It depends on your androgenetic status (mostly the dynamics of your thinning), your skin/hair condition personal desire etc. Usually at the age of 20 still too many factors, so better to start with a rational preservation plan, waiting on to stabilize your hair and after proceeding.
? Was it a question to me?
Sure, it is possible (the basic implantation approach is called dense packing'), but the most important, crucial part is planning. The right approach before starting any intervention to plan the hair structure minimally for 8-10 years, meaning, if thinning will for any reason accelerate, the overall look should be natural (I'm sure you've seen guys having a dense hair at the frontal/temporal site, and thinning behind quite obviously).
I don't actually know if I am losing hair as such, my hairline seems the same as before when 17 (27 years old now) but I think my overally hairline could possibly have got higher (not noticeable)
One important thing to androgenetic alopecia (both men and women) is that it is a clinical diagnosis (an optical digital microscope is not necessary), and the genetic tests are still not reliable (nor sensitivity, neither specificity) yet to use them as a tool (how cool it would be), another clinical opinion is, that NW0-1 is not really a stage that has to be addressed, rather maturation of the hair structure which is more obvious at so called fronto-temporal recession (when the hairline is pulling back at the forehead), so they usually don't consider it as a disease, that would be necessary to treat (with minoxidil/finasteride/ketoconazole conventionally, recently there are newer chemicals, like Breezula, will have to wait for more output). From NW2 they start to care about the treatment, which is dependent on age, expectation of the patient etc (mentioned before).
why keloids?
I already wrote about RU, but there is CB-01- also as an effective alternative (with even less history), and some other chemicals, the problem is, that these guys play with androgen receptors, and a lot more effective than spironolactone. I personally would advise against RU, and also to make a PSA level before starting finasteride (it usually decreases the tissue PSA concentration, however there are recently debates about it as well) just to have a reference for the future (usually leading to some years at least). So finasteride 1mg/day with minox is still considered to be safe (maybe ketoconazole shampoo).
Exactly, dermarolling doesn't cause keloids per se, you have to have a predisposition for it (even hypertrophic scar formation).
Not always, but finasteride besides keeping your sensitive follicles also lessens the degree of inflammation after HT, so it seems to be a supportive factor.
It isn't as simple, as it seems (we wish it were), as usually the degree of hair loss slows down with age (not always, but mostly), so if you start adapting a safe and as effective as possible regimen you do not only win linear, but "exponentially", meaning you survive the time, when your hair loss could potentially be very rapid, so to preserve most of your hair early can have a double benefit, but only in sane borders (not with untested ways, or unnecessarily high dose etc.).
If for dense packing someone is a candidate (not premature operation, good donor, long term planning), than usually it is a success.
I've read that when you transplant too many grafts in one session a lot of them just won't survive
If done properly, the growth rate has to be over 90%. I add, that a high density session is usually everything north to 50 grafts/cm2, over this number logically the whole operation has to be lead with a lot higher precision (how to prepare the sites, or how to use stick-and-place implantation, so there are minuscule factors, which add up at the end of the day).
can you do dense packing without having to shave your head?
Yes, it is possible, even not to shave the donor area, but logically it is a lot more energy, and time consuming operation for the team and the patient, so it is usually advised against, however doable.
have you ever encountered someone with a genetic predisposition to it?
After HT? Temporarily yes, but most of the hairs grow back.
Yes. I'm not speaking about shock loss which usually happen in or near the donor/receip area. But really about something that happen 'all over the scalp' and last for 4-6 months.
All over the scalp, if someone has not typical androgenetic distribution for DHT sensitivity (something than is not male pattern baldness), than yes, it is possible, in this case still most of the hair should recover. In quite rare cases with a skin prone to immune alopecia any inflammation trigger (like HT) can evoke circular patches, however they also recover with time. More info is just too deep in the topic I guess.
thank you very much. Do you think it's still possible to increase density? I've started Fin and Keto a month ago, I was thinking to implement dermapen and Biotin soon.
Increasing density with DHT blockers (they inhibit the hindering effect, disinhibiting the growth of the still viable follicles), maybe some regenerative therapy with microneedling, for hair diameter minoxidil mainly (officially it won't "grew out" new hairs, only making the existing ones thicker, darker creating a fuller effect. Good luck!
Which continent is your preference, mainly it is worth to opt between Europe or US, coming down to value (cost/benefit Europe is far the best option, however in Australia, and Asia there also decent clinics, the two former have the best reputation)?
I was thinking Turkey lol but if there are ones within the same price range that you recommend more then i'll also be fine with that
Turkey is three different price ranges, not one:
I don't know the status of this guy, but the temporal is the "original" stage (quite forward "pulled"), so yes, to adapt the frontal area to the temporal would be necessary to diminish optic incongruencies, and frame the face properly, however the full picture should be taken into consideration (age, any hair preservation currently, hair loss status, previous session mostly).Good thread, thanks! Why don't many surgeons really include proper temple points in the HT planning? Is it difficult or is the result unnatural?
You’re suggesting not derma roll for hair?
Great wealth of information. If you don't mind, can I message you my hairline so you can estimate how many grafts i would need? i wouldnt mind paying for a high quality transplant as long as i dont need too many grafts
thank you
