thanks guys....

ya Dr Martinick really did a fine job esp with my hairline....
but having gone through 2500 grafts in front and my mid scalp the density is quiet less even after a year has passed which upsets me....
but still when i look at my before pics i just say to myself what else i could have asked!!!!
my fingers are crossed.....


baldcasanova thanks for your input.... its been a year that i am using toppik in my crown area....i dont use it in front as too much of use every day all over my head can spoil my hair...so only in my crown as the hair-style i do every day covers up my front completely....the style in my sample photos is just to show my HT results....

i'll add my photo which shows a daily hair-style i do...

hi people...

i am back on this site after 2 yrs.....seeking your advices and help ...

i had my first transplant 3yrs back,getting 2500 grafts done(single follicular unit)...it was distributed between my front and mid....my doctor jennifer martinick did not touch my crown saying that u would need another HT in the years to come
after seeing my condition....as she said that 2500 wont be enough...

everything looked good in the first year as u all can see my first year progress photos...there was some good results....i used to take propecia + 5% minoxidil...but after 6 months of my HT i got married...so i stopped the use of both fearing of the sexual side effects...and thought that in any case i need another HT sooooo...
let it be..


but now since last 6 to 8 months i have noticed that i have lost
some of my transplanted hair with the original once from my front and mid area.....my baldness in the crown area has also gone wide...

so now i was thinking that the time has come that i need another HT....but before that i wanted to share and get some advice from u experts..

*that how should i go about it ...???
*i heard that transplanted hair dont fall off!!!! then how in my
case they are falling off??
*any new methods have come up which i can go for and get
better results??

besides all this if u feel to advice anything else for me pls do so....

sweetlittle,

Welcome back to the forums. I think I vaguely remember when you got this surgery done. Your pictures do look familiar.

A few things:

1. I am not convinced your transplanted hair fell out...in fact, by looking at the pictures, it appears that you just lost the rest of your native hair. The bulk of your density was from the native hair patch in the front (you can tell this by the pre-op photos), whereas even looking at the sides of your hairline 1 year post op, they are still very thin.

2. The fact that you stopped taking finasteride or minoxodil could have been your problem as to why you lost more native hair. I'd suggest that if you want to keep the rest of your native hair, to get back on finasteride.

3. Not to knock Dr. Martinick, but I'd stick with a coalition surgeon if you are considering another transplant: http://www.hairlosslearningcenter.org/hair-loss-content...s/our_physicians.asp. They are proven to do the best quality work.

4. I'm not sure what you mean by (single follicular unit), do you mean single hairs? If they are all single hairs, that means that the FUs were sub-divided and you did not get 2500 TRUE follicular units. That to say, it does appear that you did not receive 2500 FU grafts, or at the very least, not all of them grew in.

By the way...how old are you? Age should partially determine your best course of action, however, I'd get back on the medication ASAP. As long as you don't let your wife handle broken finasteride tablets and don't experience side effects, you are in fine shape!

Falc

Falc has given you some great advice.

I agree, I believe what likely happened was that you lost the rest of your native hair in front and you still had a pretty good bit at the time of your HT. It does appear that you didn't receive 2500 grafts but more likely hairs as Falc, mentione. 2500 grafts would have given you much better coverage than you received.

Get back on the meds and do some consulting.

I disagree with you guys on this one.
The hair has thinned in the transplanted temple region.
The 1 yr pic is great compared to the 3 yr pic.
Is it possible the strip was taken from a non dht resistant area for this particular patient?

follica,

The slight difference in appearance in the temple regions I attribute to lighting and angling of the pictures.

sweetlittle...if you can try to post some pictures of your current condition more similarly to your 1 year post op in terms of lighting and pose, that would be great.

Falc

sweetlittle,

I've looked at the other pictures more carefully. I still hold firm that your results does NOT look like 2500 grafts...clearly something is wrong there...whether or not they fell out or you never received that many, I don't know.

The 1 year post-op results look pretty good, but I still believe it's mostly because of the native hair is longer and thicker and "feathering" with the transplanted hair. In other words, the transplanted grafts never really looked like 2500 grafts. But again, clearly there is something wrong.

Falc

At this point, it is what it is. A surgeon could look at the donor area to see if the strip was taken out of the safe zone.............however in the case of a diffused thinner such as this, it's very difficult to make any sort of determination. My "guess" would be that the native hairs have now jumped ship. He still appears to have some of the HT hair but better pics would help. Also, without post-op pics there's now way to really compare with respect to placement of grafts.