There is not a relationship between the effectiveness of the drug as a competitive inhibitor and its ability to beat the balding process. I can’t give you statistics as everyone is different.
just got a hair transplant in the UK. Met the doctors on the day due to distance to clinic. i was informed my crown couldn’t be transplanted to which was difference to our email correspondence. After a short chat the dr., he drew what would be my new hair line in pen on my forehead. I asked for it to be lower in the temples to give the youthful look and they assured me they would transplant hairs to the very bottom of the drawn line which would achieve this. I took their advice after being assured it would be to the bottom of the line and went ahead with the procedure, it was straight forward and they were very professional – lasted around 4 1/2 hours. After the procedure i wasn’t shown the results by the team but had to check myself in the bathroom on the way out. My head was rather bloody and slightly swollen so it was hard to judge at this point. it has now been 4 days and things have settled but I am worried that the hairline doesn’t come down far enough at the temples and that it is noticeably squint from the front.
I also took short video during the procedure and have since noted that the hairline drawn for me before the procedure is not the same as the one used during the procedure which is slightly above the former. I have contacted the clinic on two separate occasions to ask for photos taken which they responded to but have ignored both my questions about the number of hairs/grafts actually used on the day. They have informed me it was roughly 2800 hairs, can anyone guess if this looks right from the photo provided. not sure how to add more than one for the changing hairline drawn.
Any thoughts would be appreciated.
This doesn’t sound like a good experience. we make it a point to make the experience fantastic confirmed by all of our patients comment on Yelp and Realself. We treat every patient like royalty and complete dedication to the patient’s needs. Communication is key, of course. Your complaints are reflective of poor communications on the physician side, but the transplant looks ok. 2800 hairs, maybe, but most doctors don’t count hairs but grafts. I would imagine that you had 1400 grafts. The hairline looks ok also. After it has grown out, if you don’t like the hairline you are given or anything is wrong, it can be improved to meet your needs. Good luck.
If you count the number of hairs in this follicular unit, you can see 4 hairs exiting at the skin edge, but the anagen hair just starting to grow has not reached the skin yet so there are at least 5 hairs in this follicular unit. This is why it is so important to use a high powered microscope to evaluate the ‘grafts’ when a hair transplant is done. We don’t want to waste any hairs, regardless of how small they appear because these tiny hairs will eventually grow up and be a full ‘terminal hairs’.
Two things should be evident when you look at this photo. (1) the scar from the hair transplant (easily taken care of with scalp micropigmentation, see here: https://scalpmicropigmentation.com/gallery/scar-covering/#!https://scalpmicropigmentation.com/wp-content/uploads/2016/04/scalp_micropigmentation-new_hair_institute-146-scalp_scars.jpg and (2) the Island of Hair surrounded by the balding that occurred after he had his hair transplant (easily fixed with another hair transplant). The surgeon and the patient didn’t recognize that he was going to develop a Class 7 pattern at the time of his original hair transplant. I hope that the patient was aware that hair loss is progressive and that this progression is a real risk for this type of hair transplant in advanced pattern balding men. Fortunately, it looks like he has enough hair to fix this problem.
This is the second time I have seen this type of SMP done on the head and I suspect that maybe these men actually want to look like this. This is not in my playbook.
M/18 – I´ve been experiencing hairloss(receding hairline) since I was 16. I wanted to know if it’s possible to obtain finasteride without a prescription via some website. And if it is, can you link me to some legit and reputable ones?
A good doctor adds value like if you have side effects, can follow your progress with tests like the HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) so you will know if you are getting better or not.
Wasn’t sure if this was discussed at all. I know everyone’s response to treatment is different so let’s speak hypothetically here. In this scenario this hypothetical person will be one of the people who will have regrowth on finasteride. This will be the same person in 2 timelines.
Timeline 1: A man is balding for 10 years, sees he is now a Norwood 4 and decides to take finasteride.
Timeline 2: A man is balding for 5 years, sees he is now a Norwood 2 vertex and decides to take finasteride.
Would he take twice as long (or significantly longer) to see any regrowth in timeline 1 vs timeline 2? Or would he see the regrowth happening in the same amount of time in both timelines?
The timelines you are suggesting is not what we generally see. Your age and your genetics often determines the rate of change in your balding pattern and your response to medications.
I’ve been on Fin for 2 years, Rogaine for 6 years, and dermarolling for the past 4 months. Also been using Nizoral shampoo for like 3 years. Talked with 3 different reputable hair transplant doctors and they all said I am too young (24 yrs old) for transplant and that my hairloss seems pretty aggressive. I have diffuse hairloss and was told that my donor reserves are somewhat limited. With the current pattern I will probably end up as NW6/7. I feel like Fin/Rogaine had slowed it down a bit but it seems to be less effective then it use to be and my hairloss is starting to accelerate again. I’ve been thinking about doing PRP now. Any other things worth trying assuming money is not an issue? One of the hair transplant doctors recommended I switch from Rogaine foam to liquid since it absorbs slightly better. I’ve been on it for a couple weeks now and have had major dandruff. Hoping it will clear in a couple weeks otherwise I will switch back to foam.
P.S. I’m not looking for a surgeon to say yes. I talked with some of the best surgeons in the game, and they all said no, so i’m going to take their word for it. I will not go to some shady place to have a hair transplant.
I wrote a paper a bit over a year ago suggesting that when combining FUE (of FUT) with Scalp Micropigmentation, almost anyone can have a hair transplant (https://newhair.com/wp-content/uploads/2018/11/Combining_Follicular_Unit_Extraction_and_Scalp.98621.pdf). A try to teach here that everyone needs a Personalized Master Plan for their hair loss and that includes a hair transplant when appropriate. Although I tend to delay hair transplants on 24 year old men, to at least 25 or 26, if the balding pattern is clearly evident, I have often transplanted someone of your age provided that the man is (1) mature, (2) realistic, (3) has realistic expectations which I help set and (4) they have the financial means to complete what they started.
Hair direction after any hair transplant (FUE or FUT) is controlled by the surgeon. Sometimes the surgeon doesn’t put the graft in the correct position and when that happens the hair grows as he planted it (wrongly if he put them in that way). I see this more commonly that one would think because not all doctors who do hair transplants really understand this very simple process.
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