Aplunk1,
It's good to see that you decided to think things through and not rush into hair transplants but to rather give the meds a fair chance to stabilize and/or slow down the effects of male pattern baldness. I think we all recognize that male pattern baldness is a progressive disease and does not resolve itself nor is there any cure for it. I will say that in the past 26 years, finasteride has been the most efficient med for stabilizing genetic hairloss than any other med out there. And I don't base that on literature but rather what literally thousands of guys have told me since Propecia was approved by the FDA. I would estimate that there is approximately an 80% efficiency ratio across the board to those men who have used it as prescribed. It has stabilized my own genetic hairloss since I started ingesting it in 1996 and I still cut Proscar to this day. My hairloss was predominantly in the front in that horshoe pattern Michael referred to and that's where most of my grafts went and into the midscalp. So after being on finasteride and getting a total of 4417 grafts to date, I have been able to maintain a very restored look.
But again Michael makes a legitimate point in how long will the meds work? Because if they do lose their efficiency over the long haul, yes male pattern baldness will resume it's course and undoubdetdly we will all lose more hair. For myself it's a risk that I understand and ALSO accept. But that's me and not anyone else. Everybody has to decide that for themselves.
But allow me to assure you and anyone else reading this that there are virtually "thousands" of success cases in surgical hair restoration. One of the fundamental differences between my critics and myself is that "I have worked on the inside, they have not". I have physically seen well over 10,000 patients since I started following the industry. They claim that they can recognize anyone who had a transplant, that they are ALL detectable, even the good ones look fake, etc, etc. But listen to what these guys are saying. It's absurd. IF you can tell someone's had a hair transplant, THEN THAT'S NOT A GOOD hair transplant! AGREE? A good hair transplant result done by a competent artistically talented surgeon is in fact undetectable. I receive virtually dozens and dozens of pics every month with absolutely awesome results and these are happy patients. What these guys don't get is that in every day life they have had hair transplant patients standing right in front of them and they don't even know it.
It was not until the mid 90's that I began to see the consistent results of FUHT technology that Dr. Bill Rassman pioneered in the early nineties. Others like Dr. Bob Bernstein, Dr. Paul Rose, Dr. Ron Shapiro, etc have all and still continue to make refinements in that technology. I had three seperate FUHT procedures so if you want ot see my pics, e-mail me because I gladly send them to anyone that wants to see them. I have lots of close-ups of my hairline and other angles taken in "bright sunlight". Judge them for yourself.
And oh, before I forget, anyone is welcome to stop by my office by appointment to judge my hair transplants in person. And while you're at my office I will gladly also show you my financial statements and my tax returns in case any of you think I'm making all of this money in the hair transplant industry. Or just contact the five docs who sponsor my advocacy efforts and ask them what they pay me, a whopping $250 per month which barely covers the overhead in my world-wide advocacy support to patients. I never have and never will ever charge any partients for my support. I don't even pay myself a salary. I sure don't see my critics offering all of this free support on a full time basis! Well c'mon, come take a look at my tax returns if you think I'm full of BS! But the truth is that you won't because you know you have your agendas to try and discredit the industry. Anyone else is welcome to come to verify my financial standing in this industry, ANYTIME.
Listen, there are approximately 40 talented reputable hair transplant surgeons that perform ultra-refined FUHT procedures and some of them also offer FUE. But my point is that I see some great results from patients of these docs and if I can say one thing in common that they have is CONSISTENTCY in results over and over. Just surf some of the other forums and soon you will see the same talented reputable docs consistently recommended by patients over and over.
Be extremely leary of those individuals who propogate that all hair transplants suck and there is no such thing as a good one. They are either lying or are very ignorant. But be equally leary of the indvidual who propogates that there are no risks, that evryone gets great results because obviously that is not true either. The reality is that there are successes as well as failures in any form of cosmetic surgery. I've been around a long time, much longer than my critics and it's almost always these guys that don't do their research that get whacked. They end up going to the wrong doctor who takes advantage of them. Now they're mad and I mean REALLY MAD. I hear it from patients all of the time. But these guys seem to end up into one of two groups. They either openly admit to their own failure and learn from it and move on OR they become relentlessly angry and poison everything around them. They become very one-sided and now everything in the industry sucks. Anyone who has been in the forums for awhile knows exactly what I mean. Surely any of us can understand their hurt feelings but to go on the offensive and virtually target patients with their doom and gloom is selfish and self-serving. That's why I always jump in to give BOTH sides of the story.
Then there's the critic who really is a poor candidate for hair transplants and no doubt is either in an advanced Norwood class or is headed that way with family history confirming it. But these guys have done at least enough research to know that they are poor candidates for hair transplants so they make an agenda of slamming it. It's sort of the ole' "if I can't have it than no one else is going to" attitude and they either end up in hair systems or just keep shaving their head. Keep reading various forums long enough and you'll see the same patterns of behavior. Sound familiar Michael?
Do you guys remember the attacks on Damo? He too offered to share his pics with anyone yet he too was criticized. RESULTS DO NOT LIE whether they be good or bad. I think some individuals thrive on negativity and just can't stand to see someone else have success.
Then to imply that all hair transplants end up failing and quit growing is also absurd. Why do you think the guys that did have plugs are trying to get corrective surgery? It's because their plugs ARE still growing and do not have any more appeal because the natural hair that used to surround the plugs fell out from the progression of male pattern baldness! This is a completely different issue from scarring which of course would be anybody's concern as well. The truth of the matter is that re-growth of transplanted "terminal hair" has an extremely high rate of continued growth due to the genetic predisposition of terminal hair follicules. That is a matter of genetic science. Oh sure there are exceptions to some patients that have a terrible yield but that is almost ALWAYS attributable to incompetence of the doctor and/or medical staff. The reputable long standing docs do not have those problems.
Patients need to recognize that the possibilty of "shaving" or buzz cuttting down to a number one guide is generally not possible after hair transplants and something I always mention to patients UP FRONT. Michael is right in that the probability of a linear scar showing or the spots from FUE so that is always a trade off. Guess what? Do you really want to know how many guys pay thousands of their hard earned money in hair transplants just to shave it all off when it grows out? ZERO! Yes some buzz to a number two or three so the scar does not show through but NO ONE cuts it all off unless they got botched. I mean patients get hair transplants to grow them out not to cut all off, think about it.
Like I have always said, do adequate research, know your limitations and set realistic goals and you won't set yourself up for failure.