I am excited to see what it will look like at 6 months

If you read my 6/21/24 post, I discussed the number of grafts and its relationships with the size of the recipient area. Most average Caucasian men have about 7000-8000 grafts (plus or minus 20%) to take from the donor area for their lifetime. Asians and Africans have significantly less donor hair. Are you old enough to know your final balding pattern (over 26, at the least)? 4100 grafts should be more than enough to return your normal donor density to the area you transplanted. What worries me is that if you become significantly bald in your late 20s or early 30s, you will need more hair to take from the donor area. You might be unable to supply a balding Class 6 or 7 pattern, possibly resorting to beard hair if that happens. I believe that every person having a hair transplant needs a personalized Master Plan that considers their worst-case projected hair loss pattern, the value of their hair (fine, medium, or coarse), and the quantity of hair that can be harvested from the donor area (that is a number that is easily measured and calculated). With that plan in place, there are never surprises. If your surgical team did their job correctly, as I see it looks good, you would have more than enough hair for the balding you presented with. 

Old Drug Now Called a “Magic Pill”, because it regrows hair and improves heart health (earth.com). The article suggests that Finasteride could lower cholesterol levels and reduce the risk of heart disease.  Dr. Jaume Amengual, Assistant Professor at the University of Illinois, said, “men in a survey had a Cholesterol level 30 points lower than those not taking the drug”.  This data came from the National Health and Nutrition Survey conducted between 2009 – 2016 on thousands of men over 50, but the sample of men in the actual study was small where the Cholesterol was analyzed.  The study was taken to the laboratory, and mice prone to atherosclerosis and fed on a high-fat, high-cholesterol diet showed lower serum cholesterol levels and decreased inflammatory markers in the liver. The study suggested that with the high dose of finasteride given to the mice, there was less atherosclerosis in the coronary arteries and fewer inflammatory markers in the liver. 

This is an amazing change, almost comparable to a hair transplant; however, will it last after the hair goes through a single cycle.  I would only guess that this new hair may stick around for a while as long as you maintain a regular microneedling routine, at least once a month.

I feel like this 100 hair a day thing is misleading for people that are shedding. I for example lose 200+ hair a day, and thats when I do a rough count in the shower and sink(when applying minoxidil). But if I ask a friend or my brother how much they lose in the shower they say little to none (single digits). If they run their hand through their hair or comb it a bunch, they still lose little to none. So how is this 100+ hair fall a day supposed to be accurate. Also most of us that have visible scalp already lost 50% or more of our density, so shouldn’t our normal already be 50 hair or lower per day?

The actual hair loss per day reflects: 

1- How many hairs do you have on your head.  A Typical Caucasian has 110,000, and a Typical Asian has 95,000.  

2- What is your growth cycle.  Hair grows in cycles and we lose long hair when hair goes out of its growth cycle (anagen) and into its sleep (telogen) cycle.  For an average young man in his early 20s, the growth cycle is between 2 1/2 to 3 years.  Assuming that it is 3 years, do the math, 100 hairs per day are about 100 hairs per day in a typical Caucasian male. With 365 days per year, 100 hairs lost per day would deplete the existing hair population by 36,500 hairs in a year, but the telogen hairs come back to life at the same rate of 36,500 hairs per day, giving a non-balding male a net zero for hairs lost on the head.  Asians, of course, have lower numbers by 15 – 20%, and Africans are still lower by 30% compared to Caucasians.  On the other hand, women tend to have longer hair cycles, some as long as 6-7 years, reflecting a very low number of hairs lost per day.  

3- Balding:  Balding adds hair loss to the above equations.  When a young man has hair loss, that hair loss is in addition to his normal 100 hairs per day, so it becomes more evident in the shower or on the bed pillow.

4- Most normal men lose their hair in the wind, in the shower, walking around at work or at the house.  The amount is so small that it is not noticed; however, when balding occurs, the extra volume of lost hairs becomes very detectable. 

 

Note that the area where the “DOTS” are made, doesn’t show the see-through scalp that appears to the area where there is no SMP.  This is what the SMP operator needs to accomplish, so that you can’t see if from afar.

 

 

 

 

 

 

 

 

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I’ve recently started topical finasteride.  The point is that the solution, called Alocare, is at 2.275 mg/ml. The prescription states that only 4 sprays must be applied on daily basis, each one of them containing 0,114 mg of finasteride. Is it too low? Only 0.456mg are applied daily…  Opinion? Is it useless?

Your confusion is at the heart of my opinion.  I have been warning many readers that topical finasteride goes through the skin and goes systemic. That is why you are better off with the oral. It is also less expensive if you go to Costco at $30/year. If you need to keep it out of the body, get the Topical LIPOSOMAL finasteride, which keeps it in the scalp by over 80%.  I prescribe it by contacting me at williamrassman33@gmail.com