RESULTS from minoxidil (5.0)% and finasteride (1.0)% and dermarolling (photos). I am satisfied with the progress i have made been on minoxidil (5.0)% and finasteride (1.0)% and dermarolling thrice a week for past three months, amazing results !!!
No. Telogen Effluvium is a temporary problem that resolves over time; however, some people find as they age that their hair gets finer.
I am thinking about getting a hair transplant. Most places that I have consulted with recommend me getting between 1200-1800 grafts. I understand that the more grafts that I get, the higher they are paid. However, I am concerned about a few things. I am concerned how my donor area will look afterwards and I don’t want to lose donor area hair if the doctor did not do a great job. How would I know how many hairs were actually transplanted? I wouldnt mind doing another transplant if the first time was a good job. What percentage of those harvested get transplanted? thanks for advice.
Of course you can request a certain number of grafts, but you want to ask the doctor what makes sense when you take such a step. I believe strongly in a Master Plan as hair loss is a progressive process and the donor supply of permanent hair is limited. I refer to this as a Hair Bank where you can only make withdrawals. You need to find a doctor who believes strongly in a Master Plan, as hair loss is a progressive process and the donor supply of permanent hair is limited. What has to be done is to: (1) predict your short term hair loss pattern, (2) estimate your long term worst-case hair loss pattern and (3) give you quantitative number for how many hairs (grafts) you have in your hair bank. As you make withdrawals, it is a one-way process. I also like to give my patients a plan for surgery and an estimate of what they can expect in terms of result. I spend a lot of time with my patients just in the consultation and then similar amounts of time are spent prior to the surgery. We give hair washes after the surgery to make sure that there is no crusting so that my patients can go out in public immediately after the surgery (see here: https://baldingblog.com/one-day-post-op-with-photo/ and here: https://baldingblog.com/post-op-photos-6-days-after-3320-grafts/) . These patients can go back to work quickly using what hair they have to cover up the surgical recipient sites. We also use a special tape to prevent swelling in the few people that get it.
Too straight, too regular and not enough density. I am being honest. If you end up with a second hair transplant, you can easily fill in the density and make it irregular on the hairline and behind it. Did the doctor put single hair grafts in the front as he should?
https://www.oatext.com/Long-term-(10-year)-efficacy-of-finasteride-in-523-Japanese-men-with-androgenetic-alopecia.php
RESULTS: We evaluated the long-term (10-year) efficacy and safety of AGA treatment with 1 mg/day finasteride in a large study population (532 patients), as the first study of this kind in Japan, to our knowledge. A high objective efficacy was demonstrated by the MGPA, which revealed improvement and prevention of disease progression in 99.1% of the 532 Japanese men with AGA treated with 1 mg/day finasteride for 10 years.
SEXUAL FUNCTION: In the investigation in 40 years or older of Asians, the incidences of decreased libido and erectile dysfunction were 6.0–38.7% and 40.6–70.0%, respectively [29,23]. Overall, the adverse reactions were all mild, and the incidence was lower than the generic incidence of decreased libido and erectile dysfunction in Asians. As adverse reactions were recorded by patients in a subjective questionnaire, the result was thought to be slightly different from the correct number of adverse reactions in this study
Dr. Rassman’s Comment: The efficacy of long term finasteride treatment has been published many times. When compared side-by-side with men who did not take finasteride, the results show that men with genetic balding hold on to more hair over time than the non-finasteride counterparts. The issue of sexual dysfunction is briefly discussed and the comment that the sexual side effects of age parallel the sexual side effects while on the drug (just slightly less according to this study). There were no cases of Past-finasteride syndrome reported in this study, a significant point.
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The hairline belongs about one finger breadth above the highest crease of the furrowed brow. This man will find that his hairline was transplanted unnaturally too high. I believe it belongs about 1 inch lower than the surgeon placed it about where I placed the arrow. In addition, the hairline is lower on the patient’s right side.
Is it true that if I stop using DHT blocking shampoos I will lose hair, even if my hairline may just be matured?
There is no effective DHT blocking shampoo on the market. It is not easy to get a DHT block from a shampoo that you wash off of your head
Do you believe that it stays effective long term? (Say more than two years) Or will it lose effectiveness compared to the oral form? I am 22 years of age and considering taking topical instead of oral. Let me know what you think.
If you are asking me if you continue to apply it for 2 years or more, will it still be effective. The answer is yes!
To those who are just using Minoxidil and micro-needling only. I am just speaking from my own experience but eventually whatever gains you get from the two will not last, at least it didn’t for me. But I have continued to persist with it even though it continued to get worst. I am 39 and now starting on topical finasteride for the first time
I am not surprised that even if you got all of your hair back, once a single hair cycle completed (2-3 years) the balding would have returned to where it is now. If the topical finasteride fails and you want your hair back, a hair transplant is a sure thing for this type of balding.
Over the past 38 years, the sperm count measured at Mt. Sinai Hospital and elsewhere has dropped 58%. Dr. Swan reported this alarming statistic on the BBC. She believes that this change must be due to environmental factor such as plastics and other chemicals which are now in our bodies. In addition to the number of sperm produced per cc of ejaculate, the quality of the sperm is also down as more and more embryos are developing with congenital problems which are now being identified in the offspring of our children. Dr. Swan believes that these changes are probably permanent and correction might take a few generations to correct.
I started using minoxidil earlier this year for my temporal recession (I’ve already been on finasteride for a while). I’ve decided that I would like to pursue a FUE transplant for my temples, eventually. When I think about it, it seems to make sense to stop minoxidil and to wait for the dependent hairs to fall out before getting the transplant. That way, the hairline that is not dependent on topicals emerges, and the transplant can fill those areas as fully as possible. Does that make sense? I haven’t had an initial consult yet and I think I may want to even put that off until after I stop the minoxidil so I can get an evaluation for my hairline without it and then pursue a transplant shortly after.
I tell my patients to continue it for up to 3 days before the hair transplant and then pick it up again at about 1-2 weeks after the transplant so you don’t lose the minoxidil dependent hairs.
Do you have photos when the blow dryer burned you? To have had long term damage, there should have been a significant skin burn. This looks like male patterned balding to me from this photograph
The results show that the hair is returning. You may find that it will not grow very long of as in some finasteride users, reverse the process. Wait another year and then see if you can get length on it. Consider adding minoxidil and possibly microneedling to the area. Look this combination up on this website (see search bar) and see some amazing results with the combination of finasteride, minoxidil and microneedling.
There is a lot that is not known about microneedling. In theory, once you get the hair growing and healthy, you might be able to stop it and then wait a full hair cycle before worrying if the hair will fall out or not. Alternatively, you can significantly reduce the amount of microneedling like once a month or once every other month just to keep the stimulus there. IF any reader has more information about this, I would like to hear from them. Transplants go much needler than the microneedle so scarring should not be a problem, in theory.
These photos, although not identical ‘shots’ does show movement towards reversal. More time and better photography should be dramatic.
