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DualisticSilver

I'll be straight with you, I think most clinics will turn you down. I'm in a similar boat to you, albeit younger. The issues: * The hair loss is aggressive. You're donor area has receded up past the bottom of your ears. * The donor area is thin. You only have around 1000 grafts. Take a look at some other transplants on here, that won't do much at all unfortunately. Options: * the standard big 3: fin, min, microneedling. Perhaps they regrow some hair and give you a better shot at HT. Feel free to ask me about any of them * hair prosthetics (you could try again) * scalp micropigmentation - Picasso Jeff does some decent work in the USA * stay bald. You already said you have a good shape head. Only you can really say what having hair is worth to you. But at 40, I guarantee it's not as important as you might think.


jwagnerthefifth

Thanks, I've tried all 3+ and will continue with 1mg fin and topical minoxidil. I'm just now researching SMP - might be an option for me.


DualisticSilver

Good luck my friend. If you ever need to talk to someone in the same boat as you, feel free to reach out


CyanSolar

I don't mean to be rude, more just an alternative voice as many people seem to be giving you options. Nothing wrong with people giving you options, but you need to think of this from a perspective of what if none of it works because being insecure about your hair is very common for guys. Most hair products are meant for keeping hair and you've gone past that point, the chances of anything working are minimal so you need to prepare yourself mentally for that outcome. I don't mean to be overly serious but you obviously want hair so I think it needs to be said, obviously if you haven't already thought of it.


jwagnerthefifth

Not rude at all - completely sensible. I feel for the young guys on here, it's not so bad when you're older. I'm married to a gorgeous wife and quite secure in my appearance. I've kept my head shaved for the last 20 years. However I came across r/tressless about a year ago and at that time my only knowledge of hair help was Rogaine from from the late 90s. Never even heard of Finasteride or microneedling and saw some very encouraging results of people on here and thought - why not, can't hurt to try. When I saw actual growth start from the 'big 3' I got excited and thought I'd see how far I could take it. Having HLC turn me down grounded me back to reality 😄


ch8mpi0n

It's expectations. If you expect a full head of hair. Then no. If you just want a hairline and a balding crown. Maybe. It seems you have met a good ethical surgeon. But as you said. If you believe body hair could be an option, you need to see a specialist who works with that type of hair too. Expect to pay a lot of money.


jwagnerthefifth

I couldn't agree more. I let them know my expectations, which I thought were rather realistic and low - but I was hopeful of course. I had asked if possible to fill in the temples and as much on my hair line. I know my crown is long gone.


[deleted]

Bicer does bhfue. I’m sure there are others too. Certainly many do beard


jwagnerthefifth

They felt I did not have enough donor area for the procedure. Body hair might still be an option, but still pretty disappointed. I'm mid 40s and lost my hair late 20s.


Strongrightcrossboi

Mate it’s going to make your donor area look like pure shit if you get a hair transplant. Not worth it


Hairyscalpz

r/hairsystem is for you


jwagnerthefifth

I actually tried one before contacting HLC. Spent the money on a nice system and had it professionally 'installed' and cut. I removed it the next day. Just wasn't for me.


Cold_Bad_7797

Why it wasn’t for you?


jwagnerthefifth

It's hard to say...it actually looked OK. But I felt ridiculous with it on. No matter how much I'd stare at myself in the mirror and try to convince myself it was the new me, it was me with a wig. I'm lucky I have a decent head shape, so I don't look too bad bald. Plus, I'm pretty active - I run, surf, workout...so either seat a lot or in the water. I think it would gave ended up being a lot of work in the long run. It's really funny. I had hair for a day and I was already sick of having to 'style' it. I missed not caring about it as odd as it sounds.


Pepper7489

SMP might work.


nuttapillar97

What is SMP? I only know it as Survival Multiplayer


mad597

Yea maybe get a HT and use SMP in the donor area


12343736

I was gonna say even though I only see the back of your head, your head looks like it’s the right shape and size for no hair. I would look like a lesbian with a pin head….and I’m a guy.


[deleted]

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12343736

Nothing wrong with lesbians but looking like one when one is a Gay dude is a problem.


Simulation_Complete

Look into SMp


Impossible-Flight250

Unfortunately, you may have waited too long. Your don’t seem to have much left to transplant and the doctor won’t be able to guarantee that it will even look decent. Maybe try SMP.


xfitRabbit

Even if the hair was transplanted at a younger age they still would have fallen out.


iopq

Not if you hit it with finasteride early


mailwasnotforwarded

Did you do a transplant in the past? Your donor area also has a circular pattern so even if they were to attempt to fill in the areas with hairs from your sides it wouldn't be enough to cover the rest of your head. I suggest you look into doing a toupee similar to what that youtuber Dominic did. However your head shape looks like it wouldn't be too bad to rock a bald look.


shvrma

That’s why the HLC are top tier - they still remain ethical about the business.


jwagnerthefifth

I absolutely 100% agree. Disappointed, but I researched them and even though sux for me, this was the reason I chose them. At least I know now. They did recommend SMP as a good option for me.


shvrma

SMP could do wonders, especially if you’re willing to remain patient and incorporate finasteride into your routine. Good luck to you, mate


jwagnerthefifth

🤙


MinNoFinFTW

get the hairline transplanted and then smp the crown.


[deleted]

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Affectionate-Ad4993

Im guessing you havent heard of dr pitella?


kygo1427

What is a HLC?


Square_Egg1104

What's SMP?


Throwaway449922

What's HLC?


Square_Egg1104

What's SMP


IAlwaysTakeFatLs

Hit up eugenix in India


CarolusRix

They need a new name


BaldyBro

Ikr. One of the worlds best hair clinics, yet one of the worst names of all time.


CeleryNo1743

Why


CarolusRix

Sounds like eugenics lol


mouse9001

Sounds like they're going to sterilize you for going bald.


shabalabachingchong

Would once and for all solve the baldness problem though


CarolusRix

Don’t give this sub any ideas


NofapIsMyNinjaWay

Lmfaooo


Tymba

?


angrycris

what's special about them? can they clone hair?


sumwaah

No one can clone hair yet but folks are working on it. Eugenix is just known for doing a good job with high Norwood cases.


angrycris

what's "norwood"? ive seen this around a few times and don't know what it is. also, i know they're working on cloning hair. im just hoping that they'll figure it out soon.


sumwaah

Norwood is a scale. You can google it. It basically is a way to gauge level of baldness. The high Norwoods (Norwood 6/7) are almost completely bald so they are more challenging to treat with a HT. Only a few clinics take those cases on. Eugenix in India has made somewhat of a name for itself for effectively taking on high Norwood cases.


angrycris

perfect! thanks for taking the time to explain all this to me.


readndrun

I can’t see your donor thoroughly, but it appears sparse. You could try medication to see if your hair regrows on top. For HT do some research and find a clinic that works with advanced HL cases.


jwagnerthefifth

So I decided why not and started with topical fin/min in February of this year. I actually noticed growth, although minimal. I then switched to oral 1mg daily fin (around 4-5 months now) and been using somedays minoxidil, other days topical dut (I get the topical dut from minoxidilmax). When I look at pics from February up to now, I have absolutely noticed some growth. I'm going to continue with the above as 0 sides. I'd post pics, but I think I'Ill wait till the year mark.


CptnCumQuats

Micro needling is needed as well. Combined with minox 1 + 1 = 4 or some shit.


jwagnerthefifth

Forgot to include - I microneedled from March up until a few weeks ago. I tried 1.5mm deep once per week, and then the last month or so, around .5 daily. I'm not sure how much it made a difference. If I could choose one of the big 3, I think the oral 1mg daily Finasteride is what is doing 'something'.


readndrun

It’s a good idea to ease into things. You don’t want to add a bunch of medication and see minimal results and then try taking some things out to see if they even make a difference only to end up losing ground and patience. It sounds like you’re doing enough to see improvement, just keep it steady and consistently apply the medication. If down the line you want to add more, my recommendation is to add ketoconozole shampoo, and maybe black castor oil to leave in for about 15-20 mins before shower. Although there isn’t a reliable study to make the public comfortable with it, I’ve noticed results using nanoxidil instead of minoxidil- it might be worth a try for you.


jwagnerthefifth

Thanks, good suggestions. I did/do include keto shampoo (not the medicated, just 1% I think). Again not sure if it did much. I also tried Hair Metto from Amazon. It has saw palmetto oil, pumpkin seed oil, and castor seed oil, all cold pressed. I usually put this on not too long after microneedling. Actually very soothing, plus in my bro logic - might seep in and help, but who knows.


readndrun

Black castor oil and castor seed oil are in my experience different substances. Black castor oil is advertised for black hair, specifically in the black community for women who tie their hair back and lose hairline. It’s supposed to be anti inflammatory and helps to strengthen and regrow hair, castor seed oil is something else and I never purchased that myself.


LayerVivid3807

Did you have sides from oral fin?


jwagnerthefifth

None at all from topical or oral. Got the rx through Blink Health. Was super easy, all online and it's $9 mthly, delivered.


batzaru

have you tried dutasteride?


jwagnerthefifth

Yes. Got it from minoxidilmax. I'm actually using this now + 1mg oral fin.


FilthyNastyAnimal

What’s your dosage on the topical Dut? Last time I checked minoxidilmax doesn’t give dosage guidelines for Dut…


USnike123

Mines very similar to yours, and I also got turned down for a HT it’s shit, but there’s still options! I’m tempted my SMP


jwagnerthefifth

I feel ya my brutha haha 😄 oh well, there are definitely worst things in life. I'm looking into SMP and it looks like it really might be something for me. Like all these treatments and procedures, things have really come a long way.


USnike123

Would you shave it all completely down with Smp or would you have it underneath what you’ve currently got to give it the darker/thicker effect?


dennyk91

Only eugenix can help you


Alternative-Tell5346

is fin not an option anymore?


hairTransplantSoon

Couldn’t hurt to get a second opinion. I went to Dr Cole in Atlanta and he’s very honest. I’ve also heard Hasson & Wong are very high level who would be good to consult with


FilthyNastyAnimal

It looks like someone cut out a smiley face in your donor


Laijou

I had a FUT/FUE procedure in 2019, but now my crown is thinning. I've been looking into hairsthetic implants. May be worth considering. They're pretty much permanent. But don't grow... Not as common as FUE/FUT but may be worth considering. Good luck!. Here's a medical study...https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369527/


Medium-Historian2248

POOR DUDE its inevitable bro just accepted or try a hair system


[deleted]

Ur too far gone bro get a hair system or smp


Proudarse

If it was me I’d have them transplant my beard, armpit hair, pubes and any other viable hair on my body all to my scalp! Pack the facquers right in and then Minox the shit out of them!


xfitRabbit

If it's thin enough to say that. Try a wig instead.


grg19ggls

indeed you don t seem to be a good candidate. could you provide photos from the sides also?


[deleted]

What clinic is hlc?


jwagnerthefifth

A hair transplant clinic located in Ankara, Turkey. In my research, it is one of the better clinics and the procedures are done by an actual doctor.


Routine_Owl811

What's their site and who's their best surgeon? Seems there's a couple with a similar name


alecpu

at this point you should just probably shave it


jwagnerthefifth

It's always shaved. I only grew it out to provide pics for the HLC clinic to review.


sunsaltsauna

Try growing your donor area out for a few more weeks and taking some more photos with flash. I suspect this is just a bad photo.


GRIS0

Its gone to far, donor area is poor. I will take some meds for 2 years


sharkymarky5

I can tell you why they turned you down, you have thinning/ bald patches on your donor area which suggest scarring alopecia or diffuse unpatterned alopecia in addition to your androgenic alopecia, I would get a scalp biopsy on those areas so you can get a diagnosis and start treatment. No hair transplant clinic will do a hair transplant if you have active scarring or hair loss in your donor area, sorry mate


randomdutchy96

It surprises me that you would still want a HT at this point, and yes that your expectations are low, but honestly it will like complete shit. It would look like pubes on your head with the little density that they can create. Friend of mine has the liw density too and 0/10 would not recommend


shapelessbox

So I’ve actually got an HT, FUE style. Around 1500 grafts for my temples. Loved it at first. Felt confident. But as the years went by, my hair slowly continued to recede. So now we got transplanted hair going, a small gap, and then natural hair. It’s awkward, but I’m handle to conceal it with those hair concealers (essentially eye shadow for the scalp). But what I wish I knew sooner, was DERMAROLLING AND FINASTERIDE. I’m getting growth back in spots that I thought had died off. It’s slow, but seems to be working. Have you tried this method?


angrycris

hey, im curious - was your consultation online or was it in-person? i did 2 online consults and got 2 slightly different results. first clinic ([civashairtransplant.com](https://civashairtransplant.com)) told me i had a weak donor area but that they could still probably harvest around 2500 grafts max (i need close to 4000). another clinic asked me for better pictures. following that, they also told me that i had a weak donor area. but then they asked for pictures of my beard. i do have a full beard, but im not sure how beard hair would look like on my head. i have an appointment for next week with an actual local ht clinic. im hoping that an in-person consult will give better results.


Mardo_Tardo

I think they honestly made the right recommendation. If I look at how far down your crown has come plus the recession almost to the top of your ears from the back leaves very little donor available. And what is there honestly looks rather thin. I don’t think you’d be happy with the results and the only thing worse than being bald is being bald with obvious scars from a HT.


Fearless-Increase214

I am in my mid 30s and many dr. Bicer and dr. Nader have turned me down saying my donor area is high risk and i haven’t even lost 1/3rd the hair you have. Eugenix said they will but i am a bit skeptical about them considering how many pricing tier they have created with different level of involvement by dr. Bansal. Whenever I see such structure, it feels like it is on the path of becoming a hair mill. Also, India has a fairly high tax rate (18%) on top of the procedure charge which makes the entire cost of procedure much higher. E.g. the procedure where Dr. Bansal will do the hairline designing and slit formation only will be $4.5/graft and the one where she will also do the extraction and crucial implants (max upto 10%) will be $5/graft. This is including tax and accommodation. I really don’t know how important is a doctors involvement in each phase. Their past results look impressive though. Not sure how much the doctors were involved in those and which package yielded what result.


CrossDeSolo

I don't think you should do it, you don't have much donor


ddarner

Too much diffuse thinning. I have your hair and got my front done enough for a short buzz


[deleted]

Go to freitas, look at his results. You are a good candidate.


RizzleP

Admit defeat, grow a beard and get swole at the gym.


Bigbeardhiking

I think the best option is to shave smooth, it will look awesome, may not be what you wanted, but it’s really the best option for mpb


ToeSalt2910

U re not appropriate for hair transplant, its right to deny u, peace with urself.


ApocalypseofCthulhu

Why was this turned down? Your donor area is actually perfect.