How is this looking so far ? You guys think this was a good transplant? It was done yesterday at QHT clinic in India. Does it looking like 2200 grafts? From my experience i was so nervous but it was totally painless now i am just hoping for good result. Please share your views and help anyhow you can . Any tips you have to get better results are welcome.

It looks good. The spacing and the placement seemed first-class. Unfortunately, you never know what happens behind the scenes until you reach 6 months. I particularly like that the recipient site is free of crusting, which reflects well on the people who did this work and your washing technique. What doctor did you use?

I’m a 31 year old male here. I have been obsessing with getting a transplant for the last 6 months and have read just about everything here on Reddit about it, from the pre/post care, no. of grafts, what to look for in a surgeon, the ugly duckling phase, etc. From my consultation with a few clinics, I am a NW4/5 with a healthy donor area, and approx 4000 grafts will be required for the transplant.

I recently performed a hair transplant on a well-known litigator He went to a trial hearing just 3 days after his FUE hair transplant. We shaved the back of his head and trimmed it to look stylish. The donor site had healed entirely.  He called me immediately after the hearing because he knew that he had worried about going to court. He told me the judge commented: “Nice HAIR-DO you got there!”  He was relieved and then continued on with the hearing.  Many people were in that court hearing, and he managed his appearance well.

If one opts for a transplant, is it still necessary to take Finasteride or any other medication?

Since hair loss is progressive, I generally recommend that a person having a hair transplant stay on this drug for life, provided that they don’t have negative side effects. In addition, the drug has value in reducing the risk of prostate cancer (the # one cancer in men) and also reduces the risk of heart disease by lowering cholesterol and possibly directly impacting atherosclerosis. To get the benefits of finasteride to avoid the shock loss, you should be on it at least 2 weeks prior to the transplant. 

If I apply 0.1% 1 ml solution of topical liposomal finasteride daily. That would mean a dose of about 1mg.
If I apply 0.1% of 2ml solution daily. That would mean a dose of about 2mg. Is this what you mean or would I have to change it to 0.05% to keep with the 1mg dose? I believe you have mentioned that about 5% or 18% of the medicine goes systemic. Which one of these would be the better estimate? 

If you have the time I do have a few more questions:

If my hair loss still regresses, is there a point in increasing the dose? If so, by how much and what would be the limit? Also in your experience how effective is 0.1% for people around my age and does it actually reduce the chances of side effects? 

Finally, although I know they are rare, I wanted to get some clarification on the side effects:

I have mild gynecomastia left over from puberty. Does that make me more likely to get finasteride-induced gynecomastia?

Can long-term use of finasteride cause side effects like infertility? If so, in your experience do these always go away once the mediation is stopped?

1. I only prescribe the Liposomal form of topical liposomal finasteride, not regular topical finasteride, and step-wise, increasing the dose from 0.01% over a year to the 0.1% ideal dose. I don’t know if I agree with your math. From a practical point of view, what I do works.
2. The ideal dose, in my experience, is 0.1%
3.  I have seen rare reports of side effects that can be offset by lowering the dose to 0.01%
4. Juvenile gynecomastia usually doesn’t increase the risk when taking finasteride as an adult or late teen.
5. Finasteride is not known to cause infertility, but there are reorts of reduced sperm count for men on finasteride.
6. Fertility side effects usually go away in a couple of months after stopping the oral finasteride.

It is clear that sticking to the plan and taking finasteride daily, gets results on many more men than we traditionally see.  That is because most young men want instant results and don’t have the patience to stick out a long-term plan. 

They gave me a little certificate upon completion of the transplant with a redo guarantee of the results are poor, I still have it. But I cannot just go back to turkey, the plane ticket there was more expensive than the procedure. I told them I wanted a refund but they gave me the run around for legit 2 months, I got tired of it and ripped into them real bad. After that, they declined to give me a refund and they keep telling me no

The value of seeing a doctor in your country is that you always have recourse, either to get your money back or take action against the clinic that did this to you.  A solution, if this is older than 6 months, which in your situation is so, then SMP is part of your solution, but don’t get ripped off doing this again, get a reputable group to do this for you, one that does both transplants and SMP.

This is a widespread error for surgeons performing a hair transplant.  Hair is often placed like the spokes of a bicycle, circularly.  In this particular man, the mistake was for half of his right hairline; however, I often see the entire hairline created this way.  When a man has straight hair, such errors create a freaky look.  See where half of the right frontal hairline points in the wrong direction. I drew straight lines in the photo to show the error.