Where to do a HT when you have curly thin hair like mine ? (and some other questions about my situation)

[Meds]

Hello all, I'm considering a hair transplant and just started my journey of looking into it. My biggest goal is to improve my hairline that recessed too much to my liking so i can cover my forhead like i used to do with long curly hair (I also see some hairloss on the crown and it would be nice to cover with better density but i consider that a secondary objective). I still have some questions and would appreciate some help.

My main question:

1- I have thin curly Mediterranean hair as seen in the pictures (pic 11 & 12 are the crown area). I read that it's harder to work on and not sure all doctor can do it. I also read that Dr. Bisanga is one of the best for curly hair/afro hair but I’m afraid he will probably be out of my budget. So, I was wondering if there is a doctor in Turkey/Europe/Africa that is also renewed for curly hair? Sadly, I only found very little post/pics of people who had done the hair transplant with hair similar to mine, even on most recommanded clinic page... would appreciate some links. 

Otherwise I started looking around the forums and saw also there is a doctor in Tunisia (Dr Medded) who is pretty well renewed and can be withing my budget. it's also convenient for me since it's my home country (I don't live there atm). But on his webpage (and some french forum) I didn't see much result of people with curly hair like mine, to be honest like I said before on most clinic page I didn't so again would appreciate some recommandation for my type of hair.

 

otherwise I have other questions: 

2- What would my Norwood scale be more or less according to the picture?

3- How do I know that my hair loss stabilized? I’m 35-year-old and it seems to me I’m not losing so much as before but have no certainty about it.

4- Is it true usually one has to still be on finasteride after the surgery to keep the hair? I 'd rather avoid it if possible

5- How many grafts more or less do you think I need to attain my objective of improving the hairline ? (and how much more for improving the crown too)

 

Thanks for the help

[DHT]

You seems like a NW4-5 
Consult with Bisanga, Eugenix and Bicer, they are really good. Bisanga has good results towards your types of cases. consult and ask them questions.

[mister_25]

1. Curly hair usually provides better results, I been impressed by Dr Mwamba, Bisanga, Eugenix, Zarev in particular for curly hair. Although there are alot of other doctors that are also good.

2. You look to be a Norwood 4 heading into a Norwood 5.

3. If you haven't lost hair for atleast a year, I would consider that stable. Although things are subject to change as you age you get more sensitive to DHT (The reason your losing your hair) so you might cross a threshold where your hair loss begins again.

4. You will need to be on Medication such as Finasteride/Dutasteride to even be considered a candidate by most doctors worth going too. Minoxidil would also be great for your situation as you have a large amount of existing miniaturized hair that can be strengthened. Finasteride is used to slow down or halt balding so that you wont continue hair loss. That way you wont need to get another transplant longer because your natural native hair will be prolonged by medication.

5. 6500 for great density. You can probably get away with somewhere between 4000-5000 grafts.

I cant really tell but when you have your donor pulled apart it looks kind of like DUPA. You could get that checked out by a professional. 

[Meds]

6 hours ago, DHT said:

You seems like a NW4-5 
Consult with Bisanga, Eugenix and Bicer, they are really good. Bisanga has good results towards your types of cases. consult and ask them questions.

Thanks for the names, I saw Dr Bicer name around before and heard she was good but didn't find much curly hair results, guess I have to search more. And yeah I should try to contact Bisanga too and see his estimate.

5 hours ago, mister_25 said:

1. Curly hair usually provides better results, I been impressed by Dr Mwamba, Bisanga, Eugenix, Zarev in particular for curly hair. Although there are alot of other doctors that are also good.

2. You look to be a Norwood 4 heading into a Norwood 5.

3. If you haven't lost hair for atleast a year, I would consider that stable. Although things are subject to change as you age you get more sensitive to DHT (The reason your losing your hair) so you might cross a threshold where your hair loss begins again.

4. You will need to be on Medication such as Finasteride/Dutasteride to even be considered a candidate by most doctors worth going too. Minoxidil would also be great for your situation as you have a large amount of existing miniaturized hair that can be strengthened. Finasteride is used to slow down or halt balding so that you wont continue hair loss. That way you wont need to get another transplant longer because your natural native hair will be prolonged by medication.

5. 6500 for great density. You can probably get away with somewhere between 4000-5000 grafts.

I cant really tell but when you have your donor pulled apart it looks kind of like DUPA. You could get that checked out by a professional. 

I appreciate the help and infos mate  

I see about the finasteride and all, for personal reason I'd rather avoid medecine but i'll talk about this with my doctor I guess. 

I guess your estimate for grafts is to cover everything (hairline + crown) and not only the hairline.

I didn't even knew was DUPA was before, since I have a visit to my generalist coming up I can ask him to check this out or refer me to a specialist.

 

Thanks again!

[Vertexhairclinic]

Hi @Meds

This is Hala, working for @DrTBarghouthi

I tagged Dr Taleb so he could give you an advice regarding your case.

 

Kind regards,

Hala