Age 42, he want on minoxidil and finasteride 3 years ago and look at the dramatic change
This patient used nizoral shampoo, finasteride and minoxidil and in just 7 months had almost a complete reversal of the crown hair loss, not an unusual occurrence.
These are pictures of Donald Kendall, President of Pepsi. The last picture was taken 7 years before his death at age 99. There are 30 years between these photos. When comparing these photos, it is evident that hair loss is progressive with age providing that you have the genes for balding. My maternal grandfather died with his juvenile hairline still present at the age of 102 which clearly shows that he didn’t have the balding genes.
At five months you really will not know what your final hair transplant results will look like. Wait a full eight months and then you will see 90 percent of the results grown in.
More details keep emerging that address the sexual side effects that have been well documented. Here is another review medical article for those of your who read this. The topical form of the drug finasteride seems to have fewer sexual side effects, but they are still present.
https://www.practiceupdate.com/journalscan/39062/2/3?elsca1=emc_enews_daily-digest&elsca2=email&elsca3=practiceupdate_uro&elsca4=urology&elsca5=newsletter&rid=NTYwMzM3MDM4NTkS1&lid=10332481
This man took finasteride for 3 years and has a wonderful full restoration of his original mature hairline
This man took minoxidil, finasteride and used microneedling to improve the balding on his crown
The value of finasteride and minoxidil in this young man of 21 shows with good fill out of his receded frontal corners.
A great response to finasteride alone. The reversal of the frontal hairline occurs more often in men under 25.
If most of the hair that falls out is noticeably thinner at the base than it is on the end, does this most likely mean that many of my follicles are miniaturizing or is this just the natural hair process and likely nothing to be too concerned about?
Yes, as hairs become more and more miniaturized, as they grow they become thinner and thinner so if and when they fall out, the base will be the thinnest part of the hair shaft
Is it a common side? It’s been a couple of days since I started taking finasteride, and my left side feels tense and slightly painful. Any similar experience?
If the testicle pain continues, go back and see your dctor as this drug is known to cause the problem in some men but also there are other condition that cause testicle pain in young men that requires an examination by your doctor.
The miniaturized hairs evident on the patient’s right side of the before picture show miniaturized hairs which are not clearly evident in the after picture. If it were not just a set of pictures sent to me, I would ask him if these miniaturized hairs grew before he went on finasteride. I suspect that they were stunted as most miniaturized hairs just don’t grow when they are at the end of their miniaturization cycle. I would like people to take the same view with the same lighting of their hairline so that the viewer can tell the difference.
First, thank you Doctor for your years of good advice offered through your site and elsewhere. I am light skinned, 65 and have been on Finesteride for 10 years, had a FUE procedure with an outstanding surgeon in Thailand 9 years ago, and found that I was among the 5% who never shed (perhaps due to blood pressure on the high side?). The untransplanted region in the rear of the crown seems to have thinned over time, but not profoundly and I have considered the procedure a success, until now. Recently I believe that the right side of my frontal hairline may be undergoing some sort of change, where a patch of maybe 15mm by 10mm seems to have hair that is both thinning and maybe only 80mm long. The symmetrical area on the opposite side of the hairline is unchanged the hair long and as full as transplants typically are (i.e., not especially, but cosmetically impressive). Apart from any comments you might care to make concerning the possible cause, could there be reason to believe that this situation could recur even after an second FUE? Thanks so much.
You should send me some photos. I saw a man recently (https://baldingblog.com/2017/
Yes, there is far more patchiness than I would expect to see. This was caused either by donor over-harvesting or vascular complications of the donor area which may reverse within 6 months of the surgery, so by that time you will know more. I also noticed that the grafts were harvested very high and also too low, probably outside the permanent zone. If you should develop any advanced balding, these grafts may not be permanent. The donor area is usually no more than 3 inches high (see here: https://baldingblog.com/2017/08/04/permanent-zone-hair-lasts-lifetime/). If the patchiness remains, then you might consider scalp micropigmentation, something we do all of the time, see website: https://scalpmicropigmentation.com/
This man sent many photos all showing tons of hair. The only one I included was an orderly view that compares favorably to the photo he took 3 years earlier. This man clearly enjoys his hair.
