Menopausal induced hair loss is common (50% of women experience this condition) and the single best treatment of this is Scalp Micropigmentation (https://scalpmicropigmentation.com/smp-for-women/).

 

I’d have a recommended list as follows:

1. Dutasteride

2. finasteride

3. minox

4. LLLT

5. Nizoral

6. microneedling (I have this so low due to safety concerns about people doing this at home alone. Most derm’s don’t recommend more than 0.25mm for home usage)

Extras (may or may not help):

1. peppermint oil, rosemary oil

2. saw palmetto

3. scalp massage

4. RU

5. CB

6. Taurine

7. multi vitamin

After over a year of obsessive research, that’s the combined list I’ve accumulated if available ongoing treatments. Obviously, a transplant would be an option for something permanent as well.

I would start someone on the 3 most easily used and affordable products (Fin, minox, and niz 2%). From there, if they don’t respond, I’d swap out Fin for Dut and recommend LLLT comb or needling if they are willing to take the risks. If that somehow fails, then we’re getting into the trial products for desperation (ru, CB).

There’s lots of treatments out there, I think it’s just a matter of finding the right combo that works for most people :).

The first thing I would do is get a HAIRCHECK test to get a baseline and find out where and how much hair loss you had, and then from the results of the test make the recommendations of treatment. This is the value of seeing an expert in the field. Look here for more information: https://baldingblog.com/haircheck-test-how-it-is-done-video/

The circles show where the hair loss has progressed since his hair transplant. I tell 21 year old men who want a limited hair transplant to wait until at least they are 25 or they will be back every year as the hair loss progresses as shown in these photos with the circle just one year after his hair transplant at 21 (not done by me, of course).  By the time he is 25, he might have a lot more balding present (you can see some crown loss now showing up) and if he had a hair transplant every year from the age of 21, he would use up his donor hair.  With patchy hair transplants done every year, the doctor makes money and the patient slowly develops an abnormal look without a plan.  That is why I stress the need for a MASTER PLAN for hair loss on EVERY balding male who is thinking about hair transplants.  Imagine at age 36, he might look like this: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/

This shows a nice early result from the approach this young man is using. I suspect he might have gotten the same results with minoxidil and finasteride alone

Too many people shop for price on a hair transplant. I just spent some time on the phone with a man who had a bad hair transplant and sent me photos of his hair growing in the wrong direction. When that happens, it is often very hard to fix, as each hair that is growing in the wrong direction may have to be removed. That could be difficult because of the scarring from the hair transplant. Add to that, the donor site that was depleted from the poor surgery and you will realize that you can’t get that hair back. The donor bank of hair only allows withdrawals, never deposits. This is why I put this photo up, because everyone knows that Elephants live a long time, like humans. I personally don’t think that an elephant with a bad hair transplant would care, but you would!  Make sure when selecting your doctor that you do so because of his/her skills and experience, not because it is a bargain as this photos shows.

You should have washed off these crusts on the day after surgery, but now that they formed, you will have to wait a full 12 days before trying to wash these crusts off by leaving the shampoo on for 10 minutes at a time.  Once these crusts are water logged and it is past 12 days, you can gently rub them off. Repeat twice a day until the crusts are off.

The patient on the right has 3250 grafts 6 days prior to shooting these photos. Notice, all you see is a small beard growth and he went to work within a day of the surgery. This is the way it should always be.

I would stick to the medication and if there is an effect, you will see in in another 6 or so months.