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.

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.

Nice early result

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 started on minoxidil and estrogen and after 3 months added dermaroller to the routine for a total of 9 months.  The use of estrogen is unusual and I can’t surround the contribution of it to the growth that you see.

The shape is different on the right. Frankly, I don’t know! It would be a hell of a good hair transplant if is was!

If the person has never had diffuse hair loss (like me). I suspect if it was in my genes, the so-called “diffuse thinning”, I would already have it and as you can see my head is full of hair, I’m merely a “receeder” not a “diffuse thinner”, Could the forehead reduction surgery ON ITS OWN cause diffuse hair loss?

As a general rule, I believe that forehead advancement surgery in men puts them at risk of balding and showing the scarring and making it look unnatural if that should happen. IF a man had a Bill Clinton hairline or a Ronald Reagan hairline, and they were over 45 with a normal HAIRCHECK test, I would not have a problem with a hairline advancement surgery on them.