This man used a dermapen for microneedling, minoxidil and finasteride and kept on this routine for 9 months, reversing all of the hair loss as shown in the photo


Hello everyone, my names mike and I’m 20 years old. I’ve been losing my hair since I was probably 15 but it’s never really been that noticeable until maybe about 19. Now that I’m 20 I’ve began to diffuse thin and it’s the worst thing ever. I look in the mirror and see a person that I don’t want to see. I hate the way I look and I hate myself. I’ve been suicidal for about a year now, and I’ve been depressed pretty much my whole life. I feel absolutely worthless. Like my life means nothing. I have a loving mom and two brothers and they are the only reason I’m still on this earth today. Balding is a shitty experience, but going through it at 20? I can almost hear god pointing the finger and laughing at me. I’m not even going to mention my fucked up head shape. I used to be a popular kid but now almost all of my time is spent in my room alone. I can’t cry, eat or even talk to people anymore. I’m writing this to share my struggle with others, not for pity. If your going to tell me that “there’s so much to live for.” Or “think about the ones you’ll hurt.” I’ve heard it all and I don’t want to hear it again. I’m asking for people in similar situations to talk to me and share their experiences and encourage me to keep fighting because I’m at the end of the line here. Thanks for reading.

I have seen similar young men as you. Hair loss is just one component of your depression. With a supporting family, you need to speak with them, let them help you find assistance though the issues. Hair loss is 100% fixable, one way or the other, so address the most pressing issue, your depression first. A good doctor may prescribe you some medications that may help.

I’m 28. Since I was 25 I started to loose hair. It first started in the frontal area, but right now I’m starting to loose on the mid and also a little in the back.

The thing is that since my 25s I had less hair, I started to use the dryer daily for these 3 years in order to increment the volume of my hair and look OK. I must say that even though I used it daily (sometimes I combine it with fibers. Mostly on weekends), I used fresh air and maybe I used for 5 minutes a day, just to let the hair dry and get more volume. However, since I’m losing more hair, I’m wondering if maybe the constant use of the dryer has increased my hairloss and makes it worse. It can be or I’m just losing hair as I’m going to lose it due to my genetics?

No, a dryer will not impact your hair. If you pull on your hair while you dry it, it can pull out the miniaturized hairs and make you balder.

You have a Norwood Class 3 pattern of recession of the frontal hairline. You need to form a good Master Plan with a good doctors, see here:

You are probably a reasonable transplant candidate.

By the age of 26, most men (not all) will have a hair loss pattern that will be evident. That is one of the reasons we don’t recommend hair transplant prior to the age when we can determine the hair loss pattern a man has inherited. A good Personalized Master Plan requires understand where the balding is going. With that knowledge, a doctor can measure the (1) donor density and the (2) hair mass index and with these two factors understood, the doctor can plan what has to be done and where grafts can be safely placed, assuming that the patients wants to build a long term hair loss strategy and how to keep it for their lifetime.

Not accurate! In my experience, most men get a slow build-up of value over time peaking at about 18 months

The older you are, the less the needs for medication to prevent shock loss. Hair transplants do not require any medication. I have had some men who don’t want to take finasteride and went forward with hair transplant, nevertheless.

I have a great deal of difficulty thinking that a single 1 mg dose of finasteride which is out of the blood stream in under 24 hours, could produce Post Finasteride Syndrome (PFS).  Could this be the power of suggestion?

A guys talks about getting PFS after 1 pill from tressless

Age Related Thinning (ART) is a new term in our field defined by Dr. Robert Bernstein and I in last months Hair Transplant Forum. This is a very important writing because it addresses the change in hair character that can happen to any person of almost any age.

Age related thinning (ART) is characterized by the progressive, diffuse, uniform
decrease in hair shaft diameter. The key word is “uniform.” Both AGA and ART
are progressive conditions and can be so at varying rates. And both AGA and ART
can be diffuse, with the female pattern of AGA displaying diffuse miniaturization
and men having both diffuse patterned and un-patterned alopecia (DPA and

Hair thinning in AGA is a focal process. It starts with one follicle in a follicular unit
and then gradually involves others, characteristically resulting in hairs of varying
diameters (miniaturized or partially miniaturized hairs). In contrast, hair thinning
in ART is a uniform process. Uniformity is the defining characteristic of ART, where
every hair shaft becomes finer at the same time and to the same degree. ART is
not merely thin hair it is a genetically programmed process that relentlessly
reduces hair shaft diameter over time.

It is important to make the distinction between gross clinical thinning, which can
be due the loss of the absolute numbers of full thickness hairs (telogen effluvium),
the presence of miniaturization (AGA), or the accumulated thinning of every hair
follicle (ART), and the thinness of the actual hair. Thin hair is a characteristic of
every hair in ART, some hair in AGA and not seen in TE, although in all three
conditions ones overall head of hair can look and feel “thin.”

Age related thinning has often been referred to as senile alopecia, but the
problem with this latter term is that the condition can start at an early age (just as
AGA can). ART is truly an age-related genetic process that involves all the hairs on
one’s head. It is not androgenetic. It is can be the only process that is occurring
when a women or man complains that they have thinning hair or decreased hair
volume. But ART can certainly occur along with AGA – and usually does!
The diagnosis of age-related thinning is simple, no matter where you look you
seen uniformly fine hair. When you look at the donor fringe of an 80-year-old man
using dermoscopy and see uniform, fine hair, these changes are from ART, not

The implications are real. ART can make a non-miniaturizing, apparently stable
donor area “go bad.” It can result in a disappearing hair transplant, a translucent
donor zone and visible donor scars. Unfortunately, there is currently no specific
treatment for age-related thinning. Only an accurate diagnosis and good surgical
planning will spare the patient these problems.
The importance of the clever paper by Dr. Muthuvel is to alert the clinician to
consider a wide variety of factors when assessing the patients candidacy for hair
transplantation (SDA, DT and RT). Perhaps we can consider one more.
Robert M. Bernstein MD, New York, NY and William R. Rassman MD, Irvine, CA

I read the paper. It is from a good journal, but now I lost respect for that journal. Take the logic one step further, just keep your hair short and you will never lose it. I know many men who have very short hair and keep losing it, so that put the idea in the GARBAGE!

If your hair is important, find a good doctor and get a Master Plan for your hair loss that will address your situation now, and for the years to come. Good planning is critical and wasting your time looking to a non-professional, who does not know how to help you keep your hair for your life, would be a mistake. A good doctor making a good plan for you is critical. That eventually might lead to a hair transplant.

You might think about Scalp Micropigmentation ( ). Many men like you had it done and loved it, look at the video on the home page and see what this bald man says!

Very nice results show that some people respond well to finasteride quickly.

Over the past week I have seen three young men (17, 22, 22 years old). The same doctor in Los Angeles saw all three before they saw me. The 17 year old was told that he needed 2500 grafts plus stem cell treatment at a cost of $35,000. The second (22 years old) had three surgeries already and was slated for another couple more (medical malpractice because the doctor used up a good deal of his permanent hair) and the third was told that he needed 4000 grafts (I saw him and told him about finasteride, minoxidil and the dermaroller) to avoid surgery at least until he was older.

I have written before about very young men and that they shouldn’t rush to hair transplant surgery here: and here:

Clearly some doctors are predators and young men are their victims. Beware of any surgeon that tells you that you should have transplants if you are under 25 years old before your balding pattern is clearly identified.