Skipping a dose of finasteride (e.g. one pill every other day) is as effective as taking 1/2 of a pill every day because even though the blood half life is under 6 hours, the tissue fixation life is about 1 week. That means that it sticks to the hair follicle growth center for 1 week after taking the medication.
For years, mainly because of the 4% risk of sexual side effects from finasteride. man have asked for a topical form of finasteride. Now we are seeing many more examples of topical finasteride (liposomal topical finasteride formulation) which suggests that this works. Most doctors can order this through compounding pharmacies; however, the result of the effectiveness of this is not clearly define in the medical literature as of this time. I am sure we will hear more about it soon
How do you tell the difference between hairline recession and early balding? The first way to tell is to measure the distance of the hairline from the highest crease in the furrowed brow. In this 24 year old, the hairline is just starting to rise from the highest crease, a distance of not more than 3/4 inch is the point at which recession becomes the diagnosis. The corners rise more because the original hairline of the pre-adolescent male hugs the highest crease of the furrowed brow as the hairline takes on a ‘V’ shape.
The second way to tell is to measure the hair bulk in different parts of the head. I did this on this young man and found that there is no hair loss in any portion of the hair on his head. The bulk behind the frontal hairline and in the crown, was equal to the hair bulk in the back of his head. That tells me that there is not even the slightest amount of balding.
Between the location of the hairline and the normal hair bulk I measured, this patient does not have male pattern balding at least, at this time. He will come back yearly for rechecks if he is worried about his hair situation. Any surgeon who would suggest transplanting this patient would be guilty of malpractice.
The pictures below tell the story with appropriate labels. Click to enlarge.
This is a highly unusual complication of a hair transplant which I have seen posted on the web. I have seen necrosis in the mid-scalp (between the ears) when the patient was a smoker or when the surgeon made wounds that were too large and possibly too close together in combination. I have reported necrosis from internet posts here previously on baldingblog.com. I am perplexed about the cause of this problem and considering that we have performed well over 15,000 surgeries in the past 16 years and never seen this type of complication in the frontal portion of the scalp, I am wondering why more and more such problems are arising and being exhibited on the internet by worried patients. Surgical techniques certainly may have something to do with these problems and smoking may also be a contributing factor. I have written to this person and ask for more details.
I would be worth searching ‘necrosis’ in the search bar in the right upper hand corner of the screen to see more cases and some of my analysis in the past.
https://www.adweek.com/news/technology/loreal-made-smart-hairbrush-analyzes-beauty-habits-and-suggests-products-175350
Amazing way to sell hair products announced by L’Oreal. The hair brush listens to the way it works its way through the hair to report dryness and other hair characteristics. “Built-in sensors then determine if someone is brushing hair when it’s dry or wet while a gyroscope and accelerometer count the average number of brush strokes and measure the force used to brush hair.”
I had a Hair Transplant strip surgery one year ago and now continue to have pain in one area of the incision.
You report that you have pain in the donor area 1 year after strip Hair transplant surgery. Your doctor should examine you for a neuroma associated with one or more of the nerves in the area where the excision occurred. Neoromas are common if the nerve was damaged at the time of the surgery. Generally there is a single spot along the incision that if you tap it with a finger, it will bring on the pain.
You have a Class 7 pattern of balding and this balding pattern has a high need for hair. To find out if the supply of your donor area is adequate, you will have to have it measured. If your donor density is very high and your hair is no fine in thickness you may be a reasonable candidate. If, on the other hand your donor density is average and your donor hair is coarse, you MAY be a candidate. Lower hair thickness and low donor densities make your balding pattern very difficult to fill with hair unless you become bald in the donor area, something nobody wants.
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