Hair loss is a progressive process. If your hair loss progresses after a hair transplant, you might want to see if you need more transplants to keep up with the new hair loss. However, the hair transplants themselves stay without medication or support of any kind since it is relatively maintenance free. Drugs like Finasteride will protect you from the hair loss that may normally occur.
2018-02-08 06:05:262018-06-26 13:27:45After a Hair Transplant, Is Maintenance Required?
I suffer from MPB, which I’ve successfully been treating with RU58841 plus DHT-blocking shampoo+conditioner and obviously all the must-have daily supplements . My MPB has stopped, I shed zero hair, maybe 5 hairs every time I wash my hair. My hair’s very thick and dense. But my hair/hairline is still disgusting and I can’t style my hair the way I want to style it.In any way . The only difference between those photos and the current me is that my hair’s a bit longer now, hairline’s the same sadly and my eyebrows are now thick due to minoxidl on eyebrows.
A hair transplant clinic I’ve recently been to in person refused to give me a HT just for the temples, to fill them in, because apparently to them they wouldn’t be able to achieve the same density on the temples with the transplanted hair as my native hair so it’d look fake according to them. But I desperately want and need to not only reduce my forehead’s size which is absolutely disgusting to look at, but also to get my temples back. I’m still fucking ugly, and the first step to fix this problem would be to fix my forehead/hairline issue, I swear every time I look at my huge forehead and slick bald temples I feel throwing up on the spot.
So do I get a HT or a Forehead Reduction Surgery (aka hairline lowering surgery)?
In my opinion, young men should never get a hairline advancement surgery because young men don’t know where their hair is going to be lost. If the hair is lost behind where the advancement is, they are stuck with a surgical scar that will become progressively obvious. For many young women, hairline advancement surgeries work nicely because they don’t go on to recession of the hairline as young men do.
2021-03-16 02:19:192021-03-16 07:41:33Hair line lowering surgery for men
I had a transplant in August, 2007. Needless to say it has been over a year and a half, and to my sadness and distress, I have yet to see ANY results. I had a full head of hair going into the surgery, and I went to Mexico with the doctors of a medical institute there, maybe that was my first mistake.. I was 21, and I am a female, and now I find I might not even have been a good candidate to begin with. The doctor just looked at me and told me that I was a good candidate. My hair had a diffuse thinning, but still there was quite a bit of hair stil left, something I wish I would have appreciated before. After the surgery, my hair fell out. I was patient, thinking it was shock loss and it would be temporary, but it has been more than a YEAR and the hair never came back. Fortunately I can use powders like Topikk all over my head to fake a full head of hair, something not necessary before, and my hair is much thinner than before. Does this seem like shock loss and is it permanent? I am upset over this and stressed out, but I would like to know what the future holds for me. Any help given would be greatly appreciated. Thank you.
This is quite unfortunate. Hair transplantation on a 21 year old woman is usually performed by doctors who want the money and do not care about the patient’s welfare. Indeed, about 80% of women with hair loss are not candidates for hair transplants and may suffer the same outcome that you did. You should have had a full medical work-up to include many blood tests for medical conditions that could cause female hair loss. There is even a genetic test for the inherited form of genetic hair loss. This remains a buyer beware market.
It might be worthwhile visiting me in my Los Angeles office. I could then confirm for you what may be going on and possibly give you some insights into what may happen to you in the future. I may even be able to suggest treatments for your hair loss. As your surgery was over 20 months ago, you should’ve seen some growth by now if the surgery was successful.
Here are some considerations I’ve had before jumping into the HT route and wanted to share these with the community to get feedback and possibly provide some additional options for those in a similar position:
Background on me: 29M diffuse thinning throughout top of head. Finasteride/Minox for the last ~6 years that has slowed, but not stopped hair loss. When I first began noticing hair loss, I always considered a HT a possibility, but now my hair has progressed to where I think it may be appropriate to start considering it as an real option.
Everything you’ll read on the hairloss forums essentially boils down to the fact that getting a HT is a one way street. In almost all cases (especially if you are young) you will need a total of 2-4 surgeries. You will need to be financially and mentally ready for that. Even after that, you may not get the results you were really targeting.
The biggest hang-up for me, and undoubtedly for some of you, is that there’s not really any going back from the HT route. Regardless of if you go FUE or FUT, there will be scarring. If you get an unsatisfactory result, you will not be able to completely shave your head down without exposing those scars.
Here is the plan that I’m circling towards and may offer an avenue for some of you as well (I think this may be partiucularly suited for diffuse thinner like myself):
Go for an initial moderate-large size FUE procedure (2.5K-3.5 grafts). I’d really only go with this if you have the funds to go with a top surgeon
Enjoy your denser hair for 5-10 (hopefully!) years and then go for a second FUE procedure as age takes its toll and continues to take your native hair
At this point, in all honesty, you really won’t be able to shave your head with all the FUE scarring. If you still have areas that you’re not happy about, I think it’s wortwhile to look at SMP (maybe temporary at first) into both the FUE scars and in the transplanted recipient area. This helps boost the illusion of density even if you are out of available donor grafts.
I think having a plan for that 3rd step is crucial because there are so many results on here and the forums that end in regret and the person gets stuck because their result is sub-optimal AND they can no longer shave their head due to the scarring.
Hoping to discuss this plan with all you on here perhaps give me something else that I had not considered.
The Master Plan I always discuss with my patients is what happens now for the near and distant future. If hair transplants are in the future for you, you absolutely must know your donor density (a number) which will will deplete with each hair transplant. For FUE, the limit is half of the number as for a strip surgery and if you are not aware of this, then you could end up deformed as I often discuss on this site.
2019-09-16 04:23:102019-04-08 13:24:38Hair transplant ideas for a 28 year old man
As i am concerened by hairloss, I have looked at your site and read some useful information. The one question I had was, while going through the Horror Stories link [note: on our sister site, TheBaldMan.com], are there any horror stories which have occured after about the year 2000, and the development of FUE and FUT. I can understand that an operation which cuts a large chunk of skin out of a persons head is going to run the risk of causing a large scar and other related complications, but has the development of new techniques like those above which allow the removal of single hairs got away from these problem or has got other ones? Also why do so many people choose to keep the name of a bad doctor to themselves?
Thank you
You are correct that fewer and fewer horror stories are appearing because today’s techniques are much better than those of the 80s and early 90s. Certainly, the quality of the work of the top notch surgeons has improved to produce virtually undetectable transplants. The focus of those surgeons is now on improving the growth of transplanted hair. There are still some failures with these modern techniques because today’s FUE and FUT techniques require exacting methods which, if not followed, will cause the transplant not to grow.
Well trained doctors using modern techniques should produce not only undetectable transplants, but a very high survival rate. Still, there are some doctors who do not know what they are doing, and I still see some terrible complications which reflect a doctor’s lack of training, skills or ethics. I am also seeing more and more patients who are being transplanted that should not have been transplanted and those who being sold more grafts which are put in beyond the balding area and into the permanent hair zone, just to increase the fees. Find yourself an ethical doctor who uses modern techniques and be sure to meet with some of his patients before you take him/her on.
I often ask the same question that you did in this email: “Why are the names of bad doctors kept secret?†The answer here is that men are generally not confrontational, and they do not like to be reminded that they made a mistake. They do not want to relive a bad experience over and over again. Just sharing their stories to prevent others from making their same mistakes is not a pleasant experience for these victims.
What is the growth success in 100 grafts that are transplanted?
This is a good question. We really do not know exactly. I suspect that the growth rate success in our hands is over 90%, but it is almost impossible to count the transplanted hairs and compare their numbers to what was moved.
I have had opportunities to transplant a limited number of hairs in a scar, or an area of the head that was easy to separate from the rest of the areas and when I counted them, they all grew. I do test grafting in people with Alopecia Areata when I believe that the disease is inactive. In those patients who have inactive disease, I put in about 20 grafts into various areas of a bald patch of scalp. If the disease is really inactive, all 20 grafts are counted after some 6 months. I do the same for some burn patients where the scars may not support the grafts. When the scars can support the grafts, all grafts are then counted and if one grows, they all grow. This experience does show what is probably the case in our typical hair transplant sessions.
What we stress is a quality control process to minimize those factors that can cause hair loss in the transplant process. For the natural hair that is still present, we use drugs like Propecia before surgery. Various technical systems are enforced which guarantee that the grafts do not dry out (the leading cause of graft death), gentle handling (the second most common cause of graft death) and very experienced technicians (we have no turnover of clinical staff). A good transplant with a high success rate depends upon good team work with employees that know how to work together. Just like a good football team, every player in every position must work at peak efficiency to win the game. Winning the game in hair transplantation is a combination of 100% growth and good esthetics. This is why we show off our patients after their procedures at our open house events and also have a live surgery so that you can see, first hand, what will happen to you both in surgery and then 8 months later.
I had a hair transplant 8 months ago and the doctor told me that my growth is slower than normal as my hairs are shorter than he would have expected. I am taking Avodart. Could this medication have an effect at slowing my hair growth?
We really do not know a great deal about Avodart and what it might do to a new hair transplant. In theory, transplanted hair from the back and the sides of the head should not be impacted by Propecia (finasteride) or Avodart (dutasteride), but one might make an argument that Avodart is very strong and could be prolonging the telogen cycle for hair growth. In theory, it might also prolong the growth cycle when it start growing. Frankly, this is all speculative, but an interesting theory for an interesting question.
2007-02-23 11:36:292007-02-23 12:31:15Hair Transplant Growing Slow After Taking Avodart
Modern day hair restoration procedures usually provide very satisfying results when performed by reputable accredited hair transplant surgeons. Major skin related permanent side effects or severe health problems during and after a hair transplant procedure is becoming a rarity.
However, even the best surgeons out there will have some bad results due to unforeseen circumstances or, in rare cases, the surgeon or assisting technician having a bad day. Nevertheless, this risk is much smaller in countries such as the US where official accreditation is indicative of at least a minimum level of competency.
On the other hand, if you get a hair transplant abroad in order to save money, you will need be very careful in selecting your surgeon. You want to make sure the surgeon is accredited by the non-profit ISHRS, is locally board certified, has decent online reviews, and allows you to meet a few of his or her past patients.
Earlier today, this issue was brought forward front and center into my mind after Pakistan based actor Sajid Hasan posted a graphic video online about his botched hair transplant gone wrong. It seems like the person who did this procedure several weeks ago might have been a medical doctor or general surgeon, and not even an official hair transplant surgeon.
Besides having persistent health-related side effects, Mr. Hasan’s scalp currently looks like something that was worked upon by a butcher.
In the 27 years I have been doing hair transplants with as many a 7 doctors working for me, we have performed over 16,000 surgeries and never saw a case like Mr. Hasan’s. I have, however, seen many cases of necrosis which came to me after the hair transplants were done. I have, with associates, perform balloon expander surgeries on these patients to address the area of necrosis. If these areas of necrosis were not large, they often can be treated with wound care and then transplanted with proper techniques. Mr. Hasan does not have to live with this deformity.
2019-02-18 05:24:022019-02-25 11:19:02Hair Transplant Gone Wrong (From Reddit)
Is a patient with an oily scalp a good candidate for a hair transplant? My scalp is very oily. I want to enchance my hair density by doing hair transplant. However, I am worry about the oil excreted from the scalp will affect the newly transplanted hair grafts.
An oily scalp will not effect a hair transplant, as transplanted hairs grow in either a dry or an oily scalp.
Guess if you know this famous celebrity on the left. Our patient has a hair loss pattern similar to Prince William, Duke of Cambridge shown on the right above. They both had the same original pattern of balding but our patient did something about it.
He is actually is on a weekly Reality TV show and his hair is the result of an absolute commitment to getting the most hair he can and had it done over the last 13 years! He had 9985 grafts and is back again for a bit more which will bring him up to well over 10,000 grafts. He had agreed to speak on TV about his wonderful experience with us. So stay tuned.
Compare this post to the one from BaldingBlog on Monday March 30th 2015. It is like night and day. The patient above relished the experience, every part of it while the patient from 3/30/15 went through a kind of hell that no person deserves. I hear this often from the patients who had surgery in the days before we introduced the follicular unit transplants in 1993.
Another previous patient came in for a touch-up yesterday, Dr. Pak did the surgery of 1000 grafts and I met him in the lobby. I knew him, of course, but I wondered if he needed to be seen more quickly as I had just finished a consultation. IF he was in a rush, I would expedite the visit. He told me, much to my surprise, that he had surgery yesterday and I had no clue that he was one day our of surgery. I even looked closely at his head, and could not find the 1000 grafts that were placed between the thinning hairs on the front and top area. Both these men were present at the same time, got to know each other and laughed with each other about their experience with us. This is part of the pleasure of this business that I have every day i.e. the interpersonal relationships we build and maintain over time, often a lifetime.
