This young man is an excellent finasteride responder and should continue on this drug for the rest of his life. If he stops it, he will lose all that he gained.
You have been using finasteride and minoxidil for only 45 days and these photos suggest that your hair is sensitive to finasteride and minoxidil. Your pattern of balding is a Norwood Class 3A with a huge forelock. The hair loss is around the forelock that is solid and not balding. You already show signs that it is reversing with the finasteride and minoxidil. Keep up the good work and make sure that you stay on it and let’s see what it looks like in 6 months from now.
Here are two pictures, one on the left showing the area where the skin died (necrosis) and the second photos showing the results after it healed many months later. A huge scar remained without hair. It is possible that this can be re-transplanted but better and more careful planning is critical.
Further FUE grafts harvested from the area shown where the previous grafts were removed will eventually make that area bald. The sides are reasonable additional donor source for FUE if this area was not harvested before. Strip surgery may also be possible for additional grafts. A careful discussion with an expert surgeons is critical to evaluate your residual donor hair supply and your Hair Mass Index.
https://sci-hub.cc/10.1016/j.bbrc.2016.02.099
There are several other publications also on sulforaphane, an isothiocyanate which has been extensively studied in relation to the hair follicle as well as other systems (such as cancer prevention): Example: Sulforaphane (SF maintains HF proliferation and active hair growth (anagen) during oxidative HF damage (Haslam et al. 2016). This compound is present in broccoli and can be found in tablet form sold as cancer preventative, increasing energy etc. I’m surprised no one is selling it yet to promote hair growth. In the meantime tell everyone to eat broccoli! (comments by Nilifer Farjom MD)
If you really had 6000 grafts, the doctor should have spread it throughout your head, not concentrate it in the front and sparsely place it behind throughout the remaining balding scalp, I don’t know what your doctor was thinking. To find out exactly what he did, ask your doctor for a copy of the surgical record and the count sheet as that will tell you what you actually got because I am having difficulty believing that there is 6000 grafts there.
Unfortunately, this is not an uncommon complaint; however, your donor density must have been very low to get such a depletion with 1500 FUE grafts. The only solution for this is Scalp Micropigmentation. I wrote a paper on this which can be seen in this post: https://baldingblog.com/2017/07/21/many-fue-grafts-many-fues-grafts-one-know-safe-limits/. Take a look at this site for more information on the only treatment for this: https://scalpmicropigmentation.com/gallery/bold-shaved-look/#!
At 8 months after a hair transplant, I would expect to see more growth. Go back to meet with your doctor and ask your doctor questions. I would expect to see more growth and I would hope that your doctor would take responsibility for the failure and make it ‘right’ financially for you. I would, but fortunately, I almost never see this type of problem.
This may very well be a folliculitis with infection present. There are many of them and they probably need to be treated. I would have to examine you to be sure but you should go back and see your doctor
It looks like the transplants grew but if you have fine hair, a second hair transplant could have been predicted but based upon these photos, it may be needed anyway. More length will help it look fuller. I always tell my patients that a second transplant may be needed if there is not enough fullness present, something almost always the case in people with fine hair and not uncommon even with people with medium weight hair (about 30% of the time).
Again, another very responsive hair growth course with minoxidil and finasteride. If he stays on this routine, it will only get better as 3 months is relatively short.
This is a young man getting early growth from finasteride on the hairline. Persistence will guarantee the results. The picture on the right shows early miniaturization while the picture on the left is highly suggestive of early reversal of the miniaturization
I (21F) have always had dense, silky straight hair. Around 2 years ago I noticed some sparser sections along my hairline, but I had pretty bad anxiety so I chalked up to that. About a year ago I went on BC (LoLo Fe) and noticed about 2 months after starting that my hair was starting to thin a lot. I could see parts of my scalp when I pulled my hair back that I couldn’t before, and my ponytail was close to half the size of what it had been (I previously could not see any scalp when my hair was wet, and now can see it along the sides and some on the top). I’ve recently gone off the pill, and noticed some sections of my hairline are growing back, but I still feel like I am losing a lot of hair. I read that going off BC can cause some short-term hair loss, so I am hoping this loss is just from the adjustment period. My question is, what can I do to best take care of my hair while it hopefully grows back? I’ve switched to a natural, sulfate free shampoo, and I do not use heat styling. I’ve also started eating healthier and oil massage my scalp occasionally. Are there any other steps I should be taking, like maybe switching to Nioxin or a different type of shampoo/conditioner? I was also wondering if I should continue to use a wide-tooth comb in the shower when I condition, as I was told it helps to spread the conditioner but it is also when I lose the most hair in the shower (wasn’t sure if this is too harsh on wet hair or not)
Birth Control pills can and often cause hair loss. The question to ask is it possible that you have genetic hair loss. Are any females in your family (mothers, grandmothers, aunts, sisters, have hair loss in any degree. If so, then you need to see an expert to see what you should do. (here are some of my posts on female hair loss which you might want to read: https://baldingblog.com/?s=female+hair+loss+blood+tests)
I am on finasteride for 6 months and all of my miniaturized hairs turned in to thicker terminal hairs except temple hairs.,Why is that? Will topical finasteride or minoxidil helps in this situation?
Finasteride does not work on all miniaturized hairs. Sometimes the genes are too strong for the drug and the drug doesn’t impact it. Maybe, Topical Finasteride with minoxidil will help.
These crusts should be allowed to shed with shampoo regularly, leaving the shampoo on the scalp for 10 minutes and then gently rubbing them until they come off. It may take a few days? but don’t push it. After 2 weeks, the risk of graft loss is minimal. Compare this man on the left 1 weeks from his surgery with the man on the right, just 3 days after surgery. The difference is good post-operative washing. The man on the right was our patient and nobody could tell he had a hair transplant done at any time so far, at least.
