When to get hair transplant?

johnnybravo9000

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Hi guys! Just wanted to ask your opinion on when or if I should get a hair transplant in the next 6 months or so?

History: started seeing hair receeding/thinning at 21/22 started rogaine, used it for about 7-8 years. Maintained the hair quite well, although was losing ground slowly. Switched to 12.5% minoxidil 1x a day for 1 year. After seeing still losing ground switched to Maxogen X 1x per day (to add finasteride in regimine) and seems like its helping, and maybe growing baby hairs again... been on it abt 8 months, but only use 0.4ml instead of the full 1ml application once a day only on temples/hairline. Currently 32 years of age.

My question is, i cant really tell if im losing or regaining the hairline back as theres lots of new hairs but same time feels like temples are receeding... considering doing a hair transplant with DR. RAHAL. I did do a consultation about 3 years ago, and he said I needed about 1500 grafts to make it look good.

Current photos are attached, please let me know what route I should take! Thank you
 

johnnybravo9000

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losingbattle88

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nope! As you can see, the temples have recession, that is what I am mainly concerned about, and the hairline seems to be thinning also. I do get it, its not a nw2 or nw3 but getting there slowly so trying to address the issue early than later.
Delusional
 

johnnybravo9000

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Here is another pic from 2 weeks ago, with hair wet. Previous pics was with dry hair... you can clearly see the receeding not sure why you guys are taking as a joke...
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BurningCoals

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I don't see the point in getting a hair transplant at this moment.
 

johnnybravo9000

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+2 month update, not sure if losing ground or old growing back strong... feels like its getting worse.
 

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1982man

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I remember reading many years ago on this forum that Norwood 5 is when you have actually entered the realm of requiring a hair transplant for optimum results. If you want to get a hair transplant below Norwood 5 maybe just do a small one. Otherwise drugs and Nizoral Shampoo are your best first line of defense. Finasteride, dutastaride,minoxidil, etc.
I have been on all of the drugs and the Nizoral shampoo since 2007 and had very good results. Oh and also don’t forget you can use hair dye to additionally conceal male pattern hair loss while at the same time eliminating some gray.
 

johnnybravo9000

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Ive been on minoxidil past 12 years +/-. Started with rogaine for first 7-8 years, then slowly got busy with life so decided cant keep up with 2x a day application, so started 12.5% minoxidil once a day. Went back and forth with 12.5% and 10% once a day for about 2-3 years, but started missing daily application because I was getting sore/dry eyes and pain/irritation from the higher concentration of minoxidil. Now for the past 9 months, ive been on minoxidil max 7.5% minoxidil + 0.1 finasteride, and seeing weird changes in hair. Hairline keeps looking weird, some days feels lesss dense, other days feels like im gaining. Finally have all these hairs sprouting, but they could just be the hairs I lost because of the new change... been seeing about 100-200 hairs fall daily past month. Literally can keep rubbing my head and hair keeps falling out in sink, doesnt stop! Hopefully it is just a shedding phase. Lets hope and see, will update again in 2 months. Cheers and thank you!
 
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