This man used minoxidil on his scalp and found that he grew hair around his eyes and on his face above his beard. For women, this is a real problem. The good news is that when the minoxidil is stopped, these hairs go away.
The picture on the left is a normal view of terminal hairs without evidence of miniaturization while the photo on the right shows miniaturized hairs with two hairs (arrows) that are terminal healthy hairs.
If you think long term, what will you look like in 4 or 8 years in terms of your balding pattern? IF you follow the logic here, 3500 grafts out of (on average) possibly 1/3rd of your donor area (or more) used up. If you develop a more advanced pattern of balding, you may run out of both hair and money. If your hair is fine in thickness, then you will be in trouble, not so if your hair is medium or coarse. Either way, that is not good planning. This why I don’t approve of your hair transplant at 21 because for short term value, you may have lost your long term potential to keep hair on your head. Imagine you could be this man: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/. Some young men think that they will not care about hair when they are 30, 35, 50 or 60, they are mistaken. All is not lost if you get a doctor who cares about you now and when you are 30.
Finasteride should not be the cause of your hair loss. See your doctor and find out what is happening as weight loss of this magnitude is significant to your overall health.
Been balding since 2014. The type of balding I have is related to DHT. What happened to my scalp from 2014 to now? Did my body produce more DHT? Or am I producing the same amounts of DHT as before, but something that used to use DHT is lowered? If it increased, then theoretically, fin and all should have no negative effect on me, and I should be like pre 2014.
DHT often goes down slowly with age because it is the product of testosterone metabolism and the older you get the less testosterone you produce, hence less DHT. Balding works off of a genetic clock, so you don’t need a rise in DHT to allow the clock to kick in when the time comes (genetically speaking). Get professional advice from a good hair doctor.
Do you think that I can get hair to grow in my corner with medications (Photo)
It might, especially with microneedling as there appears to be some miniaturized short hairs that could be kicked into growing. The more medications you add, the better the chances. Adding minoxidil and finasteride can only help move you towards reversal
Is hair transplant useless if finasteride doesn’t work on your normal hair?
Hair transplants are taken from the back and sides of the head. These hairs (we call in the donor zone) are permanent hairs that never fall out, so when they are moved to the balding area they take their genes with them. Finasteride has no effect on these permanent hairs.
Two months finasteride, minoxidil, microneedling have been reported by this young man. I am a bit skeptical of these results in just two months because hair grows at a rate of 1/2 inch per month and these results would have required every hair lost to suddenly start growing to produce these end results.
This is a great result from finasteride. This is the type of results we see, not uncommonly, when finasteride is used for crown hair loss.
This man must have been very sensitive to both finasteride and minoxidil to get such good fill in just 4 months. The corner hairline hair loss reversal is dramatic.
After a month of taking iron, my iron level normalized and my hair has continued to thicken up in much of the top (to where the barber thinned a section for the first time since ~2006). Not really the left corner and not the crown or back, though all that looks stable now and very little hair comes out in the shower. I do not have celiac. Invasive examination so far hasn’t found anything that would affect hair or absorption.How long should I wait to see if any regrowth in the problem areas happens?
Always give hair changes 6 months to kick in a significant number of new anagen cycles (about a quarter of men have a two year growth cycle). Then you will know much more and we should meet then
It will only be a problem it the minoxidil produced hairs dependent upon it. In that case, those hairs that are minoxidil dependent would fall out
When I had hair, I always had a high hairline. Should I put my hairline high as it was when I had hair?
There are two ways to determine where the midline hairline belongs. (1) one finger width above the highest crease of the furrowed brow and (2) balance the distance between the nose and chin to the grove above the nose to the hairline (that is what Michelangelo did). When designing a hairline, I always use these rules and if the forehead has always been high, then these rules allow you not to have a huge forehead for the rest of your life. Attractive people are always in a balance with their facial features.
Thank you this is helpful. Logically speaking wouldn’t it follow that if oral minoxidil were dangerous at these doses, we would have case reports correct? I imagine you have a portal as a physician that lets you check of any such case reports? Is there any retrospective data that shows what the minimum, average, median doses are for severe side effects? Hopefully I’m making sense here but i could only find one case study of a woman with kidney disease in her 60s having a cardiac effusion at 0.625 mg. Wasn’t shown to be causal. She had several preexisting conditions and poor health to begin with but used the min for lowering BP it seemed.
I guess my main issue is that I have yet to see literature where a cardiologist is closely following patients on low oral minoxidil over a period of 2-5 yrs +. I really would like to take oral minoxidil but this is my limitation.
The cardiologist, I don’t believe, use minoxidil for high blood pressure anymore as there are much better drugs. The dermatologists and hair doctors look out for Cardiac Effusions reports and when they see them, they look to see the dosage that caused it. From the research I did, this particular complication has not occurred with doses of 2.5 mgs or less in a healthy person.
From what I’ve read, the underlying theory for advanced classes not responding as well is due to scalp fibrosis, however that is understood to be reduced by an increase of bloodflow and microneedling. If scalp fibrosis is the culprit as to why NW6~+ don’t respond as well then hypothetically in time, enough microneedling and enough of an increase in bloodflow should result in an increase in hair growth right? I’m certainly getting vellus growth in my hairline at the sides and towards the middle front.
That being said, after almost an entire year on my regimen, I’m having what seems to be my first shed and it’s almost exclusively my intermediate hairs that have grown from vellus in my frontal mid scalp region. What has me excited is that I’m not getting any bulbs pushed up like when you lose hair so it seems like this is an expected healthy shed. I’m excited to see what replaces them in the next 3-6 months!
When an area of the head has been bald for quite a while, it loses its blood flow as the body regulates blood flow where it is needed. Normally, hair is a high metabolically active organ, so it commands blood flow. When the hair dies off with apoptosis (hair cell death as we believe it does), then the body figures that the blood flow can be better used elsewhere. This means that the skin of a older bald area, becomes atrophic and looses all of its support infrastructure for the hair which includes blood vessels and fat.