It was great to see your monthly progress
Does microneedling at <0,5 mm depth really increase minoxidil absorption?
The epidermis of the scalp is 0.5mm thick so if you microneedle at that depth or less, the epidermis has no blood supply so speak of and mainly contains keratin. There will be no benefit and no absorption at 0.5mm depth or less of any medication other than what normally works its way through the scalp. The purpose of microneedling is to get to the stem well that resides about 1-1.5mm below the scalp surface and produce wounds that force healing and hair regrowth. Microneedling depths of 1=1.5mm is ideal.
Right now i am just dermarolling for 6 months with my short hair. If i do smp, will it be realistic or look artificial?
SMP is an art form and some people do great SMP and too many others do not. Just make sure that you meet patients that had it done before going forward with a particular provider. All people who do SMP are not equal.
Great response for a 31 year old male. Actually, the crown is often more responsive than the frontal hairline for men above 30
If I microneedle weekly and use minoxidil and finasteride, when I get results, can I stop the microneedling? How often is best for microneedling?
The problem with microneedling results is that we don’t know if they will stick around after the microneedling ends and if so how long. Most people using microneedling are using it weekly. I suspect that at most, it will last a single hair cycle which could be 2-3 years in a young man.
I have taken Dutasteride for 2 years and for the last 6 months, I have had lost my interest in sex and have complete ED. I had a girlfriend and I think that she left me because of it. I am now off of it for 5 weeks and don’t care about my hair anymore. The hair is falling as if there is no tomorrow. my beard is getting fuller and I am feeling more energy since I stopped the drug 5 weeks ago, but my ED is still there and my interest in sex is still there. Can you help me?
You have been on dutasteride for 2 years and have gotten side effects on libido and ED. You have noticed improved beard growth and more energy since you stopped taking the drug 5 weeks ago. Since it has been only 5 weeks that you have to be off dutasteride, it may take 6 months or more for the symptoms to resolve. Some people may take a year or so to get the symptoms to go away. With dutasteride half-life of 6 weeks, you have to wait it out and even after the blood half-life extends into many more months, there are tissue levels of dutasteride (in the hair follicle and elsewhere in your brain and penis) which I don’t believe that anyone understands. Reach out to me when these symptoms disappear or in a year, whichever comes sooner.
Had a 2200 FUE with a US-based surgeon 2 months ago. Mostly hairline and frontal/mid scalp. I was a moderate diffuse thinner before and you could easily see my scalp from the side. I have been on Min for 8 years and Fin for 1.5 years. Fin halted my thinning but I really havent seen regrowth with either. Post-transplant my crown area (which was thin) now has a much more distinct horseshoe. Maybe my hair is shorter so it’s more prominent, but its definitely more pronounced now. Can I get shockloss in a non donor or recipient area? Chance this recovers? Can I expect fin to do more after a yearish? I switch to oral minoxidil in SEPT. I want to avoid Dut due to its half life and unknown safety profile for hairloss He used a lot of Lido with epi but not close to the max amount ( I am in anesthesia, so I am aware of the limits).
As you were on finasteride, I generally don’t see shock loss in most men. If it should occur, it usually reverses in the normal hair area, but the areas that were miniaturized may not come back. As you are only 2 months out from the surgery, give it another 3-4 months and hopefully you will see it reverse.
When I first started thinning around 21 I hopped on minox and would apply it gently to my scalp. I think I was afraid of the manual shedding that would be caused by really rubbing it in. After 6 months I stopped using it because I didn’t notice any improvement. I continued using keto and 1.5 mg fin for the next 8 years. With a very slow progression of thinning. About 6 months ago I decided to try minox again, and instead I rub the minox vigorously into my scalp for probably 20 seconds. While at first I did notice a lot of hair in my hand from the rubbing, over time less and less hair would fall during the rubbing.
I feel like now my hairloss has pretty much halted, and maybe even a little regrowth (it’s hard to tell because I’m a diffuse thinner).
If minoxidil didn’t work initially, then you might be in the 60% of men that will not respond to topical minoxidil but will respond to the oral form. Read this: https://baldingblog.com/sulfotransferases-and-minoxidil/
A hair transplant, to be absolutely normal, needs a transition zone between the forehead and the thicker hair. There is never a wall of hair in a normal hairline. I hope that the surgeon you get to fix it will address the need for a transition zone.
Max Plank and Albert Einstein both interacted on the threshold of defining today’s physics. Loss of his hair, Einstein might say, “is a spooky finding“
Gynecomastia has been reported with men on minoxidil, but it is an unusual side effect
This young man appears to be very responsive to oral finasteride and topical minoxidil as these results appeared in just 10 weeks. This is frankly highly unusual.
3 months on minoxidil with arrow showing early growth. The photo on the right shows growth at 8.5 months. Amazingly responsive.
I was wondering if fin restores pre-thinning hair, if caught early. Will it give you the hair you had as a teenager, for example. Is this possible? I’m 21 years old.
Sometimes, if you catch the hair loss early, finasteride can restore it to pre-loss levels. This occurs only for the mature hairline, not your juvenile hairline.