Regular Member Scorpian Posted June 14, 2009 Regular Member Share Posted June 14, 2009 Is hair in the recipient area of a transplant susceptible to DHT? My original surgery three years ago featured great success (via strip), and I was quite pleased with my results. I went from a NW 3-4 to a NW1. Three years later, some of those original transplanted hairs seem miniaturized. Some of them are just not as thick as they used to be. Hence, I pose the question.. do transplanted hairs really last? We see a lot of pictures 1-2 years after a procedure and we comment on them. What about people 5-10 years after a transplant? Do they still have great hairlines with no miniaturization of the recipient area? Can't wait till HM comes out one day and gets rid of this problem . Link to comment Share on other sites More sharing options...
Regular Member Scorpian Posted June 14, 2009 Author Regular Member Share Posted June 14, 2009 Is hair in the recipient area of a transplant susceptible to DHT? My original surgery three years ago featured great success (via strip), and I was quite pleased with my results. I went from a NW 3-4 to a NW1. Three years later, some of those original transplanted hairs seem miniaturized. Some of them are just not as thick as they used to be. Hence, I pose the question.. do transplanted hairs really last? We see a lot of pictures 1-2 years after a procedure and we comment on them. What about people 5-10 years after a transplant? Do they still have great hairlines with no miniaturization of the recipient area? Can't wait till HM comes out one day and gets rid of this problem . Link to comment Share on other sites More sharing options...
Regular Member Scorpian Posted June 14, 2009 Author Regular Member Share Posted June 14, 2009 If PRP works, it could be a great addition to the hair loss battle and preserve the transplanted hairs as well (assuming transplanted hairs could eventually be susceptible to DHT). Link to comment Share on other sites More sharing options...
Senior Member MrJobi Posted June 14, 2009 Senior Member Share Posted June 14, 2009 one word: YES JOBI 1417 FUT - Dr. True 1476 FUT - Dr. True 2124 FUT - Dr. True 604 FUE - Dr. True My views are based on my personal experiences, research and objective observations. I am not a doctor. Total - 5621 FU's uncut! Link to comment Share on other sites More sharing options...
Dr. Glenn Charles Posted June 14, 2009 Share Posted June 14, 2009 That is a very good question, One that is difficult to answer. I have been doing hair transplants for over 10 years and have a few patients that looked great for many years and then did have some apparent thinning. However, the majority of my patients have had continued success with there hair transplants. I also have seen many patients who had the older plug type surgeries 15-25 years ago and still have most of the transplanted hairs intact. This leads me to believe that in most cases the transplanted hairs are for the most part permanent. 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 TC17 Posted June 14, 2009 Senior Member Share Posted June 14, 2009 I've also seen a sizable number of older men with thinning in their donor area. There can be no doubt that if there is thinning in the permanent zone, that the permanent zone is not necessarily permanent. I also worry about what will happen in the future if my donor area thins and a scar becomes visible and I lose transplanted grafts. Although I have been told that the rim of hair thinning is rare, the fact that it exists is troubling because of what could potentially happen. What I don't understand is how the physicians estimate graft availability on younger patients when the potential for loss exists. For example, if person A visits a doctor at age 25 he may be told that he has 8,000 grafts available, but if the same person were to visit the same doctor but at age 55, he may only have 4,000 available. The question then is what happened to the 4,000? Link to comment Share on other sites More sharing options...
Senior Member lost my swagger Posted June 15, 2009 Senior Member Share Posted June 15, 2009 there is no doubt that thinning in the "permanent" donor area can take place... i doubt its something that can accurately be predicted considering drs cant really even predict ones typical balding pattern and progression in the usual balding areas.. the glorification of HTs nowadays, as a seemless, completly natural, solution has resulted in a MUCH larger number of young guys and guys of all ages getting HTs, REGARDLESS OF WHERE THEIR FUTURE HAIRLOSS PROGRESSION MAY TAKE THEM, they cannot posibly know where they will end up, or how their donor will hold up.. in time we will begin to see, and hear more stories of guys who experienced plenty of donor thinning, and even transplant thinning as they age, IMO. since hairs in even the donor region can sometimes be susceptible to DHT, and eventually die themselves, a LOGICAL person will determine that the possibilty is VERY real that a percentage of their transplanted hair will follow this pattern and be lost eventually.. HENCE WHY, Bill HAS HAD SOMEWHERE ALONG THE LINES OF 48 TRILLION GRAFTS MOVED YET STILL REMAINS ON HIS MEDS, NIC NITRO ALSO CONTIUES TO ADDRESS HIS HAIRLOSS INTERNALLY. these guys know better to me this is just another topic that needs to be addressed more, but isnt... now excuse me while i go get off on the latest posted result of a NW3 who with the large help of meds, and half his donor used was able to get a brand new lower hairline... *** RESULTS WILL 100%, without a DOUBT, VARY*** Link to comment Share on other sites More sharing options...
Senior Member ej Posted June 15, 2009 Senior Member Share Posted June 15, 2009 My transplanted hair is still as strong as its always been 10 years after surgery ,Im in my early 40`s , with the benefit of hindsight I would definantly have done things differently, I would of solely addressed the forlock and continued working on that area alone until suitably density is achieved , I think this approach to a transplant is playing it safe for a permanent natural outcome taking into account possible future hairloss . Regards ej Link to comment Share on other sites More sharing options...
Senior Member stamos Posted June 15, 2009 Senior Member Share Posted June 15, 2009 I had HTs in 1995 from a shitty clinic and all old plugs are still there. Hereis my 1st topic here, with pics around the middle of the page. Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted June 15, 2009 Moderators Share Posted June 15, 2009 Stamos, Have you had a repair job since those picts? My old HT is similar to yours in that the top of my head is very thin all over. I'm curious to know how much area you were able to cover if you had a procedure done yet. Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted June 15, 2009 Senior Member Share Posted June 15, 2009 As LMS was saying, I often notice elderly men who have basically no donor left. I always fret that that will happen to me and my donor scar will eventually not have the benefit of being covered by the hair above it. Now I would imagine that 20-30 years down the road that hair multiplication will be on the market. But there is no guarantee of that. So does Finasteride actually keep the donor zone from miniaturizing? I don't think there have been studies about the 20-30 year effects and efficiency of Finasteride. So we can only hope that either Fin will keep us from becoming the worst level of a NW 7 or that a newer treatment will come around down the road. Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
Senior Member TC17 Posted June 15, 2009 Senior Member Share Posted June 15, 2009 To piggyback on what you said aaron, even if finasteride proves effective in me forever, I do not want to take medication for the rest of my life. Although lots of companies are throwing ridiculous sums of money at treating hair loss, it is disheartening to me that the only proven medicines so far have been discovered accidentally. Oh well, que sera sera. Link to comment Share on other sites More sharing options...
Senior Member HairIsThere Posted June 15, 2009 Senior Member Share Posted June 15, 2009 I have noticed too that some older men essentially have no donor hair left. But when you hit a certain age, around 60 or 70 or so, unfortunately pretty much everything starts fallin apart, not just hair. Plus, when I'm 70 years old I don't think I'll be near as concerned about my hair as I am now at 22. - 1 HT ~ 3000 grafts - Regimen: Propecia 1X daily Link to comment Share on other sites More sharing options...
Senior Member TC17 Posted June 15, 2009 Senior Member Share Posted June 15, 2009 HairIsThere, I used to think that way as well, but after looking over this site I no longer am as sure that I won't care when I'm older. I say that because there are a lot of members who are in their 40's, 50's, and 60's who have decided to undergo a hair transplant after decades of being bald. You would think that after that much time that they would just be used to it, but clearly that is not the case. HOPEFULLY when men our age get older we will have figured out a way to actually beat this whole going bald thing! Link to comment Share on other sites More sharing options...
Senior Member PCC Posted June 16, 2009 Senior Member Share Posted June 16, 2009 Although my outcomes have been both a blessing and curse, hair from my earliest proceedures 25+ years ago is still growing vigorously. In fact this hair has to be trimmed by the barber at least every 3 weeks or it becomes unmanageable. Phil Link to comment Share on other sites More sharing options...
Bill - Seemiller Posted June 16, 2009 Share Posted June 16, 2009 Hair transplants are as permanent as donor hair is. Donor hair thinning can occur over the years, but usually not to any great extent. Thus, the possibility of transplanted hair thinning over the years is also a possibility, but not to the same extent as pattern hair loss. But in reality, nothing in this world is permanent, including our lives. Thus, the idea behind hair transplant surgery is to improve our appearance and enjoy it as long as we can. Best wishes, Bill Link to comment Share on other sites More sharing options...
Senior Member stamos Posted June 16, 2009 Senior Member Share Posted June 16, 2009 Finasteride helps keeping the hair above the donor area, or and the donor area as well? if its the later then it protects grafts also. Originally posted by BeHappy:Stamos, Have you had a repair job since those picts? My old HT is similar to yours in that the top of my head is very thin all over. I'm curious to know how much area you were able to cover if you had a procedure done yet. I had a repair job of around 2600 grafts and covered the front area, just before the crown. Link to comment Share on other sites More sharing options...
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