I have a question. I have already been in contact with your very help staff but I have a question for you: I had a previous hair transplant and had 1200 grafts removed. I live in the UK but want to come over for a mega session and I would like to know without seeing me, typically what is the most amount of follicles the average person has spare? Also I have no desire to take minoxidal or propeccia. Are there any clinically approved herbal remedies that I can use? I want to get going on this as soon as possible. I am looking at 6000 grafts and have available resources from now on.Can you tell me how quickly I can get in and what I need to do? — T.W.

Hello T.W. Thanks for writing. There are no clinically proven herbal remedies that stop hair loss. There is nothing in the natural supplements market that will halt hair loss or regrow hair. If these worked, there would be no need for hair transplant clinics. So far, the only permanent solution to hair loss is hair transplantation, and the only drugs that halt and/or regrow to some extent are Finasteride (Propecia, Avodart), and Minoxidil (Rogaine). We do not recommend Rogaine generally as it is not as effective or convenient as Finasteride, and patients must stop it prior to hair transplant as it is a blood thinner. Blood thinners must be stopped in the months prior to surgery to avoid excessive bleeding during the procedure.

The clinic is usually booking surgeries about 6-8 weeks or later from the time you are approved as a candidate for surgery. First, you must submit a consultation form and receive a recommendation from the doctor.

The consultation form is a two part form. In the first part, you provide contact information, describe your hair loss, and answer questions about your situation. In the second part, you upload digital photos.

As for average number of available grafts, 6000 grafts, in most cases over 2 surgeries would be fairly typical. 3000-4000 grafts is a typical good sized surgery at Hasson & Wong, and for patients with excellent density and scalp laxity, 4000-5000 is quite possible. In rare cases does one surgery exceed 6000, though it certainly does happen at this clinic.

Visit the following page to see our photo guidelines:
http://www.hassonandwong.com/consultation/hair-transplant-consultation-online.php

Then, submit this form and upload your photos:
http://www.hassonandwong.com/consultation/consultation_form.php

— Victor Hasson, MD

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I am turning 20 in a couple of months and have been experiencing hair loss for a year now. My temples are slowly receding and my hair is becoming flimsy and thin. My hair loss is at a point where it is only really noticeable to myself and I comb my hair in a way that hides it. I have hair loss on both sides of my family with the most extreme form being type Va. What can I do at this point to help my deal with the hair loss? I will need a transplant one day, but right now I still have hair on my head, although I can tell its thinning and I will eventually lose it. Is there any way that you can predict a patients hairless while they still have enough hair not to be considered bald? I don’t want to wait until I am completely bald to fix my hair. — M.S.

Thanks for the question, M.S. It is difficult to predict the eventual state of your hair loss. You may follow the pattern that other family members experienced but it isn’t necessarily the case. The best course of action at your age is to see a doctor about a prescription of finasteride. Finasteride (Propecia, Proscar) slows or stops thinning in the mid-scalp and crown and may also promote some regrowth in those areas. It is only occasionally effective for slowing hair loss in the hairline. After taking the medication for a couple of years, a hair transplant doctor will be in a better position to know whether surgery is a good option for you. For now, you’ll have to wait and see.

— Victor Hasson, MD.

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I am 25 years old an I have just started finasteride for a receding hairline (2 weeks). I have noticed significant increased shedding compared to before. Is this common? Should I stop the medication? — A.W.

You say your taking finasteride for a receding hairline. Propecia may stop or slow recession in your hairline, but it really is most beneficial in the crown. With many men it will make no significant difference in the frontal hairline, though it is still worth taking because for some it at least slows frontal recession. Just be aware that it is generallly not effective in hairlines. Propecia, is however, very effective for stopping and growing hair in the crown. As for the shedding you are experiencing: this is common when men start Propecia and likely nothing to worry about. Read the excerpt below from hairlosstalk.com.

SHEDDING: Shedding is a sign that Propecia is working. Many men lose out on the benefits of Propecia by freaking out and dropping treatment when they think their hair is getting worse. When your follicles respond to Propecia, they shut down their current growth cycle and begin to create a new, healthier hair. The period is known as the shedding phase. It can begin during the first few months and last a month or so. Ride it out. That is all we can tell you. We all went through it, and those who persevere will see success. — excerpt from http://www.hairlosstalk.com/hair-loss-treatments/propecia/

Wait and see what happens. If the shedding continues, consult your prescribing doctor. As always, this is not intended as medical advice. If you have any questions regarding this or any medication, always consult your physician.

— Jerry Wong, MD.

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