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What medications have you tried and in what form? Oral/topical? Fin/min? Both? 
You shouldn’t get a HT at thia point. You have plenty of hair at this point. Once you lose little more ground and know where you are heading in terms of NW, then think about HT

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12.5k grafts with Dr. Felipe Pitella in Jan 2024.

Link to my journey:

https://www.hairrestorationnetwork.com/topic/71724-12501-grafts-dr-felipe-pittella-jan-2024/

 

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22 hours ago, mr_peanutbutter said:

no doctor needed

 

style your hair differently and it wont even look like your balding

thank you for answering. yes it looks ok with diff. hairstyles but i cannot go wet i wanna add some density and i dont think my baldness had stopped yet

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21 hours ago, YodaHead said:

What medications have you tried and in what form? Oral/topical? Fin/min? Both? 
You shouldn’t get a HT at thia point. You have plenty of hair at this point. Once you lose little more ground and know where you are heading in terms of NW, then think about HT

i know my nw. its 5 i have tried oral finasteride and minoxidil

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18 hours ago, Shadman said:

@honey21790

Can you share photos from some other angle ? By looking at the above picture I think if you go for transplant there's a high chance for shock loss for the native hair

here another photo with diff. hair styleIMG_20231220_052751.thumb.jpg.c649cb6a19af1189e9ec8e3c5a7beb94.jpg

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This resembles a Ludwig pattern.  You've kept the hairline but thinning the area behind it.  Could you work the area behind the hairline?  Sure.  This would help minimize the size of the crown.  Stay on the horizontal plane.  Why?

The crown is the weakest point we all share due to the whirl.  This is a point from which the hair stems.  The hair grows away from the point exposing the area.  There are two concepts involved.  

In most simplest terms, think of the crown as a circular area.  You fill it.  Because you've shown the propensity to lose, you'll continue losing.  You go on to lose all the hair around the island worth of permanent hair and you'll have created a target area and an unnatural pattern.  Retention of the native hair is imperative.  What are you doing to mitigate the progressive nature of this condition?  

The crown is a sphere.  It would take many, many procedures and may grafts.  Let me illustrate.  Grab a piece of paper and a pencil.  Draw a dot.  Draw an intersecting cross right on the dot.  Turn the paper ever so slightly in either direction, draw another cross.  Repeat until you get tired.  How many crosses, (procedures) would you need to fill the circle?  The crown can eat your lunch! We often refer to this area as the black hole of hair restoration.  Imagine the patient that allocates all the donor to the crown.  He then loses the front.  "Why did you put all my donor in the crown when I now have nothing left and still look bald?"  Keep in mind, the front is the most prominent area.  It's also the area others see when they interact with you.  

Patient Consultant for Dr. Arocha at Arocha Hair Restoration. 

I am not a medical professional and my comments should not be taken as medical advice. All opinions and views shared are my own. 

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2 minutes ago, LaserCaps said:

This resembles a Ludwig pattern.  You've kept the hairline but thinning the area behind it.  Could you work the area behind the hairline?  Sure.  This would help minimize the size of the crown.  Stay on the horizontal plane.  Why?

The crown is the weakest point we all share due to the whirl.  This is a point from which the hair stems.  The hair grows away from the point exposing the area.  There are two concepts involved.  

In most simplest terms, think of the crown as a circular area.  You fill it.  Because you've shown the propensity to lose, you'll continue losing.  You go on to lose all the hair around the island worth of permanent hair and you'll have created a target area and an unnatural pattern.  Retention of the native hair is imperative.  What are you doing to mitigate the progressive nature of this condition?  

The crown is a sphere.  It would take many, many procedures and may grafts.  Let me illustrate.  Grab a piece of paper and a pencil.  Draw a dot.  Draw an intersecting cross right on the dot.  Turn the paper ever so slightly in either direction, draw another cross.  Repeat until you get tired.  How many crosses, (procedures) would you need to fill the circle?  The crown can eat your lunch! We often refer to this area as the black hole of hair restoration.  Imagine the patient that allocates all the donor to the crown.  He then loses the front.  "Why did you put all my donor in the crown when I now have nothing left and still look bald?"  Keep in mind, the front is the most prominent area.  It's also the area others see when they interact with you.  

If he doesn't use meds do you think he will end up bald eventually?

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1 hour ago, Phillyman1996 said:

If he doesn't use meds do you think he will end up bald eventually?

diffuse hairloss is not like localized alopecia which measured by norwood scale which you start to lose hairline and the crown and at the end you become tottally bald diffuse hairlose you have general decrease in density without passing the norwood scale degrees but didnt progress to full haldness

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