In Desperate Need For An Advice 27 Years Old Balding

Medove

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Hey everyone...

I started loaing hair when i was 20 i'm 27 now, I started to use rogaine twice, it did wonders for me, in first month my hair shed more than ever but then it stopped and started to notice little hairs growing, by the end of my forth bottle i regained 90% of what i've lost, then sadly pharmices in my country decided to stop the drug and substitute it with locally produced version which sat me back to where i was.

It was 2012 when i started to use propecia, hoping to stop the hair loss and regrow some, after 1 year i noticed my hair is thinning so i read about others experiences and some said that you have to give it 2 years, i'm now on my fifth year, i think it slowed my hair loss at best, no regrowth what so ever.

In these pictures, this is my current situation, i had more hair compared to now in frontal area when I first started propecia. I'm afraid that i'm gonna loss more hair if i stop. I want to stop the medication because first I don't think it's doing anything second the pharmacies stopped the drug and i'm using 1/4 proscar tablet daily.

As far as the side effects i had none

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FutureSaitama

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You need a hair transplant and maybe dutasteride. The big 3 won't do much for you at this point.
 

Medove

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Thank you guys ....

I started nizoral two weeks ago for my dandruff, two time per weeks.

FutureSaitama ...

I'm considering getting hair transplant but i want to stop the finasteride first and see what pattern of baldness am i going to reach.
 

Davidubi

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You are a NW4 and reach NW5 soon and seeing your nape it seems you won't reach NW6. I consider you are a good candidate for a hair transplant....but surgeons may refuse you if you stop having finas or dutas, is the only way you can keep your native hair.
 

Medove

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You are a NW4 and reach NW5 soon and seeing your nape it seems you won't reach NW6. I consider you are a good candidate for a hair transplant....but surgeons may refuse you if you stop having finas or dutas, is the only way you can keep your native hair.

Thank you

Do you think propecia is doing anything to my hair ??
 

Davidubi

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Thank you

Do you think propecia is doing anything to my hair ??
I would need to see a pic with the before/after using propecia.
Dutasteride is recommended to people whose propecia does not work. Your alopecia is very aggressive, I can see regression on your nape which means you can reach nw6. You will need a top surgeon to make your head get back to black. (This is a translation from a spanish idiom, probably does not make sense in english).
 

Medove

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what was your hair situation when you started prpecia ?

i used to have more hair when i started propecia, i continued to lose hair while on the medication so i'm guessing either propecia slowed down the process or didn't do anything.
 

michel sapin

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ok. me too propecia is not enough to slow my loss . But when you first started in 2012 , you still had a thin crown ?
You were a Norwood 4 ? with diffuse loss all over ?
 

Medove

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ok. me too propecia is not enough to slow my loss . But when you first started in 2012 , you still had a thin crown ?
You were a Norwood 4 ? with diffuse loss all over ?

My crown was thinning but it was barley obvious , my biggest concern at that was my frontal area. So to answer your question yes my crown thinned while on propecia which is mind boggling to me since it works best in the crown area.

Sorry for not having a before picture.
 

michel sapin

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bro are you sure you don't have before picture , because i am scared to end up with a full bald crown . Because for me too propecia doesnt work . You had some healthy hair at the crown before ? or in the miniaturization process ?
Because no offense but you are almost fully bald .
It would be really helpful to know your previous situation . Your front was Norwood 3 or 4 ?
But i think dutasteride might help you if you are not afraid of sides .
 

Medove

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bro are you sure you don't have before picture , because i am scared to end up with a full bald crown . Because for me too propecia doesnt work . You had some healthy hair at the crown before ? or in the miniaturization process ?
Because no offense but you are almost fully bald .
It would be really helpful to know your previous situation . Your front was Norwood 3 or 4 ?
But i think dutasteride might help you if you are not afraid of sides .

Non taken, i've lost my before pictures sadly, but my crown was much fuller than now, with more hair in my frontal area.

You shouldn't be scared, i think i belong to the 15% of the population who don't respond very well to the drug (according to the clinical trials )it doesn't mean you'll end up with the same situation, i've read countless experiences with propecia and they encouraged me to use it.
 

Starscream

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Maybe the hair on the upper side of your scalp are to sensitivi to DHT to be saved by finasteride. If with fina e minoxidil you can mantain a norwood 5 situation, then you can consider a strip hair transplant. A top surgeon like hasson or wong should see your scalp and see if there is miniaturization that would meand further loss. I think you are a strip guy, even if in Spain there are very good FUE specialists (Couto, De Freitas, Lorenzo) I would go for a strip. My advice, since you are spanish, is to go to Doctor Hasson free visit in italy next month. Since the translator speaks italian english and spanis (i went once) i think you will not have problems with the language. What you spend for the airplane ticket you save because the visit is free
 

Davidubi

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Strip is an old technique, I would never do that even if the scar on my nape was minimun. FUE technique is much more better in terms of post op and survival. I do not know who you are talking to but living in Spain and choose one of the three doctor you mention above is almost mandatory
 

Medove

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Maybe the hair on the upper side of your scalp are to sensitivi to DHT to be saved by finasteride. If with fina e minoxidil you can mantain a norwood 5 situation, then you can consider a strip hair transplant. A top surgeon like hasson or wong should see your scalp and see if there is miniaturization that would meand further loss. I think you are a strip guy, even if in Spain there are very good FUE specialists (Couto, De Freitas, Lorenzo) I would go for a strip. My advice, since you are spanish, is to go to Doctor Hasson free visit in italy next month. Since the translator speaks italian english and spanis (i went once) i think you will not have problems with the language. What you spend for the airplane ticket you save because the visit is free

thank you, i agree with you about the strip method.

i don't know why you guys think i'm from Spain :D, i'm not, i'm living in Dubai at the moment.
 

Starscream

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You are right, David answered the question that was asked to you and I read like if you wrote. So David is Spanish, not you. Sorry :D
 
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Starscream

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Strip is an old technique, I would never do that even if the scar on my nape was minimun. FUE technique is much more better in terms of post op and survival. I do not know who you are talking to but living in Spain and choose one of the three doctor you mention above is almost mandatory

I don't agree, strip is just different from FUE. Strip is still superior in terms of donor management. With a good donor you can extract 10000+ grafts. With FUE at 6000 the donor is seriously harvested and looks poor even if you don't have a linear scar. Furthermore Strip is much more indicated for multiple surgeries. In my opinion it is better for greater norwood and for people who are likely to lose more hair in the future. And FUE is not scarless, it is just a diffuse series of micro-scars. I had a fue transplant but only because I needed 1400 grafts. If I needed more than 3000 grafts, probably I would have chosen the strip.

This is a good article to read. https://www.bernsteinmedical.com/hair-transplant/fue-vs-fut/

Hey everyone...

I started loaing hair when i was 20 i'm 27 now, I started to use rogaine twice, it did wonders for me, in first month my hair shed more than ever but then it stopped and started to notice little hairs growing, by the end of my forth bottle i regained 90% of what i've lost, then sadly pharmices in my country decided to stop the drug and substitute it with locally produced version which sat me back to where i was.

It was 2012 when i started to use propecia, hoping to stop the hair loss and regrow some, after 1 year i noticed my hair is thinning so i read about others experiences and some said that you have to give it 2 years, i'm now on my fifth year, i think it slowed my hair loss at best, no regrowth what so ever.

In these pictures, this is my current situation, i had more hair compared to now in frontal area when I first started propecia. I'm afraid that i'm gonna loss more hair if i stop. I want to stop the medication because first I don't think it's doing anything second the pharmacies stopped the drug and i'm using 1/4 proscar tablet daily.

As far as the side effects i had none

Doctor Hasson sometimes suggests to increase the finasteride dose in cases like yours. The best thing would be if you could actually see him or another top surgeon. If you can't move from dubai, send your pictures and your story to the doctor's email addresses (hasson, wong, feriduni, hattingen hair etc. etc.) and see whay they think about your situation. Most doctors have their online free consultation application so it is automatic to fill everything in. If you can, try to attach some macro pictures of your hair, the crown zone, the donor zone etc.

My opinion is that you must reach the balance between finasteride e male pattern baldness and then you can have surgery. If with 1 mg. per day you can freeze your hairloss then it is ok, you are norwood 5 ant it is important that you don't lose anymore hair. Without finasteride you are probably destined to norwood 7. You need a hair transplant, you can't restore your hair just with pharmaceuticals.
 
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