I am sure that this article will create a huge response from many forums that promote PFS and these patients giving them voices.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6751456/
This man used finasteride, minoxidil and microneedling for 9 months and clearly increased the density of his forelock. His hairline did not return to normal so I wonder if he used the microneedling on the original hairline as well but that failed to regrow?
This could be for many reasons, poor surgical judgement, low donor density, too many grafts for his donor supply. He will have to live with this unless he gets Scalpmicropigmentation (https://scalpmicropigmentation.com/)
I don’t know why I’m typing this, I’ll probably regret this in the morning, since I’m on vyvanse right now. I know you focus on transplants and your not a therapist but, I just want to write to someone. This hairloss fear is getting to me, I’m only 16 and I’m pretty sure I’m not going bald now but the predisposition in my family is so high, my dad AND my mums dad went full bald in their late 20’s that’s just a fucking double whammy, I always hear when people talk about baldness in their family (on Reddit, etc) and its always only one; dad, or mums dad, at least they have hope. What can I do?
At 16, I doubt that you are now losing hair. That may not be the case in the future, but worrying is not going to change anything. Speak with your parents about your fear. At some point if you feel that you might be starting the balding process (rarely before 18), then getting a HAIRCHECK test (https://baldingblog.com/haircheck-test-how-it-is-done-video/) might be the way to go, as this will tell you absolutely if you are losing hair, where and how much. Wait a couple of years before doing this.
The nice reversal of corner hair loss. Thanks for sharing
This is an example of a person who mapped out his scalp to determine the degree of miniaturization in the different areas. The key is not only to identify the areas where it comes from, but to see enough hairs roots so that I can count the degree of miniaturization. For DUPA, this is critically important as shown in this link for a DUPA patient: https://baldingblog.com/classic-case-of-dupa/
Generally the statement is ok. I see many men immediately stop the loss and have have seen reasonable growth in less than 6 months on some men but I tell everyone to wait 12-18 months to see maximum yield.
Very nice early result from minoxidil alone
When you say hair loss has stabilized what do you mean? You were born with that pattern and won’t advance? Just want to clarify. Thank you Dr. Rassman
We generally believe that we inherit a balding pattern (assuming that you get the genes for hair loss about 50% of the male population) and that once you achieve that inherited pattern, you stabilize. I, for example, lost my crown hair and became stable even after a hair transplant without balding elsewhere
You mention the term “final pattern of loss?” . Does this mean some people are only destined to teach a Norwood four while others Norwood seven? When do you know you have hit your final pattern?
The issue is complex. Men at 19-22 who experience hair loss frequently don’t have the maturity to deal with it (it is a development problem of the prefrontal lobe of the brain which does not complete its development until about 22), plus there is a sense of urgency, plus there are significant financial implications of having multiple hair transplants which could be never-ending if they end up chasing the changes in their progressive balding pattern. I always say that a Good Decision Today, is a Good Decision Tomorrow. I am not insulting you here, just trust that I have years of experience in this business and I have seen too many young men make mistakes that they regret.
Note that this man’s forelock thickened up with finasteride over 6 months but his hairline didn’t return.
So before downvoting this please read and try to get on my perspective.I am 19 and balding pretty badly, I have two older brothers (30 and 32), both of them have good hairline. my father is 60 years old and bald but he was nowhere near bald when he was in my age. From my moms side uncles aren’t bald, only matured hairline. So technically I am the most unlucky one in the entire family? or is it because Ive been masturbating ever since I was 12? well I was doing this almost daily for about 8 years. I remember 2 months ago when I stopped doing it for 8 days my hair loss stopped completely (believe me or not) then I relapsed and slowly I started to lose hair again. I strongly believe elevated level of DHT in my body and overall hormonal imbalance is caused by over masturbating. but its too late to recover now. now I am on finasteride.
Masturbating has nothing to do with hair loss, just hormones and genes.
From my understanding hair that falls out due to shock loss usually grows back (in the recipient area) unless the hair is weak and almost ready to not grow again (which is usually right next to the area of transplantation) . So my question is since you can remove hair follicles could you remove the thin wispy hairs and replace with dht resistant ones so if shock loss occurs it will grow back and not ruin the success of the transplant?
If shock loss occurs and you are under 30, the hair that is lost if miniaturized, will not usually come back. I say 30, because the older you are, the less likely that shock loss will impact your hair. If you are under 25 (I don’t usually perform surgeries on men under 25), the shock loss is worse and the lost hair with a hair transplant is almost always permanent. The use of finasteride, often thwarts this process. When I perform a hair transplant, I look at where I place the DHT resistant hairs, many times in the areas where advanced miniaturization is present, especially in the younger men.
Amazing results from this combination. I suspect it was mostly the minoxidil.
I don’t understand your argument William. its better to have hair in your twenties, so what if the graft run out. then you at least have a hairline established which makes a lot of difference. what’s the alternative? just go bald and don’t do anything., not a good alternative
The issue is complex. Men at 19-22 frequently don’t have the maturity (it is a development problem of the prefrontal lobe of the brain which does not complete its development until about 22 for men), plus there is a sense of urgency in young men (the now generation), plus there are significant financial implications of having multiple hair transplants over a very short time-frame. I always say a Good Decision Today, is a Good Decision Tomorrow. I am not insulting you here, just trust that I have years of experience in this business and I have seen too many young men make terrible mistakes that they regret too soon after they make them.