For my patients who want to take a reduced dose of Finasteride, I generally tell my patients to take either 1/4 of a pill (0.25 mg/day) or one pill (1mg) every four days. Do that for three weeks and then increase it to one pill (1mg) every three days for three weeks, then one pill (1mg) every two days and stay on this. This is my routine for people who have erectile dysfunction.
Yes, you are an excellent candidate for a hair transplant. I classify you as a Norwood Class 3A pattern with a residual forelock. This forelock will eventually disappear as you age so creating a hairline for someone like you will give you a much younger look as the man with the before and after photos below.
From my 27 years in this business and the 20 or so years since Finasteride has been on the market, I have never seen this drug cause hairline recession. I have seen patients develop recession when the drug did not work well as the battle to control hair loss is lost.
Using animals for organ donors have been tried for years, but cross species transplants have done very poorly over time. Now the use of CRISPER can tolerate organ donation much like Dolly the Sheep. Genetic material are used in pig cells in the early embryo and implanted in sows. The plan is to create pigs that have also been altered to make them more immunologically similar to people. In theory, this should mean transplanted organs are less prone to attack by a recipient’s immune system. This work is being done by Robin Weiss of University College London as reported in the New Scientist August 19, 2017 issue.
Shedding after switching Finasteride supply source may reflect a counterfeit drug or a faulty production lot. Check the source and go back to where you originally got it from. I have seen this even in good stores when they purchase off-brands of genetic finasteride. Hair loss from Finasteride withdrawal may become permanent so act quickly and get back to a source you can depend upon.
This research has been around for some time but will the mouse model translate to the human? We need answers on this before we fully understand the article and its meaning.
UCLA scientists identify a new way to activate stem cells to make hair grow. from science
I just has an FUE procedure and I want to fix the scar, what can I do about it?
The best approach to a strip scar is Scalp MicroPigmentation, something we do all of the time. Your picture is on the top and a typical repair is below.
You can see more of these repairs at https://scalpmicropigmentation.com/scar-covering/
The answer is no. In an analysis of 500,000 people in Europe (ref:new Scientist August 19th issue), people who were fat, controlled their blood pressure, cholesterol, blood sugar and exercised, still had a 26% increase in the risk of heart disease and heart attacks. The message is clear, being overweight can kill you!
I like to post interesting readings written by smart young men who do their research. This is such a post.
I am not losing my hair (yet) and do not think I will soon, but I am a pre medicine major who has an obsession over stem cells and want to share something with you all. Your future is brighter than you think. from tressless
I suspect that you were over-harvested with grafts taken too low. There is some possible devascularization of the donor area. If the hair does not return by the 6th months, then I would recommend Scalp MicroPigmentation, See here: https://scalpmicropigmentation.com/scar-covering/
Lumps in the donor area 18 months after FUE often reflect burred grafts with a reaction by your body to encapsulate these grafts as foreign bodies. See your doctor as these lumps can be surgically drained.
If you keep plucking the grafts and sooner or later the hair will not return. In those grafts that you pluck you will eventually kills these hairs. We call this traction alopecia but it may take quite a few pluckings to kill these hairs.
Your history sounds like genetic hair loss but your photos do not support it. Blonde hair has very low color contrast with the skin so a blonde man can lose over 80% of his hair and often not show it because of the color contrast issue. If you can find a doctor with a HAIRCHECK instrument, you can find out with certainty if you are losing hair. Here are some examples if people similar to you: https://baldingblog.com/2017/01/10/value-haircheck-bulk-measurements-two-patients-seen-today/
A trichophytic closure is performed n a wound typically in hair transplant surgery when a strip surgery is performed. The idea is to cut off the epidermis as shown in the schematic diagram below and then to bring the two edges of the surgical wound together with a suture or a staple. Point (A) is sutured to point (B) leaving the cut-off hair follicles below what will eventually become the wound and the scar as shown in the photo on the left. This is a patient where I performed a trichophytic closure at his strip many years ago. Please note that the scar did widen to a distance of 4mm (I measured it today as he came in for an FUE to thicken his hair and address is balding crown). This trichophytic closure technique removed a 4mm distance of epidermis so in this particular patient the entire 4mm section where the epidermis was removed was where the scar formed. Hair grew through the scar as seen here. Few surgeons who perform trichophytic closures remove 4mm of epidermis for reasons I don’t understand (they may remover 1mm from each edge of the wound which would not have cover this man’s scar). What is interesting is that despite the hair that grew into the scar to emerge through the entire scar, the white scar tissue nevertheless appeared which is almost always the case. For this reason we do not fix existing scars with trichophytic incisions but rather with scalp micropigmentation which addresses the issues of scar color very nicely (see here: https://scalpmicropigmentation.com/scar-covering/).
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