Ok my dilemna!

[monty1978]

Hi Guys I am gonna break my rules here and post some images of myself so you can help me make the right decision.

I'm at a stage where I don't really care if anyone I know finds me on here cos I don't think there is a guy alive that wouldn't be pretty damn upset if they were in my situation so they can judge all they like.

I have a form of craniosynostosis called sagital synostosis which basical means that my head grew long and thin instead of round shaped like most peoples. I have a very prominent forehead and a ridge running front to back that is still hidden by hair. I have a pointed posterior of the cranium and pinching of the temples as well.

I want a transplant to address my hair line but I have a very unusual thinning at the back of my head that is really puzzling. I'm at a stage now though were if I could just get a fringe again I would worry about further loss and get a system for behing the fringe if needed. I'm ready to bite the bullet.

I kept my hair this long using dutasteride and fin mainly with other stuff like fluridil and minox on and off but currently can't take fin or duts anymore so I am continuing to lose hair very slowly so this is risky as hell. I am about to send images to Bijam Feriduni and ask his opinion on what i can do!

Just sorting the images now!

[monty1978]

Oh the cranial facial specialist team offered me the opportunity to have implants in the side of my head to make it wider and more rounded and reduce the pinching but I though better of it as I didn't want to take the chance of not liking them. I spoke to a cosmetic surgeon about using a thing called sculptra to fill my pinched temples with collagen. This is not permanent so I may give it a try when i ahve the cash!

[Man in Space]

Monty man your hair looks wicked!

If I were you i would be more concerened with what is going on at the back than at the front as your density looks a little low there for a HT. Ive never seen a hairloss pattern like that before, is it possible its just a little TE? I would recommend sending these pics straight to feriduni, he will get back to you in no time at all and then you will know your options.

Also, if you are talking about being prepared to get a system behind it then why not just get a full system? I actually think you have a decent head of hair as it is but i understand why you might feel more comfortable with a little more up there. If you are prepared to wear a system further back why not go the whole hog and get one that covers the front and the thin patch, your problems would be over in a flash?!

Whatever you do monty i wish you the very best, your one of the nicest guys on here so you deserve every luck.

[monty1978]

Thanks MIS , that's very nice of you to say!

I am concerned about the back ALOT. That has been there in some degree or another for more than10 years now. But what I really want to have done is quite rare. I want to have my temperal points moved "slightly" foreward and have some filling in at the temples so I can have a fringe. Obvioulsy this is damn risky considering the weird pattern. I don't know whether I have DUPA or the thinning at the back is some sort of traction alopecia from lying in bed and rubbing my head. It's very pointed at the back you see so there would be much more pressure per square inch. However, when I get the MPB itch I do get it at my temples, crown and right there at the back.

God knows

[monty1978]

Re the system. I would feel much more confortable with real hair at the front adn a system at the back but I am keeping my options open. Due to my unusual head shape a system would be difficult to get the right fit.

Also having lace at the front and keeping it clean etc is slighlty disconceting. Not sure if I can get my brain around the whole system wearing thing!

[Man in Space]

I see, Personally I think you look fine as you are but I understand why you may want to have the temples moved forward. Obviously it is risky as you know with the thinning at the back, however if you were genuinely committed to wearing a small piece then you probably do have options

I noticed on the HRN the other day Dr Konoir showing a technique he does for NW7 patients where he creates a hairline for a hairpiece to rest on. Obviously its not an option for everyone but for someone who is committed to going down that path it can improve the appearence of the piece. Obviously this isnt exactly the same as you are more concerened with the temples but it illustrates that there are drs out there who are willing to work toward your needs so long as you understand the implications

[monty1978]

I hear you! BTW I always appreciate your feedback and enjoy your posts. Just saying. Thanks man

[Man in Space]

No worries dude, Kudos to you too! Be sure to keep us updated, Im really interested to see what you decide as I know youve been mulling this over for a long time now!

[monty1978]

Will do!

[s.a.f]

I dont think you need a HT or wig I just think you need to maintain what you have. I suspect it would be different if you had to shave but at the moment I dont really see anything weird looking.