Gerald Ford had better Hair at age 40 than many of the 20 year olds. Does this mean we are all doomed to be Bald?
Only half of the population has the balding genes, the rest look like Ronald Reagan when he was very old but even though he had Alzheimer, he still had his hair.
Look at the video in my post. The HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/) measures hair bulk (the sum of the thickness of each hair and the number of hairs per square inch). Hair loss is a bulk issue and when we lose hair we lose hair bulk.
It is sometimes hard when you have slowing or stopping because it compares it against what would have happened had you not taken it. Take good photographs. if you have a doctor with the HAIRCHECK system (https://baldingblog.com/haircheck-test-how-it-is-done-video/) which will give you a number for hair loss and hair gain if your drugs are reversing it.
DUPA is Diffuse Unpatterned Alopecia while DPA is Diffuse Patterned Alopecia which is often associated with genetic balding. DPA in men, can be treated with finasteride which is probably the best known drug for this condition. DUPA is not the same entity, but sometimes it does respond to finasteride making it, on occasion, slightly improved. There is no real treatment for DUPA today. If you want a hair transplant, it will largely fail if you have DUPA. DPA most often happens with age as genetic balding appears and the genes are present in almost half of the male population of almost all races except for the American Indian whose ancestors came from Alaska. This post may help you understand the thinning issue better: https://baldingblog.com/age-related-thinning-art/
From the gross picture, it looks like Diffuse Unpatterned alopecia (DUPA) but I would have to examine you with a trichoscpe to make the diagnosis and what I would see is significantly more than 20% of the hairs miniaturized in the back and side of your head. Am I correct that you have not had FUE surgeries? See here for photo of DUPA: https://baldingblog.com/do-i-have-dupa-photo/
This photo contains Follicular Units that were excised from the donor area using two different techniques. The graphic at the top identifies all of the elements of a single Follicular Unit. This particular follicular unit has two hairs, one is what I am calling a ‘telogen’ hair (shorter hair below the skin is either starting to grow or shrinking down (more likely). On the rows of Follicular Units (grafts), you can count the number of hairs in each graft. On row two, the grafts were removed using a punch with subdermal tumescence. Note here in row two, that the hairs are surrounded by fat, especially prominent at the bulbs on the bottom of the grafts. Row three shows Follicular Units excised with a different punch. These grafts do not have much fat at the bottom and the three follicular units on the right have no fat at the bottom at all. Because there is no fat to protect them from drying once they are removed, they can not be exposed to the air for more than a few seconds without a risk drying and death. If these three grafts are placed with forceps, they might likely be damaged as the operator will have to use the forceps to squeeze the grafts at the bulb, possibly damaging the grafts. Placement with implanters, solves this problem.
Im not a huge fan of this look, but I know people with no hair loss who shave the sides of their heads to the skin and then grow out the top a bit. I generally do more of a fade rather than complete shaving, but would consider this look if I don’t have a choice. I don’t know a ton about transplants because I am new to this, but I don’t see why someone couldn’t simply take all the donor hair they have and then put it up top. Other than money, I don’t know why this wouldn’t be a possibility. Combine SMP with FUE, doesn’t that make sense?
Good planning on the surgeon’s part allows the surgeon to estimate the donor supply and match it against the recipient needs. If there is not enough hair (a mathematical calculation), then SMP can be added as shown in this article I wrote: https://newhair.com/wp-content/uploads/2018/11/Combining_Follicular_Unit_Extraction_and_Scalp.98621.pdf
I’m looking at topical, how much is 0.1% fin to mg in tablet. Are there pros and cons to topical fin?
In the US at Costco, I was able to buy a year supply of generic finasteride for $30. Topical Liposomal Finasteride costs about $60/month. The limitations of the topical, is that it only works where you put it so if you are losing hair all over, then the amount of topical finasteride will increase significantly along with the costs.
This is a patient who has been picking at his hair for 20 years. Although a hair transplant can put normal hair back, it is a psychiatric problem because even if transplanted, this man will continue to pick and pull out his hairs. These hairs are shown as cut off by his fingernails by arrow and this is what makes the diagnosis for the physician. This man after psychiatric care and medications, grew his hair hair back without surgery.
Why are women wigs way more accepted by society and look way better and real than men wigs ?? It’s also much more expensive for a guy to wear a wig rather than a girl . And 90% of men systems look fake
Wigs are very common in African American women because if they have kinky hair, they can’t style it like the fashion models do. The same is for other women who can more easily through on wig for a night out rather than go to the salon to have their hair fixed up.
Men don’t have that luxury to change their hair on the ‘drop of a hat’ and when they wear a hair system, most men have their head shaved, with the wigs fixed on by glues so that they can’t just come off and switch a style.
https://onlinelibrary.wiley.com/doi/10.1111/jdv.17738
Conclusion: Topical finasteride significantly improves hair count compared to placebo and is well tolerated. Its effect is similar to that of oral finasteride, but with markedly lower systemic exposure and less impact on serum DHT concentrations.
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