How Much Longer Do I Wait Until Surgery?

[brahmabull117]

I'm a 29 year old NW2V. My hairline is still sorta ok but I have diffuse thinning in the front (mild to moderate) with more severe thinning in 2 patches in the crown. The one thing in my favor is I have wavy, thick, wiry hair like Indian people do so I'm able to show decent density with the hair I have now

I've been using finnasteride for 3-4 months and I thought I had sexual side effects but that all seems to be nonsense. I'm starting to get some mild regrowth in the crown - it used to be a lot more bald but now I see a bunch of thin hairs in that area

What would you guys do if you were me? I want to get about 3000-4000 grafts (I want to slightly fix my hairline but I also want a lot more density in the middle to front and some more density in the crown). Should I wait to see how much more regrowth I get in the crown with finasteride or just do it now? I'm sure no matter what, I'll never have too much hair

 

[IdealForehead]

If you want a full thick hairline, I would hit hair loss meds harder first for 6-12 months. See what you can regrow. Then decide on surgery after. Natural regrowth always beats transplanted hair.

 

[brahmabull117]

If you want a full thick hairline, I would hit hair loss meds harder first for 6-12 months. See what you can regrow. Then decide on surgery after. Natural regrowth always beats transplanted hair.

I've grown nothing in the front

I think finasteride is decent for the crown area (especially if the loss is fresh) but it doesn't do anything for the front

 

[IdealForehead]

I've grown nothing in the front

I think finasteride is decent for the crown area (especially if the loss is fresh) but it doesn't do anything for the front

Then you should hit the meds harder. Try a topical antiandrogen in the front in addition to your finasteride or upgrade to dutasteride.

In my opinion you should maximize your meds before you start cutting into your scalp. You've only just started with the meds.

 

[J.Craig]

Then you should hit the meds harder. Try a topical antiandrogen in the front in addition to your finasteride or upgrade to dutasteride.

In my opinion you should maximize your meds before you start cutting into your scalp. You've only just started with the meds.

Be careful, I've been on finasteride + Duta (Avodart 0.25) for 1 y, 3 months and I got great thickening but towards the end I got gyno, I got to quit..
I wouldn't be on Duta only, if it loses effectiveness in the long run you'll be fucked up.. play safe, stay on the only fda approved med.. this is how I manage on my own

 

[IdealForehead]

Be careful, I've been on finasteride + Duta (Avodart 0.25) for 1 y, 3 months and I got great thickening but towards the end I got gyno, I got to quit..
I wouldn't be on Duta only, if it loses effectiveness in the long run you'll be fucked up.. play safe, stay on the only fda approved med.. this is how I manage on my own

Personally I'd rather have gyno than baldness. Gyno usually resolves if you stop the med. And it's easier to surgically fix gyno than hairloss. No one sees you with your shirt off very often if there's scars from the surgery there, but everyone sees your hair.

 

[J.Craig]

I had to quit man, severe gyno's too painful

 

[brahmabull117]

Personally I'd rather have gyno than baldness. Gyno usually resolves if you stop the med. And it's easier to surgically fix gyno than hairloss. No one sees you with your shirt off very often if there's scars from the surgery there, but everyone sees your hair.

I had gyno as a kid, not interested in ever messing with that again. It was absolutely horrible

 

[Bigbone]

From my understanding, it's risky to transplant to diffuse areas since it might cause shock loss. I believe diffuse hair loss and transplants, in general, is a bad idea.

 

[brahmabull117]

From my understanding, it's risky to transplant to diffuse areas since it might cause shock loss. I believe diffuse hair loss and transplants, in general, is a bad idea.

if that's the case, nobody would get transplants

 

[Bigbone]

if that's the case, nobody would get transplants

Why not? You transplant to bald areas or close to bald areas.

 

[brahmabull117]

Why not? You transplant to bald areas or close to bald areas.

if you're slick bald, may as well shave your head

the only transplants that look good are on people like me who still have a significant amount of hair...especially in my case as I have coarse, wavy, thick hair. I'm ideal candidate for transplant

 

[Bigbone]

if you're slick bald, may as well shave your head

the only transplants that look good are on people like me who still have a significant amount of hair...especially in my case as I have coarse, wavy, thick hair. I'm ideal candidate for transplant

View attachment 85811

First of all, wtf are u talking about? I never said you were a bad candidate, I've not even seen your hair.

I'm talking about restoring receded hairlines and bald patches, not slick bald. You do not get a hair transplant for density.

 

[brahmabull117]

First of all, wtf are u talking about? I never said you were a bad candidate, I've not even seen your hair.

I'm talking about restoring receded hairlines and bald patches, not slick bald. You do not get a hair transplant for density.

who told you this?

the only good looking hair transplants are on people with diffused hair. Truly bald transplants look terrible

look at that picture I posted, that's why you get a transplant

 

[Bigbone]

who told you this?

the only good looking hair transplants are on people with diffused hair. Truly bald transplants look terrible

look at that picture I posted, that's why you get a transplant

A hair transplant won't be as dense as natural hair. You'll need multiple surgeries to even get close to natural thickness.

You can ask any serious doctor and he'll tell you that there's a risk of shock loss.

The guy in the pic maybe didn't experience shock loss, or maybe he did and his hair was so thin before that it didn't affect the results. IDK man, but what I know for sure is that doctors will only show their best results.

To make it clear, I'm not telling you not to do it. I just told you about the risk, talk to a professional.

 

[brahmabull117]

A hair transplant won't be as dense as natural hair. You'll need multiple surgeries to even get close to natural thickness.

You can ask any serious doctor and he'll tell you that there's a risk of shock loss.

The guy in the pic maybe didn't experience shock loss, or maybe he did and his hair was so thin before that it didn't affect the results. IDK man, but what I know for sure is that doctors will only show their best results.

To make it clear, I'm not telling you not to do it. I just told you about the risk, talk to a professional.

the most natural and best looking transplants are on people with wavy, thick hair texture who still have a decent amount of natural hair left

people who are balding badly look terrible unless they get 3 transplants done