Regular Member jaystev01 Posted January 29 Regular Member Share Posted January 29 Link to comment Share on other sites More sharing options...
Dr. Glenn Charles Posted January 29 Share Posted January 29 It appears that you have some miniaturized hairs but also some healthy multi hair follicular units. It would help if you showed a few photos of your hair from a distance also.How old are you? Is your hair thinning compared to before? What color is your hair or do you color it? These are just a few of the questions that given the answers might help to answer your question more accurately. Dr. Glenn Charles is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member duchaine Posted January 30 Senior Member Share Posted January 30 You have some miniaturization. Dutasteride (both oral and injected into the donor) can help a lot. Link to comment Share on other sites More sharing options...
Regular Member jaystev01 Posted January 30 Author Regular Member Share Posted January 30 12 hours ago, Dr. Glenn Charles said: It appears that you have some miniaturized hairs but also some healthy multi hair follicular units. It would help if you showed a few photos of your hair from a distance also.How old are you? Is your hair thinning compared to before? What color is your hair or do you color it? These are just a few of the questions that given the answers might help to answer your question more accurately. Hi Dr Charles, Thank you very much for your reply. I do not colour my hair, I will attach a photo of how it looks when grown out. I have noticed that the front is thinner, and I have some recession at the temples. I just turned 22 years old last month. I have purchased a new hand microscope so I will take some more zoomed out pictures later today. Link to comment Share on other sites More sharing options...
Regular Member Ccd99 Posted January 30 Regular Member Share Posted January 30 59 minutes ago, jaystev01 said: Hi Dr Charles, Thank you very much for your reply. I do not colour my hair, I will attach a photo of how it looks when grown out. I have noticed that the front is thinner, and I have some recession at the temples. I just turned 22 years old last month. I have purchased a new hand microscope so I will take some more zoomed out pictures later today. Your donor looks good grown out! What microscope did you buy? Consultation with Dr Bruno Ferreira - Nov 2023 - ✅ - link to thread documenting my pre-hair restoration journey First surgery with Dr Bruno Ferreira - Sept 2024 - ❌ - approx. 3500 grafts to frontal third - thread to be created Second surgery with Dr Bruno Ferreira - TBD - ❌ - approx. 2500 grafts to mid-scalp and vertex - thread to be created Link to comment Share on other sites More sharing options...
Regular Member Stoner Posted January 30 Regular Member Share Posted January 30 A full assessment would probably depend on which area of donor the pics come from (occipital, parietal etc), though my vague estimate is that the miniaturisation is probably significant. It is best though to see a dermatologist specialising in hair loss so they can assess this properly. They will likely suggest you get on meds (fin or dut and minox), which I also suggest doing. 1 Link to comment Share on other sites More sharing options...
Regular Member jaystev01 Posted January 30 Author Regular Member Share Posted January 30 Already on finasteride, I am not sure what the reason is. My dad has classic balding, grand father had full head of hair… no idea. I have eczema on my arms and have had bad bouts of folliculitis in the past so I’m not sure if that has anything to do with it. It seems that DUPA is extremely under researched. I would get a biopsy if there will be any value in that? I’ve seen Harley street hair transplant surgeons and they are completely oblivious and treated me like an idiot when I said my donor is miniturising and said it was “impossible” in men. Link to comment Share on other sites More sharing options...
Regular Member jaystev01 Posted January 30 Author Regular Member Share Posted January 30 1 hour ago, Ccd99 said: Your donor looks good grown out! What microscope did you buy? Yes it looks fine grown out but that isn’t the issue, I want to get a hair transplant in future and DUPA is a contraindication Link to comment Share on other sites More sharing options...
Regular Member jaystev01 Posted January 30 Author Regular Member Share Posted January 30 13 hours ago, duchaine said: You have some miniaturization. Dutasteride (both oral and injected into the donor) can help a lot. I’ve heard that this is very ineffective in DUPA sufferers but I am on finasteride currently anyhow. Link to comment Share on other sites More sharing options...
Regular Member Ccd99 Posted January 30 Regular Member Share Posted January 30 1 hour ago, jaystev01 said: Yes it looks fine grown out but that isn’t the issue, I want to get a hair transplant in future and DUPA is a contraindication I believe I replied to you the other day on your other thread as well Up to 20% miniaturization is acceptable anything above could be considered as DUPA. This is something a HT surgeon near me said to me as I also have some miniaturization in my donor, but my donor density is also above average (> 100 FU/cm^2) Consultation with Dr Bruno Ferreira - Nov 2023 - ✅ - link to thread documenting my pre-hair restoration journey First surgery with Dr Bruno Ferreira - Sept 2024 - ❌ - approx. 3500 grafts to frontal third - thread to be created Second surgery with Dr Bruno Ferreira - TBD - ❌ - approx. 2500 grafts to mid-scalp and vertex - thread to be created Link to comment Share on other sites More sharing options...
Regular Member jaystev01 Posted January 30 Author Regular Member Share Posted January 30 40 minutes ago, Ccd99 said: I believe I replied to you the other day on your other thread as well Up to 20% miniaturization is acceptable anything above could be considered as DUPA. This is something a HT surgeon near me said to me as I also have some miniaturization in my donor, but my donor density is also above average (> 100 FU/cm^2) Yeah I think I have much more than 20% tho Link to comment Share on other sites More sharing options...
Regular Member laverita Posted January 30 Regular Member Share Posted January 30 Remember some hair will be naturally resting or coming into the anagen phase so will look thinner. Your front even from the side view, the colour has lightened and the strands more fly away so are showing signs of miniaturisation and 22 is young so ideally get on meds. The hair length and curl will hide issues in the donor but it is fine to have hair in the donor thinner as it cycles also. Please wait at least to 25/26 before you even consider any surgery. Link to comment Share on other sites More sharing options...
Regular Member jaystev01 Posted January 31 Author Regular Member Share Posted January 31 On 1/29/2024 at 11:49 PM, Dr. Glenn Charles said: It appears that you have some miniaturized hairs but also some healthy multi hair follicular units. It would help if you showed a few photos of your hair from a distance also.How old are you? Is your hair thinning compared to before? What color is your hair or do you color it? These are just a few of the questions that given the answers might help to answer your question more accurately. Here are some better images as you requested. https://imgur.com/a/xRqZEIf Link to comment Share on other sites More sharing options...
Regular Member Sunset Dune Posted January 31 Regular Member Share Posted January 31 9 hours ago, laverita said: Remember some hair will be naturally resting or coming into the anagen phase so will look thinner. Your front even from the side view, the colour has lightened and the strands more fly away so are showing signs of miniaturisation and 22 is young so ideally get on meds. The hair length and curl will hide issues in the donor but it is fine to have hair in the donor thinner as it cycles also. Please wait at least to 25/26 before you even consider any surgery. Yes, agreed that’s a very classic sign of frontal receding. 1 Link to comment Share on other sites More sharing options...
Senior Member duchaine Posted January 31 Senior Member Share Posted January 31 If you are 22, no way you should consider ht. i know what you feel (i wanted to have an ht but pekiner wrongly diagnosed me dupa, aborted my op and my 200 grafts went into the toilet) but be patient. Maybe you have some miniaturization, maybe not. But even if your hair are perfectly healthy, wait a decade. Link to comment Share on other sites More sharing options...
Regular Member jaystev01 Posted January 31 Author Regular Member Share Posted January 31 23 minutes ago, duchaine said: If you are 22, no way you should consider ht. i know what you feel (i wanted to have an ht but pekiner wrongly diagnosed me dupa, aborted my op and my 200 grafts went into the toilet) but be patient. Maybe you have some miniaturization, maybe not. But even if your hair are perfectly healthy, wait a decade. I will be norwood 10 in a decade Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted February 1 Valued Contributor Share Posted February 1 @jaystev01 having just turned 22 I would not recommend having a hair transplants now. You state that their has been MPB in your family history. Your looks good but in ten years you could be a Norwood 6 and you won’t know this now if it were to happen. Stay on the meds and even if you feel nothing is improving then if nothing is getting worse then that means they are working. All the best! GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Regular Member jaystev01 Posted February 1 Author Regular Member Share Posted February 1 39 minutes ago, Gatsby said: @jaystev01 having just turned 22 I would not recommend having a hair transplants now. You state that their has been MPB in your family history. Your looks good but in ten years you could be a Norwood 6 and you won’t know this now if it were to happen. Stay on the meds and even if you feel nothing is improving then if nothing is getting worse then that means they are working. All the best! Do you mean the donor microscope pics look good? Yeah that’s true, I really hope that isn’t the case tho Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted February 1 Valued Contributor Share Posted February 1 No your hair in the distant screen shot. GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
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