A recent report out of South Africa showed a healthy woman placed on 0.25mgs of oral minoxidil developed cardiac and other systemic swelling.  This situation could have been life threatening, but it was picked up early and the medication was stopped.  The problems went away. 

Up until this point in time, I, like most of my colleagues believed that dosing oral minoxidil of 2.5 mgs/day or lower did not expose the risk of cardiac complications.  This is the first such reported case of what may be thousands of people, but this post is here to let you know if you are on oral minoxidil that this is a risk.

Of significance, this patient had signs of a problem with swelling of the legs, hands and face and her doctor was quick to discontinue the drug with reversal of all side effects 

Nice result, but the ultimate question is what will happen when you stop the microneedling? If any readers know the answer to this question, please write to me

If you only had frontal hair loss and used up 5400 grafts, that means that you would have used up 2/3rds of your entire usable donor supply. Did you know that if you progressed to more balding, you may not have enough donor hair to cover the rest of your head? In building a Personalized Master Plan, 5400 grafts doesn’t fit any frontal hair restoration strategy I know of. What it fits is either the ignorance of the surgeon or greed to make more money off of you.

I would suggest that you reduce the size of the needle to 1mm. If should be just as effective possibly producing less bleeding

This picture shows a harsh looking hairline with only 5 single hair grafts in the frontal leading edge of the hairline (arrows point to them). Clearly, this hairline is easily detected as a poorly performed hair transplant.  It can be fixed by placing a transition zone of single hair grafts in front of the existing hairline (at least 300 of them) so that one can’t see the hairline but will see a transition zone from forehead to full hair.

Everyone is shitting on this guy for not taking fin but then. Dr. William Rassman writes a lot about successful transplants with no finasteride. What are your thoughts

Hair transplants can be done without finasteride; however, native miniaturized hairs often fall out (a condition called shock loss). The older a man is, the less the risk of shock loss. This condition can be predicted by analyzing the amount of miniaturization that is present.

https://www.wsj.com/articles/comb-over-no-more-why-mens-hair-transplants-are-flourishing-11659725418