Note the area on the left side the arrows point to hair that is being lost by fading away. This is what is left of his juvenile hairline. The mature hairline is nicely outlined by the thicker hairs. The area behind the hairline has some diffuse thinning maybe reflecting miniaturization and certainly less bulk than the mature hairline which has a different genetic code.
Currently 23 and seriously looking to get an FUE of about 2000 grafts done in the winter or spring of next year. I’ve had consultations a few months back, some doctors saying I’m too young but others giving me a price point with a conservative outcome I would be happy with.
At this point in time, it is good to get an assessment of your donor supply and your hair mass value so that you know, for your lifetime, what is your donor supply from a practical matter. I do this routinely as a person thinks about a hair transplant, even if it is a few years away. It give the patient the ability to plan, budget and obtain realistic expectations.
That is most likely acceleration of your AGA, not the drug effect
Hair loss is caused by genes, hormones (DHT), age (number of hair cycles) and stress. A hair transplant is a stress. In my career, my group has performed over 17,000 surgeries over 31 years so I have seen the impact of a surgery when a man has miniaturized hairs (they lose these miniaturized hairs with a surgery) unless they are on finasteride. This is a fairly reliable assessment of the situation and that is one reason I am never excited about performing any hair transplant procedure on someone under the age of 25 when miniaturization, which precedes balding, is commonplace. So, if I performed a hair transplant just on the receding corners of a 21 year old male, I would witness hair loss that could decimate this young man well beyond what I came to ‘fix’. We call this Shock loss and it is very common in men in their 20s who get a hair transplant, even a small hair transplant.
Thinking of starting to take Fin but I have to wear a hat for work. Will that affect the progress?
Wearing a hat will not impact balding to any degree provided that it is not tight where it might pull out hairs.
Over and over again, we see this terrible complication from a hair transplant where the recipient site died (necrosis), In this case, we have an after healing result with massive scarring from the necrosis. Out of over 17,000 surgeries done by my group, we have never had such a complication. I suspect that this was the result of using too much epinephrine to control the bleeding during the hair transplant by someone who clearly didn’t know what they were doing.
This man’s balding pattern was probably a Norwood Class 4A pattern. He had hair in the back of his head prior to the transplant. The technicians who transplanted him, clearly over-harvested his donor area. They shaved his head, place 7000 grafts. I suspect that they used up close to all of his donor supply and put these grafts into the entire front, top and frontal portion of the crown (which didn’t need the grafts). You the consumer, must be on alert to avoid such catastrophes from happening to you. No real surgeon did this surgery.
Hi Dr. I’m a diffuse thinner. I have been doing microneedling with minoxidil for about a year. It seems to have stopped the hair loss but unfortunately there is no new growth. I’m thinking about getting smp, the only reason that’s holding me back is that if I get smp I’m scared I wont be able to micro needle as it will cause the smp to fade depending on the needle size
In theory, the microneedling shouldn’t impact the SMP as the microneedling with a 1mm needle will no go deep enough to reach the locations of the pigments
Was wanting opinions on what is better. Been trying to look at other answers folk got but getting mixed answers. What would be better to fix my hairline? Oral or topical? And if topical, is foam better then not? I’ve heard people say it’s better but I have no clue.
Topical minoxidil responders reflect about 40% of the population; however, if you switch to oral, the response goes way up. The key is not to take too much of it and keep the dose low.
Which has more efficacy on DHT blocker between topical finasteride and oral finasteride? Please let me know thanks
The Liposomal topical finasteride stays where you put it and very little of if goes systemic as most other topicals do. If you apply it in the front but are thinning in the crown, it will only work in the front. If you take the pill, then it gets everywhere as effectively as the topical does were you apply it.
I judge hairline position by either (1) a finger breadth above the highest crease in the furrowed brow in the midline and then a gentle V shape or (2) the distance between the tip of your nose to the bottom of your chin, then measured from the body grove between your eyes (called the Glabella) to the midline hairline. One of these two measurements fix the hairline position for the normal mature hairline in 95% of men. The hairline looks a bit high; however, without seeing your entire face, I can’t give you an opinion. There is also considerable swelling from the hair transplant evident on the photo.
I am 14 months into finasteride (20M) and still shed a lot of small/ medium hairs a day. I started minox and Microneedle for the temples 3 weeks ago. My scalp is itching a lot as well. I am in doubt about starting Dutasteride since I am 20 years old. Can somebody please give some advice. Has anybody experienced the same shedding 14 months in? Please let me know… thanks
A normal male will lose 100-150 hairs per day depending upon the length of their growth cycle. Finasteride will not stop normal hair cycling. If you are losing hair beyond that daily amount, then you should see a hair specialist. Is that what is happening to you?