Home | News | Find a Doctor | Ask a Question | Free

Questions to the Doctors and fellow members


#1

Good evening,

I have attached a couple pictures with my situation. I know I may have a little more hair than some, but I have pretty substantial diffuse thinning probably heading towards a Norwood 6. I had previously contacted a doctor from this site and had an online consultation with him. (I’d rather not say which doctor as this point). He had mentioned that he thought the shock loss that I would have from a transplant would negate any positive effects of the transplant. This is VERY confusing to me. The way I see it, if what this doctor said is true, then you could never have a second or third surgery to increase density as the shock loss would negate the effects… So, I am ready to have something done. I would just like some advice from the doctors and fellow members on the board.

Thank you kindly.

Tricky


#2

»
»
»
»
»
»
»
» Good evening,
»
» I have attached a couple pictures with my situation. I know I may have a
» little more hair than some, but I have pretty substantial diffuse thinning
» probably heading towards a Norwood 6. I had previously contacted a doctor
» from this site and had an online consultation with him. (I’d rather not
» say which doctor as this point). He had mentioned that he thought the
» shock loss that I would have from a transplant would negate any positive
» effects of the transplant. This is VERY confusing to me. The way I see
» it, if what this doctor said is true, then you could never have a second or
» third surgery to increase density as the shock loss would negate the
» effects… So, I am ready to have something done. I would just like some
» advice from the doctors and fellow members on the board.
»
» Thank you kindly.
»
» Tricky

Hi Tricky,

Unfortunately your photos dont come up so hard to advise without seeing your photos.
The hair that is transplanted will not be lost with a second transplant, only maybe your preexisting hair bordering your transplanted areas. Diffuse thinning is probably a little more complicated, so the doctor to some extent is probably right. Although technically if you have enough donor hair you can create a full head of hair even if you lose some of your pre existing hair. But Id need to see your pics to be able to have a better idea of your particular hairloss.
You seem to have made your mind up to get a procedure despite your doctors advice. Personally I’d get the opinion of atleast a couple other doctors then make a decision.
Good Luck


#3

Hi Tricky,

For some reason your pictures did not load so I was not able to see them. It seems like your trying to find the right doctor for your situation and that’s the right thing you’re doing is asking around and having the fortune to communicate with patients to get their feedbacks. I highly recommend that you consult with Dr. Armani and get his input also.
It’s been 2 month from my first FUE surgery of 3552 grafts for zones 1&2 with Dr.Armani. Next month I’ll be going for my 2nd FUE procedure for the crown area. My experience Dr.Armani was great, He’s helped many people in their worst cases and the results are amazing. I recommend you look at some of his patients full results to kind of get some idea to compare and contrast with other doctors. I only have 1 month photos posted on my link that is bellow along with my signature and I will be posting my 2nd month photos next week. You’re doing the right thing just keep communicating with patients to get yourself heading to the right Doctor.

Best of luck,


#4

Not sure why they aren’t showing, but if you have a moment in the next couple of days to give me a hand uploading them, I would appreciate it.

Thanks,

Tricky

Thanks for the replies thus far guys…


#5

» Not sure why they aren’t showing, but if you have a moment in the next
» couple of days to give me a hand uploading them, I would appreciate it.
»
» Thanks,
»
» Tricky
»
» Thanks for the replies thus far guys…

Am looking into it right now. If you want, email me your pics and I will upload for you. hairsite@aol.com


#6

You are all set. Pictures are showing up in your post now.


#7

The issue you’re confused about is that shockloss is MUCH more an issue to weakened hairs than fully strong ones. Transplanted donor hairs in a certain area are usually going to be MUCH more resistant to shockloss than weakened existing hairs remaining in that area.

In case you’re not aware of this, androgenic male-pattern “hair loss” is not a reduction in the number of hairs, but mainly a thinning of the existing hairs. You’ve still got most of the original number of hairs until the very last stages of loss in an area.

So getting a transplant to fight thinning is putting a lower density of thick hairs into an area, to help out a high density of thinned hairs.

I’m not necessarily saying you should never get a HT, but it’s true that you might be breaking even on the work for the first several thousand grafts into the top before things begin to look THICKER than when you started. It sucks but that’s the breaks.


#8

Thanks for the replies guys…


#9

» Thanks for the replies guys…

Whoever told you about shock loss is doing you a big favor, you are making a huge gamble getting a hair transplant now.


#10

Tricky95, in a case like yours shockloss can be a concern. From all that I have seen over the last few years shockloss is generally not a huge issue if you go to a top doctor that has the skill to transplant in between grafts, and if there is shockloss in just about all cases I have seen the shockloss has grown back within a few months after surgery.

I had grafts placed all between my existing hairs in the hairline and on the top and I did not have any shockloss at all. Just thought I would share my two cents onb my own persoanl experience and what I have seen.


#11

» Thanks for the replies guys…

Oh good I can see the pics now. Im no expert but I think your hair color is a plus, as there will not be the contrast of say black on white.
Lots of guys have much less hair than you, and now have fantastic looking heads of hair. Ive seen many great results on different forums of procedures on diffuse thinners. There are no guarentees with any procedure, so in the end you have to decide if you want to go for it or not. Personally if I was in your shoes, and could afford it would get the procedure.


#12

Thank you for the advice guys. Definitely appreciate your input.


#13

Tricky–I would not recommend strip surgery for you—with your hair color and type it might not be the best choice.

I think you could do some low density FUE passes into your frontal core just to try to add density, but it would be a slow process.

If the meds are working well it might be worth a shot.

Diffuse thinners are very difficult to project–some continue to lose, others simply stay diffuse for years and years.

Good Luck!!!
Jason


#14

»


»
»
»
»
»
»
» Good evening,
»
» I have attached a couple pictures with my situation. I know I may have a
» little more hair than some, but I have pretty substantial diffuse thinning
» probably heading towards a Norwood 6. I had previously contacted a doctor
» from this site and had an online consultation with him. (I’d rather not
» say which doctor as this point). He had mentioned that he thought the
» shock loss that I would have from a transplant would negate any positive
» effects of the transplant. This is VERY confusing to me. The way I see
» it, if what this doctor said is true, then you could never have a second or
» third surgery to increase density as the shock loss would negate the
» effects… So, I am ready to have something done. I would just like some
» advice from the doctors and fellow members on the board.
»
» Thank you kindly.
»
» Tricky

Hey,

I say max the medication and wait alittle while longer. Have an in-person so you know what to really expect. Best of luck!


#15

to the guy thinking of having a transplant, what regimen are you on now, I would be very curious


#16

Tricky what is your current regimen


#17

HanginInThere,

I am 31 years old. 10 years ago, I started taking Propecia and Rogaine. I stayed on Propecia for about 6 years. About 4 years ago, I stopped Propecia and started on 0.5mg of Avodart and have taken it since. Rogaine has been off and on for those 10 years but consistant for the past 3 years. For the past 5 years, I have been taking Saw Palmetto, Stinging Nettles Root, Beta Sitosterol and Pygeum. I also used both Nizoral shampoo for quite a while and then tried the cream but that made me shed for months and months and didn’t stop… So, I would say I am hammering this from every which angle… My hair loss has NOT stopped. Maybe slowed, but not stopped. I can run my fingers through my hair on top all day long and pull hair out. And this is not the ‘daily’ shed that people go through. The hairs that I see are miniaturized. All men in my family are NW5 - NW7 so I know where I am heading.

Thanks for the inquiry.


#18

» HanginInThere,
»
» I am 31 years old. 10 years ago, I started taking Propecia and Rogaine.
» I stayed on Propecia for about 6 years. About 4 years ago, I stopped
» Propecia and started on 0.5mg of Avodart and have taken it since. Rogaine
» has been off and on for those 10 years but consistant for the past 3 years.
» For the past 5 years, I have been taking Saw Palmetto, Stinging Nettles
» Root, Beta Sitosterol and Pygeum. I also used both Nizoral shampoo for
» quite a while and then tried the cream but that made me shed for months and
» months and didn’t stop… So, I would say I am hammering this from every
» which angle… My hair loss has NOT stopped. Maybe slowed, but not stopped.
» I can run my fingers through my hair on top all day long and pull hair
» out. And this is not the ‘daily’ shed that people go through. The hairs
» that I see are miniaturized. All men in my family are NW5 - NW7 so I know
» where I am heading.
»
» Thanks for the inquiry.\

ya i had a shed with the niz cream i would get off it if i was you, i did and the shed grew back
how about super hair vitamins and minerals, MSM and horsetail separately?


#19

» » HanginInThere,
» »
» » I am 31 years old. 10 years ago, I started taking Propecia and Rogaine.
»
» » I stayed on Propecia for about 6 years. About 4 years ago, I stopped
» » Propecia and started on 0.5mg of Avodart and have taken it since.
» Rogaine
» » has been off and on for those 10 years but consistant for the past 3
» years.
» » For the past 5 years, I have been taking Saw Palmetto, Stinging
» Nettles
» » Root, Beta Sitosterol and Pygeum. I also used both Nizoral shampoo for
» » quite a while and then tried the cream but that made me shed for months
» and
» » months and didn’t stop… So, I would say I am hammering this from
» every
» » which angle… My hair loss has NOT stopped. Maybe slowed, but not
» stopped.
» » I can run my fingers through my hair on top all day long and pull hair
» » out. And this is not the ‘daily’ shed that people go through. The
» hairs
» » that I see are miniaturized. All men in my family are NW5 - NW7 so I
» know
» » where I am heading.
» »
» » Thanks for the inquiry.\
»
» ya i had a shed with the niz cream i would get off it if i was you, i did
» and the shed grew back
» how about super hair vitamins and minerals, MSM and horsetail separately?

Hi Hangin in there. You seem like you know your natural products. Wondering if you know any natural product for gyno, as I notice my left breast getting larger. Im a bit scared to go on arimidex. I assume its happening because of the propecia. Any thoughts appreciated.


#20

This evaluation is from Dr. John P. Cole, MD.

You have a good bit of soft fine hair this is subject to future loss and shock loss. The hair you have is not going to be adequate coverage. Donor area hair is of better quality and has the potential to add coverage. Sometimes with shock loss you take a step backward but ultimately you move forward though it could take 2 or 3 procedures to get there. To minimize the potential for shock loss start with 1500-1800 grafts to the frontal 3rd and top areas and to minimize scarring to the donor area do a CIT procedure.