Here are two photos which show two different patients who developed necrosis of the recipient area. These patients had their surgery in Turkey and will have to get wound care where they live.  The area of necrosis will not grow hair.  My clinic has performed over 16,000 hair transplant over 30 years with many doctors. We have never had a case of recipient area necrosis.  I believe that these men had errors in their anesthetics that caused the problem.  Turkey is no bargain when you don’t get a competent doctor doing your surgery. There are some very good doctors in Turkey and I doubt that the good doctors in Turkey get this complication.

This is a somewhat rare condition called Occipital Fibrosing Alopecia which impacts the neck hair of men.  It is an autoimmune disease, read here:https://pubmed.ncbi.nlm.nih.gov/33614725/

Note that the middle of the hairline is about one finger breadth above the highest crease of the furrowed brow. The hairline is one looks to the sides, creates a gentle V-Shape.  The hairs in the hairline are mostly single hairs that allow a transition that makes the hairline not a line. Because this man has coarse hair, it is easier to see the single hairs in the front of the hairline on the photo below. This is a transplanted hairline but one would never know it by looking at it.

I call that catch up hair loss which means that you lose all of the benefits and revert to what would have happened had you never taken the drug

From Reddit: 

Don’t really have access to doctors that take enough interest to give me answers to my questions, ur kindness will be greatly appreciated

I saw your comments popup several places when looking for effects of finasteride on pre exisitng gyno patients. Everywhere you say that it should make no difference, whether u have a pre existing condition or not… I would like to know ur logic behind this, wouldn’t a man more susceptible to hormonal imbalance be worse affected by increased estrogen levels, than others that are not

Male 20, agressive diffuse thinning and receding hairline. Pre existing gyno(at <10yrs old) , started finasteride w/ minox week ago

My gyno started at around 10yrs of age or maybe even before that, I remmebr having a needle like pain in my nipples if pressed, I gained a lot of fat over my teen years which exaggerated the effect

20 yrs old now, recently lost all the fat, still have puffy nipples, but no pain or heightened sensation, maybe lump-ish thing in chest -(not as consistent as fat on my stomach), bilateral. It doesent seem to have progressed in past 5-6 yrs

If you’d be kind enough to answer… What do u think ?

• How did my gyno start so early and never really go away
• How come i only have puffy nipple but no peas behind areola or sensation or pain, (can’t really feel a proper rubber ball either, but it doesent feel exactly like fat, more like how I imagine the brain would feel… texture wise)
• if I’m susceptible to testosterone aromatization, wouldn’t taking fin make it worse.
• if I don’t have any other side effects from fin, like erectile dysfunc, or decreased libido (which I don’t) am I less likely to get gyno from it?
• since I have androgenetic alopecia at such a young age will I need greater dosages of finasteride to keep my hair? What do u recommend?

Thanks for reading, please let me know if u have any answers or suggestions

So far I’ve decided to continue with 1mfin every other day, since hair loss is irreversible, but gyno although expensive can atleast be surgically removed,.and hopefully is no more than a cosmetic concern

I will answer by bullet point in CAPS: How did my gyno start so early and never really go away: ENLARGING BREAST FAT IS COMMON IN PREPUBERTAL AND PUBERTAL BOYS

How come i only have puffy nipple but no peas behind areola or sensation or pain, (can’t really feel a proper rubber ball either, but it doesent feel exactly like fat, more like how I imagine the brain would feel… texture wise) THERE IS INCONSISTENCY IN THE WAY GYNECOMASTIA PRESENT IN YOUNG BOYS. SOMETIMES IT IS JUST ASSYMETRICAL FAT, SOMETIMES ACTUAL GLANDULAR TISSUE.

if I’m susceptible to testosterone aromatization, wouldn’t taking fin make it worse. I THINK THAT ONCE YOU PASS PUBERTY, THE ‘MAN’ STARTS APPEARING. SOME ADOLESCENTS SEE AN ENLARGEMENT OF BREAST TISSUE.

if I don’t have any other side effects from fin, like erectile dysfunction, or decreased libido (which I don’t) am I less likely to get gyno from it? I BELIEVE THAT GYNECOMASTIA COMPLICATIONS WITH FINASTERIDE HAS NOT BEEN COORELATED TO OTHER SIDE EFFECTS.

since I have androgenetic alopecia at such a young age will I need greater dosages of finasteride to keep my hair? What do u recommend? THE STUDIES ON FINASTERIDE SHOW THAT THE 1MG DOSE IS THE IDEAL DOSE REGARDLESS OF AGE AND SEVERITY OF ALOPECIA

Beard hair is a good donor source for hair transplants but the character of the hair is kinky in most men, so a hair transplant using beard hair will produce a kinky appearance in the recipient area and as such, should not be used for the leading edge of the hairline. Neck hair on the back, on the other hand, is not permanent hair so if it is transplant, there is a good change that sometime in the future that hair will be lost