This is an amazing result. I tell all of my patients to try to work through medications before diving into a hair transplant. If he stays on this, he will likely keep his hair for a long time.
This man might have gone to Turkey, but the simple use of minoxidil and finasteride at less than the ideal dose, but he solved most of his problem in 8 months. The lesson here is to see a good doctor, get the proper treatment, and maybe you can get your hair back as this man did. If I were your doctor, I would have you on the full dose of finasteride and the 2.5mg dose of oral minoxidil. You will likely fill out the rest of your hairline and crown area on the drugs alone based on what you are now taking (0.25mg finasteride and 2% topical minoxidil) and what I see here.
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I started derma rolling for 3 months and stopped maybe two months ago. The needles are 0.5mm long. My hair has just got much worse and thinner and i don’t necessarily attribute that to derma rolling but i have done research and seen people saying it can cause scarring. I used a 0.5mm derma roller once every two weeks maybe once a week a few times, is there any chance from this i have caused scarring or damaged hair follicles and would I know if I had caused an infection because that’s another fear of mine, thanks
The scalp has two layers; the top layer is the epidermis, and it is mostly avascular. It measures 0.5mm thick. The next layer down is the dermis. The dermis contains the stem cells and hair follicles you must reach with the microneedlng. With 0.5mm length, you are doing little to help yourself. Set up a routine, use something like the Dr. Pen device, and go down to 1.25mm. Cover each area you want hair to grow for 10 seconds. Then, move it to the next place. Most people seem to do it once a week, which works. If you keep everything clean, wash your hair before you start the microneedling and then later wash it off with another good shower, the infection risk is low. Good luck
I am 45 years old, I’m unsure what exactly my hairless type is! I assume I’m diffuse thinning? About 4-5 years ago, I was (or looked) totally bald on top, I had a consultation, and the doctor said that when checking under a microscope he said my hair was miniaturized and recommended finasteride and minoxidil (Regaine). Unbelievably, I responded brilliantly, and the turnaround was phenomenal! I responded so well that I forgot all about my hairless, with some fibres chucked in I looked like a bloody full head lol.
I changed my medication and lost ground. I have now changed to oral min 2.5 mg and dutasteride daily (dropped the fin) as my hairloss suddenly returned about a year ago. I’m only 5 weeks into oral min and duta so hope that I respond again! If not is a transplant possible with my hair type?
You are unbelievably lucky. This is not the usual 47-year-old male. A transplant without hair loss is not indicated. Maybe sometime in the future, if the medications failed to work, a hair transplant would be considered if you had significant hair loss.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
This 50-year-old male presented with a Norwood Class 3A pattern of balding, which is easily transplanted with excellent results. This man would most likely undergo a hair transplant in the hands of too many hair transplant doctors. He had a diagnosis made by an experienced surgeon with trichoscopy that showed perifollicular erythema and hyperkeratosis, both observations diagnostic for Frontal Fibrosing Alopecia. He had a scalp biopsy to confirm the diagnosis. This is an autoimmune disease of the scalp, and if he had a hair transplant, the surgery would most likely fail and cost him a lot of money and an unnecessary surgery. He was placed on appropriate medication to control the disease. Still, even with this disease under control, it often comes back, and if he had a hair transplant during the remission when it came back, the hair would again be lost. A hair transplant done during remission would likely exacerbate the disease and cause a loss of most of the transplants. Conclusion: Always find a good doctor who knows how to diagnose your balding problem appropriately.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
When a man’s forelock hangs in while everything around it has hair loss, you should recognize its value for properly styling a good hairline. These forelocks, if they remain after the age of 35, will usually stay for life if they are strong at 35. His balding pattern relates to the area of balding, ignoring his forelock, making it a Class 3A pattern with a persistent forelock. The arrows show the balding around the forelock. If this man is young (18-25), he has a good chance of reversing this with appropriate medications like oral finasteride and oral minoxidil.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
How bad do you think my hairline is? I know it’s thinning, and I’ve been losing a lot of hair lately, already on fin and min.
You have a notch on the frontal hairline that may not be genetic. A good trichoscopic examination is critical to find out if you are really balding. If not, why commit a lifetime of drugs?
You need a good examination by an expert. You still have your widow’s peak. Also, I noticed the changes on your right side, suggesting that you took some medication to reverse your 2021 balding. This is not valuable to me as you are not giving me the information I need to help you.
Hi, I’m a South Asian 17-year-old female. When I was younger, I had incredibly thick and healthy hair. However, over the past 1-2 years, l’ve noticed a significant amount of hair loss. My middle part has widened, and overall, my hair is much thinner now. I’ve attached pictures comparing my hair now versus a few years ago. Lately, it feels like I’m losing more hair than normal on a daily basis. I recently got a blood test done, and it showed that I’m very low on iron. As a result, l’ve started retaking my vitamins, including iron and biotin. A few days ago, I ordered castor oil and Mielle rosemary oil, and they arrived today. I heard that you’re supposed to dilute the Mielle rosemary oil, so I mixed it with castor oil. Before applying it, l massaged my hair with a silicone massager for about 5 minutes. However, after applying the oil mixture, I noticed a lot of my hair fell out. Is this normal when starting hair oiling, or am I doing something wrong? Also, if there’s anything else I should be using or doing to help grow back my hair, please let me know. Thank you.
You should be seeing a good hair doctor to diagnose you. You should look for deficiencies in Iron, Vitmin D, anemia, and other blood tests. Is there anyone in the female side of your mom’s or dad’s family that had hair thinning at any age, particularly at your age? Your hair seems to have considerable miniaturization. You need a good microscopic examination by an expert as part of a doctor’s evaluation of your hair loss.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
You are balding, and it appears significant. See a good doctor. If you are under 23, then it might get reversed with good medications alone.
I (24M) have had hair loss for almost 3 years now. You can see the current state in the pictures. It’s uncomfortable for me to go out, and when I do, I only go out wearing a cap. I’m really not a big fan of medication, which means I would prefer to avoid finasteride. Would you advise me to have a hair transplant? How many grafts would be used? How long would it last until I have to get another one? If Finasteride is the only way out, would it fill my receding hairline with hair again? I don’t know what to do and it’s really stressing me out
You must recognize that hair loss is a progressive process until you reach your final genetic pattern of baldness. The single photo shows thinning in the frontal hairline with a possible forelock and balding around the forelock. I would need better photos to give you an opinion. There is also a suggestion that you have miniaturization throughout your scalp, which, if I am right, is a bad omen. Finasteride is the single best drug for reversing miniaturization and works best for men under 25. A hair transplant would be a disaster for you because if you have extensive miniaturization, you would likely develop hair transplant shock loss after a hair transplant. See a good doctor or get a consultation from me at williamrassman33@gmail.com
[If you have any questions, you can reach me at williamrassman33@gmail.com]
I started losing my hair at the age of 18 in 2020, as soon as it was noticeable I decided to shave it off with a machine. But last year, in December, I decided to let it grow because I wanted to have it evaluated by a doctor, I let it grow for 4 months. And here is the thing, I realized that my hair was falling out a lot, I was probably losing between 100-200 hairs a day, every time I woke up I could easily see 30 hairs on the pillow, my hair was falling out just by pulling it or passing my hand through my head. I had the appointment and shaved it again, however, I noticed that my hair is no longer falling out and that there is no more hairs on my pillow, so my question is, is it possible for the hair to only fall out when it reaches a certain length? Or is this BS?
Normal hairs grow at a rate of 1/2 inch per month, and for a man in his early 20s, it probably would grow for between 2-3 years. These hairs can fall out if you have the genetics for hair loss. Some hairs become miniaturized, and they will not grow to their full length, shortening over time until one day these miniaturized hairs will fall out; cutting them short will not change the hair loss cycle and the loss that I discussed above; sorry to burst your bubble.
I don’t know your age, but from seeing these photos, I think you have far more miniaturization than this photo shows, possibly in the frontal hairline. You need to be examined by a good doctor with a trichoscope. Then you should go on ORAL finasteride first, as this is the best medication for most people who have extensive miniaturization.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
The photos have arrows pointing to an area of his head, which shows miniaturization in three different phases of development. The hairs that have lost their pigment are the earliest of these miniaturized hairs, and the one on the right is far more advanced. As you can see, the shaft thickness is very skinny.
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Ive been noticing my hair thinning over the past year, but believe Ive caught it early. I used to have a very thick head of hair but it has started to thin roughly a year ago that I can see my scalp a lot when its wet. Feeling a bit concerned, Im considering finasteride daily. Will this help increase the density and thickness of my hair or should I opt for minoxidil?
You have clear frontal early thinning, which may lead to balding. You should not overthink this. Finasteride is the best drug if you are under 25 to reduce this frontal thinning. If that doesn’t work, oral minoxidil might be your next step. At any time, you can try microneedling with a Dr. Pan device with 36 needles and a depth of 1.25mm once a week but I hope that the finasteride will work for you.
