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Dr. Ron Shapiro - 2917 Grafts/5557 Hairs - Hair Transplant Clinics - Hair Transplant section - Hairloss Experiences Hair Loss Forum  Rate Topic 
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 Posted: Fri Aug 20th, 2010 09:04 pm
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janna
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A 12 months follow up appointment was held over the phone today.   Patient had diffused thinning throughout the top half of his head with persistent frontal forelock hairs.  From the front, his loss was difficult to assess but top and side views reveal his hair loss in better detail.  Since the patient is in his mid 20’s, Dr. Ron Shapiro took the cautious approach (hairline was not brought down, coverage addressed a large area).  And, the patient was made aware of the risks of shock loss and possible future ht work if hair loss progressed. 

With his results from SMG and his daily regimen to keep his native hairs, he is absolutely thrilled with the coverage, density and naturalness.  If he does lose more, he stated he’d gladly come back to SMG. 

We chatted about the effectiveness of the low level laser.  He felt the laser along with Propecia worked well to keep his native hairs.  The typical 14-15 shed hairs he used to see in the mornings dwindled down to 5-6 hairs.  We’re pleased he has not noticed further hair loss progression and that he couldn’t be happier with his HT results. 

Daily regimen:  Propecia, biotin, vitamins & hand held low level laser treatments

Graft/Hair count:  2917 Grafts - 5557 Hairs

1's - 876

2's -  1516

3’s – 451

4’s - 74

 

Before & Immediate post op pics  











 













 



















 



____________________
Clinic Director
The Maitland Clinic
janna.shafer@themaitlandclinic.com
Patient Care Srvcs & UK Patient Advisor for Shapiro Medical
janna@shapiromedical.com
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 Posted: Sat Aug 21st, 2010 11:26 am
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bullitnut
4 awesome repairs with SMG


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looks fantastic!! , he must be thrilled with how dense this looks... and the meds seem to be working there magic holding on to his native hair which is cool;)

he looks to have very thick donor hair and plenty left for the future if needed, do you have any donor scar piccies?

another great job guys!¬b`

 

 



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1.http://www.hairlosstips.co.uk/html/my_repair_with_smg.html
2.http://www.hairlosstips.co.uk/html/my_repair_stage_2.html
3.http://www.hairlosstips.co.uk/html/my_repair_stage_3.html
4.http://www.hairlosstips.co.uk/stage4/
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 Posted: Sun Aug 22nd, 2010 11:46 pm
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Westcoaster
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Love the cautious approach.. excellent curly donor hair for coverage.

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 Posted: Tue Aug 24th, 2010 09:36 am
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NW5a
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Great transformation ... !



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Rep for Hattingen Hair Transplant
http://www.hattingenhair.com
Email: info@hattingenhair.com

My Blog.
http://www.hairlossexperiences.com/gallery_view.php?user=29
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 Posted: Wed Aug 25th, 2010 03:08 am
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dodger1
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Awesome results!  Looks as if he has great hair characteristics as well.   



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My blog
http://www.hairlossexperiences.com/gallery_view.php?user=444&folderid=none
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 Posted: Fri Aug 27th, 2010 12:07 am
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janna
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Thanks guys, We appreciate your comments.



____________________
Clinic Director
The Maitland Clinic
janna.shafer@themaitlandclinic.com
Patient Care Srvcs & UK Patient Advisor for Shapiro Medical
janna@shapiromedical.com
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 Posted: Thu Sep 2nd, 2010 08:08 am
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winigra
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Hello,
        Thanks for sharing this information. I want this type of information about hair transplant more because i want to do this in future.


thanks

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 Posted: Fri Sep 3rd, 2010 01:43 am
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karmenelec
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Heya dodger1, how's your progress going? Any sprouting yet?

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 Posted: Tue Oct 5th, 2010 05:59 pm
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janna
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A request for more pics of this patient with wet hair was asked on HLH.  This patient has been more than gracious to send variety of pics, including the new pics with wet hair.  We need more patients like him......hint, hint to those of you who keep putting me off on this.   











 



____________________
Clinic Director
The Maitland Clinic
janna.shafer@themaitlandclinic.com
Patient Care Srvcs & UK Patient Advisor for Shapiro Medical
janna@shapiromedical.com
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 Posted: Tue Oct 5th, 2010 07:48 pm
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bullitnut
4 awesome repairs with SMG


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holy moly that one hell of a head of hair hes got now Janna...the hairline is beautiful¬b` thanks for the extra pics.....always cool when a patient sends updates

nutster:T:



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1.http://www.hairlosstips.co.uk/html/my_repair_with_smg.html
2.http://www.hairlosstips.co.uk/html/my_repair_stage_2.html
3.http://www.hairlosstips.co.uk/html/my_repair_stage_3.html
4.http://www.hairlosstips.co.uk/stage4/
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 Posted: Wed Oct 6th, 2010 01:43 pm
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Masher
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Ain't life a wonderment, when you see pics like this, not to keen on that beard though! lol

Mash



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HT with Shapiro Medical end Oct 2009 approx 2300-2400 grafts with Sir Ron.
The good lord created a few perfect heads-the rest he covered with hair! lol
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 Posted: Fri Oct 8th, 2010 03:47 pm
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dazza uk
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Looks Great ¬b`

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 Posted: Fri Feb 9th, 2018 03:48 pm
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hdude46
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Hey Janna, I know this is an old result but I noticed this patient was using low level laser. Do you know if Dr. Ron recommends the laser comb to his patients? Or does he think the Capillus cap is better? The price tag between the two is a bit steep and was wondering what the major differences were. Thanks!

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 Posted: Mon Feb 12th, 2018 10:05 pm
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R Shapiromd
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I can't give you a definitive answer about laser treatment. It has been used now for many years and there are a lot of studies that show it can be effective...sometimes as much as Rogaine.  So I think it works for some people.  But there are others that feel it does not. Therefore the only way to know for an individual is to try it themselves for at least 6 months and see if it works for them. That is not a great option but the only one that will really let you know if you are responsive. 

If you do not show improvement then you can make your own judgment. However, there will be those that say ...not progressing is actually a benefit....but unless you were progressing fast it is hard to know if this is occurring.   
As far as if the more expensive lasers work better is questionable. They have more power, but you are only supposed to use the laser for 20 -30 minutes 3 times a week so I don't know.
With respect to cost, if the laser works you would use it for life so it turns out over the long haul not to be so expensive. If you use it for 1 year, a $2000 laser is ~$3 per day.  Do you have family members who can share and share the cost?  If you try it and don't like it, it is a loss of money.

Bottom line is that if it is a financial stress you may want to start with the less expensive ones.  If you have the extra money you can try this. I do think it is worthwhile to try something if you are worried. 

It is my belief that the relative effectiveness of different medical therapies is as follows:

1. Propecia or finasteride is the best with  90 percent of patients getting some degree of regrowth or the prevention of progression. At least 50 percent of those have very significant regrowth. Of course, the risk of the side effects ( a controversial subject) has led many to not take or stop this medication. It is unfortunate as there is no question this medication works well. A patient has to decide if it worth the risk for him to try. This is the topic of another subject and I won't comment more here. I will leave a link to Dr. Robert Bernstein’s website that goes to his page where he has over 140 examples of patients who we treated with Propecia and Rogaine alone. I think it is a good page for patients to see if they truly want to know how beneficial Propecia could be to them. However once again…due to the potential side effect …even if it is a low risk a patient has to decide what is more important to them…. More hair or not taking the risk of the side effects. We can only give them the data.  

The link is  https://www.bernsteinmedical.com/medical-treatment/patient-photos/]


One other point. Propecia is now available in a topical form and a few companies …especially one in Italy has developed a delivery system that supposedly limits systemic absorption and keeps most of the product local. So for those that are afraid of the side effects at the typical 1mg orally per day, an alternative method could be the topical …or going to a lower dose oral regime of 1 mg  3 times a week….which is suppose to be ~80 percent as effective as the regular dose…so still good.


2. Rogaine (Minoxidil) is also definitely effective. It is the second best. It is not as powerful as Propecia but at least 50 percent of people have either some regrowth or a slowing of the hair loss. The degree of regrowth is not as much.  For about 30 percent of those that respond it is very very good…but for the rest it is milder. And 30 percent of people do not  have any benefit. There is a new (actually old) way to prescribe this medication by pill and we think it may be more effective and obviously simpler to take than applying lotion every night. It has been used this way in Asia for over 20 years with good results. The risk of side effects appears to be low. Minoxidil used to be used as a BP medication at dose of 20 -100 mg per day and the side effects that are in the literature have mostly to do with those doses.  At the dose used for hair growth. 1.25 mg to 2.5 mg  which is much lower  these side effects have  do not seem to be an issue.  So for those that don’t take3 rogaine due to it being messy, this is an option now.


3. Laser therapy is the third best. I think in some people it is as good as rogaine. But in others not. Unfortunately unpredictable.


I think combined therapy is more effective than single therapy as they all work by different mechanisms.

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 Posted: Wed Feb 14th, 2018 02:39 pm
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hdude46
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Thanks for your response Dr. Ron. I guess like all things what works for one patient may not work for another and vice versa. I think I'm going to give the Hairmax laser comb a whirl. Worst case scenario is that it doesn't work and I return it for a refund. I already use rogaine foam and a dht blocker along with Nizoral once a week so this will be another good addition to my regimen. For whatever reason my frontal 1/3 seems to be the most resistant in terms of responding to medical therapy.

Last edited on Wed Feb 14th, 2018 02:42 pm by hdude46

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 Posted: Wed Feb 14th, 2018 08:10 pm
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R Shapiromd
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I THINK THE HAIR MAX[ WHICH WAS THE ORIINAL LASER] IS ONE OF THE BEST AND MOST AFFORDABLE. THIER NEW LASER BAND IS FAST AND EFECTIVE BECAUSE IT SEPARATES THE HAIR TO MAKE SURE THE LIGHT REACHES THE SCALP

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 Posted: Thu Feb 15th, 2018 03:25 am
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hdude46
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Dr Shapiro, in your practice do you find that the frontal 1/3 seems to be the most resistant in terms of responding to medical therapy?

Last edited on Thu Feb 15th, 2018 03:25 am by hdude46

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 Posted: Fri Feb 16th, 2018 08:41 pm
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R Shapiromd
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Both Propecia and Rogaine work on the entire recipient area front and crown, But it probably is less dramatic in the front because more hairloss has already occurred there. It work best on miniaturized hairs so if one starts earlier the effects are better everywhere. If one has already gone"bald" in an area it can still help but much less dramatically.

So in general we see more effect in the crown because most people use it with early thinning. I guess that means the answer is yes.

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