A good doctor is ethical, organized in the surgery and good with his hands. He/she must have good judgment and think about the patient’s welfare before his own financial needs (this is not as common as I would like to see it, unfortunately). For example, delaying a surgery is sometimes a better decision but the surgeon makes no money. Also, performing 1000 more grafts than are needed fills the surgeon’s wallet but doesn’t do much for the patient’s future hair loss needs.  The surgeon must always think ‘long-term’ when thinking about the patient’s potential future hair loss so taking out too many grafts (a common activity today) doesn’t reflect well on the surgeon’s ethics. I would be skeptical if a surgeon unleashes a salesperson on you, to “Close the deal” for your hair transplant.  That is like a used car salesman, not a good ethical surgeon.

I’ve had seborrheic dermatitis and a lot of hair shedding for several months, almost a year now, and my hair line has gone from NW2 at 16 to NW3.5 now at 18. I started min on my temples about a month ago to slow down the recession, but I’m scared my hair is gonna keep thinning and receding until theres nothing left

I start college in a few weeks and I’ve been seriously considering starting fin, and I have a couple questions.

1. How long will fin take to start working? will I even get my hairline back?

2. How do I find out if I get sides? How soon after beginning do the sides show up?

3. I’ve been pretty much the same height since 14 but if I do still have some growing left, does fin affect or stunt height growth in any way?

1- It starts working within a couple of weeks, but you may not see benefit for months

2- You will know if you have side effects. Most men don’t know that they are taking the medications

3- Finasteride is reported not to impact growth

If one decided to only do FUE transplants, are you greatly reducing your potential lifetime donor area capabilities?

There is a safe limit with FUE that depends upon your donor density and your hair mass index. That is what a good examination will tell you

I’m considering going on minox after jumping from Norwood 1 to 2.5 in a year at age 30, but I’m intimated by the commitment of having to keep successfully buying it, reacting well to it and consistently using it. How long you could try it out for without developing a dependency and triggering worse loss upon stopping? Is there any way to taper off it slowly in order to minimize shed if you had to stop? I have a mast cell disorder which results in unpredictable allergic symptoms and I never know when I will lose tolerance to a substance. Thanks

All of the medications for hair loss are required to keep taking, essentially for the rest of your life. When you stop them, the hair loss returns because the hair loss support from the medications like finasteride or minoxidil cease.

Do you still not recommend that men considering start finasteride not get pre-fin bloodwork?

I never recommend blood work when I prescribe finasteride as I wouldn’t know what difference it makes

I’ve heard of Male patients growing dark hair all the way up to under their eyeballs. I wouldn’t want beard stubble growing that far up my face. Have you ever seen that with your patients? and is it common? I’m a 39 male with thinning on my crown and mid scalp and I’m about to start taking 1.25mg/day, I’ve been on fin for 2 years, but I’m losing ground.

Oral minoxidil can increase facial and body hair. I have never seen the eyebrows grow up to the eyes

6 months microneedling weekly, half dose of finasteride plus minoxidil