This is the result from fresh microneedling that is done
The Sea Otter has the densest hair of any mammal in the world at 1 million hairs per square inch
Over-harvested donor area in an area where too many grafts were done too close together resulting in a loss of blood supply to the scalp
I have had FUE procedure 2 months ago and was thinking of having another for my beard. Was curious how long I’d have to wait before another one, and whether the back of my hair could be used again for my beard. I came across some articles that really concerned me, mainly about most people have a limited amount of grafts they could use in their lifetimes, usually around ~4-6k
Some remarks that I’ve read from doctors on this topic:
You can have many FUE procedures over your life time as long as you keep your total donor hair supply in mind. If your donor hair supply is 6000 grafts You can have six 1000 graft surgeries or three 2000 graft surgeries.
I really don’t understand the science of this works. The hair on my donor area is completely full now after 2 months. Is this in spite of some hair follicles permanently removed, and the full hair is due to remaining follicles after 2k grafts taken from there? I was under the impression that what was taken from the back would grow back. Is this not true?
FUE removes grafts from your permanent zone forever. You have a limit of donor graft supply and a good doctor will measure that limit and should quantify what your total available, lifetime graft supply will be. For many people, large FUE sessions will cause a balding, see-through donor area as shown here: https://baldingblog.com/collection-victim-photos-internet-harvested-depleted-donor-areas/ As you can see, either these men had incompetent operators, or greedy ones who left some of them balding forever in the back of the head. For the advanced balding patterns, strip surgery (called FUT) is a better option as well as for most women expect for those who have very small procedures.
Our research indicated that the stem cells that actually kick the hair into action are located at the upper part of the hair follicle just below the basement membrane of the epidermis which is 0.5mm thick. So the stem cells that we want to kick into action are located between 0.6-1mm below the skin edge.
3mo finasteride, minoxidil & microneedling. More info in comments from tressless
Clearly this man has had a nice response to finasteride and microneedling. I am convinced that microneedling has contributed nicely to this response.
I have MPB which has hairs receding from temple region.I went to a dermatologist today and she said even if you do hair transplant, the hair in the middle section of your head will continue to fall. So she said take Finastride 1mg every day for 3 months along with mintop 10% twice a day everyday and vitamin 3 tablets. Also she said she would do PRP once a month for 3 months which will most probably bring some hair back in the temple region.
I would like some opinion on the medications that she has given and the PRP. Please help.
When it comes time for a hair transplant, the drug finasteride will usually protect the native hair including the miniaturized hairs on the head. As far as PRP, I have written about it here: https://baldingblog.com/go-looking-prp-used-hair-transplant-good-thing/. Minoxidil is a good medication, but 10% concentrations tends to produce more side effects than the traditional 5% and 10% it is not a standard dose.
Nice return of your more youthful hairline, Congrats
If most hairless is due to increased testosterone output can someone explain how a hair transplant saves your hair? Wouldn’t you just lose it again due to hormonal issues?
Genetic balding never impacts the hair around the back and side of your head (donor hair) so a hair transplant moves this hair and put it where you lost it. The donor hair never react to DHT so it will grow in its new location for your lifetime.
The photos say it all but the long term is unclear once this man stops the medication or the microneedling. I suspect if he keeps the treatment up, he will likely get more hair growth; however, it is likely to go back to his original status once he stops treatment suggesting that he may have to continue this for life. A hair transplant, if this is the case, may be a better alternative.
Finasteride, minoxidil and dermaroller in 4 months but some of the benefits shown in the photo are related to hair growth.
Post finasteride syndrome is reported between 0.1 – 1% and some reports are higher. In my practice and in the practice of a dozen other doctor who, combined, easily have written prescriptions for over 200,000 young men, have not seen PFS because when sexual side effects happen, we stop the medications. Look at this link: https://baldingblog.com/finasteride-what-are-the-real-sexual-side-effects/
Hair brings back confidence and it is self-confidence that makes men more attractive to women.
I would have to look at them close up with a hand microscope. If I saw exclamation mark hairs, it would be a diffuse form of alopecia areata. It could also be fungal. I would see a dermatologist and get a diagnosis.
I was curious if you believe in testosterone itself causing hair loss and this being raised by finasteride and dutasteride can worse things for some people? I got diagnosed with a folate deficiency, but addressing it the past two months doesn’t seem to have helped, so I’m wondering if this could be the case.
Exogenous testosterone can cause hair loss in men with the genes for hair loss and as testosterone goes up, so does the amount of DHT found in your body