I recently noticed my hair thinning and it has put me in a state of sadness. There are times during the day where I can’t bring myself to do anything because of how upset I am about my hair loss. I am a 23 year-old Asian male with what I suspect to be diffuse thinning. However, I have not seen any hair fall out on my pillow and just a few fall out when I shower. Would it be possible for you to look at some pictures of me to give me a confirmation? I want to take Finasteride but I am scared to death of the sides.
I don’t think that you are balding. Asians often have lower than average hair density and with your black hair and light skin, the see-through of low density reflects the high contrasts between skin and hair color. To find out if you are balding, you need to see a doctor who has an instrument called HAIRCHECK which will tell you if you lost hair bulk in any part of your scalp. In men, this is caused by genetic hair loss. I suspect that if you get this test, it will show that you do not have hair loss but to be sure get the test. Even if you are not balding but your hair appearance is not satisfactory, you can get Scalp MicroPigmentation and reduce the contrast between your scalp and your hair. See https://scalpmicropigmentation.com
There are always small nerves cut during the making of the recipient sites which cover a wide area of the frontal hairline. These nerves usually stop bothering most people within the first month, but sometime people feel the numbness for many months. These nerves will eventually heal and stop bothering you, just be patient.
I have been on minoxidil for 7 months now. I’m on my 2nd prp treatment and 2 weeks into finasterid 0.5 mg/day. Do you think fin will do any difference?
Your hairline looks good. What is the problem you see? I see that you are wasting your money and efforts including medications at this time. The arrows show where the hairline is moving into its mature position so it is thinning out to get there. I see some more movement from your older juvenile hairline to a mature hairline now which is what I think that you are seeing.
Yes, it does look like you have pushed your donor area and now have ‘donor site depletion’. I would have to examine you and measure your residual donor density. I see many such patients both in my office and over the internet. Scalpmicropigmentaiton is the best way to treat this and make it look good (https://scalpmicropigmentation.com/). If you are planning on doing more FUE grafts, make sure that you and your doctor discuss the risks of balding of the donor area.
You have something called ‘donor site depletion’ or you could have shock loss which means that the FUE grafts were taken too close and possibly too many for your donor area to support it. Maybe some of the hairs have been shocked out and may return, but if this continues through the 8th month, then you have a problem, the only solution is Scalpmicropigmentation which can hide the effects of the missing hair very well.
My comment: The needle length should be 1 -= 1.5 mm long to reach the growth center of the hair follicle. Read this article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746236/ The question raised is how often does the dermaroller (microneedling) need to be done and for how long? The article doesn’t really answer this question but does show the superiority of using microneedling with minoxidil rather than minoxidil alone.
Comment by Reader: How long should I wait before applying to my scalp? I use the 0.5 mm roller on my hairline, and I use rosemary/lavender oil instead of minoxidil, how long should I wait before applying this? I’ve done it as soon as I finished rolling, and it stung but I’m not sure if this is good or bad.
This article was published however, I am not impressed that this will cross-over into humans. You judge for yourself.
https://www.sciencedaily.com/releases/2020/07/200727145808.htm
The NHS wrote: This US study looked at a medical records database to see how common erectile dysfunction (impotence) was among men prescribed two drugs, dutasteride and finasteride, both used to treat non-cancerous prostate enlargement. The drugs work by blocking the male hormone testosterone. A low dose of finasteride is also used to treat male pattern baldness.
Overall they found that around 1 in 17 of all men prescribed either drug for prostate enlargement had erectile dysfunction. This figure fell to 1 in 31 of those prescribed finasteride for baldness. Using the drug for longer was generally linked with a higher risk. However, in 99% of men, stopping the drugs solved the problem so it wasn’t as catastrophic as the media implies.
This is what I looked like. Did I do any damage to the grafts?
The skin of a hair transplant came from the back of your head which has been protected from the sun since you were born. Now you expose the skin to sun so I would expect it to burn. Also ultraviolet light is not good for wound healing. Use a good sun blocker or a hat and you will be protected. A single sun burn to the grafts probably will not permanently damage them
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