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.
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.
So I’m set to have a 1,500 graft hair transplant in May and I’m pretty stoked (23, NW 3.5.) I have thick hair and no diffuse thinning but my temples and hairline is messed up and like many of you I have let my hair loss severely impact me. For those who have had one… Most importantly are you happy with the results? Is there anything you wish you knew prior before having yours? Anyone that has thoughts/tips/or stories much appreciated. Beyond excited to have my hair back but would love a little more information about what I’m getting myself into
23 is a bit young for a hair transplant. Have you and your surgeon built a Personalized Master Plan for your future short-term and long-term hair loss? What is your lifetime supply of grafts (each of us is different) and if you don’t know this, then you might get into trouble in the future. Look at this important link and imagine it was you: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/ . I wrote the following post for this man here: https://baldingblog.com/22-year-old-received-a-hair-transplant-of-2800-grafts-from-reddit/ explaining the concept of a Master Plan and its importance.
Thinking about doing 0.5MG 3 times a week. Would this be effective at removing some of the DHT from the scalp? I want to start using FIN but worried about the sides, so i wish to start gentle. Is there anything you can recommend that I do before starting FIN? I am going to ask for blood work done soon to measure my hormone levels.
You are not making sense to me. If you don’t have side effect, use the full dose of 1mg. If you develop side effect (a 4% risk at most), then you can play with a reduced dose.
At what point do you know that it has receded beyond a mature hairline? And by asymmetrical, do you mean that the forelock can remain in the juvenile spot while the temples mature faster?
I’ve been told by a professional I am not balding but I still remain super anxious about it. Though I do have anxiety disorders which probably relate
You have to manage your anxiety. Yes, you clearly understand what is happening. If you think it is going beyond a mature hairline, you can see a doctor or even send me photos, but wait at least a year. Connect with me at info@newhair.com
I got a prescription of fin filled but it’s just sitting in my room. Been balding for a few years now but I still have a hairline that’s receded in the temples. I’m not scared so much as about the side effects but the stories I’ve heard/read about permanent side effects that last even after you stop using fin.
You can always stop it but don’t talk yourself into side effect because it is 100% for those who do.
I am a 35 years old male, Been losing my hair in the last few years, and been cutting it short, I do like the shaved look and when my hair is completely shaved my hair loss is not very apparent. I am now at a point that I am thinking either to fully accept the shaved look and add some SMP to it to make it look better and be done with it or going with a FUE Hair Transplant so i can get my hair back.
Some pros for the SMP – cheaper, much more easy and simple procedure, not having to worry about my hair looking good after/or in the future. cons: have to stick to this one hair style always, having to shave my hair every few days.
Pros for the HT: well i will have hair again that i will be able to grow and style and i will probobly look better overall.
cons: complected surgery, having to look like shit for the first few months, having to start taking pills in order to keep the rest of my hair.What do you guys think? Would love to get your input on this delima
The choice between these two radically different approaches are clear. Is hair itself important to you? IF yes, a hair transplant is the answer, if no than the shaved look of Scalp Micropigmentation is a great solution ( https://scalpmicropigmentation.com/ )
I have a few pimples around my hairline where the new grafts will be going. Will this be a problem at all for the surgeon? I have my fut next week.
Could be a problem. Your surgeon will have to assess what to do about it if he goes forward with the hair transplant. I wouldn’t want to increase your risk of infection so I would want the acne under complete control before doing a hair transplant.
There is no good reliable test for determining if you have the balding genes
You can see my progress on dut in my other post. Visited a dermatologist who prescribed me 2.5mg oral minox (perks of living in los angeles is that doctors take cosmetic concerns seriously) . will be taking it everyday, monitoring blood pressure weekly. Made this post because there isnt much info on oral minox on the internet. I will continue to update you guys in the coming months.
The dose you are on is a bit high with a high risk of complications. Half the dose is better, so speak with your doctor. Taking both drugs at the same time may help some people as the mode of action between the two drugs are different.
So this thought popped in my head while a picture of Harvey Weinstein popped up on my news feed. The guy is rich as hell. Being in the entertainment industry he must have access to the finest cosmetic surgeons. Why the hell do people like this opt not to get a hair transplant? Same goes for other rich folk. Maybe they just dont need to since they are incredibly rich and it simply doesnt matter how they look. But seeing stuff like that makes me doubt that hair transplants are not quite as advanced as people claim them to be or the success rate isnt that high. I am probably over thinking it…could be a million reasons why. All I know is if I had the money I’d get the best damn hair transplant, lock myself in my big ass mansion until the scaring went away and I was presentable then just reappear to the public with a head full of locks.
There are many reasons for this, such as: (1) these people accept their hair loss and are not interested in doing anything about it, (2) They are afraid of facing their vanity, a hair transplant will make it evident if before pictures are public (a CEO of a billion $ company had a lazy marketing person take an old photo when he was bald and post it by mistake on the company’s newsletter then people came to him and asked him where the hair came from?), (3) some people don’t like the idea of a surgery, (4) the old stereotypes of plugs still prevail and some people think that a hair transplant sticks out like a sore thumb.
In just two months, this young man stimulated early hair growth that can only get better over time. It is always amazing how quickly microneedling accelerates the growth process. Of course, we never would know if it would have grow without the microneedling, but with the huge number of men who presented these results, one has to believe that the three approaches (finasteride, minoxidil and microneedling) are intertwined.
(Reuters) – A large study adds to evidence that people with type O or Rh negative blood may be at slightly lower risk from the new coronavirus. Among 225,556 Canadians who were tested for the virus, the risk for a COVID-19 diagnosis was 12% lower and the risk for severe COVID-19 or death was 13% lower in people with blood group O versus those with A, AB, or B, researchers reported in Annals of Internal Medicine. People in any blood group who were Rh-negative were also somewhat protected, especially if they had O-negative blood. People with type O blood, and those who are Rh negative, may have developed antibodies that can recognize some aspect of the new coronavirus and therefore might partly protect them against it, coauthor Dr. Joel Ray of St. Michael’s Hospital in Toronto told Reuters.
“Our next study will specifically look at such antibodies, and whether they explain the protective effect,” Ray said. But whether or how this information might influence COVID-19 prevention or treatment is still unclear.
SOURCE: https://bit.ly/2JhQvws Annals of Internal Medicine, online November 24, 2020.
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