Hairline lowering procedures should not be performed on men because hairline recession is progressive and the scar from the procedure will eventually show up making the surgery evident to everyone, You will need a hair transplant to cover the scar and lower the hairline more appropriately.
In the US, this type of surgery would be considered malpractice. You have almost certainly used more than half of your donor hair for the recipient area that was transplanted, so if you lose more hair behind this, you may not have enough hair left to follow the hair loss behind the transplanted area. You must recognize that hair loss is generally a progressive process and you need to have a Master Plan to account for the progressive nature of your hairloss. I hope that you don’t bald further but if you do, find an honorable doctor who understands such situations and will work with you with a high standard of care and management. Most young men are limited to between 5000-7000 FUE grafts during their lifetime unless their donor density is very high.
I have long contended that hair loss in humans was asynchronous, which means that it occurs equally throughout the year; however the article below suggests otherwise, that hair loss may be seasonal. I am not sure from reading this what the article refers to. Are we talking about the normal cycling of the hair that goes into telogen may be more in the summer and fall than other times of the year? This is unclear. If this is the case, the net hair loss would be Zero, but if the article is referring to people with conditions that cause permanent hair loss, then this is another piece of the story that has changed. Read the article yourself and make your own judgments.
https://www.medicalnewstoday.com/articles/319903.php?utm_source=newsletter&utm_medium=email&utm_campaign=weekly-us
Using a tooth brush to get rid of the crusts is a bad idea as it may actually pull out the grafts. Place the shampoo on your head, leave it there for 10 minutes, and then using your fingertips, gently rub the grafts. Repeat this twice a day until the crusts come off easily but do not be rough about this?
https://www.cnbc.com.via.insighter.io/daily-offer/5a00e13fd4c8a74404fb95ee#/
The photo shows a reasonable density as I am assuming that all of the grafts did not grow. 3000 grafts for the area shown is a lot of grafts. I also noticed that the hairline has multi-haired grafts which makes the hairline harsh and detectable as a transplanted hairline and rounded. Your surgeon should have used single hair grafts to create a transition zone in front of the larger grafts so that the hairline is softer.
There are a number of ways to fix this problem. Since I was the first doctor to perform large sessions of small grafts, I must have fixed hundreds of such patients. The first way to address this is to remove the pluggy grafts provided that there are not too many of them. If they take up the entire frontal area, then it is best to have another hair transplant and overwhelm the pluggy grafts creating a new nature hairline. These pugs can be s source of donor hair as well, as the surgeon can take hair using FUE techniques from the plubs to thin them out. These hairs can be relocated to soften and normalize the look. Longer hair works better than shorter hair once this process is complete. Here is a patient that had terrible plugs and how I fixed fixed it with a series of photos and linkes for you to follow: https://baldingblog.com/2005/10/07/repairing-pluggy-transplant-with-photos/
This 24 year old male has hair loss as shown in the photo below. My standard approach is to perform a HAIRCHECK instrument test to determine how much balding he had on his scalp in various areas. What I found out, to my surprise, was that there was no measurable hair loss anywhere else on his head and he had only some recession in the corners reflecting a Norwood Class 3 pattern. Because he has a strong forelock, the middle area did not recede. I followed another young man for 5 years with even more recession and when I started he was just 21 years old, too early for a hair transplant. On the fifth year, he developed hair loss in the front behind the receding hairline and some early loss in the crown. This shows that recession is part of the male pattern balding process and it is progresive.
This appears like Alopecia Areata, an autoimmune disease of the scalp. To be sure you should see a dermatologist and get an appropriate biopsy and treatment.
Yes, with side effects that are so sever, I would do the surgery without finaasteride on board. I would alert you to the possible impact of shock loss, assuming you are over 25 years old. The only problem that you might see is some acceleration of your normal expected hair loss.
How often does someone lose grafts when washing their recipient area where the grafts were placed. I lost some grafts after my hair transplant, about 10 the very next day even though I followed the advice of my doctor. I used my fingers to gently rub the blood off. About 10 grafts came out. Maybe I was not gentle enough.
With proper washing techniques there should be no graft loss. The recipient area requires daily washes as well to keep the recipient area free of crusts. I generally recommend daily washing and if you washed it properly, there will be no crusts on it, even the very next day. We use a surgical sponge which we supply our patients, a surgical sponge to fill with soapy water and press on the recipient area daily. The shampoo and water squirt though the pores of the sponge and with these small jets of squirting liquid, the blood and crusts come off easily without disturbing the grafts as the sponge is pressed against the recipient area. By repeating this daily, all crusts can be washed off without any fear of losing grafts. If any crusts are present, use a Q tip and dip it into soapy water, and roll it on the crusts and that will lift the crusts off without dislodging the grafts, but never rub them, just roll the Q tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in 7-10 days with daily washing.
losing hope, What should I do? 4 months of very aggressive shedding, 7 weeks on fin from tressless
The finasteride should reduce the shedding in 2-3 months and then other hair regrowth benefits may take up to 18 months after that so don’t lose hope,
My mother and aunt have a similar problem. What should I do?
Clearly you are very thin and have a see through appearance. If this is in the female side of your family, it is most likely genetic. First, you want to make sure that it is not caused by some medical condition.
Female hair loss is a difficult analysis and requires many tests, not just thyroid testing. I simply can not write a textbook on the subject on this site, but here’s a list of past posts that may help you understand what you’ve got going on:
The first step in evaluating hair loss in women, after a detailed history and physical exam, is to rule out any underlying medical causes of hair loss which can be treated. If clinically appropriate, the following disease processes should be considered: anemia, thyroid disease, connective tissue disease, gynecological conditions and emotional stress. Furthermore, over 50% of women going through change of life hormone fluctuations (menopause) experience significant hair loss. It is also important to review the use of medications that may cause hair loss, such as (but not limited to) oral contraceptives, beta-blockers, Vitamin A, thyroid drugs, coumadin, and prednisone. The following laboratory tests have been recommended to rule out the aforementioned medical conditions:
Some common blood tests for female hair loss:
Assuming that you do not have a medical cause and it is genetic female hair loss as seen in your aunt and mother, then one of the better cosmetic treatments for this is Scalp Micropigmentation: https://scalpmicropigmentation.com/smp-for-women/
Possibly. Usually as you get over 50, it is less effective because your testosterone is lower. A lower testosterone means that your DHT level is also lower as DHT is the metabolite of testosterone.