It sounds like you are one of the 2-4% who are sexually sensitive to Finasteride. You may find that continued use will cause more problems. Speak to your doctor.
2018-09-19 04:13:252018-09-19 06:41:52I Got Sexual Side Effects from Finasteride in 2 Days (from Reddit)
These photos are great. They show that you don’t need to have surgery to get great results, if you have the type of balding that responds to these medications.
I Got My Hair Back, Got Lazy And Now Back To Square One from tressless
2018-07-06 05:03:342018-07-20 09:27:09I Got My Hair Back in 90 Days (Photos from Reddit)
Hi,
I am confused by some of your answers in the forum relating to graft anchorage.
Specifically, in your study with Dr. Bernstein, you conclude that from the 6th day, it is not possible to dislodge a graft by pulling the hair. Similarly, this is not possible by the 9th day by pulling a scab attached to the scalp/hair.
However, on some of your answers to questions related to graft integrity, you mention that as long as the scab is present, there is risk to the graft coming out (e.g. you advocate not wearing a hat until scabs come out, etc.).
So, are you saying that from the 9th day onward, the graft will not come out even if the scabs are scrubbed off, wearing a hat, etc. and the only time to worry about losing grafts due to scabs is in the first 9 days? Or is it possible to still dislodge a graft after the 9th day?
The reason I ask, is that I have a lot of scabs and started trying to remove them on the 11th day, and am wondering if the grafts would have set permanently by then, scab or no scab.
Thank
The graft pull study (PDF file) was done to determine when the removal of the graft, really meant that the entire growth center of the graft was removed.
We found that in the first six days, although the physical graft could be pulled out, the graft growth center probably remained (reflected the sleeve of the graft itself). We generally felt better when the graft pull was done at 9 days, but that did not mean that the graft growth center could be removed at the 9th day.
We are big on post-operative correct washing to minimize the scabs present. Some doctors do not give the patient the instructions on proper washing and scabbing may remain for very long periods (as long as 3 weeks). Although pulling out the grafts (at say 20 days) would still have what appears to be graft material in the pulled samples, there is little doubt that the graft growth center did not come out with these pulled grafts at 14 or 20 days.
If you find a connection between the drug finasteride and depression, maybe this is not the drug for you. Speak with your doctor.
2017-04-21 12:11:102017-04-21 12:11:10I got depressed on finasteride, what should I do?
How many micrografts are there per cm2?
The density on the human scalp is 193.75 hairs per square cm or 1250 hairs per square inch. The average human head has 80 square inches to it which translates to 100,000 hairs on a typical Caucasian. Asians have about 80,000 hairs and Africans have about 60,000 hairs. Assuming the average follicular unit has 2 hairs each (typical Caucasian), that would put the numbers at 100 follicular units per square cm in a typical non-balding Caucasian. Doctors can transplant (with modern dense packing techniques) about 50 follicular units per square cm (100 hairs on average) when indicated. Clearly there issues that logically should point to how much coverage can one get. The higher the density, the smaller the area of coverage (assuming supply limitations which are always a factor) In a very bald person, it would be virtually impossible to transplant such high densities to cover the entire balding area as the supply would clearly not meet the needs. So the artistry of the doctor becomes important to maximize the characteristics of the patient’s hair.
This week I saw a man who had a transplant of 3000 grafts… and did not look normal. His examination showed a very low donor density and very fine hair, yet the doctor who did the surgery had placed these 3000 grafts uniformly around his entire, very large Class 7 balding area. The patient regretted his decision to do this surgery. Unfortunately, his options were limited and his doctor should have given him the information to avoid this terrible mistake.
Had I seen him before his surgery, I wouldn’t have been able to help him; however; today because of Scalp MicroPigmentation (SMP) there is an obvious solution. To help him make his decision, we decided to first address his large wide scar with SMP. Then with his scar taken care of, he can shave his head very closely and see what he would look like if he decided to have SMP all over his head. This would be an incremental decision for him, giving him the time to judge this last step.
What failed him was his previous doctor who never told him that he did not have enough hair to reconstruct his extreme balding pattern, nor was he told about scarring risks. The doctor painted a good picture and like most patients who believe in their doctors, he wanted to believe that his doctor was addressing his best interests. As there is no going back now, the solution of SMP to the entire head would give him the look of a buzz cut (see scalpmicropigmentation.com)
2014-07-11 04:18:042014-08-14 18:58:41Grafts and an Insufficient Donor Supply For A Class 7 Patient
Some people have complained about cobblestonning or irregularities of the skin in the recipient area after a hair transplant. This is an example of a technique used frequently, where the doctor’s team left the grafts stick out of the skin. When it heals, sometimes the skin edge of the graft heals elevated from the surface of the scalp and this is what many patients complain about. See picture of patient 9 days after a hair transplant and you can see that the grafts are all sticking out of the scalp and it is not cosmetically pleasing. Also for comparison, take a look at one of our patients compared side by side also 9 days after surgery with dense packing of the grafts but as you can see from the photo on the right, the two patients are night and day for comparison. I am showing this because you should demand this type of post operative appearance because you have to be social and can’t look like a freak like the guy on the left.
2020-08-12 03:42:222020-08-15 08:31:41Grafts in recipient area not placed flush with the skin
How often does someone lose grafts when washing their recipient area where the grafts were placed. I lost some grafts after my hair transplant, about 10 the very next day even though I followed the advice of my doctor. I used my fingers to gently rub the blood off. About 10 grafts came out. Maybe I was not gentle enough.
With proper washing techniques there should be no graft loss. The recipient area requires daily washes as well to keep the recipient area free of crusts. I generally recommend daily washing and if you washed it properly, there will be no crusts on it, even the very next day. We use a surgical sponge which we supply our patients, a surgical sponge to fill with soapy water and press on the recipient area daily. The shampoo and water squirt though the pores of the sponge and with these small jets of squirting liquid, the blood and crusts come off easily without disturbing the grafts as the sponge is pressed against the recipient area. By repeating this daily, all crusts can be washed off without any fear of losing grafts. If any crusts are present, use a Q tip and dip it into soapy water, and roll it on the crusts and that will lift the crusts off without dislodging the grafts, but never rub them, just roll the Q tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in 7-10 days with daily washing.
2017-11-07 06:03:312017-11-02 10:08:25Graft loss after a hair transplant
I will assume from these pictures that your hair is coarse. The arrow I placed on your photo shows the location of the middle of the new hairline and a mature hairline shape. If I am right, then the number of grafts to do this job would be in the range of 1,200-1,300. If your hair is finer, then it will take more grafts. It might take 2,000 grafts to get a reasonable result with fine hair. Everyone is different so the amount of grafts required reflect not only the thickness of the hair itself, but the area that has to be covered. This takes an experienced surgeon to do proper estimates.
first:
i need your opinion concerning the placement technique of DHI Greece group.Second:
i had a transplant with famous doctor in Australia, he is very good in FUE (body & head) but the placement is not good & transplant hair nature is changed. i think his way with washing hair not before one week of tranplantation is not good for hair, i need your opinion for that.finally:
i think you are the best doctor in this field but i have 2 problems to proceed with you:
1- getting the VISA, my application was introduced from 18 months & there is no answer. i know this is not your fault, but this is the situation
2- i am Norwood 5 to 6, i prefer to use BODY HAIR & untill now you do not proceed with this optionfinally thank you for this valuable website, i know everydetails of hair transplatation & made me have standard for quality procedure
Thank you for the faith that you expressed in my skills. To answer the first part of your email about DHI, please take a look at FUE / FIT — Minimally Invasive Hair Transplants.
It sounds like although you did your research, the “Buyer Beware” axiom still failed even after considerable research. If you are a Class 6 pattern balding patient,l the best and probably only real good source of donor hair is from the back and sides of your head and you need to exploit this first before you consider body hair transplants (most people never need them). You have clearly recognized that the art of placement is critical to the final result, which is something that many people do not differentiate from medical clinic to medical clinic. As the inventor of the Follicular Unit Extraction (FUE) technique, I know that it is not always the best procedure for those who are extensively bald. I personally think that you must focus upon the quality of the transplanted hair, and body hair does not have that same quality or quantity as head and scalp hair. Performing body hair transplants will produce a poor quality hair transplant (when compared to a good transplant with scalp hair), which may be what you are observing and blaming on your shampoo and washing technique.
Please send photographs to the address on the Contact page as a starting point of a dialogue.
