Thank you Gary for accepting my invitation to come to Casablanca and share your knowledge with us. It was a privilege to meet you and to hang out! Your presence enrichened our meeting and I'm happy for you to become a part of this community. See you soon!
Even earlier than 2005 I was watching on UWTV lectures where the professor said human cloning was already successful and legal in 3 countries, South Korea, and 2 others that I don’t remember. How successful you ask? Idk but it was definitely classified only to those countries and whomever who could get that information…
@@Josh-fp2qn No idea, I'm on Finasteride right now. I've come to realize that without it I might as well accept being bald and shave my head. There's nothing worse than when I see guys walking around with good hairlines from a transplant but are completely bald from the mid scalp to the crown
@@Josh-fp2qn Finasteride does not case sexual problems.. It's a myth! Just look at the trial results! Approximately 1.3 percent of men who took finasteride experienced erectile dysfunction. That's less than the margin of error.
PFS is real and it happened to me. Been dealing with it for 18 months. Obviously its super rare but it is in fact real. Happy to come on the channel and do an interview and share my experience. People should know the full risk of taking a 5ar inhibitor. I’m not some random internet schmo trying to fear monger. I work in big tech as a swe and consider myself a scientifically literate person.
I appreciate that you guys are getting together to discuss your experiences and not just taking direction from Academia. Not to discount them entirely, but it was interesting the part about the permanent damage concern from proscar type dialogue not really being a thing. It's important that those who are in the field and boots on the ground are talking. It's a dynamic art and science application.
it's a little unlikely that even if PFS were real, an informal survey of a room full of hair transplant doctors would reflect that. It would require somebody on finasteride, stopping, having persistent side effects they attribute it to the drug, mentioning it to a hair transplant doctor, and the doctor believing them. Too many filters
@@BryanBrosef Why isn't a proper statistical study being done? I also caught that his survey was purely anecdotal, as are any surveys by the 'fear mongers.' There's a team in Australia or somewhere 'studying' and actually seeking and getting genetic samples from volunteers - screw that. What a mess, worse (more covered up/dismissed) than thalidomide.
One advice: If you think you might need more than 1 HT surgery, I would strongly consider doing FUT first. That way they can remove a strip with thousands of grafts, and your donor area will pretty much be ready to go again with no thinning for the next surgery. Doing several FUE HT's will quickly mess up your donor area.
I just had my second FUT procedure. I chose FUT over FUE because I already had a scar from the previous procedure. Besides, I did not have to shave my hair on the back and no one knows I had a procedure. However, yes, it can be painful and the discomfort is an issue for weeks after the procedure with the stitches gone.
I had fut last July and I agree with what you said. I think the scar healed pretty well but at this point if I do another transplant I'll probably just do fut again considering the scar is already there.
Well, I've had six FUT procedures over the years and now regret it. I've lost 50%+ of the transplanted hair cannot buzz cut my head because of the scarring on the sides and back. Tattooing is an option, if I could do it again I'd go FUE you can at least shave or buzz cut your head as the balding progresses and it does. Good luck
FUT was a nightmare for me I had 3 procedures back in early 2000s with ugly scars the thing is baldness is progressive in time those scars will be more visible which is my problem I’m 57 now and still struggling with baldness I had to have SMP to camouflage scars 😢 so hood luck!
These sound less like problems with the technique itself but more with the surgeon and a lack of aftercare. AFAIK it's rare to continue to lose significant hair when on the proper medication - and if you lost donated hair, that's either surgeon or patient error. Granted, getting a surgery and not going on Fin or Dutasteride is a waste for almost everyone, unless you're already very old and stable.
I've seen comparisons where the FUE procedure cumulatively creates more scar area - just spread out. It seems FUE might have a higher transection rate. Longer hair covers any potential scar, and SMP can be used if a scar remains. It also seems like it would be a less taxing day for the doctor.
Dr. Gary seems to advocate for multiple hair transplant sessions with roughly 3000 grafts each, gradually increasing density over time. While this approach is ideal for achieving optimal results, it's important to acknowledge that the cost of multiple procedures is a significant barrier for many patients. The desire for maximum graft coverage in a single surgery is often driven by financial constraints, not a preference for less optimal outcomes.
Great video!! I agree, FUT has a great place still in the field of hair transplant surgery. I did three last month and have another coming up next month. Thank you for the summary from the conference in Morocco!
I'd be really interested in a more in-depth discussion about the advantages and disadvantages to FUT/FUE. There seems to be a divide in what doctors think about it. Some doctors are really pro-FUE (and indeed that's basically exclusively what is done in Turkey as far as I can tell), whereas other doctors feel like FUT is typically the way to go, especially if a patient is young and likely to have more surgery in the future (see e.g. The Hair Loss Show or Bloxham/Feller here on RU-vid).
Congratulations, Happy to hear the good news and it's nice that you were invited to be a Speaker at that event! Next up, the International Society of Hair Restoration Surgery (ISHRS), FUE Europe - Hair Transplant Society and the International Society for Aesthetics and Cosmetics (ISAC). @Dr. Linkov, in your opinion if a Hair Transplant Surgeon doesn't regularly go to, attend or isn't apart of a Professional Association as it concerns Hair Transplantation is that a huge red flag of any sorts?
I am the recipient of 3 FUT procedures from 2006 to 2012, totaling approximately 10,000 grafts. Although all three were successful and the results satisfactory, there is now a large degree of thinning in the donor area and around the lower sides. There is no way I could have a fourth procedure without severely compromising the donor area at this point. Therefore, the only option I see is for her multiple clip of her hair multiplication/clothing to finally become a reality. It's been talked about for too long and needs to happen. Thoughts?
I experienced bad side effects from finasteride. Dizziness, heart palpitations and basically felt like I was dying. I’m sure it’s not common but it’s real.
I follow a Christian prophet and clicked on his live video. Feed, one second after I clicked, he said there’s a woman watching with alopecia, and I pray for her miraculous healing. Doctor, I also suffer from alopecia Universalis since age 4 from exposure to a superfund site. I’ve already started growing eyebrows and baby hairs all over my head, and I am praying for miraculous healing. Really, with God anything is possible! Seek God and ask Him!
Stem cell follicles are still in the experimental stages . There's no set timeline for when it will be available for human use. Researchers are actively exploring the potential of stem cells for hair growth and regeneration. It's important to note that any new treatment developments will require rigorous testing and clinical trials before they can be approved for human use. With the evolution of AI and technological advancements, we could see something like cloning or stem cells by 2035 or sooner whether you want to believe it or not. We're not living in the 2010's no more and I'll argue that we're further ahead that we were in 2020-2021. We're advancing our technologies rapidly and there's no sign of it slowing down.I have faith that something will hit the market in the next decade of two. I'd argue that the 2020's will be the end of the old world we once knew. Al will be more prominent in the 2030's. Most things we see today will be like looking at things in the 90's from 2024 by the time we get into the mid 2030's, just watch!
I think reducing PFS to people fear mongering on forums is a bad take. Like yes, people who are in the PFS, PSSD, or PAS communities know how rare it is. They know majority of Doctors aren't going to see it in their practice. It's not like it isn't obvious. But it's more than just the forums. There are tons of people who suffer and make it publicly known. This information isn't hard to find. More and more people are coming out talking about their negative experiences on every social platform they can. There is rarely this rhetorical goal of instilling fear into people who are considering taking finasteride. These groups are created to garner awareness for some viable treatment. It's also not easy when it's dismissed by every doctor that knows very little about these conditions. It's not like a dermatologist is going to specialize in PFS
@Doctor Gary Linkov - What if we can only make it out to Turkey once for one surgery? Wouldn't it make sense to do a giga session so you don't have to go back or for example, you can go back. Obviously, I like a good deal but the problem is Grafts are much cheaper and can go more volume in another country than I can in the U.S.
I have to speak out that I legitimately had Post-Finasteride Syndrome that lasted roughly 2 years after stopping Finasteride. Because of the nature of the side effects, I’m hesitant to share them in great detail but someone needs to do it. It’s also worth noting that men generally don’t seek medical attention for things like this as often as women do. I’m certain that the reason those doctors don’t see many cases is because most men wouldn’t go back to a hair specialist to report concerns. Maybe their GP who probably wouldn’t record the case. The patient probably just hopes it gets better and waits it out. Especially when it’s something ‘embarrassing’ like your you know what turning as clear as water and then taking 2 years to go back to normal.
I have PFS for 1,5 year as well. Very surprised to hear the poll results. But then again, I also too haven’t told my hair transplant surgeon about it, simply because I know there’s nothing he could help me with, so I assume many would do similarly.
@@gardenwaller you dont have PFS. you have low testosterone and non functioning gonads. Time to go to a doctor and get on TRT rather than blaming drugs and spreading fear.
PFS is controversial because its hard to trace causation and there are doctors who openly support it online and some doctors want to toss it aside, but based on my personal experience and experience from a doctor I know personally, PFS could set off other health issues that were already there/hidden and PFS itself is not the actual syndrome but a blanket term to encompass a constellation of symptoms associated with finasteride-related issues.
I'm glad you're mentioning this because it's very dismissive amongst most of the mainstream medical community as well as HT surgeons. PFS can and has caused irreparable harm to a small # of men, so I personally avoid all forms of it.
Clickbate. You included no hair restoration new developments. After watching the entire video, there was no discussion on "the future of hair surgery."
This isn't clickbait. There's no claims of " The Future of Hair Surgery" as you unfairly and inaccurately claimed. Gigasession and Long Hair FUE was the new techniques discussed in the video.
When you start creating hair follicles from stem cells again, then it's worth the dialogue. There is no question that Finasteride lowers libido in some people.
Don't you think that is crazy one man can take finnasteride with zero problems and they get nice hair . Another man can take finnasteride and go through the worst times of thier life untill they stop the drug and even then some report the problems don't stop.
Finasteride temporarily reduces DHT, which rises back to normal levels over several weeks once the medication stops. The fear mongers are a bunch of morons who refuse to grasp that concept and are causing needless suffering of preventable hair loss. .25mg finasteride provides 90% of the hair protection benefits of 1mg with a near zero rate of side effects.
Post finasteride syndrome is real it’s just the fact that doctors gaslight us and we don’t get heard. I’ve suffered for over 7 years with it and I wouldn’t wish it on my worst enemy
Fut surgeons often seem to downplay the linear scars. Theres no way im ever risking that. Thats just the worst and for some even a good surgeon ends up producing a knarly scar.
Personally I’m glad to hear that hair transplants can be done without have to shave your hair off. As someone who has had a brain tumour where I was one years old, a bump die to it and a big scar… Although I am going bolder at all costs would never want my hair fully shaved. Thus, why so into hair grown and your channel over the year. You do very good videos and thank you for educating us all ❤
Dr. Linkov, I am a seventy year old MtoF trans person. I take 150 mg of spironolactone daily. I have been doing various things to regrow hair like minoxidil, a rosemary oil mixture, scalp massage, and derma rolling, and have seen some minor results. My testosterone level is nearly zero and my estradiol level is about 150 -170. I am thinking of adding finasteride to my regime. My question is, can I benefit from finasteride if I am taking spironolactone and my testosterone level is quite low? Also, can finasteride substitute for spironolactone in reaching my target testosterone level as a trans woman? Also, I am as Ph.D. statistician and I think both quantitative and qualitive analysis of results is helpful. Both need to be incorporated in any medical practice, no matter what the medical specialty. I think your videos are great. I am considering hair transplantation and will likely have a consult with you via telemedicine. Thank you so much.
At some point you would think that the tech would get to a point to where you could just clone some donor cells to grow as many as you want - then just bypass FUE / FUT all together. But I am not a doctor so maybe that suggestion sounds insane.
I started finasteride 3mo ago and have zero side effects. I'm annoyed because the reason I didn't start it six years ago was because of fear of things like pfs. So because of fear I let my hairline recede to the point that it was so ugly I decided pfs was worth the risk of mitigating further loss. Now no side effects and I was scared for nothing and now I'm going to need a hair transplant which I could have avoided if I had just taken the medication! Don't be like me. Just try the med and if you think you're having side effects stop for a while and then try again later to see if the side effects were real or not.
@@FirstLast-dy4gt "Post finasteride syndrome." It's a condition that many doctors don't think is real. Basically rumors going around that Finasteride can completely kill your sex drive or make it hard to get erections. I was scared maybe the medicine would do this to me.
That's funny: I followed Dr Gary since few years and his advices were the main criteria on which i based my choice for the dr to do my hair transplant. And from the first second of this video, i see a picture of him with my doctor, dr Eric Peretz. xD
There is the developmental saline solution that reduces scarring. Hair would regrow from repaired areas. If this works you would regrow hair from donor areas after fue surgeries to be used again later for more surgeries. Basically farming.
I think no hair transplant doctor had seen PFS because hair transplant patients are more "locked in" with finasteride because they already paid so much money. They might be more prone to dismiss side effects, and to not stop taking the drug ("post" syndrome). Also they have some incentive to deny this condition. I think if you ask other doctors, endocrinologists, urologists, they will more likely have seen it. Personally I still have side effects 3 months after stopping, mainly sexual. I am hoping they can resolve with more time. Gary is obviously a very intelligent doctor but maybe he should talk with a doctor who actually admits to treating this to better inform his patients.
I just had my second FUE procedure and both haven’t netted me over 800 grafts per session. The clinic had difficulty extracting grafts bc my hair follicles are deep/long so FUT is most likely my only option to get a high number of grafts in a single session
Good work on explaining pros and cons of hair replantation. I don't know if surgeons have already thought of this, but can't you use hair replantation from a healthy women's head to a balding men's scalp? I mean, it makes more sense to me to use a women's healthy, beautiful head of hair rather than a man's unhealthy hair for regrowth purposes. I don't know if it's the same as transplanting a liver where the body may reject a foreign tissue as an invader, but if I were rich, I certainly would entertain the idea of using a woman's hair or even another man's healthy head of hair. If the donor were paid good money, I think it would be a unique, novel idea. What do you think?
I bought oral minoxidil from your online pharmacy. It's great that this drug can be delivered in a short amount of time, and you don't have to go through the hassle of talking to doctors who have never heard of oral minoxidil. I have a suggestion. Your pharmacy has finasteride, but I think you should also sell dutasteride. The type of person who uses oral minoxidil for hair loss has probably already tried FDA-approved drugs and needs something better.
The way I see it, if these things worked 1. There would be no bald doctors. 2. Celebs with endless pools of money who have tried to save their hair and disguise their hair loss would have done it already.
But closing the donor area using Trichophytic method doesn't leave visible scrar in FUT procedure. Hair grows out of scar if it's done properly and the donor area can be saved for future hair transplantation as well. I know that doctors who learned FUE and perform it on patience find excuses regarding FUT as they learned only FUE and have to propogate it for their own benefit. But still FUT is much better option if the donor area gets closed properly using trichophytic method. The scar in this technique is only visible if you shave off your head completely and the scar is as thin as threads which is not noticable even after shaving off the head.
I wish you talk about testosterone therapy and hair transplant, like should we start testosterone therpay then get hair transplant or how to avoid hair loss after testosterone therapy
I had several transplants that had been in place and were holding nicely for over 10 years. I then started TRT and ended up losing much of my transplanted hair. I’ve since had two more transplants and have been using minoxidil and finasteride. So far after 3 years my hair seems to be holding fairly well. My problem is I’m running out of grafts. I’ve already had several hundred grafts of beard hair moved to my scalp. My point is if you have transplants and start testosterone there is a very good possibility that you will lose some of your transplants. High testosterone and hair transplants don’t work very well together you can either have a good head of hair or a healthy looking body with the combination of both is a difficult balancing act.
@@TheLevantine If you're relatively young, you should consider not getting on TRT. Figure out what's going on in your life to cause low T and fix it naturally first. Sleep, diet, supplements, plastics/exposure, extreme stress, etc. TRT inhibits the body's ability to produce it's own T, and so once you're on it, you're on it for good. It's not a young man's tool. It's for older men who cannot naturally by any means produce a healthy baseline of T.
I hope FUT doesn't go extinct because as a transplant patient myself, I definitely see the use cases. I had a big surgery done for broad front scalp coverage - but FUE surgeon had to take a *lot* of donor hair. Like, I'm a little nervous to have a short hairstyle for how obvious or "moth eaten" my donor area might appear. Nonetheless, I do have acceptable scalp coverage now.. ..except at the crown. There's no way I can imagine that a surgeon could get another 2500+ FUE grafts from my donor area to cover my crown, so an FUT is almost certainly my only option to get the rest of the coverage needed.
Thank you, Gary...men want to have hair and need people to help THEM feel good about themselves and women and professionals should encourage that...please help men realize that hair transplants can make them feel confident..cost is such a factor as well as these improvements cost money and it is such an 'unavailable' treatment money wise
Eyebrow hair transplants!? If I have full eyebrows but receding hairline, should I expect my eyebrows to thin too? And will finasteride save my eyebrows?
Not an expert but pretty sure eyebrow hair are different from scalp hair so finasteride wont improve it. And even if you lose your hair on top of the head your eyebrows wont be affected
Not before time travel 😢.All jokes aside, a cure to baldness has the same likelihood as altering someone's height. Humanity may see a cure sometime after 2100 or a few years before 2100. We won't see a cure in our lifetime.
I've had a 3 transplant surgeries. probably at my limit for donor hair. I've seen articles about using beard, chest and back hair. can you comment on expected results and also possibly do a video on this procedure
I was on 1g finasteride daily for 1,5 year. Firstly I didn’t even notice any side effects. My doctor told me that side effects practically never happen so I wasn’t even aware of side effects. However after over 1year I discovered that I have very low libido. Before I had very high sex drive - thinking about sex at least 20 times per day or more. I was 27 years old then. Finasteride destroyed my 8 years relationship. Now after stopping finasteride I have some libido but it never returned completely. My erection is very fragile. I have difficulties to cum. I feel that I lose some sensitivity in my penis. After oral finasteride I switch to topical. But after 2 weeks of using my libido is gone. If I had knew it before I would never take this drug. 😢 I’ve done blood test and everything is good, high testosterone etc. I don’t know what I can do now.
They need to stop prescribing this stuff and find another solution. Or people should just hold off on taking meds for hair loss. It seems like these medicines make hair a substitute for loss of sexual desire just to have hair etc. Plus, women care too much about sex and are proving how much they can be cold and shallow as time passes by, yet they blame men for literally everything.
Hi Gary, I went to see two different doctors and got two different answers in terms of the number of grafts. One said they can extract 3000 Fue and the other 1200 FUE . Who should I believe?
Hi doc. As a compounding pharmacist I've had great success with high concentration latanoprost. It's expensive but works better than anything else. Do you have any comments?
Hey Dr. Linkov, I am curious to know if you have heard of vertigo/dizziness being a side effect of Finasteride? I took some Finasteride and got Vertigo really bad. I didn't know if it was because of the Finasteride or if they were unrelated. Any thoughts?
Finasteride drops a bomb on your body and everyone reacts differently. None of these doctors are ever going to tell you the truth about it because it makes them tons of money and they're not liable if your life gets destroyed. I strongly advise you to stop taking that poison before it's too late. Go read the post finasteride syndrome forum if you don't believe me. I wish I had listened to those people before I took it.
Thank you for sharing your thoughts and discoveries Dr Gary! This is off topic- but i was wondering when the gut health video interview with gi specialist is going to air? I am looking forward to it!
Lots of info, I appreciate the 360 degree review. Nice review of FUE and FUT, and their frequency ('younger surgeons possibly not learning it'). The FUT scars I see at the gym are prominent, and often on bald heads (which tells me the whole idea doesn't always work). But, I've been hesitant of FUE for over 20 years after seeing a couple guys with bald heads with deep pock marks that looked like a golf ball. Maybe it was something else, since I didn't confirm. Also, thanks for the mention of PFS. although my use/stoppage and long-time symptoms point to it, I also know enough physiology and statistics to think there is a greater chance of other factors like medical incidents, etc, but the timing is uncanny so probably a combination, as many probably are. What I never understood was why I was prescribed by a hair restoring Doctor - that alone raised a red flag that I ignored - it seemed to imply 'try this, and when it doesn't work, come back.' OR, do they get kickbacks on the pharma sales? It's tough, it's really tough, I'll probably need a shrink before I need any other doctor.
Over life time, i believe combo of fut and fue yields extra 3000 grafts, while fut only like 5000-6000 extra vs fue only. It was a study done. The scar itself, depends on the ability of surgeon to close it nicely. Some close it so nicely, you can barely see it on clean shaven head. One of the best closures come from dr Saifi in Wroclaw, he used to be surgeon, and from Hattingen in Swiss.
Ugh the amount of edit cuts in the videos every few seconds is aggravating. So tired of this trend on RU-vid. Just sit down in front of the camera, and talk. Should you get a few words incorrect, so what..we'll still watch and listen.
Hi Dr Linkov. It appears one of the factors for maintaining a healthy head of hair is a good blood supply to the hair roots, do you have any advice on how to best achieve this? Also what is the best hair transplant procedure for Afro style hair? & does your clinc provide this?. Thank you for all your videos
I had a giga session one year ago and im super happy. best decision ever. i got 9600 grafts implanted over 2 days went from completely bald to full head of hair.
@@travislong2810 hey i got it done last summer in turkey in istanbul. the clinic was called vera clinic, a very modern and professional clinic. i went there to get a normal session, but when they analysed my donor area they said you can do a giga session , on two days.
He got a condition that make him look like that. Use your brain before you talk stupidity. God gives you a head as a vehicle that carry the thinking passenger (brain), not just to grow hair.
That’s why he’s so successful.. probably doesn’t sleep working so hard keeping us well informed and making sure we don’t make stupid decisions that he has to put right afterwards. Tired or not I choose him anyday if I had the money..
Of course there are potential side effects, allergic reactions, and symptoms often just even created in the minds of patients. That’s not “Post Finasteride Syndrome” …there is no documented scientific evidence of post finasteride syndrome. Just like there’s no scientific documented evidence of human “Ghosts” …but people still say they see them all the time, and even write books about their experiences and interactions with them.
I did 2500 graphs (~they counted, i just go with the figure). Its been 8? months since then.. Im on Minoxidil pill + some extras (vitamins, collagen, saw palmetto, etc). At some point i could swear a lot of the implanted hair didn't survived.. say afte month 1-2, when hair was shorter.. like +30% of it (cause after first days i was seeing a particular density.. latter, after it fell & then regrown, including now, i see empty spots + lower density) So, it makes me think.. first, maybe they did something wrong.. or i did? Or, if it would have been better to split into 2 smaller operations...
Dr. Linkov, was there any mentioning about Verteporfin? I heard that there is now a consent to do several trials by the bigger names - are you happen to be involved, or have you heard any details about this? Indivivual trials have been already done (or ongoing) by Dr. Bloxham and Dr. Barghouti, but a more extended one would be very benefical to see if it adds any real value on the donor area.
There's ALOT of interest around Dr Taleb Barghouthi utilising Verterporfin to help regenerate the donor region following FUE. He's now operating in London, UK where new trials are set to start.
What reputable surgeon or center could be recommended for someone considering hair surgery when living in Cairo, Egypt? Is there somewhere to get recommendations for good surgeons?
I used to be a hairdresser that made wigs, wiglets and toupees so have observed many hai lines and always wonder when a surgeon is doing a hair transplant why he doe a straight line as the hair line. Nobody has a straight line it’s always uneven which would not be hard to achieve when doing the transplant. Maybe you could give us that watch your videos a talk about that.
Dr. Gary I had a hair transplant in December 2023, and I am currently taking minoxidil 2.5 and dutasteride 0.5mg . Is the combination of both necessary for life?
