Neither dutasteride nor finasteride can grow hair as predictably without microneedling
These pictures speak for themselves
When estimating the number of grafts a person needs, I always want to know the hair thickness of the person. The reasons for this are clearly defined by this graphic I saw on Reddit. For a visual representation, the graphic artist kept the number of hairs the same (density) and change the thickness of the hair so show the difference in coverage. This was nicely discussed by Dr. Sharon Keene with actual hairs. So you see, that if your hair is fine, it will take a lot more hair to get the fullness that a person with a medium weight hair or a coarse hair. This is why, people with fine hair often get a second hair transplant because the fullness seen is not as good as if the hair shafts were thicker. It is therefore true that that two fine thickness hair transplants with the same number of hairs might be equal to one medium thickness hair transplant. Then it is also true that two medium thickness hair transplants with the same number of hairs might be equal to one coarse hair transplant.
With some decent density on the hairline now (only fibers would get me here before) I’m looking at my forehead size and shape. I’d really like it lower, but could use some feedback.
Option 1: Forehead reduction surgery. I know this is hardcore, and usually not recommended for males…. but given my age and recent treatment plan, I’m wondering if it would be less risky (ie. the chance of further rapid recession)
Option 2:Recreating my hair entirely with an HT. Maybe. I’m not sure if would ‘take’ in an area that is completely smooth/shiny area like the upper part of my forehead.
Men should never get a forehead reduction surgery because what caused your large forehead is hairline recession which is likely to continue. If you do it with a forehead reduction surgery, then as you recede, the scar will show. A hair transplant is always the way to go for men. In your pictures, your hairline is already going back further. If you advanced that hairline, it would be thin and would eventually disappear. Women can have the hairline reduction surgery because they don’t recede.
Question, is it advisable to use hair systems when i have plans to have transplants in the future? will the scalp be damaged? Thank you.
Are you aware that hair systems cause significant hair loss from the glues and attachment clips? This will make the balding worse and increase the size of the hair transplant you may need if there is hair in the area of the hair system.
Hi I l’ve seen your advise and I was wondering if I could ask for you opinion as you seem to be one of the few in r/tressless who is an expert in hair loss. I’m diffuse thinning and started fin at the end of October. I’m afraid of starting min as well because of the shed. All I’m wondering is do you think min could work for me looking at my hair loss. I’m 20 going bald for about 15 months. This is my hair from last august until this week
That is a lot of balding for a 20 year old. I would add minoxidil to your daily routine, pulling out all stops to hope for some reversal. If I ever saw a man than needs a Personalized Master Plan it is you with a caring competent hair doctor. You are likely going to develop a Norwood Class 7 pattern of balding. Is that what is in your family history? Dad, Grandfathers, brothers, etc….?
Over time (sometimes years or decades), the finasteride MAY become less effective. Everyone is different. It is clear, however, that you must stay on the finasteride if you want to keep your hair as finasteride is a lifetime commitment. Many of my patients in their 60s stayed on finasteride and the few that stopped it, told me that they lost huge volumes of hair within a couple of months so they went back on it. This suggests that the finasteride is working well into a man’s 60s.
Some background: I’ve gotten perms 1-2 times a year for the last 9 years to try to increase volume for my thin hair. I got a root perm done in November but my scalp felt like it was burning so I decided to stop them altogether.
Now I noticed my scalp has been pink (thought it was a sunburn at first but it’s been 3 weeks and no flaking or changes) and I have this bald spot around my hair part. The hair around it is so thin and sparse if you look close. I changed my hair part to cover it up but I’m worried the hair loss is irreversible. I’ve been noticing also that I lose a lot of hair in the shower.
I ordered a silk pillowcase after a friend recommended it, and I currently use sulfate and paraben free moisturizing shampoo from Costco, OGX biotin & collagen conditioner and Aveda invati advanced scalp revitalizer spray but I’m not sure if it’s helping.
I thought initially it was from stress but this is way worse than anything I’ve experienced before. Any input or recommendations would be appreciated. I’m wondering if I should go to a dermatologist or change any of my hair products.
Hair treatments used to color hair can cause chemical burns to the scalp and kill off hair. If that happened to you, it will not get better. The best treatment for a permanent loss like is shown here: https://scalpmicropigmentation.com/gallery/smp-for-women/ Permanent burns can happen with a variety of hair treatments, using any bleaching agent in particular.
No, I don’t believe that these results are permanent. Take a look at baldingblog’s link on Reddit which has a great review of microneedling. https://baldingblog.com/review-of-microneedling-extensive-thorough-from-reddit/
https://www.dailymail.co.uk/news/article-9989033/Italian-man-mysteriously-dies-heart-attack-hair-transplant-operation-Turkey.html
I hope that when his body is home, that the cause of death will be identified. It is easy to call it a heart attack, when it could have been something else. There have been other deaths during hair transplants, one in Los Angeles was due to an overdose of an anesthetic drug, for example. Many of the Turkey clinics don’t have a doctor who understands dosing anesthesia medications.
The article reports that the body was covered with blood. The body covered with blood? That doesn’t happen with FUE unless you don’t use the right medications that contains epinephrine which constricts the blood vessels and allows clotting to occur. Maybe he bled out? Alternatively, let’s say it was a heart attack in a young man. This can happen but the surgeon (if there was one) should know how to resuscitate such a patient. This is basic stuff! Without an expert making autopsy results known, we can only guess.
If you have thinning and possibly PCOS, treatments like Scalp Micropigmentation works very well to make your hair look fuller: https://scalpmicropigmentation.com/gallery/smp-for-women/
Been on it for 8 days and the last couple of days I noticed my semen is really watery. I have no side effects other than that. I did some research and notice it’s a really common side effect, I’m just wondering if it will keep happening for as long as I take Finasteride or if you have heard of it resolving itself in patients who continue to take it? Thanks for your time!
It usually remains. A few people told me it got less watery, but that is the exception to the rule.
How long do I have to wait to see the benefits of dutasteride and finasteride, both taken daily?
Sometimes these medications don’t work. It takes a full year to see benefits. Taking both dutasteride and finasteride just increases your potential side effects. Twice a week dutasteride is fine by itself. Check with your doctor
Yes, ever since I have been seeing the wonderful results of microneedling on Reddit, I have become a fan of it, especially for the men under 24 years old when hair loss is more easily reversible.
Stopping finasteride after 8 years will create ‘Catch-up Hair Loss” which means that the gains will be lost and the hair you would have lost over the past 8 years might all occur in 3-4 months. Scarry!