Lichen planopilaris is a cicatricial alopecia that causes permanent destruction of hair follicles. This condition will cause a rejection of a hair transplant
No it is not too early as you are now 25 and your pattern should be generally known by now. The corners are easy to transplant and the area behind the middle frontal hairline is thinning from the photo view. The entire area can be transplanted easily with FUE, about 1300 grafts might do it. You should take finasteride to prevent shock loss and the advancement of the loss process especially if you get it transplanted.
It has been a rollercoaster with finasteride: I first used 5 months of topical Morr-F, which at first I saw real results after just a month or 2, but after that my hair seemed to get worse again. It got really bad when in April I started oral fin and used minoxidil instead of the Morr-F, but at around June my hair had become significantly worse. I am a Nw2.5-3 with diffuss forelock, but initially saw vellus hairs fill in the temples. It could have been that not all the morr f was legitimate, I don’t know. The strange thing was that around last month I thought I finally began to see results: the vellus hairs came back and the forelock was slightly thicker it seemed, but since a few weeks it has all gone again and it is significantly thinner again.
I am very confused guys. My hair is in a terrible state in the front (at or below baseline) so am I just unlucky or should I wait even longer? It gets me quite depressed. No side effects though on fin (except abdominal fat gain since starting oral, no change in diet).
Finasteride isn’t for everyone. In some men it just doesn’t work. See a hair expert MD for how to manage your hair.
This is an amazing response to finasteride and minoxidil in just 2 months suggesting that the stem cells were responsive to the 5 alpha reeducate blockade from finasteride.
Some men believe that hard exercise increases testosterone and thereby increases hair loss. That is not the case.
Is the long term use of corticoisteroids possible? It has helped with my itching and light burning on my scalp and I would like to continue using it as it reduces shedding.
I am also exploring the idea of corticoisteroid injections as my dermatologist had offered it.
I have been on fin for 1 month already.
Steroids will induce hair loss if it is prolonged and you have the genes for hair loss.
Men with blonde hair do better visually (blond hair on blonde skin) as it takes less hair to look fuller than someone with high contrast (black hair on white skin)
This man started on finasteride for 2 months and then switched to dutasteride. The arrow shows early growth. I suspect that he would have had the same result had he stayed on finasteride. I suspect that the left side will eventually catch up to the growth we see on the right side.
This shows some good value with the use of finasteride for 10 months adding a dermaroller the last month.
I’d strongly caution you against looking at mpb based on level of testosterone or even DHT. Mpb is a result of complex biological interactions and exercise results in complex effects on the body. Exercise association to Mpb need not have any relationship to whether or not exercise affects testosterone.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500728/ This was published just over 2 years ago to look at the association of AGA and exercise. They got somewhat mixed results and fail to properly control for the effects of balding on degree of exercise, but nonetheless among those with a family history of AGA it does suggest at least some association of having AGA and engaging in more exercise than those without AGA. The association may be severely reduced in those without a predisposition for AGA as shown in the no family history of AGA. (Fig. 1) Which could suggest some interaction of exercise to AGA among people predisposed to AGA that is not present it those who are not predisposed to AGA.
There aren’t really worthwhile studies to answer the question since the few that exist fail to remove the issue of degree of balding affecting degree of exercise. It would probably be worthwhile to make a well designed questionnaire which effectively addresses this question, since previous studies have all been poorly designed in that regard such that we have no real evidence to answer the question of this post for causation.
Good study; however, it was only the low intensity exercise group with a family history of AGA that saw an effect causing alopecia. The study was taken with participant cooperation and therefore required individual reporting, which has its limits. Thanks for following up and pointing me to this interesting study.
The problem is that when you get a hair transplant and the donor hair has been used, it reduces forever, the amount of donor hair that you have as your donor area is limited. This can’t be reversed so when a hair transplant fails, not only are you deformed where you received the hair transplants, but you are depleted of valuable donor hair. Make sure that the next doctor is experienced and has a GREAT reputation and hopefully that doctor can make something good happen for you. You can go back to your original doctor and ask for your money back.
This is a very good result from taking finasteride for 1.5 years and adding minoxidil one year ago
I haven’t taken my fin for a week, i’m getting a new script tomorrow. Is 1 week enough time for noticable hair loss? Kinda worried. thanks
One week of no finasteride will have no impact as it stays in your hair follicles for at least a couple of weeks.
Yes, it is secreted by the kidney and not metabolized by the liver as many drugs are. That is why the Olympics do urine tests.
Picture quality may distort what you are seeing here
