Pics posted...Advice please guys.

**Jotronic** · 03-07-2013, 05:45 PM

Hi Ray,

It is difficult to say for sure because your pics aren't the best but my gut tells me it is possible to thicken your frontal third. With how many grafts? Maybe 1500 or so. FYI, Dr. Hasson and I will be in London on March 30 and 31st performing consultations so if you'd like us to have a look in person you should schedule an appointment.

**ray1** · 03-07-2013, 07:28 PM

Hi Jotronic,

Thank you for your response.

The last pic with my hair wet shows the true extent of my hair loss. And i would only really want to go ahead with a hair transplant if i could have the density improved in this area, so i could have the frontal 3rd have a stand alone result in one pass if this makes sense?

Would be great to meet Dr Hasson in person and get he's advice as the results on the forums are up there with the best, however i need to see if i could make that date as my working diary changes weekly due to the nature of my job.

Kind regards.

**drybone** · 03-08-2013, 02:16 PM

Ray how old are you?

**ray1** · 03-08-2013, 03:58 PM

I am 28, been on meds for the last 4-5 years.

Hopefully now is the time to improve my frontal 3rd even though i know i am still quite young regarding a HT.

**Joe Diego** · 03-08-2013, 05:49 PM

I ain't no expert but I would say stay on the meds of course. Given there is not a medical hair restoration breakthrough you are going to have to have multiple hair transplants. It is going to take some time, years actually with at least a year in between each HT. Start off with a 2000 FUT, wait a year then another 2000 FUT. Then I would think you could focus on your crown. Your hair line is very important but make sure it is not to low... Have a natural looking hairline. Stay away from laser combs and all that other BS. Be patient and don't worry. You are already on the right path by posting here.

**drybone** · 03-08-2013, 07:04 PM

Originally posted by Joe Diego

I ain't no expert but I would say stay on the meds of course. Given there is not a medical hair restoration breakthrough you are going to have to have multiple hair transplants. It is going to take some time, years actually with at least a year in between each HT. Start off with a 2000 FUT, wait a year then another 2000 FUT. Then I would think you could focus on your crown. Your hair line is very important but make sure it is not to low... Have a natural looking hairline. Stay away from laser combs and all that other BS. Be patient and don't worry. You are already on the right path by posting here.

Good advice Joe.

Once you go down the HT road, you never go back. I just got my first one and I am 46.

**ray1** · 03-08-2013, 07:25 PM

My crown is fine, and i have been advised 1500-2500 grafts for my frontal 3rd. not multiple sessions. I understand future hair loss may occur. however i dont think i need multiple procedures now to achieve a desired result!

I understand the need for future planning but i have certainly seen people with similar hair loss to myself achieve great results in one pass for the frontal 3rd.

**drybone** · 03-08-2013, 09:15 PM

Awesome Ray.

If you feel comfortable then go for it !!!!

Have you got a surgeon already picked out?

**ray1** · 03-10-2013, 05:02 AM

Drybone,

No i have not picked a Dr yet, was hoping to get a few opinions on here and other forums to gain as much of an insight and idea as i can.

Hopefully i will be closer within the next few months

**gillenator** · 03-12-2013, 03:22 PM

Ray,

If you are responding well to finasteride, then I do not think 28 is too young for the procedure however I would be careful in not getting talked into doing a large session for your first procedure.

Why? It appears that your frontal zone is diffusing along with some recession in the temporal lobe areas. Because of the diffusing pattern, a large session can potentially shock some of that hair out. And even though the hair is diffusing, it is in fact providing you some coverage.

Your crown appears to be slightly diffusing as well however it is in good shape at present and would not recommend any grafts in that region for the same reason, potential shock. Staying on the meds will help you keep your crown in hair and hopefully for years to come.

Keep researching and eventually you will know what doctor is best suited for your needs and first procedure.

**mattj** · 03-12-2013, 04:19 PM

You could certainly eliminate the recession and thicken up some of the front. Whether the frontal third could be addressed is difficult to say. Based on what I see, the density might still be high enough that it would be risky to plant grafts into the area. It's not totally clear. I do think you're a good candidate and could achieve a very worthwhile improvement from a procedure.

**ray1** · 03-12-2013, 04:45 PM

gillenator and mattj,

Thank you for the advice and opinions.

Regarding the crown, it has been like that for as long as i remember, even before i started meds 4 years ago so hopefully it holds

This is my dilemma regarding the front, as you can see it has thinned out in the front, possibly 1inch back from the hairline. (last pic shows this)

This only gives me a styling option of combing my hair forward, anything else and my hairline and frontal 3rd is see through.

I really want to have a styling option if i have a HT...and would love to have added density in the frontal 3rd so i can achieve this. however i know the risk of shock loss

I really dont know how to tackle this.

Regards

**gillenator** · 03-13-2013, 11:26 AM

You're welcome Ray. This is why you want to consider approaching this from a more conservative approach. Fewer recipient incisions equate to less overall trauma to the scalp and to the recipient area. Some will state that since you have responded well to finasteride for the past 4 years that you will not sustain shockloss or very little. It cannot be predicted and finasteride does not IMHO reduce the chances for shockloss because shockloss is more related to the trauma from the procedure.

A fair number of women who experience genetic hairloss lose their hair in a very pronounced diffusing pattern and typically throughout their scalp. Its classes of loss are noted on the Ludwig scale.

Many HT surgeons will advise doing smaller sessions for the same reason, risk of potential shock.

**ray1** · 03-14-2013, 01:09 PM

Thank you once again.

I was hoping to improve the hairline and density from the front of the hairline to around an inch back in one go.

I see this may not be possible due to shock loss.

I was hoping a procedure would give me styling options as the only option at the min is to comb my hair forward due to the thinning.

Regards

Pics posted...Advice please guys.

Pics posted...Advice please guys.

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