for hairtransplant advice, recommendations and graft estimates.

[IdkAboutHair]

 

 

 

 

 

 

 

 

 

 

 

Edited August 18, 2022 by IdkAboutHair

[DHT]

2 hours ago, IdkAboutHair said:

OVERVIEW PICS OF SITUATION BELOW

I’m 24 years old and here goes nothinggg. Pics posted below (a lot of them lol).. Some with flash and others without to show the difference lighting makes in my case.

I’ve got a receding hairline However I’m also thinning out on top. Looking at me from the front back, sides..it isn’t noticeable On a day to day basis as I tend to get away without people noticing my hairloss due to being fairly tall and the way I have my hair with it being long overall which I suppose gives the illusion of having a lot of hair and a messy fringe which hides my receding Hairline. (If people have a keen eye for hairloss like most of you on this forum XD they probably notice it some) 

However unwashed, having my hair not perfectly placed etc makes the situation especially above pretty evident and my family ofc know my situation and I’m okay with that! 

I have realistic expectations and don’t expect a thick dense head of hair nor do I want a super straight low hairline. Just want something I can work with and aesthetic 

If I was to follow through my main aims would be a more filled in/denser conservative/mature hairline  (I’m okay with a widow peak style) and filling in my top enough to give the illusion of a full head of hair when dry. I also understand I will most likely need a follow up surgery if I chose to do this soon as opposed to waiting it out longer.

I suppose I’m looking for peoples suggestions? Advice? Anyone that’s been and done it around my age? What would you do in my position? Surgeon recommendations? Graft estimates? 

Just trying to work out where to start. All advice appreciated! 

Thanks!

PICS:

Hairline recession from different angles, lighting etc and also 2 with unwashed oily and so clump hair (the last 2):

 

 

Top view again different lightings and letting my hair fall in place in different ways. flash an no flash pics for comparison. (First 2 pics with sun shining in to window):
 

 

hair brushed back with fingers and then combed back. flash and no flash. Dry hair and wet/damp hair pics. 

 

 

 

Back of hair 

 

How my hair must look from above day to day when I’m out etc (flash and no flash). Shaggy combover fringe skater type thing going on lmao:

 

Hair styled to the side Example of what I mean when I say you can’t really tell about the thinning above unless you see my hair from above and honestly wouldn’t mind not bringing the hairline down at all and just filling it in. 
 

 

 

Your donor looks very good, get in touch with Eugenix hair science, Text them, take a counselling session. It will be very much helpful for you. Dont rush for a HT, rather give ample time to medications. On the other hand, You can have a look at the forum recommended surgeons, Bisanga, Frietas, could be a good option as well. 

[FixMyHair213]

your donor looks good, I think you should first get on medication for at least a year and see how that helps after that get the transplant done. 

[1978matt]

1 hour ago, FixMyHair213 said:

your donor looks good, I think you should first get on medication for at least a year and see how that helps after that get the transplant done. 

Agreed.  Then perhaps 2500 to the frontal 3rd / half.  There is a risk of permanent shockloss though which might put you back to square one.

[IdkAboutHair]

4 hours ago, DHT said:

Your donor looks very good, get in touch with Eugenix hair science, Text them, take a counselling session. It will be very much helpful for you. Dont rush for a HT, rather give ample time to medications. On the other hand, You can have a look at the forum recommended surgeons, Bisanga, Frietas, could be a good option as well. 

Thanks for the recommendations and advice! I’ll look into it and Eugenix 

[IdkAboutHair]

3 hours ago, FixMyHair213 said:

your donor looks good, I think you should first get on medication for at least a year and see how that helps after that get the transplant done. 

Noted. I assume you’re talking finasteride and minoxidil?

what is the purpose of min? If it’s okay to ask.

Also I have some worries in regards to finasteride due to the supposed side affects. I tend to have bad luck when it comes to medicine side affects lmao. 

are there any recommended dosages? Are any of the side affects permanent or will they subside should I come off the medication? 
 

sorry if these are silly questions 

 

Edited August 17, 2022 by IdkAboutHair

[IdkAboutHair]

2 hours ago, 1978matt said:

Agreed.  Then perhaps 2500 to the frontal 3rd / half.  There is a risk of permanent shockloss though which might put you back to square one.

Thanks for the reply!
Permanent shock loss to hair I already have?  What causes this exactly and Is it avoidable? 

[NARMAK]

15 minutes ago, IdkAboutHair said:

Noted. I assume you’re talking finasteride and minoxidil?

what is the purpose of min? If it’s okay to ask.

Also I have some worries in regards to finasteride due to the supposed side affects. I tend to have bad luck when it comes to medicine side affects lmao. 

are there any recommended dosages? Are any of the side affects permanent or will they subside should I come off the medication? 
 

sorry if these are silly questions 

 

The recommended dosage is up to 1mg per day for hair loss. If you want to try avoid aide affects, the best way is to start off on lower dosages every other day. For example 0.5mg 3x a week, then increase to 4x and so on until you are on a full weeks dosage. Then there's the build up from 0.5mg to 1mg on maybe 2-3 days a week and keep loading till you hit 1mg a day. This allows your body time over the 2-3 months period depending on how you do it to try adjust to lower DHT levels. It also allows you imo to pick up on side affects easier and lower your dosage again to where you weren't experiencing them. 

In terms of side affects, common side affects are lower libido. How much lower depends on you imo and other things that might also be going on in your life, your fitness etc. 

For me personally, if i say my libido level was 100% (arbitrary figure tbh) before taking Dutasteride (stronger version of what Finasteride is basically), then i would say initially my libido as my body was adjusting and i pushed through the side affects which were more prominent for me because i actually took the full dosage from day 1 of 0.5mg instead of loading up like i would recommend to others. I would say now, my libido is 85-90% of what it was, but i think a common misconception is that as a guy, you should basically want it all the time. As you age, that diminishes a little tbh. I'm 32, so i don't think it's fair to compare to even when i was in my mid 20s and the main thing is, when the time comes, you should feel comfortable knowing you will be able to perform as there's no ED issues otherwise you should stop. Bear in mind though, anxiety induced ED happens to guys not using medication too. 

The studies list side affects in less than 10% of users and that's a generous percentage i'm estimating tbh with most of those who experience them managing to recover after stopping completely. A very, very small minority may have persistent issues after stopping but its best to get your blood tests done to see there's no other issues at play. 

Overall, medication is your number one friend and for you, i would seriously recommend Finasteride combined with Minoxodil and Microneedling with a derma pen. 

[mister_25]

Medication is a must here, you have a large amount of native hair and if you are lucky and get decent regrowth the amounts of grafts you could save would be dramatic.

Finasteride is a absolute must, Highly would recommend Minoxidil here.

all things considered you could get something rather dense and blends in well with your native hair cause you aren’t that advanced of a case. Your about a Norwood 3-4 and if you play the HT game right you could get something where no one even people in the know on hair transplants can tell if you had one or not. Or if you were ever balding in the first place.

right now I wouldn’t consider transplants. Not for another 1-2 years. I would use the time that you are using too see if you stabilise on fins sterile for a year. And maybe build up a bit of money to go to a top surgeon for your case. Like Freitas.

[IdkAboutHair]

56 minutes ago, NARMAK said:

The recommended dosage is up to 1mg per day for hair loss. If you want to try avoid aide affects, the best way is to start off on lower dosages every other day. For example 0.5mg 3x a week, then increase to 4x and so on until you are on a full weeks dosage. Then there's the build up from 0.5mg to 1mg on maybe 2-3 days a week and keep loading till you hit 1mg a day. This allows your body time over the 2-3 months period depending on how you do it to try adjust to lower DHT levels. It also allows you imo to pick up on side affects easier and lower your dosage again to where you weren't experiencing them. 

In terms of side affects, common side affects are lower libido. How much lower depends on you imo and other things that might also be going on in your life, your fitness etc. 

For me personally, if i say my libido level was 100% (arbitrary figure tbh) before taking Dutasteride (stronger version of what Finasteride is basically), then i would say initially my libido as my body was adjusting and i pushed through the side affects which were more prominent for me because i actually took the full dosage from day 1 of 0.5mg instead of loading up like i would recommend to others. I would say now, my libido is 85-90% of what it was, but i think a common misconception is that as a guy, you should basically want it all the time. As you age, that diminishes a little tbh. I'm 32, so i don't think it's fair to compare to even when i was in my mid 20s and the main thing is, when the time comes, you should feel comfortable knowing you will be able to perform as there's no ED issues otherwise you should stop. Bear in mind though, anxiety induced ED happens to guys not using medication too. 

The studies list side affects in less than 10% of users and that's a generous percentage i'm estimating tbh with most of those who experience them managing to recover after stopping completely. A very, very small minority may have persistent issues after stopping but its best to get your blood tests done to see there's no other issues at play. 

Overall, medication is your number one friend and for you, i would seriously recommend Finasteride combined with Minoxodil and Microneedling with a derma pen. 

I’ll take this all on board. Good to know I can take lower dosages of Finasteride and slowly adjust etc. I wasn’t aware of this and always assumed you’ll have to take it in full from day one. 

how long would you say it takes one to see results and if Finasteride is working for you? Assuming side affects don’t occur or are at a minimum of course.

[mister_25]

3 minutes ago, IdkAboutHair said:

how long would you say it takes one to see results and if Finasteride is working for you? Assuming side affects don’t occur or are at a minimum of course.

I started taking Minoxidil a month later after I first started taking Finasteride. I started to see results in about 4 months (since starting minoxidil) and those results peaked at about 8-9 months (since starting minoxidil).

I experiences side effects on my second and third week of finasteride but after those two weeks I felt normal again.

 

 

[IdkAboutHair]

12 minutes ago, mister_25 said:

Medication is a must here, you have a large amount of native hair and if you are lucky and get decent regrowth the amounts of grafts you could save would be dramatic.

Finasteride is a absolute must, Highly would recommend Minoxidil here.

all things considered you could get something rather dense and blends in well with your native hair cause you aren’t that advanced of a case. Your about a Norwood 3-4 and if you play the HT game right you could get something where no one even people in the know on hair transplants can tell if you had one or not. Or if you were ever balding in the first place.

right now I wouldn’t consider transplants. Not for another 1-2 years. I would use the time that you are using too see if you stabilise on fins sterile for a year. And maybe build up a bit of money to go to a top surgeon for your case. Like Freitas.

Thanks for this! 
 

can I ask what are the differences and roles of finasteride and minoxidil? I know they’re of course both used to help with hair loss but I assume they both have different aims hence the recommendation to use both. 

i’ll take heed of your last few points also in regards to waiting etc.

I suppose financially I’m not overly pressed thankfully and also open to travel etc to see a good surgeon which is probably why I might’ve been a bit eager and open to go for a transplant sooner rather than later. 
Will also look into Dr Freitas some more too! 
 

[mister_25]

Just now, IdkAboutHair said:

can I ask what are the differences and roles of finasteride and minoxidil?

Finasteride is to stop further progression of baldness and to stop the root cause of hair loss. You will need to take this to prevent your hair loss from getting worse.

Minoxidil is used to strengthen your miniaturized hair and help you get some regrowth, Minoxidil helps you get back some ground on the battle against hair loss but will not solve the root cause issue. You can take Minoxidil Topically, Orally and in Foam. I have had success with topical but the best results come from Oral Minoxidil.

 

[IdkAboutHair]

2 minutes ago, mister_25 said:

Finasteride is to stop further progression of baldness and to stop the root cause of hair loss. You will need to take this to prevent your hair loss from getting worse.

Minoxidil is used to strengthen your miniaturized hair and help you get some regrowth, Minoxidil helps you get back some ground on the battle against hair loss but will not solve the root cause issue. You can take Minoxidil Topically, Orally and in Foam. I have had success with topical but the best results come from Oral Minoxidil.

 

Helpful! Thanks for this. 
 

I’ll definitely look into both. Hopefully i’m able overcome my hesitation regarding finasteride and just go for itttt.
 

so you’ve personally seen positive results from using both? Any chance in seeing pics? It’s perfectly okay if not! This has been helpful as it is. 

[mister_25]

18 minutes ago, IdkAboutHair said:

so you’ve personally seen positive results from using both? Any chance in seeing pics?

This was my thread on it.

[Melvin- Admin]

Are you on medication? It’s very important that you take medication before considering surgery.

[NARMAK]

6 hours ago, IdkAboutHair said:

I’ll take this all on board. Good to know I can take lower dosages of Finasteride and slowly adjust etc. I wasn’t aware of this and always assumed you’ll have to take it in full from day one. 

how long would you say it takes one to see results and if Finasteride is working for you? Assuming side affects don’t occur or are at a minimum of course.

Take monthly progression pictures with repeatable lighting and quality. Allow up to a minimum of 12 months and be consistent. 

Realise that Finasteride isn't a miracle and the primary function isn't regrowth but to help slow/stop hair loss as well as strengthen existing hair that can be saved that have miniaturised but not past the point of no return. 

The Minoxodil in combination with Microneedling using a derma pen at 1mm to 1.5mm once a week is actually the protocol that in combination with Finasteride can help you regrow hair but how much is going to be down to consistency and imo, luck based on your own response to the regimen. 

You should as i said give all these treatments a minimum of 12 months, preferably in your case and i know this sucks to hear but a few years. Use that time to save up for a hair transplant and with the intention of doing it properly for a good lifetime result. 

I am personally of the opinion that everybody is different and whilst some might be more suitable whilst younger, 20s are a difficult period to opt for one because of the risk of progression. Especially with your hair loss where it is already. I know that super sucks to hear as a young guy feeling you're in the prime of your life, but if i could recommend anything, it would be to do the above regimen and maybe start using hair fibres in the mean time as a concealer whilst you wait for the medication. 

As guys, we can afford to wait around a little more, work on ourselves and focus on out jobs to make better bank. Grind hard in your 20s on that long term, then play in your early 30s too when you can. 

[DHT]

53 minutes ago, NARMAK said:

Take monthly progression pictures with repeatable lighting and quality. Allow up to a minimum of 12 months and be consistent. 

Realise that Finasteride isn't a miracle and the primary function isn't regrowth but to help slow/stop hair loss as well as strengthen existing hair that can be saved that have miniaturised but not past the point of no return. 

The Minoxodil in combination with Microneedling using a derma pen at 1mm to 1.5mm once a week is actually the protocol that in combination with Finasteride can help you regrow hair but how much is going to be down to consistency and imo, luck based on your own response to the regimen. 

You should as i said give all these treatments a minimum of 12 months, preferably in your case and i know this sucks to hear but a few years. Use that time to save up for a hair transplant and with the intention of doing it properly for a good lifetime result. 

I am personally of the opinion that everybody is different and whilst some might be more suitable whilst younger, 20s are a difficult period to opt for one because of the risk of progression. Especially with your hair loss where it is already. I know that super sucks to hear as a young guy feeling you're in the prime of your life, but if i could recommend anything, it would be to do the above regimen and maybe start using hair fibres in the mean time as a concealer whilst you wait for the medication. 

As guys, we can afford to wait around a little more, work on ourselves and focus on out jobs to make better bank. Grind hard in your 20s on that long term, then play in your early 30s too when you can. 

Great advice @NARMAK, people on this forum are really active and spends their time to help, educate others. 
I'm still a new member but the way I've seen experienced guys helping rookies and telling them to avoid hair mills is just brilliant. 

Glad that these kinds of platforms exist in today world. 

[IdkAboutHair]

9 hours ago, Melvin- Moderator said:

Are you on medication? It’s very important that you take medication before considering surgery.

I’m not yet. I honestly just accepted hairloss is a part of life when I first noticed it years ago lmao. I didn’t do much research on it or anything.

I didn’t know about meds till very recently even then was in two minds due to reading about side affects etc. hence my decision to post on here for some advice and thoughts. 

But having spoken on here and browsed a few threads, I realise the consensus seems to be meds as the first point of call before considering a hair transplant. 
 

Having taken this on board, am I still a decent candidate for a hair transplant overall? (Once on meds etc) as having browsed I see not everyone is deemed to be for different reasons or others are considered to be “difficult cases” 

[NARMAK]

1 hour ago, IdkAboutHair said:

I’m not yet. I honestly just accepted hairloss is a part of life when I first noticed it years ago lmao. I didn’t do much research on it or anything.

I didn’t know about meds till very recently even then was in two minds due to reading about side affects etc. hence my decision to post on here for some advice and thoughts. 

But having spoken on here and browsed a few threads, I realise the consensus seems to be meds as the first point of call before considering a hair transplant. 
 

Having taken this on board, am I still a decent candidate for a hair transplant overall? (Once on meds etc) as having browsed I see not everyone is deemed to be for different reasons or others are considered to be “difficult cases” 

Nobody honestly on this forum bar perhaps a doctor could answer that question. Usually there's tell tale educated guesses we can make but an in person evaluation is usually the best course. 

Hair meds stop you losing more hair and needing further hair transplants quicker and why they're a lifelong commitment but usually most people do tolerate them well without issues and get on with their life.