FUE Hair Transplant online consultation

Case 164
Hair Transplant Online Consultation

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Dear Doctor:

I am 39 years old. Never had surgeries before. This will be my first time.

Hopefully these pics are good enough. My hair is dark brown, though it appears black in most of the pics, and that might give the illusion that my hair is thicker than in reality.

I have always had a relatively high hairline, even as a youth. I tried to note in one pic approximately how my hairline has moved over time. I think I am a good candidate, as it has taken about 20 years to get where it is now, so I would consider my loss a slow progression, EXCEPT for my four months on Avodart. I believe I lost at least five years of battling hairloss in the 3rd and 4th month of being on avodart. What a horrible mistake!!!

I went from a soft tapered v pattern to a horseshoe pattern in a matter of a couple months. As far as things being since, I seem to have stabilized over the last 15 months or so. Also, I have 2 birthmarks/moles (one at hairline and one at right temple) that pretty much mark where my teen hairline used to be, so I can assess my loss pretty accurately.

My Goals:

1. My temples, particularly the right one, angle back pretty harshly. If there was any way to fill that out, to give some dimension more towards the front of the face I think would really be aesthetically beneficial. I have an angular "romanesque" nose that is angled in contradiction to that recessed temple line. That really bothers me.

2. The front hairline horseshoe pattern. If I could get back to a tapered v or better that would be great.

3. A realistic lowering of the frontal line all in all.

It was as recent as 5 years ago that I was relatively happy with my hair. I usually wore it short, spiky and messy. If I could get back to that style, I would be ecstatic. As it is now, I kind of let it get overly long hoping it would conceal the loss, but it is just starting to look bad. Also, these pics were taken at the end of a long day, so its just plain messy.

I am not overly concerned with my crown right now. When I hit it aggressively with minox I can get a bit of filling in. I am more focused on the hairline this go around.

Questions

1. What approach would best fit my needs? FUE or Traditional?

2. If traditional strip procedure, what size of scar would be left at donor?

3. How many grafts would be needed? Please give a few options. (For example, "With 500 grafts we could accomplish ...., or with 1000 grafts we could accomplish....)

4. How many sessions?

5. What percentage of grafts usually successfully survive?

6. What is a realistic time frame to be off work?

7. What is a realistic time frame for no signs of redness, swelling or scabbing?

8. When would grafts start to yield terminal hairs?

9. What is cost estimation?

10. Do I need to worry about permanent shock loss?

Please add any other notes you might think would be helpful.

Thank you!

HairSite Visitor.
Case 164