Everyone is different on how they handle hair loss. Many men put on facial hair if they hadn’t had it before
Yes, this is a classic look of the magnified donor area that you want to see with 50% or more miniaturized hairs. We actually classify DUPA (Diffuse Unpatterned Alopecia) once the miniaturized significantly exceeds 20%. Most DUPA patients have much higher miniaturization in the donor area and elsewhere on the scalp. The single best treatment is the drug finasteride which is less than 50% effective at controlling the progression and less effective at reversing the process. I don’t know of anyone who has reversed the process with any treatment.
So I’ve recently been noticing my hair looks way thinner, and is much more oily (which probably makes it stick together and look thinner). My scalp shows way much more on the sides, and its just wierd, feels like I aged 5 years in a month. I’ve always been a heavy drinker, but things that can have an effect:
• Drinking more often
• Smoking ALOT more•Using this Hemp shampoo, which is very oily (pretty sure this is the main cause)
Sounds like your stressed and stress tends to accelerate the hair loss process in men who have the genes for balding
25 yo. I’m thinking of getting a hair transplant in the next 7 months or so. I will likely need another one after that. My crown is very thin ( can see scalp) and my hairline has receded. I still have quite a bit of hair tho.
I was wondering can one get a preventative hair transplant in areas where you’re likely to lose hair in the future ( transplanting hairs in areas where there’s hair but it’s less dense).
I am strongly against a preventive hair transplant because of this: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/ A good Master Plan is needed before you go forward with the hair transplant process. Here is my explanation for the Master Plan: https://baldingblog.com/so-if-i-replace-my-receding-hairline-what-happens-in-another-5-10-years-when-i-continue-to-recede-answer-a-master-plan-with-a-good-doctor-who-measures-your-hair-bank/
The arrows show large grafts at the hairline, something that should never be done as they appear pluggy. Also growth seemed either under transplanted or this man has inadequate growth. Either way, this man should get his money back and go to a good hair transplant surgeon to fix the problem
Hi Dr Rassman, sorry to bother you but I have a question for you. I have been on finasteride 1mg/day for the past 2 years now. I have also incorporated minoxidil foam for the past year(initially twice a day, but in the last few months it’s only been once a day). Both have resulted in success of hair regrowth for me.
So in the last 1-2 months I have noticed A LOT more shedding. Before this time, I rarely had been shedding any hair at all.. but for whatever reason now I lose hair even when I run my hand through my hair.
I am unsure if it is stress/diet from the new school, perhaps a damaged minox canister or the decreased frequency of applying it, or maybe the most unfortunate which is that the finasteride has lessened it’s effectiveness on me… Anyways, just was hoping to get your insight if you have the time. Thank you
It is possible that the shedding actually is related to the genetic hair loss. Wait it out for 2-3 months and you should see reversal of the shedding if it is drug induced.
Yes, a hairline lowering surgery can cause a scar. In this example, an unusually bad scar resulted. I say unusual, because incisions that are horizontal on the forehead tend to heal well. I suspect that this man had either unusual tension as the advancement was closed by the surgeon (most probable cause) or this particular patient had scarring tendencies. This can be fixed with hair transplants, either FUE or FUT; however considering the degree of scarring, FUE might be a better choice. The surgeon who does this better have a great deal of experience when designing the hairline to repair this problem as a poorly designed hairline will just add to this man’s misery.
This man is showing that minoxidil has worked on his hairline. The reason that most say that it only works on the crown (vertex) is that the FDA only got approved for claims on the crown (Vertex) when the drug got approved. It clearly works sometimes on the hairline as many men will tell you so and it works well in the crown for many men.
These two photos show two different men responding to finasteride, 6 months on the left and 4 months on the right. This shows the value of this drug for many young men.
This young man rushed to get a beard transplant. He should have asked the surgeon to show him other patients who had it done in that surgeon’s hands. Unfortunately, that didn’t happen. Now he work in a public position and every asks him what is wrong with his face? He wants to get rid of the transplants, all 2500 of them. This will possibly produce scarring even when they are out. The use of a very small punch by the surgeon and test removals is the way to go to see what is outcome will be. There is clearly a balancing act, the removal process and the possible scars left behind, or leaving it the way it is.
Hi, I didn’t understand if Saw Palmetto can decrease dht levels in blood and if it can do a visible results in hair health. Because i know that finasteride is the n#1 remedy used for AGA. Saw Palmetto should be a sort of ‘natural propecia’, less effective but without relevant sides as finasteride. But i really don’t understand if a man can have results in hair density and regrowth taking only saw palmetto. I mean if the starting situation of hair is not so bad (a little thinning hair but not bald at all).
There are many studies that show that Saw Palmetto is a very weak and poor DHT blocker for hair loss. Intersting read: https://baldingblog.com/general-questions-on-dht-blocking-supplements-have-birth-defect-risks/
Nice early result
This man shaved his head so that he could tell the benefits of finasteride better with photos. He had restoration of much of the crown and some or the frontal hairs. This is not unusual in most men responds better in the crown.
No, I don’t recommend DHT testing. Finasteride is a competitive inhibitor to DHT at the 5 alpha reductase level. Simply put: competitive inhibition means that finasteride competes with DHT for the receptor that triggers hair loss. If the finasteride occupies the receptor, than DHT can’t cause the hair loss. Finasteride is about 75% effective at competitive inhibition.
This man has both Retrograde Alopecia and a low density donor area (;possibly DUPA) who wanted a hair transplant. Any hair transplant done on this man will fail.
