Advice on hair transplant

[PostIsotretinoinSyndrome]

Hi
Iam 24.5 years old currently. I have aggressive diffuse thinning. Cannot consume finasteride and minoxidil because isotretinoin, a chemical which causes similar symptoms to post finasteride syndrome took my life.


Can you guys suggest the best action for me to take? The hair loss is still active but I can't take any steps to stop it (if there is some chemical which doens't cause side effects please let me know).
As you can see its also diffuse hair loss. The good thing I might have going for me is I do have a good? donor area. the sides have also thinned from my original thickness but I don't see any loss from there as of yet.
I am in India and would preferably be looking for clinics near Delhi. If you guys do end up suggesting HT for me, is there some consensus on the better ones there. Eugenix, Dr A, Tejinder Bhatti, etc?

Also please don't hesitate to ask me for more info, I can update as needed. Thank you so much.

[Helios]

Could you describe what side effects you got from isotretinoin?

Also pictures of the sides and back of your head would help others give you advice.

[PostIsotretinoinSyndrome]

Here is a post i wrote about my symptoms - https://forum.propeciahelp.com/t/a-p...victim/31216/7

I have added some side and back hair pics for you to peruse. Thanks again

[PostIsotretinoinSyndrome]

Hello guys, does anybody have any suggestions or advice to spare?

[Helios]

Looking at your pictures the great news is that your donor hair at least on the sides is thick which means you could have good results with FUE.

I understand not using Finasteride but I would consider using Minoxidil 5 % twice a day. It’s been around for years and I’ve never seen any evidence it causes symptoms similar to Finasteride 1MG apart from a few stories online.

[PAS]

I actually used minox from 2013 to 2017. I also thought its safe since its topical. Sadly thats a lie, there are people who developed the same symptoms from using it. It definitely had a hand in me developing post iso syndrome.

My main concern is that im pretty sure i will lose all the hair on top sooner rather than later. Do you think I have enough donor area to cover it all.

Also any other advice on what i should ask, what i should do?
Thanks so much helios for hour advice

[PAS]

Oh crap turns out I already had an account here logged in from mobile. Iam postisotretinoin syndrome guys.

Sorry for any confusion

[Helios]

Do you have any scientific literature that suggests minoxidil has sexual side effects? I’ve never been able to find any so if you have anything scientific just let us know.

I would contact a respectable surgeon and get their advice. Most likely they will tell you to wait a few years before having surgery, until at least late twenties because right now they can’t be sure how much hair you will lose.

[JoeTillman]

At your age, and this degree of loss with the adverse issues you've referenced, I have high doubts as to your long term candidacy. Your hair is a bit too long to make an accurate assessment regarding your donor density as you can have thick hair due to the coarseness rather than the density, especially when grown long. The only treatments I can suggest are PRP and laser therapy since you've exhausted the medical treatment options. But surgically, absolutely not, at least for now, and maybe consider having a much shorter haircut so that the thinning isn't as obvious. You may wind up liking the style a lot which will make the issue less frustrating.

[hal]

I agree with Joe in that I feel a much shorter hair cut would look 100 times better. Shorter and neater is always best when you have obvious thinning.

Have you looked in to cover products such as pro-thik or dermamatch? a little bit of hair and a little application of the right cover product can really do wonders-- especially with shorter hair.

Something to consider.

[PostIsotretinoinSyndrome]

Thank you so much all of you for your interest in helping an unknown person!

@Helios, I did read a few publications in vein similar to https://www.ncbi.nlm.nih.gov/pubmed/24742982. I can't find them right but you can probably find them on propeciahelp.com or hackstasis.com if you search for it. I can write my own experience if you want but its long and might not suit this thread. If you want my advice, stay away from 5AR inhibitors. I didn't believe the horror stories (I read ALL of them before taking iso), and look where I am now. Its all true and its worse than whats written.

@JoeTillman and hal. Well thats a bummer, I didn't realize before I read your advice how much I had been banking on getting an HT so that I finally look normal. Even while writing this I keep thinking about what I can say for you to give me the go ahead for HT haha. I'll try and get my hair cut short and then post pics here so you guys can judge if the donor area is healthy. For PRP and laser, I ll have to trouble you once again to ask you how effective it is in general and how much do you reckon itll help me.
@hal I took a look at concealors (looked at Joes video only lol), they do look good I ll look into them. But anyways they are all temporary hacks.

At this rate of loss, you and I can agree that I am looking at all of my top hair gone. Will laser and/or PRP help in that situation? If we can establish that my donor is healthy, I am thinking one HT now and another later on to cover all of my top is the only actual solution that we have?

Once again can't stress enough how thankful I am that you guys are taking your time out to help others.

[JoeTillman]

Thank you so much all of you for your interest in helping an unknown person!

@Helios, I did read a few publications in vein similar to https://www.ncbi.nlm.nih.gov/pubmed/24742982. I can't find them right but you can probably find them on propeciahelp.com or hackstasis.com if you search for it. I can write my own experience if you want but its long and might not suit this thread. If you want my advice, stay away from 5AR inhibitors. I didn't believe the horror stories (I read ALL of them before taking iso), and look where I am now. Its all true and its worse than whats written.

@JoeTillman and hal. Well thats a bummer, I didn't realize before I read your advice how much I had been banking on getting an HT so that I finally look normal. Even while writing this I keep thinking about what I can say for you to give me the go ahead for HT haha. I'll try and get my hair cut short and then post pics here so you guys can judge if the donor area is healthy. For PRP and laser, I ll have to trouble you once again to ask you how effective it is in general and how much do you reckon itll help me.
@hal I took a look at concealors (looked at Joes video only lol), they do look good I ll look into them. But anyways they are all temporary hacks.

At this rate of loss, you and I can agree that I am looking at all of my top hair gone. Will laser and/or PRP help in that situation? If we can establish that my donor is healthy, I am thinking one HT now and another later on to cover all of my top is the only actual solution that we have?

Once again can't stress enough how thankful I am that you guys are taking your time out to help others.

I think that for some, laser and PRP is definitely helpful but you have to realize that since medication in general is not for you then you really have no other choice if you want to be proactive in the fight to keep every hair you have. Are either AS likely as finasteride to help you (if you didn't have sides on fin?)? Mostly likely not. Are either better than nothing? Absolutely.

[ahglet]

Hi,

Was wondering who did you decide to go with for your hair transplant and how did it go?