Surgeons skilled at FUE for higher norwoods, 4000+ grafts?

[Blixa Haar...fell]

Hi everyone,

I'm off for an in person consult with Dr Bisanga in early September, and am in communication w/Dr Muresanu (my first choice). Previous to this last round of photos I produced for doctor Muresanu, he quoted me around 3500-4000 grafts. However, those were from photos inate 2020, directly before I shaved my head - these days I've shaped up to be a genuine Norwood 5. I imagine my graft count would need to be much higher - closer to 4200-4500.

Out of curiosity - are there any doctors that spring to mind - preferably, but not only in the EU - that you may know of who are ethical, FUE focused, and have produced good results in Norwood 4-5 patients? Muresanu is still my first choice - but I realize there might be a doctor out there I've never even heard of.

Currently my medication route is as follows - .625 mg oral minoxidil daily, microneedling once per week, nightly Alfatradiol, and ketoconazole shampoo.

 

[loui]

Hi everyone,

I'm off for an in person consult with Dr Bisanga in early September, and am in communication w/Dr Muresanu (my first choice). Previous to this last round of photos I produced for doctor Muresanu, he quoted me around 3500-4000 grafts. However, those were from photos inate 2020, directly before I shaved my head - these days I've shaped up to be a genuine Norwood 5. I imagine my graft count would need to be much higher - closer to 4200-4500.

Out of curiosity - are there any doctors that spring to mind - preferably, but not only in the EU - that you may know of who are ethical, FUE focused, and have produced good results in Norwood 4-5 patients? Muresanu is still my first choice - but I realize there might be a doctor out there I've never even heard of.

Currently my medication route is as follows - .625 mg oral minoxidil daily, microneedling once per week, nightly Alfatradiol, and ketoconazole shampoo.


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You still have lots of hair in the NW5 area even though it looks like thats where you will end up yes. You might want to contact a Dr and discuss the potential use of Finasteride to try to slow down your loss if you go the hair transplant route. Minoxidil is more of a compliment, it will not reduce your DHT like Finasteride.

Dr Muresanu is a capable Dr. Another name would be Dr Tsvetelin Zarev. I have seen a case just like yours from Dr Bruno Ferreira, its a guy who does youtube videos and hes around on many forums and facebook groups, called Rolandas. Its one of the better NW5 cases I have seen.

 

[Bigmac]

If you search 4000 - 4500 - 5000 grafts on here you will see a lot of results. I agree that you consider Finasteride to prevent or slow down further loss. There are capable doctors out there who can fulfill what you want.
Dr Bisanga or Dr Muresanu, your choices would both be able to provide what you want.

 

[Blixa Haar...fell]

You still have lots of hair in the NW5 area even though it looks like thats where you will end up yes. You might want to contact a Dr and discuss the potential use of Finasteride to try to slow down your loss if you go the hair transplant route. Minoxidil is more of a compliment, it will not reduce your DHT like Finasteride.

Dr Muresanu is a capable Dr. Another name would be Dr Tsvetelin Zarev. I have seen a case just like yours from Dr Bruno Ferreira, its a guy who does youtube videos and hes around on many forums and facebook groups, called Rolandas. Its one of the better NW5 cases I have seen.

 

[Blixa Haar...fell]

Hey, thanks for your response.

Finasteride. Well, I tried it at as a pill, EOD at .25 mg. Then topically at 0.1% every day, and finally a once per week application of 0.1% topical Dutasteride. In every case, I experienced a hideous and frightening brainfog. I appear to be deeply sensitive where inhibiting 5 AR is concerned, which is why I am supplementing with Alfatradiol, Fluridil and Keto shampoo.
I've recently read about a homemade 0.005% solution as well. In my case it may be necessary to start that low.

Thanks for your recommendation of Zarev and de Freitas. I believe the YouTuber you are describing is Mr Rolandas. He seems like a good natured guy, and his result is phenomenal.

 

[Blixa Haar...fell]

If you search 4000 - 4500 - 5000 grafts on here you will see a lot of results. I agree that you consider Finasteride to prevent or slow down further loss. There are capable doctors out there who can fulfill what you want.
Dr Bisanga or Dr Muresanu, your choices would both be able to provide what you want.

Ah yes, the search function!

I missed the obvious. I feel like I put my parents' generation to shame where these such things are concerned. I'll look that up immediately.

 

[Bigmac]

Because you can’t use oral or topical Finasteride maybe you could ask Dr Arvind for more information on his Gene therapy.

Gene Therapy for hairloss (45 day update)

Video of a recent patient who underwent Gene Therapy for hairloss. His treatment started 45 days ago when he received the first session. Thereafter, the patient has been using Dermaroller 1mm once every week and applying the custom Resveratrol-Grapeseed extract serum daily. He has not used any...

www.hairlossexperiences.com

Would you say the brain fog was worse with the pills or about the same when using the topical?

 

[Blixa Haar...fell]

Would you say the brain fog was worse with the pills or about the same when using the topical?

Never heard of this gene therapy before, thanks for the link.

I'm going to try a .005% concentration of topical Fin mixed with Stemoxydine first - I just saw some interesting stuff about an early study on topical fin where that particular concentration showed the least serum DHT being affected.


Thanks for asking about the brainfog. With the pills I felt more of a generalised change in mood, brain and sexual function. There was fog for sure, but with other noticeable sides as well, unfortunately.


With the topical, the fog was incredibly pronounced. I forgot how to complete a sentence. Even untying knots in aprons at work became difficult.


I make no bones about having less than neurotypical brain chemistry - pretty bad adult ADHD, depressive stuff, and I've also working a program of recovery. I mention this, because perhaps I am particularly sensitive to neurosteroidal changes.
0.1% topical Fin had a pretty bad and serious impact. But the more I read about it, the less I feel surprised by this - I wasn't exactly taking a microdose, and a guy w/my mental health profile really ought to be. I'll check in again after starting up again, if that's alright.

 

[Bigmac]

Unfortunately, some people do get these sides. It is possible your ADHD is effected, therefor you need to proceed with caution and under medical supervision/advice.
I hope you can find a treatment plan that works with little to no sides.

 

[loui]

Never heard of this gene therapy before, thanks for the link.

I'm going to try a .005% concentration of topical Fin mixed with Stemoxydine first - I just saw some interesting stuff about an early study on topical fin where that particular concentration showed the least serum DHT being affected.


Thanks for asking about the brainfog. With the pills I felt more of a generalised change in mood, brain and sexual function. There was fog for sure, but with other noticeable sides as well, unfortunately.


With the topical, the fog was incredibly pronounced. I forgot how to complete a sentence. Even untying knots in aprons at work became difficult.


I make no bones about having less than neurotypical brain chemistry - pretty bad adult ADHD, depressive stuff, and I've also working a program of recovery. I mention this, because perhaps I am particularly sensitive to neurosteroidal changes.
0.1% topical Fin had a pretty bad and serious impact. But the more I read about it, the less I feel surprised by this - I wasn't exactly taking a microdose, and a guy w/my mental health profile really ought to be. I'll check in again after starting up again, if that's alright.

Just remember always that mental health is more important than hair. In the end its "just hair". Also becareful who you decide to do your surgery as it can affect the mental health alot with a botched result.

I hope you find a solution that works for you on the medication side of things.

Best of luck to you.

 

[Eugenix Hair Sciences]

Hi everyone,

I'm off for an in person consult with Dr Bisanga in early September, and am in communication w/Dr Muresanu (my first choice). Previous to this last round of photos I produced for doctor Muresanu, he quoted me around 3500-4000 grafts. However, those were from photos inate 2020, directly before I shaved my head - these days I've shaped up to be a genuine Norwood 5. I imagine my graft count would need to be much higher - closer to 4200-4500.

Out of curiosity - are there any doctors that spring to mind - preferably, but not only in the EU - that you may know of who are ethical, FUE focused, and have produced good results in Norwood 4-5 patients? Muresanu is still my first choice - but I realize there might be a doctor out there I've never even heard of.

Currently my medication route is as follows - .625 mg oral minoxidil daily, microneedling once per week, nightly Alfatradiol, and ketoconazole shampoo.


View attachment 33627View attachment 33628View attachment 33629View attachment 33630

You should try medications for at least 8 to 12 months. Finasteride being the most important medication. You can observe the results of the medications and then you can accordingly decide whether you would even like to go for transplantation after that.

 

[Blixa Haar...fell]

Just remember always that mental health is more important than hair. In the end its "just hair". Also becareful who you decide to do your surgery as it can affect the mental health alot with a botched result.

I hope you find a solution that works for you on the medication side of things.

Best of luck to you.

Thanks very much for your feedback.

 

[Doron HDC coordinator]

At HDC clinic we preform 5000+ grafts pee session (sometimes 3 days of surgeries), in your case I am not sure if 4000+ will be good to you in one session since it may overharveste your donor.

If you interested in consultation you can PM or WhatsApp +972526542654, you need to grow your hair for 1-2 weeks for better estimation.

 

[baileyngabriel]

Hi everyone,

I'm off for an in person consult with Dr Bisanga in early September, and am in communication w/Dr Muresanu (my first choice). Previous to this last round of photos I produced for doctor Muresanu, he quoted me around 3500-4000 grafts. However, those were from photos inate 2020, directly before I shaved my head - these days I've shaped up to be a genuine Norwood 5. I imagine my graft count would need to be much higher - closer to 4200-4500.

Out of curiosity - are there any doctors that spring to mind - preferably, but not only in the EU - that you may know of who are ethical, FUE focused, and have produced good results in Norwood 4-5 patients? Muresanu is still my first choice - but I realize there might be a doctor out there I've never even heard of.

Currently my medication route is as follows - .625 mg oral minoxidil daily, microneedling once per week, nightly Alfatradiol, and ketoconazole shampoo.


View attachment 33627View attachment 33628View attachment 33629View attachment 33630

I might be in the same boat as you. Even our hair loss looks almost the same. Someone mentioned a doctor in Turkey, and his results look insane, but I don't remember the thread. Are you looking for alternatives in Turkey? After that user's photos, I've been seriously thinking of a hair transplant. I feel like fin had no effect on my hair whatsoever. Does your "medical route" work for you?

 

[James34]

Never heard of this gene therapy before, thanks for the link.

I'm going to try a .005% concentration of topical Fin mixed with Stemoxydine first - I just saw some interesting stuff about an early study on topical fin where that particular concentration showed the least serum DHT being affected.


Thanks for asking about the brainfog. With the pills I felt more of a generalised change in mood, brain and sexual function. There was fog for sure, but with other noticeable sides as well, unfortunately.


With the topical, the fog was incredibly pronounced. I forgot how to complete a sentence. Even untying knots in aprons at work became difficult.


I make no bones about having less than neurotypical brain chemistry - pretty bad adult ADHD, depressive stuff, and I've also working a program of recovery. I mention this, because perhaps I am particularly sensitive to neurosteroidal changes.
0.1% topical Fin had a pretty bad and serious impact. But the more I read about it, the less I feel surprised by this - I wasn't exactly taking a microdose, and a guy w/my mental health profile really ought to be. I'll check in again after starting up again, if that's alright.

I was wandering about using fin also, but ive had similar issues with brain fog by just using herbal vitamins. Im not sure i could handle it.

The 0.005% fin mixed with Stemoxydine would be good. Would you be able to advise where i could purchase it from. I wouldnt mind trying it also.

Thanks mate.

 

[hellheim]

u use fin?

 

[James34]

u use fin?

Not yet but scared of the side effects though

 

[MaxMidlander]

Never heard of this gene therapy before, thanks for the link.

I'm going to try a .005% concentration of topical Fin mixed with Stemoxydine first - I just saw some interesting stuff about an early study on topical fin where that particular concentration showed the least serum DHT being affected.


Thanks for asking about the brainfog. With the pills I felt more of a generalised change in mood, brain and sexual function. There was fog for sure, but with other noticeable sides as well, unfortunately.


With the topical, the fog was incredibly pronounced. I forgot how to complete a sentence. Even untying knots in aprons at work became difficult.


I make no bones about having less than neurotypical brain chemistry - pretty bad adult ADHD, depressive stuff, and I've also working a program of recovery. I mention this, because perhaps I am particularly sensitive to neurosteroidal changes.
0.1% topical Fin had a pretty bad and serious impact. But the more I read about it, the less I feel surprised by this - I wasn't exactly taking a microdose, and a guy w/my mental health profile really ought to be. I'll check in again after starting up again, if that's alright.

Interesting about brain fog . I'm 2 weeks into using it now . So far so good !