Keloids are a risk for any surgery in any African American patient. Keloids can be found in the FUE which are devastating as shown here.
About 3 years ago at age 28 I noticed the hair in and around my crown area was quite a bit thinner than the rest of my head. So I did some research and found that Minoxidil might do the trick. It was cheap and effective for a lot of people. I ordered the Kirkland brand stuff, and began a routine. I remained with the same thinning look so after 3 years, I didn’t think that I was getting any benefit from minoxidil and then stopped it. I had a massive hair shed within a couple of months.
While you were taking minoxidil you may have been replacing your native hair with new hair that was induced by the minoxidil and you just didn’t see this ‘swap’ happening. When you stopped the minoxidil, all of the new hair induced by minoxidil which was addicted to it, fell out. You might try going back on the minoxidil.
http://www.koreabiomed.com/news/articleView.html?idxno=10914
The focus on the drug is to create or enhance collagen production. I was able to find some articles in support of hair growth claims, they are:
https://pubmed.ncbi.nlm.nih.gov/32255530/
https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.13729 (medication delivered by injection)
https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/dexpanthenol (a review of more articles)
https://www.webmd.com/vitamins/ai/ingredientmono-853/pantothenic-acid-vitamin-b5
3 months finasteride, minoxidil and microneedling with reasonable lighting shows some better density than before
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5599691/
“2 case reports where notable improvement in AA was observed after FMT was performed for recurrent CDI. Further study of gut microbiota in patients with autoimmune alopecia may elucidate disease mechanisms and provide evidence to support clinical trials of FMT in this population for whom treatment options are currently limited.”
The patient reported no side effects taking this drug. I suspect that this man would have also responded in a similar manner to finasteride.
I’ve had a bad habit for awhile of scratching and picking at my scalp and have now started to notice hair loss. Can scratching/picking cause this? And if so, is it permanent?
Trichotelomania is a condition when people pick at their hair and then lose the hair. It is an obsessive disorder in some people. Yes, the hair loss can be permanent.
Some people say that finasteride looses effectiveness over time, some say 4 years while other say 10 years or even 15 years, is that the case usually ? Because I’M 24 with a NW2 and if I start finasteride now and have hair transplant and it looses its effectiveness in next 10 years when i’m 34 would that be a problem if the hair loss starts again ? and I’m aware that we have a limited donor hair
Finasteride remains effective over time. What changes is your balding pattern which progresses as you age. Without finasteride, it will progress faster.
I live in the eastern PA area. I want to get this repaired and I figure an FUE session would be worth trying. I’ve tried SMP and it didn’t work well. Is there success with FUE into scar tissue? Are there any experiences both positive and negative that can be shared?
I’ve visited a Long Island doctor’s office before and I’m likely to go back there. I haven’t done much research in the last 2-3 years with doctors so are there any others that I should be considering? Is FUE about $20 a graft still? So I’m thinking maybe 200 grafts in the scar could work.
FUE into the scar leaves a scar colored background and the hairs often grow kinky or curly, certainly different than the surrounding donor area hair. The best treatment for a donor scar is Scalp Micropigmentation, see here: https://scalpmicropigmentation.com/gallery/scar-covering/ If you had this and it failed, then go someplace where it is done well. Please note that almost the entire scar disappears when the operator knows what they are doing in this link.
I would like to have your advice on hair transplant without finasteride do you think hair transplant are relevant with patients who don’t want to take finasteride at all ? Because i have seen people report that without finasteride even the transplanted hair are getting hit by dht and the result after ~10/15 years are not esthetics do you have case to share with us ?
Yes, you can have hair transplants without taking finasteride. The problem is two fold: (1) if you are in your 20s, the risk of shock loss (loss of miniaturized native hair) is higher than if you are over 30, less even over 35 or 40, (2) you might get to your final hair loss pattern earlier which means that your hair transplant treatments may come in a shorter time-frame. As the transplanted hair are protected against DHT, you don’t have to worry about them falling out.
Another set of photos with at least three problems: The donor area was over-harvested, (2) the hair was placed in the wrong direction, and (3) the hair was distributed abnormally. This surgery was done by someone who didn’t know what they were doing. You judge for yourself. What would you do if this was your new look? I would suggest that some of the recipient sites be removed with FUE and then re-implanted, and the donor area be treated with Scalp Micropigmentation
This type of work is almost criminal. The personal side for this man must be an emotional nightmare.
I was taking finasteride and developed breast lumps. I met with a surgeon who recommend that I remove them and then followed through and had them removed. My question is: If I continue to take finasteride, will I get breast lumps back again?
Usually the surgery solves the targeted breast area so it is unusual to have it a second time. Most people who have had the surgery for such complications, stop the drug for fear of it returning so my experience is limited based upon patient choices.
Thank you, so I have longer hair (shoulder length) I usually see that the strip or shaved fue area is somewhat in the middle of the back of head. I’m thinking of getting a minor procedure done as in just a touch up for the hairline. I’m estimating 1500 to 2000 grafts at most (this is based of my research and pics of other results)
My question is that I wouldn’t feel comfortable shaving my whole head, i know with the strip it’s just the area that is cut that’s shaved so it’s not as noticeable, but with fue could it be a lower shave on the head or i there a reason for such a central donor area? I’ve also hear that it’s best to do strip first then fue for later transplants as to keep the donor area in better condition is that true? Sorry for the bombardment of questions, but thank you so much for your time.
In building a Master Plan with my patients, I like to try to predict the final hair loss pattern my patient is likely to develop. Based upon that prediction, I often recommend strip surgeries for men who are likely to get advanced patterns of balding and FUE for those who either are unlikely to go that route, or are not showing it just yet but have frontal hair loss. Most patients who come in already have their minds made up as to what type of procedure to get. Make sure that you are not starting too young (https://baldingblog.com/need-master-plan-think-hair-transplants-photos/). With FUE you don’t have to shave the front or top of your scalp.
I am currently taking Fin 5mg cutting it into 6 parts. While taking it, i am feeling a very mild ball ache. And still continuing it. as it is very mild and tolerable. is it ok?
You should speak with the doctor who prescribed the drug to you. If the ache and the pills are connected, then maybe you are not a candidate for finasteride.
This young man kept to a disciplined daily routine and got a very good result with more fullness and a better hairline in just one year
