Managing Hair Transplant in Thinning Areas
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- Опубликовано: 6 май 2023
- Today, we will discuss how we manage hair transplants in thinning areas.
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Dr. Vikram Jayaprakash
Level 2, 148 Glenferrie Road,
Malvern, Vic 3144, Australia
0395761465 atlantismedical.com.au/
IG: @atlantismedical.melbourne
enquiries@atlantismedical.com.au
Dr. Russell Knudsen
Level 2, 45a Bay Street, DOUBLE BAY NSW 2028
Australia Wide: 1800 685 399 New Zealand: 0800 424 728
www.knudsen.com.au
#hairlossproblems #androgenicalopecia #hairloss
I love how these Drs just chat amongst themselves on camera, which is different to how most Drs talk to patients. They are sharing their experiences, giving straight advice and that’s what we want to hear. Thank you guys !
Thanks doc for spreading such valuable knowledge!!
Good episode today. Very good advice.
Great presentation!
Great explanations. Good video 👍
I have been a fan for a while now. Made a consultation and appointment to get my surgery the January of next year. So managing the new hairs with the old is gonna be a bit easier with the information they provided. Thankyou
How did ur surgery go ?
Please do a hairclone company update since you are a partner!🙏🏻🙏🏻
Hi, I love your show and have found it very educational, but as a 27F taking finasteride who also has epilepsy, I'm having side effects that I've never seen talked about or addressed.
Finasteride increases seizure susceptibility in women with catamenial epilepsy since it can possibly decrease progesterone levels. I've felt this side effect but have never heard of anyone talk about it, but have seen a few research papers on it.
I hope you read this and maybe one day talk about it.
No justifiable use of finasteride in a female.
My hair is how you’re describing receeding a little bit with light shining through top and crown yet I’ve been on finasteride about 3 years and it’s still slowly thinning I have booked a hair transplant now because I want my hair back and medication isn’t working or atleast only slowing it down to which is now visible
Can you do a video on hair transplant from beard and other areas
Great advice. So many doctors do way too many grafts and they're "the experts" and we trust them.
Hello Dr. Vikram and Dr. Russell, can you please make a video about shedding the newly grown hairs with thin ends on finasteride, been on Finasteride on 6 months yet i'm still shedding the thin hairs constantly " different sizes and thickness " 1 month to 4 months old hairs, but almost all of them are miniaturized " Thank you
Hi Doctor. I dont if it was on this video or on another one, but it seemed to me that you mentioned that Finasteride doesnt work on a receding hairline?
Why don't they take hairs from the sides (above the ears) as well as the back?
Please make a video with patient results
what a beautiful duo. love listening to them and building my knowledge.
can you transplant eyebrow hair
Hey guys, I was hoping to get some help. Day 17 post op dhi, I woke up and my head was itching. I scratched it with my fingertips(no nails) no lightly and I looked at my hand and there was blood. I found a hair with skin on it and I’m missing a hair where the blood spot is. Can I have lost the graft? Will hair still grow? Was it secure?
Please help me with this... I m norwood 1 or 1 1/2 using finesteride 1 mg for 3 years everyday.... Got little sides ... But stable for last 3 years... Can i lower the dosage? Age is 30.. will i lose ground? Or maintain my same hair... No one talk about the efficacy of 1 mg alternative day... In real life use ... Please provide some details... With people using 1 mg alternate days for long term use for lesser degree of hair loss....
Half the issue not discussed is financial, people dont want to pay money for something with a 35% success rate. Obviously the doctors are correct but maybe highlights the thought process from another angle.
Does anybody experience dry mouth with finesteride? I have been on it for two months and a half, but this last month I have been experiencing a lot of dry mouth it's super annoying. I am going to try adjusting my dosage, currently on a 1mg everyday.
Can U Pl let me know Ur Parameters of Safe Donor Area
We need episode how to get realistic hair transplant especially hair line
Thanks
That depends on the surgeon.
Could you do a video where you clarify exactly what you mean by 'stabilize?' The term is used in a number of your videos. I can't work out if it strictly means that hair loss has stopped altogether (with medication) OR if stabilizing is a broad term for slowing down but not eliminating hair loss.
If fin/dutasteride only slows down hair loss without eliminating it, does that make you a good candidate for a transplant?
Stabilise simply means just that, there is no medicine in the world that would completely stop hair loss. That’s just nature. And each person reacts differently. They do not need to do a video based on that, simply, go on medication to try and prevent further hair loss and ‘stabilise’ your condition if what they mean
So I started going then when I turned to 29 years old I am turning 41 years old this summer. I have not gone bald but I am still thin. Do I qualify for a hair transplant??
Hi. I have been on high dose of saw palmetto over 4 years had multiple sheds if I switch to fin now will I still experience a big shed?
Im male 20 yrs facing female pattern and the overall thinning started to happen now its been 3 yrs im on min and 2 yrs fin solution, i was just wondering if i can go for hair transplant in future because ive seen videos saying fphl cant go for hair transplant can u plz tell me if i can go for it?
Can leg or arm hair be transplanted to the scalp? Leg and arm hair is finer, but could it work well for thinning/balding at the temples and sideburn areas or even to create density in thinning areas elsewhere?
Yes
Any hair can be transplanted, the question is do you really want to have that kind of hair on your head you’d look ridiculous! There’s a reason why we have that kind of hair under her arms and on her legs and that reason is because it should be there and not on our bonce!🤣🤣🤣🤡
you can transplant any hair on the body, the main issue is finding a surgeon that will do it. i went to south korea and asked a similar question before my surgery, they said its possible but the surgeons dont have experience doing it since most asians dont have enough hairs to do such lol
Supposedly it leaves bad scars.
what factors would there be in deciding which one to first start. oral minoxidil or propecia?
The factors are you losing your bloody hair that should be the first side shouldn’t it? If I was you I would be taking both!😂
@@christianblake3997 im not losing my hair
hey doctors, i hope you notice my question and answers them. i have recession on my temples like 3cm back from my original hair line but i,ve been using minoxidil so the thinning area still has lots of baby hair but they just stay short and thin for years and still keep thinning to the back, can i get a hairtransplant on my temples while there still has lots of thin hair?
i ve been on minox for 3 years but hair line still goes back thinning
You've been on minoxidil for 3 years and you haven't noticed any good effects from it?? You should be Eddie monster by now LOL I always hear people going on minoxidil and after 6 months to a year they have thicker hair! I suggest you get a hair transplant my friend
make a video of procapil vs minoxidil. As i have researched procapil has no side effects
Has anyone ever tried combating 5-alpha-reductase activity not by inhibiting those enzymes but by locally increasing the aromatase in the follicle?
Whats aromataze?
@@ayadhussin6771 transverting testosterone into estrogen
@@ninebrains4769 What? Im not sure what you mean?
@@ninebrains4769 Also how do you locally increase aromataze in the follicles?
Brother any medium of reduction of the 5-alpha thing. I got side effects from finastride and will never try to consume that in future
Having to go every 5 to 10 years for a top-up implies that it's not common to totally stabilize hair loss, only to slow it down enough that it becomes manageable. If that's the case, do you recommend a daily regimen of finasteride or even dutasteride to your patients? Or is loss just an expected occurrence?
Take it from somebody who has been fighting the good fight for nearly 20 years, the battle will eventually be won by DHT.
It is in evitable that people who are genetically prone to male pattern baldness will lose their hair eventually that is a fact! For the last 50 years they (the hair industry) have been trying to find a cure for MPB and it’s not easy even Frank Sinatra spent a fortune on hair transplants and toupees and he was famous for trying to hide his hairline! The one thing finasteride or Dutasteride can do is slow the process down that is the best for the moment we can hope for, but even once you have slowed the process in the body through reducing DHT systemically you have to deal with the buildup of testosterone on the scalp which will attack the androgens! there is no winning formula just a continue to slow the process as even hair transplants can only go so far and then you run out of donor area! Sorry I couldn’t give you some more hopeful news!😢
@@christianblake3997 Hi chris did you take finasteride and minoxidil and the hair transplant as well?
You're very negative.
Everyone always talks about hair transplants in males but females have the same issues. Can you talk about hair transplants in females?
I have hair in front but a large bald area in back like a Capuchin monk. Can that area be covered by a hair transplant?
Yes it can, not perfectly but pretty well. You should also be taking medication to preserve existing hair.
Buy a brown robe and sandals , cheaper than getting your head tore up with surgery
@@Xtramedium1961 I have hair like Joe Biden-- party in front, barren wasteland in back.
Been taking finesteride 1mg for 20 years every day. Switched to dutasteride 0.5mg 5 years ago. Still thinning even after Minoxidil 8 month use and now derma roll. I am 46. Any 9:33 hope?
Do you have any side effects such as heart palpitations, low bp or sexual problems because you have been taking the medication for so long period of time.
Thanks in advance!!
@@smrfk No palpitations, no bp issues or sexual problems. I was considering taking a higher dosage since the thinning while significantly reduced it hasn't stopped and I have never missed a dosage. After 50 I might stop, not sure.
@@guylast9516 Thanks for the reply 🙏
@@smrfk No problem. One thing however is t9hat you need to start taking it as soon as you notice hair starting to fall. You need to take dutasteride(without stopping) to keep what you have and minoxidil topically to recoupe as much as possible. Only thing is I did not realise orally would have been a better option since it did not show much difference topically. Only drawback if I had done that would have been hair grows thicker all over the body since it does not distinguish where the hair will grow thicker. Hope that helps
Can you show some realistic results from finasteride? (month by month)
Thank you as always! You helped us a lot!
@@a..m9459 can u pls tell what dosage do u take daily . Is it 1 gram per day or 3 gm per week . Thanks :) . Also , are u using minoxidil as well ?
@Chaudhary MoNu yeah I take 3 per week but keep in mind that you won't notice any major changes in your hair for 4 or 5 months so stay on it. and no I don't use minoxidil
@@a..m9459 ... 3mg per week or one 3mg pill every day?
fin doesnt regrow hair. it only helps reduce the rate of which the hair dies out. month by month progress wont really show anything compared to minox
From what my doctor has told me is Finasteride is only helping to slow down progressive hair loss.
👍👍👌🏾👊
I made mistake for doing hairtransplant because I have diffuse hair, thinning all over the scalp even sides. It could be Telogen effilivium.
People who experience TE, are they candidate for hairtransplant?
U didn't get results after hair transplant?
@@mirasingh7428Not all. And I regret it. How did you managed your hairloss?
@@ayadhussin6771 so u had hair transplant because u had hair thinning?
Not because of baldness ?
Didn't ur hair grow in the transplanted areas
Would like to know ur story
Waiting for reply
@@mirasingh7428Yes thats right. I was thinning and no, after two years my hair still remain thinning despite Im using finasteride in two years
Is 0.625mg of oral minoxidil still effective?
I suppose it’s better than not taken anything? But I take 5 mg of oral minoxidil every day it’s way less hassle than topical and it actually works because it goes systemic and goes into the liver where the enzymes are! About roughly 40% of men haven’t enough of the enzyme in the scalp to allow topical minoxidil to work, I know I haven’t because I was using the bloody stuff for years and I didn’t say anything! I started taking oral minoxidil and within five months my hair density doubled!
@@christianblake3997 isnt oral minoxidil risky? Can you not use it on alternate days? Or do you have to use it everyday, also won't oral minoxidil grow hair everywhere. Even on your body
Hair cloning is needed to fix these problems. I think first we will have hair regeneration through wounding with Verteporfin injections, which will show some improvement, but likely not to the point of cosmetic acceptability.
Even with hair cloning, I think it will often require 2 implants to get 80% normal density, just as with a typical hair transplant. The only way around this problem I can see is through an injectable to grow new hair follicles where they don't or no longer exist, which from a logical perspective seems impossible to me. I hope I am wrong. The other thing to worry about is cancer. It has been my thought that if we changed the dermal structure to contain more gamma delta T-cells, then maybe we could regenerate hair easily upon wounding as do mice. Problem is messing with this can be a cancer risk.
It was found that hair was able to be implanted into humans in 2015 from hair organoids but they grew in odd directions. As long as the hair cycling, color, thickness and texture is worked out, the scaffolding we have now should allow for hair to grow in the correct direction but will have to be angled to work with the directions one's hair grows and where. It is complicated. I have no idea how they're going to work this all out.
Doctor but the follicles are still there and only the hair is thinning.
I am on minoxidil for about 5 months and nothing has improved
Was on finastride for about a month and after I discovered side effects
Don’t think I need a transplant as of now just want to know how can I make those hair thick as that of in crown area. Hairline is also good
Please help
Could be thyroid issue or gut issues such as IBD, IBS, colitis or ulcer. But always check with doctor for health test
@@ayadhussin6771 brother I didn’t get it
Please elaborate why am i not getting any improvements after using minoxidil and should i go for topical finastride
@@ayadhussin6771 brother what about the mix of topical finastride with topical minox.
It’s easily available in india
Listen mate, about 40% of men don’t have enough of the enzyme in their scalp to convert topical minoxidil and will have little to no improvement no matter how long you use the bloody stuff! If you take oral minoxidil minimum 2.5 mg per day but I take 5 mg a day you will see the benefits as it goes systemic and gets absorbed into the liver but that’s for you to choose, for me it was a no brainer having used topical finasteride and topical minoxidil none of which penetrated my scalp and just left my hair looking shit! If you go oral you will go systemic and the body will absorb the drug a lot better if you don’t then don’t expect any growth it’s that simple!!!
@@christianblake3997 Applying tretinoin 0,025 will increase the enzyme thus enhance topical minoxidil efficacy and its proven to work for non-responder.
Also microneedling makes minoxidil penetrate and reach follicles
i wouldnt take any info or advice from dr russell Knobson, had a consultation with him a long time ago and he was so rude for no reason. And just insulted me the whole time and took my money, listen its clear he has no skill or place to do hairtransplants. I mean look at his work its a joke. Go over seas
It consirns me that your are advicing people to be on monoxidle and fanestaride for the rest of their lives not knowing the long term effects of the drug and with one of the side effects of fanestaride being cancer, even though its states rare,, I don't think it should be promoted, and do u know the effects of monoxidle, the contents?
Listen mate, they’re not forcing it on you they’re not even selling it to you they’re just telling you that if you wanna keep your hair this is what you have to do do, you not get that? there is no cure for hair loss there is only medication to slow it down and they are minoxidil (taken orally is better) and either finasteride or Dutasteride! You can have all the hair transplants in the world but once DHT catches up the hair follicle will start to miniaturise and eventually fall out and you will be left looking like Coco the clown!
I really don’t see why people like you come onto these channels and just badmouth the people trying to give advice? If you don’t want to take the fucking truck then don’t fucking take it and go fucking bald!!! Yes these drugs you have to take for the rest of your life all for as long as you want to keep your hair we all know that you seem to be the only prick that doesn’t!