The frontalis muscle is responsible for the folds on your forehead and it gives me anatomic location for where the juvenile hairline belongs, as it usually hugs the highest crease and is concave. The mature hairline is one finger breadth above the highest crease in the midline and then establishes a gentle V- Shape so I can tell if the changes are maturing or recession and how much recession.
I have thinning and recession at the temples and slight thinning at the crown (22 male). This was confirmed under a digital scope. Is it possibly that this process will naturally stop and not progress much further? My father’s hair thinned in his 20s and receded at the temples but seemed to have halted. Same goes for his father.
Unlikely that it will stop if it is genetic. This is a progressive process and at your age, only gets worse until you treat it. It will likely progress until your inherited pattern is reached
I apply at a .25g dose so the bottle lasts about 3.5 months so the prices doesn’t bother me, and I’m not bothered by applying topicals. Just wondering if there’s any point as I see loads of people be like blah blah it goes systemic just the same no point etc etc
Yes, you should be able to switch from the topical form of finasteride to the oral form without consequences.
How fussy do you have to be with placement of it though? If you have a hair system or only applying in certain spots you can’t be too consistent?
You have to be fussy! If you apply the hair system, make sure that the clips are never in the same place or you will end up with traction alopecia.
What do the side effects generally feel like, for lack if a better word. ive been monitoring my blood pressure daily, and ive been keeping an eye on my heart rate as habit for a while now. Both have been consistent and continue to be consistent 3 days into oral minox, but i cant shake the feeling that somethings a bit off. Ive been experiencing mild chest discomfort for months since starting adhd treatment, but having had a full check up done on my cardiovascular health (ekg, bloods, xray), everything was fine. This discomfort feels more pronounced with oral minoxidil, but I cant tell if its in my head or not. It will go away and come back occasionally, and i can exercise for a while feeling fine until i start getting worried about it and then it becomes noticeable.
could it be a result of heavy weight lifting? I lift regularly, but i feel like the discomfort should be uniform across my chest then right? When i press the cartilage near my breastbone, there is pain on the left side, as well as when i press the area of my left pec near my collarbone.
You need to have a serious discussion with your doctor
I have noticed many 60 years old men’s hair start getting thin and become sparse, revealing some of their scalp skin underneath, but is this the same thing as male pattern baldness that a lot of guys having during their 30s to 50s? Those old men have a more sparse hair compared to their younger self but is still not balding like those 40 year old men with male pattern baldness, are these two situations related? If an old man’s body produces less male hormone than young men, then is that mean the elderly thinning/balding are usually not caused by hair follicles’ DHT sensitivity? Could this also be inherited?
Thinning in men over 60 may have nothing to do with balding. Hair in men or women that get older may see their entire hair become finer. That would be genetically induced. Balding is unlikely to appear in a 60 year old man
Yes, of course. There are many scams out there, too many scams because there is a lot of money to make by scamming people.
I then got horny, had a full erection and was able to masturbate 4 times in one night. Is that a good sign that the med might be okay?
Working better than most people. On occasion finasteride can increase the sex drive in men.
Enough for what? The recommended dose is 1mg and 0.5mg is 80% as effective. Your call
For those of you who have gotten hair transplants, do you still have to take fin to maintain it? I’m assuming your scalp would still be attacking the new follicles. I can’t take fin because it gave me some nasty side effects so I want to see if it’s effective without it. If not, for those who got beard transplants, what are your thoughts on it? I have really bad facial hair growth and don’t want to look like an egg when I finally lose the rest of my hair. I would appreciate information like prices and especially for the beard transplant, how much of your face were they able to cover and do you like the way it looks? I’d appreciate any advice I can get.
Hair loss is a progressive process. Most of my patients take finasteride if they are younger when they get a hair transplant to stop the progression of the balding. Finasteride isn’t needed for beard hair.
You have nicely brought back your hairline with the combination of minoxidil and microneedling. Congrats!
You have a Norwood Class 3A pattern of balding reflecting significant frontal recession. There is no such thing as a minor hair transplant as you should have put the hair back where it belongs and tackle the transplant the right way so you don’t have to maintain your recession. Any doctor who did a minor hair transplant just made you into a hair transplant addicted person who will have to finish what was started sooner or later because if you lose hair behind the hair transplant you will have an island of transplanted hair, a bald area and then the hair behind it that is yours. Your call of course to finish what you started.
Health Canada reports that there is an association with people of any age on finasteride of Proscar with leg cramps and muscle pain. About 500 patients on finasteride have been reported to have severe leg cramps from a brief scan of the literature. This is including Proscar for prostatic enlargement. This is an important new side effect we have not known about until recently.
This is a somewhat typical response from combining finasteride and minoxidil in young men on crown hair loss
Hello Dr. Rassman, I need your opinion on my situation. I’m just looking for an informal opinion.
I received a 2900 graft transplant for my nw 3 last year to rebuild my hairline/temples and strengthen my temple points. I went to a prominent surgeon in Europe. I have very thick/coarse hair with a 2.81 hair per graft ratio. My average hair thickness is 61 microns.
My result turned out ok. I got good coverage but was expecting more in terms of density due to my hair characteristics.
I consulted with my surgeon at the end of one year and he noticed that a good portion of multi haired 3,4, and some 5 hair grafts had only 2 hairs and some 3. He thinks my yield is fine (85-90%) however. He suspects there was trauma either during extraction or implantation when using an implanter pen. The first surgery utilized a .9mm manual punch which he says it typically the biggest he uses. His plan is to do a touch up and increase both the punch size to a .95mm and increase the size of the implanter pen. He will also use pre made incisions for the large 5 hair grafts.
I asked if the trauma could be spotted during graft inspection since they are evaluated under magnification. He said no as the trauma is likely on the root sheath and that can’t be seen.
My questions are:
- Do you think this is a good plan moving forward to achieve better density? I know no surgery is risk free
- Do you think the trauma explanation regarding the root sheath is feasible?
Thanks for your time
Your doctors sounds like he understands the problem. Small punches can be a problem but with a 61 micron hair thickness, that is an average hair weight, which should not have been a problem. The high hair count per Follicular unit could have produced damage during excision as he suggested. It is good that he is sticking with you and doing what is right to make you happy! That is a class act.