Hey, so if i take just one pill of Finasteride 1mg, my body will need at least a month to get back my DHT to normal? So taking 1mg Finasteride like twice a week is good enough to maintain a low DHT (I only have very, very slow MPB, no shedding) ?
Yes, you are possibly correct. This dosage is less than the therapeutic dose as recommended by the drug company and will be less effective than the full dose but maybe enough to get you what you want.
I am 29 years-old and would like to bring my corner hairline down. How many grafts will it take?
The number of grafts used in a hair transplant is dependent on the characteristic of the hair (fine, medium or coarse). Fine hair need more grafts and coarser hair need less grafts. So I might quote you a range between 1200-1500 grafts but that would depend upon the final design of the hairline that we determine together. What I am seeing is a faint outline of small remaining hairs that is marking the hairline position. I am using this as my guide for my recommendation.
number of grafts needed to fix my hairline
I went to Turkey and had about 4,500 grafts. Now I can see that my donor area is see-through. I am now one month since my surgery and I want to know if it is going to get better?
You should wait a period of 6 months from the time of your surgery. If it is not better, you can assume that the surgery removed too many grafts that cause thinning in your donor area. If it does not recover, then the only solution for you is Scalp MicroPigmentation which works well to address this problem. See the link below.
https://scalpmicropigmentation.com/scar-covering/
Scalp MicroPigmentation can fix donor area depletion.
I don’t know that I can really answer that. The human body does very well to adjust to small changes like what Finasteride does. We know, for example, that testosterone levels often rise with Finasteride, which is a body response to the drug. My son got an increased sex drive from his higher level of testosterone when he went on Finasteride.
If you are under 25, you should never consider a hair transplant. I would try the drug Finasteride as it may reverse the early thinning I see. This would also be true if you were over 25, giving you a try to reverse it without surgery. African hair is better than Asian and Caucasian hair as “it wants to cover the scalp”.
Finasteride may reverse thinning hair in African-American men.
I was on Minoxidil for six months and got good filling in pretty nice. With its use on my scalp I saw minor improvement. Two months ago, I started to use Finasteride and noticed my beard became patchy again almost like before I started using the Minoxidil. I want hair and a beard. I am not getting any side effects of either drug.
Finasteride is known to reduce beard and body hair in some people. Minoxidil on the beard may help it regrow. You might consider a higher dose if Minoxidil if you can tolerate it.
I’m only 18 and just wondering if my hair looks like it’s starting to recede or not. I know I have my dads hairline but my dad is bald and that does creep in my head sometimes as he started balding in his 20s. Both my grandfathers have most of their hair. And my uncles on my moms side all mostly have their hair and my dad has no brothers. When I style or just do my hair, it’s never noticeable and I always get compliments on my hair and its thickness. So does it look like it’s receding or could this just be a normal hairline? It also bothers me that the right side of my hairline has a little more hair.
With your family history and some early frontal hair loss, you should be concerned about progressive hair loss. Your biggest enemy is progressive thinning leading to a balding pattern that is not evident at this point in time. The degree of thinning that you are experiencing suggests that you should see a doctor who most likely perform a Bulk Measurement of your hair to determine the degree of the thinning that you are presently having.
If the diagnosis is early genetic hair loss, the most common cause of hair loss in young men, then the best treatment is the drug Finasteride. This medication is highly effective in men of your age and may not only stop the hair loss but possibly reverse it. If you are developing a more advanced balding pattern, the best test to get is the Bulk Measurement. This will show, over a one-year time frame, how effective the treatment will be. Once you know this information, then you and your doctor need to develop a MASTER PLAN which will define what you need to do in the years to come.
Check out my video. In it I talk about donor hair supply and bulk measurements.
Early hair loss in an 18 year-old.
I have a few questions I hope you all can answer. What age would be reasonable for an FUE to be done? Do I look like a good FUE candidate? Where would I fall on the Norwood scale? My biggest question, if I was to have a procedure soon can I implant in my crown or just behind my widows peak (not purely bald area)? Thank you all so much!
At the age of 24, you may be too early for an FUE which I prefer to see in men over 25-26. I often recommend a year of Finasteride to see if it can be reversed (see here: https://baldingblog.com/2017/04/24/2-years-finasteride-young-man-early-20s/).
If you are a candidate for a hair transplant, find a good doctor who is honest and does not want to rip you off. Don’t let your doctor recommend a session that is too big. You can use me as a reference if you like to sound out the opinion. There are many good hair transplant surgeons but there are also too many who cause problems because they drive up the number of grafts for FUE and
(1) stress the donor supply;
(2) deplet the donor area; and
(3) cause problems in both the donor area and in the recipient area.
As the original inventor of today’s modern FUE surgery, I see many things being done out there that I don’t like. Consider sending me photos and we can establish a dialogue.
20 Y/O male here. Made a doctors appointment, he said my hair looks like its thinning but he thinks it’s from losing 90 lbs in 7 months or from other causes. I then asked to see a dermatologist but will a derm be able to tell if it’s TE or balding? I know everyone wants it to be Telogen Effluvium but I had a awful diet and other signs of TE (beau’s nails). I’m worried the dermatologist won’t be able to tell the difference and won’t be able to give me a definitive answer.
Men rarely get Telogen Effluvium but balding is common. Get a HAIRCHECK test to find out if you are balding. https://baldingblog.com/2017/01/10/value-haircheck-bulk-measurements-two-patients-seen-today/
This type of comment is unfortunately very common from immature girls and from some members of society who are ignorant. As 50 percent of men have balding at sometime in their lives, clearly the concept that a disease goes hand-in-hand with balding is ridiculous. History has shown us that these prejudices were common in the past.
Prior to the 20th century, tuberculous ran rampant in city dwellers and men and women with tuberculous lost their hair because of the disease and malnutrition. In those days, women would stay away from balding men because they thought they would not live long enough to support a family. Now that tuberculous is not a problem in Western cities, this prejudice is no longer the basis of a persistent prejudice. We also clearly know from polls taken in presidential elections since Eisenhower was president, no balding president has been elected since the 1950s (except for Donald Trump who almost certainly wears a wig). So this prejudice is unfortunately innate to our culture.
I would like you to write a how to-guide on the topic “MINIATURIZATION”. I have a tool to zoom in on my scalp and hair. I was hoping to self-diagnose my miniaturization but I have no clue how to do it or what to look for. Please help!
Clip your hair to a pea size spot in different areas of your head:
Using a video microscope, count the total hair population in the visual field no matter what the shaft thickness of the hair. That number will give you a density of the hair, particularly if you can measure the size of the visual field.
For a miniaturization map of the area, count the hair shafts that have a smaller diameter than the large hair shafts.
Use this formula:
Miniaturization Factor = small hair shafts÷total hair shafts
The mapping is done by recording the miniaturization factor for each area of hair you cut.
The projection for balding in the future will be determined by the area where miniaturization exceeds 20 percent (there are about 20 percent normal vellus hairs that look just like miniaturized hairs but are not). Miniaturized hairs have arrows pointing to them in the middle picture. Click to enlarge.
.
You’re really tired, upset and frustrated, have severe chest pain and the pain is either in the middle of the chest or it moves to one or both of your arms, possibly even your jaw. You might even feel faint and it is highly possible that you are nowhere near a hospital or where you can get help. Essentially, you think “MAYBE I’M HAVING A HEART ATTACK WHEN ALONE”.
Action: Take very deep breaths and cough vigorously. A deep breath should be taken before each cough, and the cough must be deep and prolonged, as when producing sputum from deep inside the chest. Feeling faint might be that you heart is not working right or not working so repeat this process every two seconds without let-up until help arrives, or until the heart is felt to be beating normally again. If all of this fails, you should consider calling 911 or trying to see if someone around you can call 911 for you.
Explanation: Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood circulating. Sever coughing might even start a stopped hears or alter an arrhythmia. The squeezing pressure on the heart also helps it regain normal rhythm. In this way, heart attack victims can get to a hospital, alive.
Read the following:
If fish is good once a week to build the brain and protect it against Alzheimer’s disease, think fish for your overall diet a few times a week. Over and over again, the value of Omega-3 fatty acids has been seen as a strong plus for our diets. Don’t wait until old age to take the correct dietary steps to enjoy your retirement while you are young.
This patient had visible FUE scars that he wanted to conceal. To accomplish this, we performed Scalp MicroPigmentation on the donor area with great results. FUE is a terrific procedure but it does form many very small scars for each follicular unit that is excised. When too many FUEs are performed the donor area becomes bald and looks more and more depleted. That was not the case in this patient. Click to enlarge.
Scalp MicroPigmentaiton used to conceal FUE scars
Hello doctor, I have a 2 part question:
I am confused about the location of temples. I’ve been reading many of the previous posts here and I’ve heard you say a few times that people get the temples/corners mixed up and that the temples are above the ear. What I would like to know is: where exactly are the temples/temporal hair? I am having trouble understanding this. Also, I know what vellus hairs are but I see some hairs that are longer than 2 mm (what you said were the max length for vellus hairs) that are sort of whitish near the part of my head I assume to be the temples (right near the corners).
The leading edge of a hairline often has small vellus hairs that never grow very long. Behind this there are soft one hair follicular units and behind those are two and three hair groups. It is the two and three hair groups that make our hair look full. For purposes of definition, I have put a picture of a patient where we transplanted everything in the front of his head. Notice a soft hairline that is not a line but a zone that is irregular and reaches back to fuller, more dense hair. Many of our patients tell us in emails that they are losing their temples, but what they are saying without knowing, is that they are losing their hairline as this man did.
