Regular Member mlc2010 Posted October 14, 2016 Regular Member Share Posted October 14, 2016 32 year old. no meds. everyone says my donor area looks thick but I have retro alopecia on nape and sides. those aren't used as donor hair in fue? Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted October 14, 2016 Senior Member Share Posted October 14, 2016 Some docs will use nape hair when re-building a hairline however when there is retro-alopecia evident, I would hope that they would not use it. Only a microscopic evaluation of your occipital zone would confirm if that hair was suitable for transplantation, something that cannot be done with photos. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Regular Member mlc2010 Posted October 14, 2016 Author Regular Member Share Posted October 14, 2016 Some docs will use nape hair when re-building a hairline however when there is retro-alopecia evident, I would hope that they would not use it. Only a microscopic evaluation of your occipital zone would confirm if that hair was suitable for transplantation, something that cannot be done with photos. I've had a camera on my donor zone and there was no miniaturisation. I just wondered really if docs actually do use the nape hair as someone on another forum said im not a good candidate due to retro alopecia Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted October 14, 2016 Senior Member Share Posted October 14, 2016 Miniaturization evaluation has to be performed by a trained physician and they don't use a camera. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted October 14, 2016 Administrators Share Posted October 14, 2016 It appears that you do in fact have retro alopecia, as Gillenator said the only way to check for miniaturization is to go to a hair transplant surgeon who has the proper microscopic tools and software, I had my donor checked by Dr. Mohebi a coalition physician in LA, he calculated the amount of miniaturization as well as the average follicular units per cm2. Some surgeons even have software that can check the micron of the hair and the total amount of hairs on in the donor area. However yes you are correct, the nape and lower portion near your ears are NOT utilized as donor hair, there are some surgeons that utilize this but it may be on a case by case basis, it is clear that this not permanent hair for you so the surgeon should not use that hair under any circumstance. I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
pauli Posted October 17, 2016 Share Posted October 17, 2016 As others have said you won't know until you visit a HT surgeon. My donor area looked excellent with thick growth, much thicker then yours. The Dr thought it would be a straight forward surgery but once my hair had been shaved, he told me my donor area was bad and in the end he struggled to extract 2800 graphs. Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted October 17, 2016 Senior Member Share Posted October 17, 2016 As others have said you won't know until you visit a HT surgeon. My donor area looked excellent with thick growth, much thicker then yours. The Dr thought it would be a straight forward surgery but once my hair had been shaved, he told me my donor area was bad and in the end he struggled to extract 2800 graphs. Thats a surprise. I have seen really bad hair that you can get mid 3k in one strip. What it fue or strip? OP, your donor doesn't look great, but like everyone says, you need to see a doc the get an expectation of the amount of grafts available. Also, the quality is important. You should ask about that. I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians. View Dr. Konior's Website View Spanker's Website I am not a medical professional and my opinions should not be taken as medical advice. Link to comment Share on other sites More sharing options...
pauli Posted October 18, 2016 Share Posted October 18, 2016 It was a FUE. I'm over 40 with what seemed like good donor area, plus i wasn't getting a massive amount of graphs, so strip didn't even cross my mind. When the Dr started the extraction, i heard him and the techs talking about how the area wasn't great and a straight forward HT ended up taking 1 1/2 days and about 12 hrs. He didn't go into specifics, but after that length of time i was too tired to push him. There was talk of maybe using beard hair midway through the surgery but eventually they found enough hair for the HT. Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted October 18, 2016 Senior Member Share Posted October 18, 2016 What appears to be good to the naked eye or at "first glance" is not always the case until a more in depth analysis of the donor is performed. Glad to hear that you were still able to have the procedure done... Out of curiosity...how was the final result after the procedure fully matured? Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Regular Member mlc2010 Posted October 19, 2016 Author Regular Member Share Posted October 19, 2016 thanks for comments guys. I will go for a proper consult here is my head 4 years ago snapped with flash. I agree the nape area is thin but if this isn't a donor zone what's issue? I still have thick v shape at back. here is my hair shaved down to a number 1 Link to comment Share on other sites More sharing options...
Senior Member ontop Posted October 19, 2016 Senior Member Share Posted October 19, 2016 Would you consider going on meds for a few yrs & see if you can stabilize your hairloss? On the NW scale what do you think you are? Can you take some front & sides picture's? so this will give members a better idea of what could be possible in your long term goals. Link to comment Share on other sites More sharing options...
Regular Member mlc2010 Posted October 19, 2016 Author Regular Member Share Posted October 19, 2016 norwood 4a. my front has receded at temples but been like that since I was 16. midscalp is thinning but crown is good i would consider going on meds but there's no point me taking them if a HT is out question really due to propecia potential risks Link to comment Share on other sites More sharing options...
Senior Member ontop Posted October 19, 2016 Senior Member Share Posted October 19, 2016 Well like other's have said seek professional help by "several ht doctors" & go from there but without medications you could be in for a tuff battle im afraid to say, but don't give up hope ive seen many guys like you whos come through this crap. Get back to us, it be interesting what they have to say. Link to comment Share on other sites More sharing options...
Senior Member milo12 Posted October 19, 2016 Senior Member Share Posted October 19, 2016 Some docs will use nape hair when re-building a hairline however when there is retro-alopecia evident, I would hope that they would not use it.. Now this is interesting. With regards to retro-aloprecia don't you think a doctor will likely not use nape hair since alopecia comes from that region of the scalp? It would be foolish to though I am no doctor of any sort. Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted October 21, 2016 Senior Member Share Posted October 21, 2016 You would be shocked as to what I have observed and seen over the past four decades in this field...:eek: Sometimes the surgeon is pressured by the patient into doing something that he/she would not customarily do such as using nape hair that is obviously unsuitable for transplantation. And the real issue is not whether or not nape hair should be used, it is in fact whether that nape hair is considered a permanent donor source, meaning, is it DHT resistant or not? No matter if it is nape hair or hair harvested directly from the donor zone, if it is diffusing or shows marked miniaturization, then IMHO it should be considered unsuitable for transplantation, period. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Senior Member milo12 Posted October 22, 2016 Senior Member Share Posted October 22, 2016 You would be shocked as to what I have observed and seen over the past four decades in this field...:eek: Sometimes the surgeon is pressured by the patient into doing something that he/she would not customarily do such as using nape hair that is obviously unsuitable for transplantation. Yes that is what I had highly suspected as well. Good opinion. Link to comment Share on other sites More sharing options...
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