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There are sexual side effects in 2-4% of men who take finasteride.  99+% of these men who stop the drug, find that the sexual side effects go away. Possibly less than 1% find some persistent sexual side effects.

The reason why so many men afraid of finasteride from tressless


It looks like most of the hair did not grow. You should go back and see your doctor and ask him why the procedure largely failed. Almost all failures are technical in nature and this end results almost certainly reflect a complete technical failure.

10 months


There are many types of trichophytic closures and I don’t know which type you had done. Many just don’t work well. The ones that work well create a 4 mm shelf on the lower edge of the wound and this area is buried below the skin so that when the hair grows, it grows through the scar to the 4mm distance. You can have a scar revision with a properly done trychophytic closure or you can have scalp micropigmentation which will effectively hide the scar? Below is an example of a properly done Trichophytic closure on the right of your photo

failed tricho closuretc


The more FUE grafts that are taken from the donor area, the more see-through the donor area is. This is what happens with FUE and as more doctors and people push the FUE to greater and greater numbers, more balding appears in the donor area. Your history of 4400 grafts suggests that possibly your donor density was low, which would create this problem.

pink donor area


Hair transplants work very well when you are balding. I had hair transplants for my crown and no one ever knew unless I told them. I performed hair transplants on 6 relatives, including my wife and daughter-in-law and they were all happy with them. There is a balance between your concerns about balding or your sense of need to do something about it. Hair transplants are not for everyone. Even though I invented the FUE, I still perform half of our hair transplants with strip surgery, often in older men or men who are going to develop an advanced balding pattern.  The decision to do an FUE vs a Strip is a personal decision for each patient.

Hair Transplant Should I Wait? from tressless


I would want to know how many grafts you had done. The donor area would need to be evaluated. You might not be a candidate for another FUE if you had the usual 4000-5000 FUE grafts done in Turkey, but a strip surgery might make sense if you are donor depleted. Without an evaluation of your donor area, it is impossible to judge what can be done. FUE has its limits and the question is ‘have you pushed the FUE limits?

turkey transplant donor failed turkey transplant

This article seems to cover it all and worth reading.

This is a good review of the different approaches to getting a thicker head of hair. I am not necessarily endorsing this article and certainly not all of the recommendations as valuable.


A male who is 22 should not have a hair transplant or a hairline advancement surgery because if you do and develop balding behind the corrected hairline, you will not look normal. If you get a hairline advancement surgery you will see a scar if recession occurs. If you have a hair transplant before your balding pattern become evident, then you will be chasing hair transplants for the next decade. You should wait until your potential balding pattern becomes evident, which is 25 years of age. Build a Master Plan for your hair loss with a good doctor.

To answer your basic question, assuming you are at least 25, if your balding pattern is not going be be advanced, then you can have any hairline you want, even one better than a few years ago.

is it possible to get hair transplant for naturally receded hairline? from tressless


My hair right now is very thick and my hairline is a Norwood 0-1.5 depending on who looks at it. But sometimes when I’m showering and also when I put gel in my hair I notice that some of the hairs that shed are very thin. They are so thin that they are hard to see unless you are looking for them. Other hairs that shed are very thick and can be felt on my hands while the thin ones can’t. Is this a bad sign?

You may be seeing miniaturized hairs that are falling out. Miniaturization is part of the early balding process. A good video microscope purchased from Amazon for under $20 can tell you if you are miniaturizing. Read my many posts on miniaturization on (



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