subsequently higher E levels.

I'm not on RU myself. Don't want to dip into the grey market, I'd rather wait until something is approved so that longer term side effects are more known.

 

 

[Chrisno]

...and fantastic hair by the way. Looking excellent! 100% natural, dense and good. I'll probably show your hairline to Hasson for my upcoming op before summer as a template for how I would like my hairline. We have almost the same starting point, mine is just a tad bit more recessed in the corners.

[Big Rome]

@Harry Bosch sorry to be a constant pest brother 🤣🤣 any further update on your glorious locks? 👀

[Hairy Henderson]

Any update?

[mojones]

When did your shock loss recover?