I am now 3 months after the surgery.  The grafts have started to grow. This photo was taken one day after the surgery.  What do you think?

This is a nice job. I hope that readers who go to Turkey note that you received 2000 grafts, not 5000 grafts. This means that your surgeon respected your donor reserves while covering the areas that were needed. I like your work and wish I would see more conservative use of grafts on those of you who go to turkey. Hair transplantation is not a race to see who can get more grafts in a single session.

[If you have any questions, you can reach me at williamrassman33@gmail.com]

 

That is a lot of grafts for the frontal area. What happens if you lose the back as your hair loss progresses? Is there enough donor hair left to follow your balding? What is your Master Plan? Actually, I think what you did was overkill, using too many grafts.  Let’s assume that you continue to bald as you get older.  The donor supply is often around 6000-8000 grafts, and with a higher number, it is almost certain that you will have a see-through donor area unless your hair is coarse.  

[If you have any questions, you can reach me at williamrassman33@gmail.com]

I’m going to is talking about using a robot to harvest grafts I’m just wondering if I can trust it I’m worried about losing my donor area. The surgeon said it’s better but I would rather have a surgeon do it themselves. Do you have experience with this?

Focus on the quality and experience of the surgeon and his/her team. I am the inventor of the hair transplant robot (https://patents.google.com/patent/US20080033455A1/en?q=(Hair+Transplant+Harvesting+Device+Rassman)&oq=Hair+Transplant+Harvesting+Device+Rassman), so I can tell you that the skill is not in the robot but in the surgeon’s hands, artistic skills (so he knows where to place the grafts, create a hairline, and direct the hairs that are placed), and knowledge of the field. Check to meet some of his patients to be sure you have the right place.

[If you have any questions, you can reach me at williamrassman33@gmail.com]

So I’m 34 and had a fue hair transplant 7 years ago (1000 grafts ) it was probably to young for me to do.. but you live and learn. I know I’ll eventually have to get another transplant & I’m tempted to soon .. but I’m trying to hold off getting another one soon as I know the donor area has around 6000 grafts to be used over your lifetime ,with medication I’ve only stuck to natural remedies(should of jumped on fin/min earlier.. ) but here we are . I know I need to make a decision, what are your experiences with topical solutions ? 

Try three things: 1) finasteride, 2) oral minoxidil, and 3) microneedling. If within 8 months you don’t get results from this combination of things, then a hair transplant by a good, competent doctor is the next thing to do. If you can’t tolerate oral finasteride, then topical liposomal finasteride is an excellent option as it mostly stays in the scalp. After having had one hair transplant and being 34 years old, I doubt the medications will regrow your hair. If you don’t want medications, then you can go for another hair transplant, and considering this would be your second, I suspect it will work well. Depending upon your donor hair thickness, a good hair transplant surgeon can determine how many grafts you need and predict your probable outcome. I do this, and I have been doing it for 33 years, all with follicular unit grafts before anyone was on to it.

[If you have any questions, you can reach me at williamrassman33@gmail.com]

When i pinch that area and just slightly pull hairs just fall out? Mpb on my moms side don’t even lose their temple peaks this bad, they stop around a NW5-6 with Their peaks intact, they were never perfectly squared off anyways but why is this area so thin? I’m about a NW2.5 in the hairline with thick hair other than that & this area. it’s on both sides of my head. anything i can do to fix it or?

The temple peaks have considerable variation in thickness. Comparison photos from your younger days might help determine whether this is a variation or something else. I have done extensive writing on this and found that the temple peaks are independent of the general balding process, carrying their genetic code. Time will tell you where you are going; that is why earlier photos of you for comparison will tell you a great deal. You might consider being examined by an expert like me. If the pull test is positive, I would be more alarmed than just observing what you show. I have performed hair transplants on many men who were Class 7 pattern balding, and as you know, that is really advanced balding; however, in these men, they retain a normal temple peak despite the loss of all of the hair in the front, top, and crown of their head. 

[If you have any questions, you can reach me at williamrassman33@gmail.com]

Started with oral finasteride and switched to topical after years of use once low libido and ED side effects started. Topical had been working well for a few years, but now once again suffering from low libido and ED. I understand Duasteride is stronger, but does anyone know or have anecdotal experience with switching medications and not having the same adverse side effects? Is there a chance Duasteride won’t cause the same issues or am I just going to have to give up on my battle with hair loss?

If finasteride causes low libido, the dutasteride will also do the same however, the dutasteride, with its long half-life of 4-6 weeks, will take many months to get out of your system, unlike finasteride, which has a half-life of 4-6 hours.

[If you have any questions, you can reach me at williamrassman33@gmail.com]

Most of the follicular units placed in the recipient side shed between 2-5 weeks after the surgery, and then sometime 2-4 months later, the new hair grows somewhat magically.

[If you have any questions, you can reach me at williamrassman33@gmail.com]