We must be able to laugh, even if you are balding.

The Bald Future in Sundance Film Festival Shorts from tressless

I have been using Minoxidil for around 2 years, and I started taking Finasteride 9 months ago but my hair fall is somewhat the same.  My hairs are shedding when I dry my hair with towel or rub it between my hands. Does stress increases hair fall? How do I resolve this problem?

Genetic hair loss does not always respond to the treatments that doctors have for you today. Sometimes it resists all forms of treatment, and if you should happen to bald as a result of this, hair transplants are a good solution.
An alternative, if you don’t want surgery,  is Scalp Micropigmentation (https://scalpmicropigmentation.com/bold-shaved-look/). For this last solution, you must keep your head shaved. Be careful with being rough while your hair drying with a towel as you can easily pull out miniaturized hairs that are at the end of their lives.

I think that only a hair transplant or an unusual response to Finasteride can have this result. I have never seen Regenix produce these results. He does have the perfect hairline for a mature male.

What’s everyones thought on this Matthew Mconaughey & Regenix from tressless


If it was not there before, then it is new growth. You must always compare before and after states of the area (best with good photographs) as you are looking at.

Screen Shot 2018-05-30 at 7.51.13 AM

Today, I performed a HAIRCHECK test to see if there was any evidence of hair loss present in this 33 year old male. He went on Finasteride 11 years ago and was convinced at that time that he had hair loss. However, the doctor who prescribed it did not really examine him and make an objective assessment of his “hair problem.” Since then, he has been worried about his hair loss. He knew that Finasteride could contribute to a reduced risk of prostate cancer, and since his father has prostate cancer, he is happy to stay on the medication today, even if he is not balding. He has no sexual side effects or any other side effects from the drug since the time he started it, 11 years ago.

It is my firm belief for those of you who read this post, before you start the drug Finateride, to get a HAIRCHECK test. It will help determine:

  • If you are really balding
  • If you are balding, get a baseline for your hair loss, so if you start on the drug Finasteride or any other treatment for hair loss, you will have an objective way to determine if you are balding while on the treatment, and
  • If you are getting worse or getter better with the treatment.

Knowing what is happening to you is very important from a Master Plan perspective because hair loss is progressive in 100% of men who have genetic balding. The HAIRCHECK on this patient showed that his hair bulk in the front, top, crown and back of the head was equal by HAIRCHECK measurements.

Screen Shot 2018-05-30 at 10.47.13 AMScreen Shot 2018-05-30 at 10.47.54 AM

Shock loss is very common in men under 30 who have had a hair transplant and are not on the drug Finasteride. Most of the time, Finasteride can help the stop the shock loss from occurring.

How common is shock loss with hair transplant from tressless

Heya doc, I was told to shoot you a message and get some advise. Thanks in advance :) I’ve had recession for the past few years, but honestly, it’s been very slow and hasn’t bothered me that much – I kind of like it how it is, even. The last 6-12 months have been very stressful, with the end of a relationship and losing my job. Recently, I’ve noticed the top/front of my head is looking quite thin, but still only noticeable in harsher light, or if I’m looking closely. I felt it’s getting worse and more noticeable though. I was told this might be diffuse thinning? I’m not really sure what this means. Is it the same as MPB? It’s not like this at the back/side. I can’t see any short/new hairs coming through. I suspect its just MPB but im not sure if stress could have exacerbated it. I also had a habit of scratching/scraping my scalp while stressed.

age 18: https://i.imgur.com/Xxqxwxw.jpg https://i.imgur.com/RBnNTkS.jpg

age 24 hairline: https://imgur.com/a/3KToSwb https://i.imgur.com/nVX1gUg.jpg https://i.imgur.com/yOCcGgWl.jpg

age 24, detailed close-ups: https://imgur.com/a/iEnRotm

I’ve ordered Finasteride and Minox. I should be starting them next week and going from there. My family history of baldness is alright. Most men have some balding at 40+, but no one has started balding at my age.  I’m open to a transplant in a few years if I think it would benefit me. I was curious if I could have additional hairs transplanted in places where I would likely continue to lose hair down the line in order to preemptively fill them in?

Young men often slowly develop thinning that will eventually lead to some balding pattern. What I do in my practice is perform a HAIRCHECK instrument test to determine the amount of bulk hair loss that your photos do not show. This gives me an objective measurement before I start treatment as shown in this man: https://baldingblog.com/2017/09/15/follow-haircheck-test-5-years/


This solution has been utilized in mice for more than 20 years. Some human work has been done but as of late, we have not seen successful hair growth in humans from this approach.  Nevertheless, worth viewing if you don’t know much about stem cell research and hair growth

This is a man that again went to Turkey had developed this donor area problem probably reflecting either shock loss or direct donor site depletion

depleted donor 52

The following journal article seems to address this problem:  https://onlinelibrary.wiley.com/doi/pdf/10.2164/jandrol.109.009381

In summary, a 1-mg dose of finasteride does not appear to adversely affect spermatogenesis. In addition, the level present in the ejaculate of patients taking 1 mg appears to be negligible. Thus, there does not appear to be any need to stop 1 mg of finasteride in those patients trying to conceive or in those whose partners are pregnant.

We all know that heart attacks and cancer are the two leading causes of death in the US, but did you know that preventable errors in hospitals cause 440,000 deaths a year and is the third-leading cause of fatalities, not only in the US but also in the UK? We take an Electrocardiogram (ECG) to detect heart disease and various other tests for early detection of cancer, but what can you do to prevent your unintended death from an error in the hospital where you’re life needs to be saved?  The key is to get involved in your hospital care, and don’t always accept what you hear and see without asking questions.


Ref: New Scientist 19, May 2018

Yes, but the normal, non-balding male’s number of life cycles are not limited. In a balding male, they may be limited in the balding area to between 5-8 depending on the length of the cycle and the age that it kicks in. My grandfather, at the age of 102, had the same hairline as when he was 5 years old.  I suspect, if he did not die then, his hair would have kept growing and growing.

Hair follicle life-cycles limited? from tressless

I am sick to my stomach and vomit often. I have diarrhea, pain in my shoulder, and have lost strength in my hands. What is happening to me?

 It sounds like you are having a panic type of symptoms, possibly from taking the drug. I would consider stopping the medication and seeing what happens.

If a man, who has undergone SMP for a class 6 balding pattern, is adamant about applying high SPF sunscreen whenever he is going to be exposed to the sun for extended periods of time, will this completely prevent any fading of the SMP as a result of the sun? Or is some fading inevitable over time? If so, is this easily corrected with touch up procedures? Does the aesthetic appeal and cosmetic value of SMP decrease with each successive procedure? Or would it recreate the look of the initial procedure? 

Yes, using a high SPF factor will slow down the fading. However, you can always touch it up after a few years if needed.