Rejected by two doctors! What should I do?

[EvoXOhio]

Just now, SadMan2021 said:

oh interesting. do you put sunscreen on it or otherwise protect it from the sun? does the sun dramatically increase fading or not really?

Mine is for density and I have a lot of hair covering it, so it doesn’t get a ton of sun on it. That being said whenever I’m going to be outside in the sun for awhile I either wear a hat or spray some SPF 50 on it. Those with shaved head SMP likely need to be much more careful. 

[Gatsby]

@Fredtb I would be more concerned with the long lasting side effects you still have from finasteride to be honest out of all sincerity. I apologize if this is coming across too personal. I have had SMP to camouflage many scars that I have on my hairline and donor area from two bad hair transplants and the plastic surgery involved in removing the grafts.

SMP works for me because it allows me to feel more confident because it hides my scars (to a greater degree). However for someone else they may not be happy with SMP. As for your hair loss I know this may sound horrible but if 'good' clinics knock you back then you will be thanking them years from now. At 29 that's pretty harsh to hear I know. Speak with Eugenix who are masters in the art of using beard and scalp grafts. However in my unqualified opinion just by going by the photos I feel it may be a mistake to get some coverage as it will be permanent. In time you may want more hair and you just won't have the donor for more surgery. To give you an idea of what SMP looks like this is me with my SMP. Have a Google of SMP Australia and/or Caitlin James. She did my SMP but lives in Adelaide Australia. At least it will give you an idea of what to expect from SMP. I wish you all the best!

 

[Kharmacoma]

12 hours ago, Fredtb said:

Hello everyone,

I'm currently 29 years old. When I was 18, I started losing my hair and when I was 23 it started getting really bad. That’s when I started taking finasteride but I started seeing side effects when I was 25 years old and so I stopped. After that the hair loss expedited and in the attached photos, you can see how advanced the stage is. I contacted two doctors, Hasson and Wong and Sean Behnam, and both think that I'm not a good candidate for hair restoration saying that my final pattern of loss is aggressive and my donor reserves are limited. Has anyone else faced the same issue? What would be suggested in this case? Is it possible to use beard or body hair? If so, which doctor does that? I would appreciate any comment or help.

Ask Doctors if they think you have DUPA, but to be 100% sure a doctor must see you in person and check with microscope the miniaturization of your hair. 

Edited September 22, 2021 by Kharmacoma

[Hair4Days]

Don’t see why anyone is saying you can’t or shouldn’t get surgery. For starters, your donor is shaved down to a number 1 or 2 in these photos, everyone’s hair looks thinner when it’s shaved that low. Guarantee grown out your donor looks healthier and people have different opinions. And second, instead of being rejected completely what’s wrong with saying you may just be sacrificing any crown coverage. That’s usually the typical response to those battling advance NW levels. 3500-4000 grafts gets you a hairline and midscalp coverage, you look like you’d be able to Atleast do that . Being optimistic here 

Edited September 22, 2021 by James C

[Hair4Days]

1 minute ago, James C said:

 

 

Edited September 22, 2021 by James C

[Al - Moderator]

In a case like yours, whether you can get a decent look or not really depends on how much beard and chest hair you have. If you are clean shaven then let your beard hair grow for a few days and post a picture of the beard, especially under the chin area as that is the best place to take hair from as it has the lowest possibility of any scars showing. You don't want to take from the cheek area unless you really have to in order to get enough grafts. I've had over 5300 body hair grafts used with nearly 2400 from the beard and almost 3000 from my chest. If you can get numbers like that then you may be a good candidate for using body hair with only a small amount of scalp grafts to get a nice result.

 

Edited September 22, 2021 by BeHappy

[DrTBarghouthi]

I agree the donor looks quite unfavourable. May well be A DUPA case or a potential NW 7 given your age. I suggest SMP or simply a hairline/hair system combo if longer hair is what you desire. 

[Curious25]

You need to visit clinics and get in person consultations with top doctors - pictures are a helpful indicator, but by no means reflect the truth at all times. 
 

Look at clinics who specialise in high norwoods and BHT. 
 

If you have good chest and beard hair sources , a combination of scalp hair grafts vía FUE, Beard hair, and chest hair . . a long with SMP could potentially deliver you a pretty nice short cropped head of hair, similar to this gentleman here, 

I also agree with @Gatsby without wanting to intrude on what’s up, but if you are experiencing prolonged side effects from a medication you discontinued years ago, I would also advise you to seek medical help for this first and foremost . . given that they are affecting your life. 

[InTheSix]

On 9/21/2021 at 6:24 PM, Fredtb said:

Hello everyone,

I'm currently 29 years old. When I was 18, I started losing my hair and when I was 23 it started getting really bad. That’s when I started taking finasteride but I started seeing side effects when I was 25 years old and so I stopped. After that the hair loss expedited and in the attached photos, you can see how advanced the stage is. I contacted two doctors, Hasson and Wong and Sean Behnam, and both think that I'm not a good candidate for hair restoration saying that my final pattern of loss is aggressive and my donor reserves are limited. Has anyone else faced the same issue? What would be suggested in this case? Is it possible to use beard or body hair? If so, which doctor does that? I would appreciate any comment or help.

The most important question you need to answer is 'what are your expectations from an HT"...  if you have modest expectations, decent beard and other BHT hair, and some grafts available from.scalp, you can get some form of coverage.. if you are really eager to go down the HT route, my 2 cents will be to get as many Doctor opinions you can get.. the rejections you got may be for good reason, but alternatively you wont be the first person to have been rejected.by some doctors while others may have some.viable options for you... (if the H&W rejection was via a consultant, ask them to get a second opinion from the doctor himself.. try to send pics with longer hair and perhaps a clear statement expressing your overall expectations) personally i too got a no first.. but with clearer pics and expectations, i eventually went ahead with an HT with H&W  

[RandoBrando517]

19 hours ago, Gatsby said:

@Fredtb I would be more concerned with the long lasting side effects you still have from finasteride to be honest out of all sincerity. I apologize if this is coming across too personal. I have had SMP to camouflage many scars that I have on my hairline and donor area from two bad hair transplants and the plastic surgery involved in removing the grafts.

SMP works for me because it allows me to feel more confident because it hides my scars (to a greater degree). However for someone else they may not be happy with SMP. As for your hair loss I know this may sound horrible but if 'good' clinics knock you back then you will be thanking them years from now. At 29 that's pretty harsh to hear I know. Speak with Eugenix who are masters in the art of using beard and scalp grafts. However in my unqualified opinion just by going by the photos I feel it may be a mistake to get some coverage as it will be permanent. In time you may want more hair and you just won't have the donor for more surgery. To give you an idea of what SMP looks like this is me with my SMP. Have a Google of SMP Australia and/or Caitlin James. She did my SMP but lives in Adelaide Australia. At least it will give you an idea of what to expect from SMP. I wish you all the best!

 

That’s the best smp I’ve seen

[deeznuts]

On 9/22/2021 at 3:27 AM, Gatsby said:

@Fredtb I would be more concerned with the long lasting side effects you still have from finasteride to be honest out of all sincerity. I apologize if this is coming across too personal. I have had SMP to camouflage many scars that I have on my hairline and donor area from two bad hair transplants and the plastic surgery involved in removing the grafts.

SMP works for me because it allows me to feel more confident because it hides my scars (to a greater degree). However for someone else they may not be happy with SMP. As for your hair loss I know this may sound horrible but if 'good' clinics knock you back then you will be thanking them years from now. At 29 that's pretty harsh to hear I know. Speak with Eugenix who are masters in the art of using beard and scalp grafts. However in my unqualified opinion just by going by the photos I feel it may be a mistake to get some coverage as it will be permanent. In time you may want more hair and you just won't have the donor for more surgery. To give you an idea of what SMP looks like this is me with my SMP. Have a Google of SMP Australia and/or Caitlin James. She did my SMP but lives in Adelaide Australia. At least it will give you an idea of what to expect from SMP. I wish you all the best!

 

 

I always like seeing your photos man. It's really great to see you get a good result with SMP after all this time

[deeznuts]

Also, I would take the doctors advice. In your situation, I would just get a hair piece or something. That's the best way to hide your head shape without actually getting a transplant which seems very questionable at best.

Hair pieces have gotten a lot better from what I understand but I'm not exactly using one