https://www.nytimes.com/2021/10/04/health/hair-loss-stem-cells.html

This is a unique way of looking at age related hair loss.  I am not sure how genetic hair loss fits into this hypothesis.

The hair appears thicker on the right after the 19 months on finasteride but it is hard to be sure from the photos alone.  It would be better to have done a HAIRCHECK test  before and after the 19 month timeline. This gives an objective measurement of the hair bulk increase, if any, see here: https://baldingblog.com/haircheck-test-how-it-is-done-video/

 i’ve seen you comment in several hair loss posts so i wanted to reach out. next week i will be 5months post FUE and i’ve noticed shock loss in the front near my hair line for the past several months. at what point could i expect to see the hair start to regrow? it currently looks worse than it did before i had the operation in October. thank you for your time.

Shock loss is the loss of miniaturized hairs associated with a hair transplant. These usually don’t comeback. It can be prevented 95% of the time by taking finasteride. Your transplanted hair should be growing by now and in a couple of months you should have the length to style it.

I’ve been soaking and massaging twice a day per my doctor’s orders. I’m on day 5 now and quite a bit of scabbing has come off, but there’s still some left to go. I’m being gentle and no bleeding at all, so I’m just going to keep at it.

It is tricky to get scabs off at 5 days as the grafts get attached under the scabs so when the scabs come off, the grafts can be pulled out. The risk goes away at the 12th day. Read this article I wrote with Dr. Robert Bernstein: https://newhair.com/wp-content/uploads/2018/11/mp-2006-graft-anchoring.pdf

When ringworm strikes, it can form pustules and require a surgical drainage. This photos shows the scar from this happening to him when he was 3 years old. Fortunately, this can be treated with hair transplants.  Read more and see more photos here:  https://www.skinsight.com/skin-conditions/child/kerion

From the recent issue of the Hair Transplant Forum and also an article in the recent issue of the Journal of the American Medical Association, there is a report that CBD may work on preventing hair loss similarly effective but by a different action to Finasteride. There is no mechanism suggested for this finding at this time.

Apologies for the poor photo

What Is Microneedling?

Microneedling is a cosmetic procedure. It involves pricking the skin with tiny sterilized needles. The small wounds cause your body to make more collagen and elastin, which heal your skin and help you look younger. You might also hear it called collagen induction therapy.

Microneedling Benefits

Microneedling may help with issues like:

•  Acne
•  Hair loss (also called alopecia)
• Dark spots or patches on your skin (hyperpigmentation)
• Large pores
• Reduced skin elasticity
• Scars
•  Stretch marks
•  Sun damage
• Fine lines and wrinkles

Microneedling is less expensive than laser treatments, which can cost about four times as much. Microneedling may work better for people with darker skin tones because it doesn’t involve heat the way laser treatments do, which can affect your skin’s pigmentation, or color. Ask your dermatologist what’s best for your skin — and your budget.

What Happens When You Get Microneedling

Dermatologists (doctors who specialize in skin care and skin disorders) can do microneedling. Aestheticians also do it. If you try it somewhere other than a doctor’s office, first check on the person’s experience and credentials, and make sure that all of the equipment is sterilized. There are do-it-yourself versions of microneedling devices. But dermatologists warn against using those because you might accidentally hurt your skin, and you may not have a good way to sterilize the needles.

The procedure usually takes 10-20 minutes, depending on how big the area is. Most people need 4-6 treatments to see a difference.

First, you’ll get a numbing cream smoothed onto your face so you can’t feel the needle pricks. Then the person doing the microneedling will move a pen-shaped or rolling tool with tiny needles around your face. The needles make small cuts in your skin, which causes a bit of bleeding. Your doctor may spread a cream or serum on your face after that.

The goal of the procedure is to start your body’s healing process by sending collagen and elastin to patch up the tiny injuries. Collagen helps fill in and smooth out wrinkles.

Most people get microneedling on the face, but it can also done on other parts of the body, such as your stomach or thighs.

Some things to think about before deciding to try it:

It’s not a quick fix. It takes time to notice a difference. That’s because your body is healing itself. Most people need a few treatments before they see any change.

Healing time. It may take days or weeks to heal, depending on how deep the needles pierce your skin.

Pain and redness. You may have some minor pain after the procedure, and your skin may be red for a few days.

Peeling. Your skin may feel tight and flake a bit while it heals.

Bruising and bleeding. There’s usually no bleeding during microneedling. But deep microneedling treatments may cause the skin to bleed or bruise.

Possible scarring. Microneedling isn’t a good idea for people who’ve had keloids, scars that look like large bubbles on the skin. It could make the condition worse.

Infection. Microneedling creates tiny holes in the skin, which could let germs enter, especially if the equipment isn’t cleaned well. But the risk of infection is very low. If you’re healthy, an infection from microneedling is unlikely.

Microneedling is a cosmetic procedure, so insurance doesn’t cover it. Your doctor will tell you how many treatments you need, and give you an idea of how much they’ll cost.

Microneedling Safety and Costs

Microneedling is considered safe. But like any procedure, it has risks.

You could have an allergic reaction to the cream or serum that goes on your skin after the microneedling. And the wounds might get infected if you don’t keep your skin clean. You should stay away from places that could have lots of germs, like swimming pools, lakes, rivers, and oceans. And don’t use irritating soaps and lotions.

You can also get an infection if the equipment used hasn’t been cleaned well.

Microneedling Safety and Costs

Home microneedling kits, or home rollers, are becoming more and more popular. They’re widely available and inexpensive.

Rollers used at home use shorter, duller needles than professional microneedling devices. They temporarily stimulate blood vessels to brighten the skin. But home rollers usually won’t give you the same results as microneedling done at a dermatologist’s office or medical spa.

Like professional microneedling devices, home rollers can spread germs if they aren’t cleaned properly. Don’t use a home roller on infected skin.