Month: January 2023

Posted on

9 months topical finsasteride (photos)

This is a nice result from treating the hairline with topical finasteride. The hairline in the corner came down to it normal mature position.


2020-07-06 12:05:419 months topical finsasteride (photos)

Posted on

9 Months Since Hair Transplant — Not Impressed with Results

dear doctor rassman.

i am in a bit of a confusing state. i had a transplant with a reputable doctor in canada 9 months ago to restore the hairline and provide some coveredge on the top and not the crown (i was a norwood 5).

i had roughly 3600 grafts, mainly focusing on the hairline. 9 months have past and i can say honestly that im not impressed. whilst i see an improvement on the top of the scalp, the main area which is the hairline is unexceptional. from temple to temple, it still looks like a receded hairline and the surprising thing is, its just the hairline area which is from temple to temple and approximately half an inch in lenght i.e. hairline lenght (temple to temple) x half inch which has shown no improvement. its extremely thin and whilst i can feel some stubble in various regions there, i honestly think that for 9 months, it is unexceptional. my head is visible through my hairline and anyone can say that i am balding.

i have been imforming my doctor on regular basis and he says i should wait a full 12 months before coming to a conclusion. i have not been satisfied with my hairline for the past 9 months, is there any hope that the next 3 months could make a difference?

At about 9 months you should have 90% of your results in. You might get a second opinion if your doctor is not being responsive. Some rare people have slow growth, but usually by 9 months, much if not most of the hair should be growing. An expert doctor will tell you how many grafts are growing. 3600 grafts is a lot of hair moved — you must have been fairly bald.

If you email me some before and after photos and point out the areas that were transplanted, I might be able to help you over the internet. Be sure they are good quality digital pictures (various angles will help) and please reference this post when sending.

Posted on

9 months finasteride (photo)

A great response to finasteride alone. The reversal of the frontal hairline occurs more often in men under 25.

 


2020-09-14 13:04:069 months finasteride (photo)

Posted on

9 months dermaroller, minoxidil and estrogen

This man started on minoxidil and estrogen and after 3 months added dermaroller to the routine for a total of 9 months. The use of estrogen is unusual and I can’t surround the contribution of it to the growth that you see.

Posted on

9 month finasteride and minoxidil, added 2 months microneddling (photos)

9 month finasteride and minoxidil, added 2 months microneddling and I was amazed how quickly the crown filled in.

I wish the crown photos would be lighter so it could be compared well with the before pictures. I will take your word for it that it is better


2021-07-02 10:32:509 month finasteride and minoxidil, added 2 months microneddling (photos)

Posted on

I Got 8000 Grafts in Two Days

I’ve had two procedures in two consecutive days. First day, they took 4,000 FUE grafts, then they made scratches in the recipient area. The doctor said I had too much bleeding from my scalp (because of Minoxidil). On the second day, they took 4,000 more FUE grafts, and then transplanted all 8,000 grafts. I am now one month after the surgery, and my hair looks worse than before the transplant. I have not used the Minoxidil since the surgery and my donor area has poor density now.

If you had the first 4,000 grafts taken out and stored, then the next 4,000 grafts taken out the following day with all of the grafts transplanted on the second day, I suspect that not all of the grafts survived, particularly those taken out the first day. Some of the grafts placed into the recipient area might have problems as well, unless very strict protocols were followed for graft preservation. If the grafts were all transplanted on the second day, then all of the grafts taken out on the first day would not survive. Studies show that after 8 hours, graft survival drop off at 1% per hour.

If your hair is worse now, maybe this will continue. Until the eighth month, you will not know the survival of the grafts or the preservation of the native hair that you had present. If you had 8,000 FUE grafts, I am almost certain that you will have significant donor site depletion (balding in the donor area) as few patients have the density in the donor area that can support that number of FUE grafts. This many FUE grafts will make the donor area see-through (appear balding) and will not tolerated well.

I have written about this here: https://baldingblog.com/2017/07/21/many-fue-grafts-many-fues-grafts-one-know-safe-limits/

 


2018-06-21 09:19:29I Got 8000 Grafts in Two Days