Good progress on your crown balding with minoxidil and finasteride for 7 months. Stay on it and it will only get better
This is a classic case of triangular alopecia. In her email, she said it was also on the other side but not that bad. This is not unusual for this inherited hair loss condition best treated with a hair transplant.
Would healing has many phases during the first 3-4 days. Microneedling stimulates the release various platelets, proteins that can activate hair growth, growth factors, stem cells and new vasculature resulting in the formation of new collagen and activation of stem cells which also may produce hair growth along with the healing process. Give is a week to allow this to happen before repeating the microneedling. No one knows how long this should go on.
https://pubmed.ncbi.nlm.nih.gov/10495374/
https://www.sciencedirect.com/science/article/pii/S0022202X15529357
Both of these articles show the relationship between finasteride and the dose as it impacts the skin concentrations of finasteride. Of course we want to know how much finasteride is getting to our hair follicles, so it is surprising that low doses are getting significant levels of drug at the hair follicle levels
Apparently the Turkish court reviewed the death and made a decision that was not favorable to the illegal practice of hair transplants. Some of the good doctors in Turkey are disappointed in the results of the court hearing. If you are going to Turkey, get a well known and established doctor. You shouldn’t have to die to get a hair transplant! How many have died? I don’t believe we will know the answer to that question.
Most men undergo an evolution in their hairlines as they get to the ages between 18-29, but the mature hairline looks different in some Asians and Africans. For men from India, more men retain their juvenile hairlines than most Caucasians do. Bill Clinton has retained his juvenile hairline but after his heart attack, some of the hairline eroded.
The photos suggests that your hairline filled in a bit, is that what you are seeing? If so, good job. Better lighting on the photos would make it easier to see the benefits
Just curious. You have had zero people with PFS, how many prescriptions have you given out over the years? I’m guessing in the thousands?
I have written thousands of Rx for finasteride since it first came out. Also many other doctors who are full time in this business compared notes and not one of them have seen PFS in their patients either. This is just sampling of other comparable quality doctors who do hair restoration. It’s not that I don’t believe that PFS happens, it is just not as common as portrayed. The following are two baldingblog posts reflecting Dr. Robert Haber’s experience with sexual dysfunction in his patient population compared to men not taking it: https://baldingblog.com/new-report-that-finasteride-does-not-cause-sexual-side-effects/ and https://baldingblog.com/finasteride-what-are-the-real-sexual-side-effects/
I appreciate all answers and am looking for multiple perspectives!
Does transplanted hair really remain forever, even without Fin/Min?
Is it possible to tell early on I’m the balding process, if I would be a good candidate for a hair transplant? I am 30.
What makes a good hair transplant candidate?
Is there such as thing as doing a transplant too early?
Is there a limit to how many transplants I can get?
Is there an optimal time to get a transplant?
Is it OK to get a transplant (or multiple) and not take Fin/Min?
Can I transplant from beard if beard hair is dense and thick?
1- Transplants remain forever in 95% of men provided the hair came from the donor area
2- Balding does show in most men unless they can style their hair to cover it
3- Right age (over 25), setting realistic expectations, good donor area, great surgeon and team
4- Transplants prior to 25 are not advisable. Be sure that no scalp skin diseases exist on the head
5- Transplantation in a single session has limits. Total lifetime supply of grafts is about 2/3rd of the donor supply provided that your hair is not fine in character
6- Over 25, with realistic expectations, sit down with a great surgeon and work out a Master Plan for our future
7- If you are over 30 and miniaturization is not a problem, then not using finasteride with the transplant may be ok. Remember, the risks of hair loss continue and even more so if you had recent hair loss when you had a hair transplant. Genetic hair loss is a progressive process, something you must remember
8- Beard hair is a secondary donor site if you run out of scalp hair. Scalp hair is the best hair because it has the same character of the hair you lost
I plan to stay on oral minoxidil but it gives me unwanted body hair. I know that in normal situation, a laser hair removal works after few session, but does it destroy the entire hair follicle?
So if i keep taking the minoxidil the unwanted hair, will it regrow despite the laser removal?
If you have a lot of unwanted hair from minoxidil, you might just stop using it. Have a discussion with your doctor about substitutes for minoxidil in your situation.
When will all of my hairs leave me bald?
The average scalp loses 100 hairs per day and regrows 100 hairs per day to keep the number of hairs on the head constant. The cycle determines how many hairs are lost per day. 365 Days * 100 hairs *3 years is the average cycle in a young man gives you a cycling of 109,500 hairs over 3 years (which is the average hair count for a Caucasian). That means every hair on the head is regrown in 3 years. If the cycle is shorter and you still shed 150 hairs per day, the non-balding man might just have a shorter cycle, like a two year hair cycle.
https://pubmed.ncbi.nlm.nih.gov/8287580/
Some doctors don’t agree with the conclusion in this article as finasteride only blocks 70% of DHT leaving 30% to produce beard growth. In other words, this is a controversial conclusion.
I’ve been on Fin for three months and I am shedding about 200 hairs daily…… I don’t know what to do and not sure if wasting more money in useless dermatologists who don’t care at all is a good idea, so before booking an appointment I would like to know what hair cycle I am in?
Each follicular unit (there are 50,000 on a human head) have their own hair cycle. That is why we lose hair each and every day and regrow hair each and every day as the hair are cycles from anagen to telogen
https://pubmed.ncbi.nlm.nih.gov/9326711
The authors have proposed minoxidil as a topical inhibitor of wound contraction and proliferative scarring. This was never performed in people or animal studies, just invitro studies
Effectiveness and safety of low-dose oral minoxidil in male androgenetic alopecia (jaad.org)
This article shows the value of oral minoxidil in treating balding and thinning in the top and crown of the head with an effectiveness of 92%.