5000++ grafts with Dr Kongkiat Laorwong of Absolute Hair [FUT + FUE]

[duckling]

1 hour ago, HairOnMyHead said:

Hi everyone. I've passed the 3 month mark and I'm not on any finasteride or minoxidil. I emailed Dr Kongkiat and he told me to get on finasteride at 1mg a day and minoxidil 5%. I've since got it from the pharmacy but am afraid of taking finasteride due to the known side effects such as libido, brain fog, loss of sensitivity in the genital area, reduced erections etc. I've been reading some scientific based papers, reading online articles and of course watching youtube videos. Problem is I don't know what I can or can't share on this forum lest the stuff I post gets deleted or worse I get permanently banned from the forum. The thing that I often sees get repeated is to take 1 mg (one pill) of finasteride once every 3 days and not exceed 3gm a week due to the often citized  Can I get away with just applying minoxidil twice a day on my scalp and not take finasteride altogether? attached are my pics from a few days ago at the 3 months mark. need advice on what I should do. thank you all.

@AlexMeister21 @junior @Freddy0 @densedream @tosspa @Archan @Jamos1982 @SteveRogers @rr1992 @JayKHair @Hristo13 @Gi29 @Ramons @Thomo @MJM @bw77 @Apostrophe1234 @Iceee222

lol. the ban part came out nowhere and also got lost suddenly with you coming back to actual topic 😄 

[duckling]

Minoxidil will help you to thicken you hair which will make an illusion of increased density.

But its not going to stop the hairfall caused by DHT. That can only be done with finasteride. 

Biotin tablet which you have mentioned previously, even that just helps in hair health but doesnt stop hair loss.

So you need finasteride if you want to save your existing hair. In case you are happy with just transplanted hair then fine dont take finasteride. But the density will be less with you losing existing hair.

3 mg per week is surely a good approach for oral intake and does help with hair loss. And if you are worried so much about sides then take topical version. It works great for many people who got sides from oral version and are unable to take it. The systematic affect according to studies is less.

A solution which contains minoxidil 5% with finasteride 0.1% w/v will be easily available in market. Buy it once you consult with your surgeon.

[Legend007]

There’s really no reason for him to take fin anymore. Should have done that years ago to slow the process. 

there’s barely anymore more hair to save,, the ones that are remaining. His sides and some in the back are more dht resistant., and he’s going to have to those for along time.. the risk/reward is not worth it anymore to me 

 

[duckling]

23 minutes ago, Legend007 said:

There’s really no reason for him to take fin anymore. Should have done that years ago to slow the process. 

there’s barely anymore more hair to save,, the ones that are remaining. His sides and some in the back are more dht resistant., and he’s going to have to those for along time.. the risk/reward is not worth it anymore to me 

 

He can try though just to see if he is a rare hyper-responder to finasteride. Some people get amazing re-growth from it. If there is no growth then sure using fin is of not much use to him.

[AlexMeister21]

Perhaps you can try topical finasteride to avoid side effects from oral. Progress looks pretty good at three months by the way. Can see the outline forming.

[HairEnthusiast101]

How long were sutures in?

[Iceee222]

On 4/26/2023 at 3:20 AM, HairOnMyHead said:

Hi everyone. I've passed the 3 month mark and I'm not on any finasteride or minoxidil. I emailed Dr Kongkiat and he told me to get on finasteride at 1mg a day and minoxidil 5%. I've since got it from the pharmacy but am afraid of taking finasteride due to the known side effects such as libido, brain fog, loss of sensitivity in the genital area, reduced erections etc. I've been reading some scientific based papers, reading online articles and of course watching youtube videos. Problem is I don't know what I can or can't share on this forum lest the stuff I post gets deleted or worse I get permanently banned from the forum. The thing that I often sees get repeated is to take 1 mg (one pill) of finasteride once every 3 days and not exceed 3gm a week due to the often citized  Can I get away with just applying minoxidil twice a day on my scalp and not take finasteride altogether? attached are my pics from a few days ago at the 3 months mark. need advice on what I should do. thank you all.

@AlexMeister21 @junior @Freddy0 @densedream @tosspa @Archan @Jamos1982 @SteveRogers @rr1992 @JayKHair @Hristo13 @Gi29 @Ramons @Thomo @MJM @bw77 @Apostrophe1234 @Iceee222

Hey man yeah so it is always recommended to take fin after a ht and min twice a day doesn’t have the same benefits as fin. Tbh I was little worried to but I take half a pill a day and have no sides at all!

[Z--]

I've heard good things about Laorwong, and it'll be nice to see if there's another FUT doctor to recommend. Will follow this thread closely. Happy growing bother.

[HairOnMyHead]

 

On 4/26/2023 at 2:37 AM, A_4_Archan said:

You are free to share anything...no one is baned like that without any reasons...as far as finasteride goes ,its not that evryone gets side effects ..normally people can tolerate it so you can try it ...and if it doesn't suits you than you can stop it anytime..it won't cause any permanent side effects as such...but still if you don't want to take it than i guess minoxidil solution and biotin tablets would be fine...even you can consider oral minoxidil which has shown better results after consulting your surgeon ....right now you are at ugly duckling phase ..bt soon you will start seeing baby hairs which will start getting fuller and thicker after 4 months and your growth phase will start from that till 14-18 months...

On 4/26/2023 at 3:04 AM, duckling said:

Minoxidil will help you to thicken you hair which will make an illusion of increased density.

But its not going to stop the hairfall caused by DHT. That can only be done with finasteride. 

Biotin tablet which you have mentioned previously, even that just helps in hair health but doesnt stop hair loss.

So you need finasteride if you want to save your existing hair. In case you are happy with just transplanted hair then fine dont take finasteride. But the density will be less with you losing existing hair.

3 mg per week is surely a good approach for oral intake and does help with hair loss. And if you are worried so much about sides then take topical version. It works great for many people who got sides from oral version and are unable to take it. The systematic affect according to studies is less.

A solution which contains minoxidil 5% with finasteride 0.1% w/v will be easily available in market. Buy it once you consult with your surgeon.

i consulted with a specialist in my home country. he told me to take finasteride and minoxide and that biotin is useless. im seeing him again in a few months. for minoxidil i have to spray it twice day and each time no more than 8 pumps. i then have to massage it into the scalp. 

On 4/26/2023 at 3:45 AM, Legend007 said:

There’s really no reason for him to take fin anymore. Should have done that years ago to slow the process. 

there’s barely anymore more hair to save,, the ones that are remaining. His sides and some in the back are more dht resistant., and he’s going to have to those for along time.. the risk/reward is not worth it anymore to me 

 

i agree.

12 hours ago, HairEnthusiast101 said:

How long were sutures in?

10 days. most of it was removed. some would dissolve.

On 4/26/2023 at 5:42 AM, AlexMeister21 said:

Perhaps you can try topical finasteride to avoid side effects from oral. Progress looks pretty good at three months by the way. Can see the outline forming.

yes i can see the outline too. upclose theres a lot of sprouts but under harsh lighting the pics look bad and doesn't show the real actual growth thus far. 

[HairEnthusiast101]

Does your fut scar loook bad or pretty much healed fully?

Edited April 27, 2023 by HairEnthusiast101

[HairOnMyHead]

On 4/27/2023 at 9:53 PM, HairEnthusiast101 said:

Does your fut scar loook bad or pretty much healed fully?

it's healed and since the hair at the back has grown out I cannot tell you whether the scar has diappeared or still there. honestly im not worried about the scar cos my hair at the back will always be longer than 1cm so that will cover the scar very nicely.

I read this article and it talks about football players who have done transplants. I really like the work done on this player.

https://www.dailymail.co.uk/sport/football/article-12045859/The-SIX-greatest-hair-transplants-football-history-Wayne-Rooney-Rob-Holding.html

@AlexMeister21

[Z--]

How's it looking at the halfway mark now?

[mr_peanutbutter]

On 4/25/2023 at 9:45 PM, Legend007 said:

There’s really no reason for him to take fin anymore. Should have done that years ago to slow the process. 

there’s barely anymore more hair to save,, the ones that are remaining. His sides and some in the back are more dht resistant., and he’s going to have to those for along time.. the risk/reward is not worth it anymore to me 

 

if his lateral humps disappear and his sides dip then he will need another 2000 grafts

[Milano]

Can you update us with new photos of how the growth is since a few months? Thank you! 

[mrmajified]

On 4/25/2023 at 12:37 PM, A_4_Archan said:

You are free to share anything...no one is baned like that without any reasons...as far as finasteride goes ,its not that evryone gets side effects ..normally people can tolerate it so you can try it ...and if it doesn't suits you than you can stop it anytime..it won't cause any permanent side effects as such...but still if you don't want to take it than i guess minoxidil solution and biotin tablets would be fine...even you can consider oral minoxidil which has shown better results after consulting your surgeon ....right now you are at ugly duckling phase ..bt soon you will start seeing baby hairs which will start getting fuller and thicker after 4 months and your growth phase will start from that till 14-18 months...

I was using topical finasteride/minodoxil for over a year before my HT and I plan to use it in again in about a week (it'll be 3 weeks since HT then). The reason I went with topical was to avoid the potential side effects I also read about. Curious what some of the more senior members think on the topical form and if that would be a good recommendation for OP.

[A_4_Archan]

57 minutes ago, mrmajified said:

I was using topical finasteride/minodoxil for over a year before my HT and I plan to use it in again in about a week (it'll be 3 weeks since HT then). The reason I went with topical was to avoid the potential side effects I also read about. Curious what some of the more senior members think on the topical form and if that would be a good recommendation for OP.

Yeh topical is good and can be used if it helps you...it has the least side effects because less % of drug gets systematically absorbed ...but i think this can also be managed with oral medication by cutting down the dosage...for me the benefit of oral is that i can set the dosage according to the need..i can set the dosage where i can get the benefits and cut down the side effects ...so a sweet spot can be found...though it should be done by consulting a good doctor and after doing all the required reports...

[Sele]

Any updates?

[HairOnMyHead]

On 9/28/2023 at 3:13 AM, Sele said:

Any updates?

 

On 6/27/2023 at 2:34 AM, Milano said:

Can you update us with new photos of how the growth is since a few months? Thank you! 

 

On 6/2/2023 at 6:03 AM, Z-- said:

How's it looking at the halfway mark now?

I think have a full head of hair but will get someone to take pics of my head later. I'll post them here and you guys can tell me if I'm deluded or otherwise. I'm also planning on colouring my hair but i wanna meet Dr Kongkiat in January or February to see if I need a second transplant before I do so.

[HairOnMyHead]

Im unsure why but even though I provide present-day pics there will always be a few who persistently ask for pics of the scar across the back of the head. That Frankenstein scar will never go away. It will remain with me till the end. 

I'm really glad I chose Absolute Hair and Dr Kongkiat. I could easily have gone to Turkey, USA or India but I hesitated because I wasn't impressed with the final results of many of the other doctors. My only concern is that I think my hairline is about 1 cm too high. I'll be returning to Thailand in the new year so will see if Dr Kongkiat agrees with me.

I use Minoxidil once every morning and spray it on my scalp the maximum 8 times allowed. I then massage my scalp for about 5 minutes. At night I take biotin and Omega 3. I've only been using T-gel shampoo but would want to start using a regular shampoo and conditioner soon. The problem is I do not know which one is suitable for me so that I don't jeopardise my hair situation. 

[Melvin- Admin]

Incredible results 

[Anon94]

The hairline height depends on the rest of your face, so I won't give judgement on that. But the rest looks fantastic. 

I'm sure Dr. Laorwong could - if you decide to get further hairline work - also transplant some hair into the scar. That would allow you to get some tighter hairstyles in the future. 

 

Maybe this isn't an issue for you, but I'd recommend using the minoxidil in the evenings. That way your hair looks better throughout the day. 

[HairOnMyHead]

On 2/9/2023 at 8:52 PM, A_4_Archan said:

I haven't decided on any hotel yet..will see it now...i am already a pharmacy owner so i wont buy any medicine frm there..am already on oral minoxidil and finasteride since 2 years ...😊

 

been meaning to ask you this for many months but never got around to doing it. As a pharmacy owner do you have any qualifications in pharmacy? Are you aware that one can only apply up to 8 sprays of minoxidil onto the scalp and anything more is bad? If you knew about this why didn't you mention this anywhere in the forum? 

On 4/26/2023 at 3:45 AM, Legend007 said:

There’s really no reason for him to take fin anymore. Should have done that years ago to slow the process. 

there’s barely anymore more hair to save,, the ones that are remaining. His sides and some in the back are more dht resistant., and he’s going to have to those for along time.. the risk/reward is not worth it anymore to me 

 

Spot on. You clearly have an analytical mind on this matter. 

On 10/4/2023 at 2:10 AM, Anon94 said:

The hairline height depends on the rest of your face, so I won't give judgement on that. But the rest looks fantastic. 

I'm sure Dr. Laorwong could - if you decide to get further hairline work - also transplant some hair into the scar. That would allow you to get some tighter hairstyles in the future. 

 

Maybe this isn't an issue for you, but I'd recommend using the minoxidil in the evenings. That way your hair looks better throughout the day. 

yes i'll ask Dr Laorwong about the feasibility of transplanting hair onto the scar. I tried applying minoxidil twice a day as recommended. Once in the morning and night but I started having headaches. So im only applying it in the mornings. 
 

On 9/14/2023 at 1:01 AM, gillenator said:

Yes, IMHO that’s viable donor that will grow, but the real issue is, “will it be visually compatible?”

You raised this point which is a very good one in @A_4_Archan thread which went unanswered as usual and I'm reproducing it here cos it's relevant. I've always thought about this on and off for about 10 years now and I agree with you on this. For example the hair on my top and sides were straight and the back hair is wavy. Now after the HT, I have completely wavy hair if its dry and/or if I don't apply wax or gel on it. So I think that this is another consideration that one should have although not a very important one (as long as hair grows after the HT and one has a full head of hair) when wanting to do a HT. 

[Hairwolf]

😮 What an incredible result! The coverage achieved is truly remarkable! 

[A_4_Archan]

17 hours ago, HairOnMyHead said:

If you knew about this why didn't you mention this anywhere in the forum? 

I don't know what should i mention..i mean i am not a doctor and i can't ask someone how many sprays they can do..this depends on individual need and should be done under doctor's consultation..generally doctor's ask to spray the amount which can cover the top and crown or the affected area and than massage it to help it get absorbed properly.

By the way you got an excellent outcome....congratulations.

[HairOnMyHead]

On 10/5/2023 at 4:38 PM, streethawk said:

😮 What an incredible result! The coverage achieved is truly remarkable! 

thanks. Eversince I posted my pic update + the moderator's image combining skills, my thread has gone real quiet. Anyways since 2014,  I've been -on and off- emailing Dr Path and most of his trainees who have gone on to start their own clinics. I was most comfortable with Dr Kongkiat hence I went with him. I never had any doubt in Dr Kongkiat's abilities. It really is a pity that many of Dr Path's trainees are not mentioned here with the exception of Dr Pong and Dr Kongkiat.