The average Indian has a lower density than a Caucasian of about 1.9 hairs/follicular unit (the Caucasian average is 2.2 hairs/follicular unit), so unless his hair is very coarse, his donor area is clearly depleted. He may find that he doesn’t have enough hair to cover the donor area. Additionally, this man’s FUE was taken outside the donor area. His entire remnant Class 6 pattern was harvested. If he develops a Class 7 pattern of balding, then he will lose more than half of the hairs transplanted.
I am 37 years old and had this balding for 10 years. I started using 1 mg PO finasteride daily 1 ml topical minoxidil twice daily 1 biotin vitamin daily, Saw palmetto shampoo, plus 0.5 mm micro needling at home 2-3 times per week.
I would increase the microneedling needles to 1.25mm and reduce the treatments to once a week. That depth gets to the stem cells that control the growth of the follicles to react to the wounds. You also might consider switching to oral minoxidil. Speak with your doctor. The photos suggest that the stem cells are still there and alive, so push the depth of the microneedling t where the stem cell reside.
David Beckham’s photo in the Telegraph shows a very normal hairline with possibly some frontal thinning. The shape of his hairline is normal and the temple peaks are prominent. The picture on the right must have been created for some nefarious reason. The picture on the right shows an abnormally shaped hairline; however, it was likely photoshopped? We can’t always believe what we see.
This 40-year-old male reversed his hairline recession with minoxidil 6%, 0.3% finasteride topical solution as well as microneedling. I suspect that without the microneedling, he would have had no response. Microneedling is a fantastic treatment for almost any age man with balding. The problem with microneedling is “Will it last” and if so, how long without continuing the process.
My hair, black and white picture, which has receded in similar pattern to the colour picture attached. It’s styled so the front is swept to the side and I think highlights my receded hair line, Norwood 2/3, or at least doesn’t make it look good.
I want to keep my hairstyle natural looking while making the hairline look as good as possible. for example I don’t want to push my hair forward just to cover the hairline. Has anyone been in a similar position have any styling tips or ways they get their haircut at the hairdresser’s to make their hair look good without changing the style too much?
That is a good positioning of a mature hairline design, something I have been creating for over 30 years with hair transplants. This is a realistic hairline. The number of grafts to create this hairline would be 1200 if your hair was coarse, 1500 if your hair was medium, and 1800 if your hair was fine.
Does my hairloss related to high testestrone?i just got my bloodwork and my testestrone was 1130 ng. I taking finasteride for 8 month. I didn’t take DHT test but I have plan to do it in future. Currently I am in middle of the situation that i don’t know my hairloss is because of finasteride shedding or high testestrone or dht.
Hair loss has not been correlated to normal high testosterone levels. Exogenous testosterone, which changes your normally high testosterone levels or a person’s normal testosterone levels, will produce hair loss.
So three months ago, I decided to hop on a min/fin 0.1% formula that made my derm (my anxiety and depression were still strong during this time). I applied it once a day in the mornings. The formula really works, in only these three months, I have recovered a lot of my hair to the point that it looks/feels like my hair from last year.
But my anxiety has been the worst, my derm says it is not possible or common.
Can a low dose of topical fin exacerbate these symptoms?
Topical finasteride at a dose of 0.1% will be absorbed systemically and can add to depressive symptoms that you already have. The alternative, if you want to take finasteride, is to take the liposomal topical finasteride, which largely stays in the scalp, This is a compounded medication made specifically to your specifications. I often prescribe it to people who can’t take oral finasteride.
I’m pretty close if not completely norwood 7+. I realize this severely limits what I can expect from a hair transplant. I am currently 40 years old, and have been balding since 20. So I’ve been on fin and minox on and off throughout the years. I know there’s only so much you can say if you don’t see me personally, but I just wanted your opinion as an expert. At a norwood 7, would it be possible to have graft or FUE done to the “top” of my head so that I have coverage on the top enough to create an “undercut” look. Currently, I shave my head completely. If I had the transplant done, I would still plan on shaving the sides and “under” the top. I realize this would possibly make scarring visible and obvious, which I understand is a very important thing to consider. I would think micropigmentation would help with this, right?
I was just curious if you had ever performed this kind of look, and whether or not you thought it would be viable with such advanced hair loss.
I have performed hair transplants on hundreds of Class 7 pattern patients. Some have had a very high number of transplantable grafts and some have not. See: https://baldingblog.com/question-about-class-6-pattern-of-balding/. If you want to consult with me, write to me at williamrassman33@gmail.com. To evaluate you correctly, I need to see some photos to show your balding, and one of them should be a frontal view with your hair pulled back and your eyebrows lifted high so that the creases on the forehead show up. This will show me anatomical landmarks to measure where your hairline belongs and more about the shape. Tell me what you don’t like about your hairline and overall hair situation. Please include your phone number and the best times to reach you.
I have seen a few of these hairlines that almost touch the eyebrows. I saw one that was solid at about 1.5cm above the eyebrows. Usually, if the hairline matures, these juvenile hairlines will disappear with age. It could take until 29 years of age. In some ethnic cultures like Indians, hairlines this low are more common, and some men will maintain such a hairline into adulthood as they never develop a classic mature hairline. This is rare.
Are Dupa (Diffuse Unpatterned Alopecia) and Age related thinning the same condition, just that the former name is applied if it develops in a young person whereas the latter name is applied when it develops in a person of advanced age?
No, these are not the same. DUPA usually has miniaturization well over 50%, if not 70% or more, while aging expresses itself in two manners, (1) Age Related Thnning. This appears with thinning of the hair shafts that are universal and uniform of (2) loss of hair follicles in the follicular unit. This appears as a drop in total hair count per follicular unit and the entire head.