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.
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.
You may be allergic either to the carrier for the minoxidil or the minoxidil itself
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!
Time will tell. Longer hair will help. Please resend photos back to me in a couple of months. I am concerned that the blood supply to the donor area may have altered the color of your hair as well reduced the amount of hair significantly.
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.
I perform HAIRCHECK tests on most patients who want to start finasteride because I want to be able to follow their progress and if the drug is halting or reversing the hair loss., The HAIRCHECK test gives me a metric which allows me and the patient to know with reasonable certainty what is happening to them and with my experience I can often predict long-term hair loss patterns allowing my patients to build a Master Plan for future planning both for financial reasons and for hair growth reasons. If the HAIRCHECK shows no balding, I don’t prescribe finasteride. Also if a patient is depressed and I feel that there will be a link between finasteride and his depression, I might not prescribe it. My assessment of the patient is always one-on-one and then I have the priveledge to prescribe it or not.
In addition, I take a careful history, get to know the patient and try to understand their sexual history and if they may be good a candidate or not go good candidate for this drug. I have turned people down based upon these discussions.
Lichen planopilaris is a cicatricial alopecia that causes permanent destruction of hair follicles. This condition will cause a rejection of a hair transplant
