Who are among the best surgeons for diffuse thinners as of today?

[Savemyhairline]

Last year I had an in-person consult with Dr. Bisanga and he told me it wasn’t a good idea to get a HT based on my type of hair loss, he seemed to think Oral Min would fix the issue mostly. I have been on oral finasteride & topical minoxidil over 2 years now. Frankly I’m just not willing to try oral minoxidil. I HIGHLY respect Dr. Bisanga and his work, however I know his opinion isn’t the end all be all. I have been consulting with H&W, Rahal, Eugenix (Dr. Sethi), Feriduni & Pitella as of now. I’m in the US but willing to go virtually anywhere, have considered the NYC doctors but frankly their work impresses me a little bit less than the aforementioned.

 

I can find people heavily criticizing any surgeon out there, so I am trying to just look at real reviews and actual examples of their work, these are the names I have. Looking to see if I’m missing any or if any others should be considered. I’ll be 28 in November. While I can hide my hair loss somewhat by combing it a specific way or with the use of fibers, I hate that I have to do that. I want to feel more confident in my frontal third, I don’t want to constantly worry about the wind or whatever messing it up and exposing the thinning. Most of the other doctors I consulted with in the past have been willing to work on my frontal third, maybe a little into the midscalp. that’s all I really want, I can live with my crown and most of the midscalp for now. Bisanga did say I have above average density in the donor regions when assessing with a microscope. Thanks 

 

 

 

Edited August 8, 2023 by Savemyhairline

[gillenator]

The most long term established surgeons with proven talent will have the most experience in cases with diffused thinning patterns…ask these doctors for examples you can see online and also ask them how they treat diffused cases differently…do their answers make sense?

[A_4_Archan]

@Savemyhairline

There are many good doctors who can do it and its not that there are any specialist for that and some special recommendation for that...an experienced skilled doctor can do good work regardless of any type of baldness 

 

But diffused pattern is generally considered a tough case as there is a chance of damage to the existing hairs so once you do consultations with all the doctors you shortlisted ask them to show you results of patients who had similar hairloss pattern and than you can judge yourself seeing them 

If budget is no issue than i would put dr munib ahmad first in my list after that you can consider dr couto ,dr Ferreira ,dr pinto,dr de freitas 

 

 

[Rahal Hair Transplant]

@Savemyhairline,

Any surgeon who is skilled and experienced at hair transplant surgery and understands the fundamentals of surgery, telogen, effluvium, and androgenetic alopecia can work on men with a diffuse thinning type of hair loss.  That said, it is important to be selective as the skill and experience of surgeons vary as do their results.

That said, there are additional risks going into this type of procedure so it’s important to proceed with caution.  For example, it is highly likely that some or even a lot of the hair on top of your scalp is in the process of miniaturizing.  As a result, if hair is transplanted in between an around these s thinning hairs, there is a risk of permanent shock loss. In other words, some of these hairs may never return after surgery.

This is why surgeons often suggest that patients consider getting on finasteride or even minoxidil for at least a year prior to surgery as this may help reduce these risks. In other words, since these nonsurgical solutions can slow down, stop, or even reverse some of the effects of genetic male pattern baldness, after one year of use, many of these thinning or miniaturizing hairs may become terminal, a.k.a. healthy, thick hairs and as a result become resistant to permanent shock loss.

You may still lose these temporarily as temporary shock loss can occur to even healthy natural hairs.  However, they do typically return between after approximately six months to a year after surgery.

All the above to say, there are still certain conditions that must be met, and sometimes surgeons will suggest waiting before proceeding with surgery to see how things naturally progress, whether you decide to take medication or not.

The best of surgeons like Dr. Rahal, for example, will always do what’s in the patients best interest and sometimes that means waiting to see if Sergio hair restoration is really the best route to go. After all, genetic hair loss is unpredictable, and even though family history, and other mean this can be used as a guide, they are not fool proof.

Best wishes,

Rahal Hair Transplant 

Edited August 9, 2023 by Rahal Hair Transplant

[1978matt]

The hair you have left in the temple areas basically provides no coverage at all. So it may as well be treated as completely bald areas.

Most doctors would probably not attempt to save those as they are likely to be DHT affected anyway.

On the other hand, the central area looks quite decent and may not need any grafts at this stage.

[Doron Harati]

I'm not sure if you're a candidate with "typical" diffused pattern (which is a good thing), usually it's resemble female hairloss pattern, seems you'll reach NW5-6 in the future.

If that's the case, then it should be check throughly if the diffused hairloss reaches the donor, sometimes the clinic will reccomend the candidate to use hairloss meds to stable the donor area.

You're welcome to contact us on WhatApp for consultation.

This is a review by one of our patients with diffused pattern:

 

Edited August 9, 2023 by Doron Harati

[Savemyhairline]

1 hour ago, 1978matt said:

The hair you have left in the temple areas basically provides no coverage at all. So it may as well be treated as completely bald areas.

Most doctors would probably not attempt to save those as they are likely to be DHT affected anyway.

On the other hand, the central area looks quite decent and may not need any grafts at this stage.

I agree completely, I may as well have no hair in the temples. Actually the crappy part is, to normal people outside The hair loss community, a NW2 even NW NW3 with good density is usually not seen as balding, however if you have thinning then it doesn’t matter where your hairline is, they automatically detect balding. I can definitely live with my midscalp and crown, there is some minor thinning you can see when sweaty/super harsh light but not even close to the degree of my frontal third.

[Savemyhairline]

2 hours ago, Doron Harati said:

I'm not sure if you're a candidate with "typical" diffused pattern (which is a good thing), usually it's resemble female hairloss pattern, seems you'll reach NW5-6 in the future.

If that's the case, then it should be check throughly if the diffused hairloss reaches the donor, sometimes the clinic will reccomend the candidate to use hairloss meds to stable the donor area.

You're welcome to contact us on WhatApp for consultation.

This is a review by one of our patients with diffused pattern:

 

If I did absolutely nothing I imagine I’d be NW5/NW6 eventually too as that is what my paternal grandfather reached. Of course I had to get the hair genetics of the one man in my family who had stronger hair loss genes, everyone else had basically no hairloss until very late in life. 

Edited August 9, 2023 by Savemyhairline

[Emiry]

Your hairloss doesn’t seem severe so the meds are working. You should be able to get a HT and have pretty decent results