Hair Transplant Info
4379 Grafts by
Craig - AKA - jceaves
Age: 56 | Bald Class: Email Me
One surgery with Dr. Victor Hasson, November 2014.
Total: 4379 grafts; approx. 7800 hairs
Proscar 1.25mg / day; Minoxidil
My Hair Loss Story
First, I have no need to show the world my private life. I created this blog ONLY to share my experience with other people considering a transplant, whether my results turn out good or bad. It was a huge decision for me, and I appreciated the candor of certain guys (versus guarded vanity of others) that informed my decision.
I started losing hair in my early twenties. The loss didn't become noticeable to others, mainly on the vertex and hairline, until I was twenty six or so. I tried Propecia in my mid twenties, but I didn't really understand how long it would take to show results and I quit it after six or so months. There was a long and steady progression of hair loss after that. I decided to get surgery after seeing results of the contributors to this forum, and after realizing that Proscar would likely prevent most future hair loss, and allow me to maintain any surgical results.
How has my hair loss affected me?
As it progressed and I actually fit the definition of bald, I felt less handsome.
What hair loss treatments have worked best for me?
Finesteride and surgery. Finesteride does wax and wane in efficacy. I'll notice shedding of hair sometimes. Overall, there I've continued to lose some hair.
Am I happy with my hair transplant experience and the results?
Yes. I experienced some hair loss in the vertex, but I can cover it with side and front hair. I may get another transplant in the future to deal with vertex balding.
What hair loss treatments would I recommend?
Surgery for the right candidates. Proscar (finesteride) is economical (more so than Propecia) is somewhat effective, and a good pre-surgical prophylactic treatment that is said to strengthen hair and stabilize loss. This allows the surgeon to better assess hair loss and design the surgery. It seemed to halt my hair loss after starting on it in December of 2013. Proscar is probably required to maintain existing hair around the graft areas after surgery in the long term. No one wants to loose the hair around the transplanted ones! I wouldn't have opted for surgery if finesteride didn't stabilize my hair loss. That means that my long term satisfaction with surgical results actually depend on my ability to maintain my existing hair, and finesteride is currently the only viable option. Dr. Hasson doesn't recommend dutasteride any longer because of current fears about long term harm it could cause. I appreciated his conservative approach. I would highly suggest that men read up on the emerging research on the long term effects of finesteride. It can effect sex drive - though it didn't seem to for me. Also look into Post Finesteride Syndrome - some men have experienced pretty severe and lasting side effects that they attribute to finesteride use. I continue to take it, but I'm aware of potential side effects, and I would discontinue immediately if they occurred.
How has hair restoration surgery changed my life?
I feel more attractive to my wife and in general. I don't wear hats much. It's allowed me to explore different styles of fashion than I felt comfortable with when lacking hair.
My general advice and suggestions.
Anyone considering surgery might benefit if they: 1. are able to stabilize their hair loss with finesteride, starting at least a year prior to surgery. 2. carefully shop for your surgeon. This site really helps. 3. don't allow themselves to be a guinea pig for new techniques, but instead stick with proven ones. 4. ask potential surgeons what they do to preserve hair grafts while they sit in the petri dish for 5-10 hours during the surgery. This can be the greatest source of graft death and the best surgeons have techniques to preserve grafts. 5. talk to a few guys that had the surgery to get a fuller understanding of the whole thing. While experiences vary, a few different guys could portray a pretty complete picture. Its naive to expect surgeons, who have a financial interest in minimizing surgery's negative aspects, would be as forthcoming as patients. It's expensive, inconvenient, painful, time consuming, and it takes time to recover and see results. 6. in the context of all of the above, have realistic expectations regarding the hairline, hair density, and ability to fill a bald crown area. It takes a lot of hair to cover a class 4-5 baldness area. Factors like scalp laxity, donor hair density, hairline design, whether or not to fill the crown, desired density of the recipient areas, all influence the final look. Surgery candidates may want to have as good an understanding of how these variables play out, prior to setting their own expectations. A good surgeon can help, but if the surgeon is out of town, and their consult is based on pictures only, candidates may not be able to depend on their guidance.