I had my fourth FUT around 11 months ago and I’ve seen zero improvement. Shock loss kicked in 3 months after the surgery and hasn’t stopped ever since. All kinds of hair (native/transplanted/vellus) are shedding. My body can’t tolerate finasteride so I bought a laser helmet which I’ve been using for 3 and a half months now. The scalp feels stiff. Will take up ketoconazole shampoo and vitamin d supplements soon. I keep cutting them shorter to get rid of the sick-ish ends with that weird wiry/coarse texture but it’s only getting worse. Visited my surgeon recently and he told me “it’s fine, you’re not bald” and dismissed me. He didn’t even examine my scalp. They rarely admit something went wrong in my experience. I am at a loss and feeling really depressed. Any help would be appreciated.

You should have, by now, developed a great relationship with your doctor after 4 hair transplant surgeries. He/she should not dismiss you. You should have developed a Personalized Master Plan for your hair loss with your surgeon when you started the hair transplants.  What it happening to you now should have been anticipated as a worst case situation. Did you create a Personalized Master Plan with your surgeon? I would be happy to take a telephone consultation with you at info@newhair.com. Sounds like you need help and advice.

I keep seeing this pop up. I am 19 right now with a NW2.5-3 and just started taking finasteride. My plan is take fin for a year then — assuming I respond to finasteride normally (just maintain hair, am not a non-responder/super responder) — get a hair transplant at 20/21ish. Why would this be such a mistake? The finasteride should roughly maintain my hair for a decade or so, right? I’ll be able to live and experience a normal young man’s experience. Once it gets bad, I can just shave it once I’m older (which is not nearly as big of a deal), or I can get another procedure. Or hell, maybe there’ll finally be a cure for this shit disease by then lol. I just don’t get why it’s considered such a big mistake. I would honestly almost rather be bald than have these shitty temples, even if my density is still solid.

It is not wise to get a hair transplant at 20 years old because you can’t make a Personalized Master Plan as your future hair loss pattern doesn’t appear for most men until 25 years of age. Without a good plan, you start the transplant, use up the donor supply (which is limited) to deal with your short term problems and then when you keep losing hair you are out of luck as there is no more donor hair left. By then you might not just be bald, but freaky looking (nobody should look freaky). I have seen too many patient who did hair transplants at 19 or 20 and ended up regretting it.

This is a nice result; however, the frontal area has a see-through look. He may have fine hair that is responsible for this or he didn’t get enough grafts or growth. A second hair transplant to double down on the fullness may be a good idea. In people with fine hair, this is common. The comb-over on the left shows how he handles the see-through look.

Amazing results for just three years.  Just keep your fingers crossed that these results stay over time. This man is now 30 years old.

According to what I read regarding Male pattern Baldness It is a problem of Hair Follicles being sensitive to DHT rather than excessive DHT.

1. What does this really mean?

2. How did I develop this condition?

3. Is there any way to reverse this sensitivity?

4. If not then why aren’t researchers and scientists working on it?

5. Why is it so that DHT gets attached to my scalp follicles more than other parts of my body like my face?

6. Does DHT lead to bone growth?

Note: I’m losing hair and I have a receding hairline and I’m thinning on the top. I still don’t have a proper beard.

DHT is a trigger in people who have the genes for balding. Each hair on your head has a life cycle (usually 3 years) and it sheds and regrows over and over again, unless, it has a limit genetically set on how many cycles you get. Some men (in the balding areas) have limits on these cycles, so when that limit is hit, the hairs miniaturize and eventually fall out. Finasteride slows this process down and is the ONLY medication available that is known to work.

So just a quick question Parents both have full heads of hair and only 1 great grandfather died bald. I lead a pretty sedentary lifestyle and am probably even on the obese side. Does any of this have an effect on hair? I’ve been for a couple months now and it wasn’t until today that it finally started to affect my hairline. Fullness is basically gone. Will working out help?

The scalp has a very rich blood flow. Hair loss is not caused by inadequate blood flow. Hair loss is genetic. As the hair is lost, the body diverts the blood away from the hair as the hair volume reduces.  We know this because when we put hair transplants into a bald area that had reduced its blood supply, the blood supply returns proportional to the hair we put back in.

Yes, you can transplant over an SMP area or the entire head, if that is what you did.