Nizoral is an anti-fungal shampoo that treats dandruff reasonably effectively. It does not, contrary to what many people seem to believe, address the genetics of male pattern balding.

So my temple receded from NW 1 to NW 2.5 at age 16 and it happened super fast. However, there does seem to be hair there. When I sweat on my scalp, my baby hairs form a sort of sweat line where my original hairline once was. The hairs are also pretty thick but haven’t grown. It’s been a few years now. Is this common with mpb?

These baby hairs are actually miniaturized hairs which will eventually fall out. The observation that you made that they don’t grow is what happens to hairs when they become miniaturized. Without seeing your hairline with your eyebrows lifted high, I can’t tell if this is a transition to a mature hairline or not.

There is no direct link between finasteride and heart disease. If you are having chest pain, this is a series complaint that must be managed by your doctor.

I’m Experiencing Chest Pain On Finasteride from tressless

I’m 23 and I started losing hair since 18 but not in an aggressive way. I am still an NW 2/3. Recently, I’ve started TRT because my Testosterone results came back a bit low. For the past two months. I have been thinking about hopping on the big 3 minox/fin/niz since I still have a good amount of hair, but I am really hesitant to start Finasteride because of the horror stories I have read and heard about the side effects.

So, what do you think?

 Men who take testosterone and have the genes for hair loss lose hair regardless of taking Finasteride. Additionally, young men should not take testosterone.

Hairlines like yours is easily fixed even with limited donor hair remaining. I have repaired and balanced hairlines like yours in people with depleted donor areas because it often does not require a great deal of hair. Sometimes, hair can be obtained from behind the hairline (mid-scalp) as a donor source. ?

No, there is no such evidence so far.

This sounds like a maturing hairline. While it is maturing, it is not unusual for one side to move up slightly ahead of the other side.  It could also be an early recession, but at this stage, I would not worry about it. Just keep an eye on it. If you are really worried, see a doctor with a HAIRCHECK instrument to find out if there is any balding that you can’t visually see. (See here:

At day one, you run a risk with the use of hydrogen peroxide to clean the recipient area as it may get under the grafts and kill them. I recommend not using anything but soap and water.

The best thing you can do is see a doctor. It would help to see a picture of where your father’s balding pattern ended up.  You are clearly thinning and the drug Finasteride can work miracles on 21 year-old men with your hair loss. Do not undergo a hair transplant under any circumstance as unethical doctors will offer you hair transplants to make a buck.

See here:

thinning 21 yeaar old male

A rare side effect of finasteride is “brain fog” meaning that some people claim that they don’t think clearly. To my knowledge, this has never been reported as a permanent side effect.

The problem of those clinics is that they are doing like 15 patients per day. Most of those clinics are just hair mill, everything is rushed

You get to see the experienced surgeon only five minutes to draw you your hairline … He doens’t even answer your questions. People who are actually doing the FUE are inexperiencied technicians … The surgeon doesn’t do anything on your hair except drawing the line and trying to sell you useless vitamins ….

The surgeon even forced my friend to buy finasteride, he said you need to take finasteride for 1 week after the HT to make it succesful lol. They recruit new technician very often because the demand is so high, i went to turkey with a friend for his FUE, the technician said he started this week

The result my friend got is pretty bad, overharvested donor area, unnatural temples, pluggy hair, loft graft during operation, technician using snapchat during the operation etc … And he choosed one of the best “low cost” clinic in Turkey with a ton of “good reviews” So basically those clinics only show the good results or fake review …

Be careful, if FUE price in turkey is cheap, it’s for a reason

These lumps may be caused by buried grafts that were pushed under the skin of the donor area at the time the FUE was done.  These, if they get infected or are painful, should be excised surgically. Here is an example of buried grafts that was removed after an FUE was incorrectly performed. If you look carefully at each lump, there are hairs and grafts inside the lumps.

ingrown or buried grafts

I have a few follow up questions:

I am from Canada and am not sure if the local dermatologists will have this device. Are there any comparable alternatives?

If hair miniaturization and loss is caused by stress, even though I may have the hair loss gene, would decreasing stress stop or slow down the hair loss? (I am curious about this because through the observation of hair loss in my family, significant hair loss is nonexistent aside from one uncle on my dad’s side.)

Given my current description of hair loss, would you recommend medication such as finasteride and/or minoxidil or do you think a change in lifestyle should be the first line of defense? 

Thank you in advance.

You do need to see a specialist to find out if you are losing hair. You have what appears to be a juvenile hairline in transition to a mature hairline.  This is not balding. What I would do is perform a HAIRCHECK test to see if you are really losing hair. If you are, I would recommend finasteride and then follow your progress over a year to see if the hair loss was reversed by repeating the HAIRCHECK test. However, if you are not balding according to the HAIRCHECK test, then I would not recommend finasteride. Finasteride will not stop the movement from a juvenile to a mature hairline. (see:

juvenile hairline2

Your final pattern of balding is what shows on the Norwood Classification Chart. That means that one of these patterns will be your final pattern. The older you are, the more certain you can be about your final pattern. If I am your doctor, I will perform yearly HAIRCHECK tests which will tell me well in advance what your final pattern might look like. For reasons I am not sure, other doctors don’t offer this service.

The pictures show that you were probably thinning in the area that is now devoid of hair, so the cause is likely due to the progression of the hair loss into the sides. Another hair transplant into this area will solve it; however, be careful that your doctor does not over-harvest your donor area or you will have a new problem – a see-through donor area with possible donor site depletion as shown many times in the RealSelf posts. Your donor density must be close to its harvested limit with an FUE procedure (assuming that you had an average donor density prior to your FUE transplant) so a strip surgery may be safer. You should make sure that your surgeon measures your donor density prior to making the recommendation for FUE or strip surgery.

progressive hair loss