Hi Dr Wrassman, was wondering if you could shed some light on this for me… After seeing the results on here and elsewhere, I’m considering using minoxidil foam on my beard area and potentially my balding crown. However, I have a young daughter and I don’t want her to be impacted in any way whatsoever. I’ve done lots of reading and question asking and the general consensus is that if I wash it off the minimal residue won’t do anything. However there are now reports to the contrary. So, I was wondering is there any way of removing all residual traces from your skin when using a topical medication like minoxidil? Sorry if I’m not allowed to contact you directly and I understand you probably get tons of questions daily but I’m at a bit if a loss as to who to ask this

I generally advise men who use topical minoxidil to take it at night (the liquid for the hair is better but the foam or the liquid for the beard should work) after a hot shower. This will soften the skin and possibly reduce the barrier to absorption.  You daughter will be sleeping so at night there is no possibility of transmission.  Then you can shower it off in the morning.  I don’t believe that there is much of a threat.

 

Clearly fantastic results.  This type of result suggests that his hair loss was probably recent.

The arrow shows the new growth.

Amazing response to the combination of dermaroller (Microoneedling) and minoxidil.

Do you know why some docs like Hasson/Wong/Rahal say they can do a 3500-4000 graft FUT procedure and charge per graft, while others say they’ll they’ll just take out a strip and transplant however many grafts they get, charging a flat rate and say that they can usually only get 2000 or so grafts in a single FUT session (assuming a second FUT session). There seem to be two camps of doctors: one aggressive, charging per graft and indicating a large number extracted from a strip, while others conservative, charging a flat rate and indicating they will probably only be able to get about 2000 at most depending on laxity.

I can’t speak for other doctors and why they do what they do. I have always charged per graft because that reflected the amount of work, the size of the staff needed and the value to the patient. Also, by estimating grafts yield, I can tell the patient what to expect and also address the donor supply that remains which can then be calculated into a Master Plan for the future balding of that surgery patient. I am big on long term strategic planning and that includes what future costs might be for my patients as the balding progresses.

It is impossible to know which of the three modalities produced such a nice reversal which seemed to have happened almost immediately after it started to get this hair length. It appears that the miniaturization reversed.

Do fin or min+fin work well for diffused thinners? Also please give advice on regimens that have worked for you if you’re a diffused thinner. I am 18 years old.

Diffuse thinning has many causes. You need a good examination by a hair doctor that understands hair loss and hair thinning.   If it is part of the genetic hair loss that you inherited, then finasteride and minoxidil are the staples of treatment.