The results are early on finasteride after 6 months but you can not only see more terminal hairs, but new hairs growing in front of the hairline that will grow out.
A good transplanted hairline will have a transition zone created in front of the larger grafts (2-3 hairs each) so that there is an easy gradation from forehead to thicker hair. This picture shows the absence of a transition zone and hair lined up like soldiers, not a random normal placement of the grafts. In addition, the transplant is not aligned to the forelock so it was poorly planned. This surgery was done recently by another clinic.
This chart shows that the longer an elderly man takes finasteride, the less the risk of prostate cancer over a 20 year time-frame. Like everything in medicine, there are always disputes, but less people die of prostate cancer if they are on finasteride.
Click to enlarge
I have been a long time fin user and recent Dutasteride user for the last few months. I’ve already spoken to the guy that’s done my dysport for years about trying oral minoxidil. I’m not interested in using it topically and have read some really encouraging and really recent literature lately on low dose oral Min for MAA. Is this a reasonable option?
Oral minoxidil can be very effective and is a good alternative to finasteride
What does your scar look like and what length can you hide it under? Like I usually get cut 3 on the sides and back, I have dark hair.
I had three hair transplants with strip surgeries. I can cut my hair to a one cut, and have no visible scar. Most people get just a line scar but 5% do get wider scars easily treated with Scalp Micropigmentation or wearing your hair slightly longer. Half of the hair transplants we do are with strip and the other half is with FUE and few patients complain of the scar as we are now using staples for the closures and they remain in for 3 weeks until the wound is healed. A minor inconvenience, I am told.
This is most likely Alopecia Areata. See a doctor and get treated as it can be reversed.
This after photo shows that in some men, finasteride can reverse frontal hair loss. This man was on the drug for one year
A picture is worth 1000 words. Would you like her to design your hairline?
I wouldn’t have been proud to claim this as my work! I guess beauty is in the eyes of the beholder.
This photo shows a subtle change in the hair line over 2 years
Yes, it can be done but should you do it? Body hair has a very short growth cycle, usually between six to eight months, which means that it not only will look like your body hair but it will be short (no more than one inch). That does not give you either bulk or length which is a requirement for styling and value.
If you were very bald and have a poor donor density, then this hair could be placed behind the hairline or any on other part of the head except the first one inch of the hairline in order to add bulk to the hair transplants from the scalp. This is where the value is and if you happen to be very bald (a Class 7 balding pattern) then your chest hair might work.
You have been over-harvested with FUE, something I have been discussing here on my site with too much frequency. By too much, I mean that too many doctors don’t understand the limits of FUE as I defined in a published article here: https://baldingblog.com/2017/07/21/many-fue-grafts-many-fues-grafts-one-know-safe-limits/
The best treatment for this is Scalp MicroPigmentation which, although it is not hair but a type of highly specialized tattoo, can fill in these bald area and look like it is hair. You will have to keep your hair very short so that the gaps in the hair are not overly noticeable.
The response to a balding crown to the drug finasteride is usually good as shown in this man after a year on finasteride
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746236/
This is an important article as it reflects a way to increase the value of minoxidil with microneedling. The article dates back to 2014 so it doesn’t reflect today’s commercial microneedling technologies that are on the market through Amazon and other sources.
Conclusion:
Dermaroller along with Minoxidil treated group was statistically superior to Minoxidil treated group in promoting hair growth in men with AGA for all 3 primary efficacy measures of hair growth. Microneedling is a safe and a promising tool in hair stimulation and also is useful to treat hair loss refractory to Minoxidil therapy.
Yes, the donor area may have been over-harvested. Another problem is the harvested area is higher than the permanent hair in the donor area. This suggests the possibility of a long term growth problem if your balding pattern advances further back. The number of FUE grafts that can be taken depends upon your donor density and your hair thickness. The lower the density and the finer the hair, the lower the number of FUE grafts that can be harvested. Finer hair requires more grafts yet less FUE grafts can be harvested when the hair is fine.
