michealclayton Posted Sunday at 12:43 PM Share Posted Sunday at 12:43 PM Hey friends, I'm looking for some advice regarding my diffuse thinning case. For context, im 35 I've been on hair loss medication for about 3 years. I was on Finasteride for 2 years and switched to Dutasteride about a year ago. I also take 3 mg of oral Minoxidil. I've been thinking about getting a hair transplant for years now, but all the fear-mongering (with valid reasons) regarding diffuse thinning has freaked me out. However, at this point, I'm committed to taking the leap and just getting one. I'm seeking advice from those with a similar hair loss pattern who have gotten a hair transplant. I've attached pictures and done a lot of research regarding suitable surgeons specializing in diffuse thinning cases, and I found Dr. Ratchathorn from Absolute Clinic. Any input is much appreciated! Link to comment Share on other sites More sharing options...
Senior Member Hairwolf Posted Sunday at 03:08 PM Senior Member Share Posted Sunday at 03:08 PM How was your hair before the meds? Still got plenty of hair, albeit thinned as you mention. Dr Ratchathorn is a good choice for sure. Bisanga and Mwamba would be good choices also. https://www.hairrestorationnetwork.com/topic/69551-3500-2586-fue-dr-laorwong/ Link to comment Share on other sites More sharing options...
Regular Member Eli_Avdikian Posted Sunday at 03:27 PM Regular Member Share Posted Sunday at 03:27 PM I don't see any counter indication for surgery in your case, given that you are on medication, that your donor area is descent, and that your hair loss is quite limited. Link to comment Share on other sites More sharing options...
michealclayton Posted Sunday at 03:58 PM Author Share Posted Sunday at 03:58 PM 45 minutes ago, Hairwolf said: How was your hair before the meds? Still got plenty of hair, albeit thinned as you mention. Dr Ratchathorn is a good choice for sure. Bisanga and Mwamba would be good choices also. Much thinner. I remember when i first shaved it down and ran my hand through my hair they were all weak/soft and obviously on their last leg. Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted Sunday at 06:56 PM Senior Member Share Posted Sunday at 06:56 PM You definitely have the classic diffused loss pattern and because you still have lots of hair albeit in a diffused state, the greatest risk of doing surgery now would be shock loss to the weakest diffused hair…so honestly, if it were me, I would remain on the meds and wait on surgery…you could potentially wear your hair longer and then use cosmetic fibers to improve your hair shaft diameter on the diffused hair…you would be surprised at the visual improvement overall. 2 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 Phillyman1996 Posted Sunday at 07:16 PM Regular Member Share Posted Sunday at 07:16 PM 20 minutes ago, gillenator said: You definitely have the classic diffused loss pattern and because you still have lots of hair albeit in a diffused state, the greatest risk of doing surgery now would be shock loss to the weakest diffused hair…so honestly, if it were me, I would remain on the meds and wait on surgery…you could potentially wear your hair longer and then use cosmetic fibers to improve your hair shaft diameter on the diffused hair…you would be surprised at the visual improvement overall. Would you consider this a diffuse noorwood 6? Link to comment Share on other sites More sharing options...
michealclayton Posted Sunday at 07:41 PM Author Share Posted Sunday at 07:41 PM 33 minutes ago, gillenator said: You definitely have the classic diffused loss pattern and because you still have lots of hair albeit in a diffused state, the greatest risk of doing surgery now would be shock loss to the weakest diffused hair…so honestly, if it were me, I would remain on the meds and wait on surgery…you could potentially wear your hair longer and then use cosmetic fibers to improve your hair shaft diameter on the diffused hair…you would be surprised at the visual improvement overall. Thanks for the feedback! I have a question regarding shock loss – isn’t it temporary? Also, if I’m only risking losing the smaller, thinned-out ones, aren’t they essentially done anyway, in the sense that they don’t really contribute to density? Link to comment Share on other sites More sharing options...
Senior Member Doron Harati Posted Monday at 05:38 AM Senior Member Share Posted Monday at 05:38 AM I wouldn't see this as diffused case, it's more "casual" and not aggressive hairloss, you also have natural hairline, so it's more filler case in some areas that will blend well with your native hair. Doron Harati - Patient coordinator for HDC Hair Clinic. For consultation, WhatsApp: +972526542654 Mail: doronhdc@gmail.com HDC Instegram: https://instagram.com/doronhairadvisor_hdc?igshid=YmMyMTA2M2Y= * All comments from this account should not be taken or construed as medical advice, all comments are only the personal opinions of the poster. Link to comment Share on other sites More sharing options...
michealclayton Posted Monday at 02:08 PM Author Share Posted Monday at 02:08 PM 8 hours ago, Doron Harati said: I wouldn't see this as diffused case, it's more "casual" and not aggressive hairloss, you also have natural hairline, so it's more filler case in some areas that will blend well with your native hair. Do you think these "filler cases" are easily treatable if you go to a skilled surgeon? Link to comment Share on other sites More sharing options...
Senior Member Doron Harati Posted Monday at 02:26 PM Senior Member Share Posted Monday at 02:26 PM 15 minutes ago, michealclayton said: Do you think these "filler cases" are easily treatable if you go to a skilled surgeon? Yes, can be done for sure if the surgeon diagnose its thin enough, I wouldn't fear of demolish native hair, if it's too early we suggest to wait 1-2 years. Doron Harati - Patient coordinator for HDC Hair Clinic. For consultation, WhatsApp: +972526542654 Mail: doronhdc@gmail.com HDC Instegram: https://instagram.com/doronhairadvisor_hdc?igshid=YmMyMTA2M2Y= * All comments from this account should not be taken or construed as medical advice, all comments are only the personal opinions of the poster. Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted Monday at 02:37 PM Senior Member Share Posted Monday at 02:37 PM 19 hours ago, Phillyman1996 said: Would you consider this a diffuse noorwood 6? Yes, it is definitely a class 6 diffused thinning pattern. 1 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 gillenator Posted Monday at 02:42 PM Senior Member Share Posted Monday at 02:42 PM 18 hours ago, michealclayton said: Thanks for the feedback! I have a question regarding shock loss – isn’t it temporary? Also, if I’m only risking losing the smaller, thinned-out ones, aren’t they essentially done anyway, in the sense that they don’t really contribute to density? Yes, most of the shocked hair will grow back, and yes the weakest hair is not really providing much visual density and on its way out, it’s just a matter of time. 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...
michealclayton Posted Monday at 02:59 PM Author Share Posted Monday at 02:59 PM 14 minutes ago, gillenator said: Yes, most of the shocked hair will grow back, and yes the weakest hair is not really providing much visual density and on its way out, it’s just a matter of time. Thanks for the reply. I'm curious to hear your thoughts on the inevitability of hair loss as a diffuse thinner. Since I'm taking all the necessary precautions to halt, if not stop, my hair loss through proper medication and supplementation, have you seen individuals manage to keep their hair indefinitely? Or is it only a matter of time due to genetic predisposition? Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted 12 hours ago Senior Member Share Posted 12 hours ago The inevitability is probably the best adjective to describe the long term result of MPB over a lifetime…it simply cannot be avoided although there are effective ways and means to detain it and/or prolong it…you have already very wisely elected the most proven and effective resources to combat and prolong the inevitable and you will know when its time for surgery if you conclude that is your best option…no, my good friend I have never seen anyone with an advanced thinning pattern keep their hair indefinitely and yes without question it is due to a genetic predisposition. 2 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...
Valued Contributor Gatsby Posted 10 hours ago Valued Contributor Share Posted 10 hours ago I know this is not the answer you want to hear @michealclayton but I would hold off on surgery for now. If keeping your hair cut short is your preferred hair style then hair fibres would solve all your problems. You have done everything right with medication. 👍I would hold off for now to avoid the risks with surgery and diffused thinning. The medication will keep your donor strong for when you need it. All the best. GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
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