25 yo. I’m thinking of getting a hair transplant in the next 7 months or so. I will likely need another one after that. My crown is very thin ( can see scalp) and my hairline has receded. I still have quite a bit of hair tho.

I was wondering can one get a preventative hair transplant in areas where you’re likely to lose hair in the future ( transplanting hairs in areas where there’s hair but it’s less dense).

I am strongly against a preventive hair transplant because of this: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/ A good Master Plan is needed before you go forward with the hair transplant process. Here is my explanation for the Master Plan: https://baldingblog.com/so-if-i-replace-my-receding-hairline-what-happens-in-another-5-10-years-when-i-continue-to-recede-answer-a-master-plan-with-a-good-doctor-who-measures-your-hair-bank/

Hi Dr Rassman, sorry to bother you but I have a question for you. I have been on finasteride 1mg/day for the past 2 years now. I have also incorporated minoxidil foam for the past year(initially twice a day, but in the last few months it’s only been once a day). Both have resulted in success of hair regrowth for me.

So in the last 1-2 months I have noticed A LOT more shedding. Before this time, I rarely had been shedding any hair at all.. but for whatever reason now I lose hair even when I run my hand through my hair.

I am unsure if it is stress/diet from the new school, perhaps a damaged minox canister or the decreased frequency of applying it, or maybe the most unfortunate which is that the finasteride has lessened it’s effectiveness on me… Anyways, just was hoping to get your insight if you have the time. Thank you

It is possible that the shedding actually is related to the genetic hair loss. Wait it out for 2-3 months and you should see reversal of the shedding if it is drug induced.

This man is showing that minoxidil has worked on his hairline. The reason that most say that it only works on the crown (vertex) is that the FDA only got approved for claims on the crown (Vertex) when the drug got approved. It clearly works sometimes on the hairline as many men will tell you so and it works well in the crown for many men.

This young man rushed to get a beard transplant.  He should have asked the surgeon to show him other patients who had it done in that surgeon’s hands. Unfortunately, that didn’t happen. Now he work in a public position and every asks him what is wrong with his face?  He wants to get rid of the transplants, all 2500 of them.  This will possibly produce scarring even when they are out.  The use of a very small punch by the surgeon and test removals is the way to go to see what is outcome will be. There is clearly a balancing act, the removal process and the possible scars left behind, or leaving it the way it is.

Nice early result

No, I don’t recommend DHT testing. Finasteride is a competitive inhibitor to DHT at the 5 alpha reductase level. Simply put: competitive inhibition means that finasteride competes with DHT for the receptor that triggers hair loss. If the finasteride occupies the receptor, than DHT can’t cause the hair loss. Finasteride is about 75% effective at competitive inhibition.

This man started on minoxidil and estrogen and after 3 months added dermaroller to the routine for a total of 9 months.  The use of estrogen is unusual and I can’t surround the contribution of it to the growth that you see.