For the post-op users that did the fue transplant and were prescribed finasteride, is the prescription supposed to be taken forever or just for a few month? I am 90% on board and about to book but I’m hesitant bc I don’t want to take a pill forever and I was reading about the side effects and I that pushes me away from it. I know the answer is probably on here but I want to hear from actual, firsthand users.
Thanks for your replies in advance.
If you don’t get sexual or other side effects, then since genetic hair loss is progressive, I generally advise patients to stay on it for life. It has the advantage when you are older, of reducing the risk of prostate cancer by 25% in addition to slowing down the hair loss that is almost always progressive.
You have moved from a juvenile hairline to a Mature hairline. Do you really want to transplant that now? Think twice. Hair transplant surgeons rarely restore the juvenile hairline; however, I did it once, on a ‘Soap Opera Day-time Star’ who had to have his juvenile hairline back to keep his job which earned him over $1 million/year. I don’t think that you will find a doctor willing to bring back that hairline you had shown in the right upper hand corner of the photos.
Hey I’m 19 and In thinning around the hairline I’m now on 0.5g finasteride since 2 weeks and me question is will finasteride thicken these fine hairs on the hairline or do I need to Derma roll?
Provided you are not talking about the loss of your juvenile hairline in developing a maturing hairline, a 19 year old with early genetic Class 3 type hair loss may reverse the process on finasteride. Finasteride will not help you hold on to a juvenile hairline or bring it back.
What would you say is the most effective growth agonist? I’ve heard people say oral minoxidil, but is topical estrogen also capable of reviving follicles after they’ve dormant for a few years?
Reviving dormant follicles is not something that may always happen. The places were we see revival is usually when the loss is less than a year, two at most. Those who have had long term balding may not be able to revive those hairs. The traditional approaches all have value including Microneedling, minoxidil (oral or topical) and finasteride. Estrogens in the face of high testosterone may have more limited value.
What I’ve noticed: those miniaturized hairs (1) are terminal hairs but barely grow longer than 1 inch; (2) can be easily pulled out from roots by hand and will take even longer time to grow back; (3) the hair pulled out with roots mostly missed the white gooey stuff presented in healthy hairs.
Miniaturized hairs can easily be pulled out but be careful as they may not come back. They often do not grow in advanced stages of miniaturization
I’ve been on minoxidil for about 7 months now and it doesn’t seem to be helping. Is retrograde alopecia not androgenic? I always just thought it was a weird pattern of genetic hair loss but some people on this thread are saying there can be causes… is that true? What kind of causes?
I think that this may be some ill defined inherited issue where particular hairs undergo Apoptosis based upon programmed death. This also happens in genetic male patterned balding but that was defined for a huge population. I haven’t seen anyone who has ever done a study of retrograde alopecia with with inheritance as a focus.
These two classic article cover the dose effectiveness of finasteride ranging from 0.1mg to 1mg daily as well as the serum testosterone effects from this drug
https://booksc.xyz/book/17840978/d696b4
https://booksc.xyz/book/17840977/b2aead
Children mistakenly given oral minoxidil in place of stomach ailment drug
https://www.yahoo.com/news/spanish-parents-demand-compensation-children-153113188.html
I still dont know if my hairline is maturing or if I’m balding. I wanted to know if hairline maturation occurred via miniaturization of the follicles?
Not always. Sometimes hairlines just recede without miniaturization. A mature hairline is located in the middle just one finger width above the highest crease of your furrowed brow with a gentle V-Shape from there, see here: https://baldingblog.com/mature-hairline-photo/
See the following link for a repair: https://baldingblog.com/repair-of-hairline-transplants-photos/ which can be used when the hairline is unnatural, straight or pluggy; however, this man has low corners which suggests that the grafts might best be removed with FUE to allow for a more normal position and general mature shape of the hairline.
I don’t understand and I’m getting frustrated because it should be easier to see. So if you’re a Norwood 5 or 6 that means you’re already a high NW number and the hair transplant doctor says “I can’t predict what pattern if you’ll go to a NW 7” how is that hard!?!? When you have a patient that is already a NW 5 or 6! I would understand if the patient was a NW 2, 3, 4 but this doesn’t make sense. If someone can help answer this it would be great thank you.
If you can’t see your pattern, get a HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/) and that will determine your pattern of balding that you can’t see and quantify how much hair you lost, where you lost it and how much remains.
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