The picture says it all. Yes, it was a bargain but at what cost? This patient had over 3000 FUE grafts permanently removed from his donor area (possibly had only 6000-7000 total for all hair transplants in his lifetime), plus he is now scarred and he will have to go after another transplant just to look normal. When that is done, he will be depleted in his donor area and probably be bald there. Switching balding from the top of the head to the back of the head is not bargain.
Some men are very responsive to finasteride, have recent hair loss and are young. These combinations can produce such great results in just 6 months of finasteride use
Erectile dysfunction might well be the “canary in a coal mine” of men’s health, indicating that men need to “metaphorically evacuate” before they develop life-threatening disorders, said Arie Parnham, MD, from the Christie NHS Foundation Trust in Manchester, United Kingdom.
More than half of all men 40 to 70 years of age have experienced erectile dysfunction — defined in EAU guidelines as “an inability to attain or maintain an erection sufficient for sexual performance” — according to the Massachusetts Male Aging Study.
Many of these men have multiple comorbidities, the most prevalent of which is coronary artery disease, Parnham explained during his presentation at the European Association of Urology 2020 Congress.
The link between erectile dysfunction and coronary artery disease was first made by Italian researchers in a 2003 study of 300 men with acute chest pain and angiographically documented coronary artery disease. The prevalence of erectile dysfunction in the study cohort was 49%, and in 70% of those men, the onset occurred in the 40 months preceding their diagnosis of coronary artery disease.
Then, a 44% increase in the risk for cardiovascular events, a 62% increase in the risk for myocardial infraction, and a 25% increase in the risk for all-cause mortality were seen in a 2013 systemic review of 14 studies — a pool of 92,757 men with erectile dysfunction — with a mean follow-up of 6.1 years.
“Younger people were at higher risk” the systemic review showed, said Parnham, which “highlights the importance of screening in this group.”
Source: Medscape, Erectile Dysfunctin: A Urologic ‘Canary in a Coal Mine’ by Ingrid Hein, July 21, 2020
Am I more likely to get a worsening of my problem if I go on finasteride?
Men who have gynecomastia are not more likely to get breast enlargements or breast lumps than men who don’t have it when then go on Finasteride
For the few patients who have a Folate deficiency, taking Folic Acid may reverse hair loss caused by this problem.
I was just told (from another doctor) that one of his patients who had two hair transplants surgeries totaling 5500 grafts, got a third hair transplant and then lost all of the previous hair transplants. The third hair transplant did not grow. A biopsy was done and the diagnosis of Scarring Alopecia was made which clearly caused the loss of the hair. This is an autoimmune process. Of course, the patient was concerned that the scarring alopecia risk was risk he was told about and the patient was angry. This is the very first time I heard about the appearance of a Scarring Alopecia after a hair transplant. I am not certain that there is a one-to-one- correlation between the last hair transplant and the appearance of the scarring alopecia, although the incidence is highly suggestive of it.
What is happening to me and why don’t I have hair there?
For those of you who don’t know what retrograde alopecia is, it is a loss of hair (or thinning of hair) at the nape of the neck or sometimes more rarely on the sides above the ears. I believe that this is genetic.
I have developed a mature hairline already and am concerned that I may get more hair loss. What should I do?
I know you’re not supposed to brush wet hair after the shower, but I didn’t know that until today… After I’ve been doing it for years… Thankfully, currently, I have a pretty full head of pretty thick hair and I’m obviously prepared to stop brushing my wet hair indefinitely. However, I’m worried that I’ve done damage that can’t be undone that could eventually lead to severe hair loss in the future. Should I be concerned?
When people brush hair roughly, then they can pull out miniaturized hairs easily causing evident balding in those men or women with genetic hair loss and significant miniaturization. I tell people to use gentle brushing or a wide tooth brush or comb to minimize the pulling effect on these miniaturized hairs.
I am devastated. No girl would even talk with me. I feel like I have been isolated from everything that someone of my age should be involved in. I never take off my baseball hat anywhere I go.
Topical finasteride with minoxidil might work and is worth a try if you can’t handle the oral finasteride but considering your age I would want to work a Personalized Master Plan with you so we could plan for your future professionally. You might respond to the use of a dermaroller as well if you add it to your routine and apply the minoxidil immediately after using it.
Does miniaturized hair gradually grow shorter with each cycle or can a miniaturized hair be long, say 5-6 inches then fall and stop growing?
At the start of the year my hair was thick but after a stressful couple of months, all my hair turned super thin with bald patches. The hair turned so thin it has very wide partings. Also all my body hair thinned too. Beard, arms, legs and pubic area. It’s like every hair on my body miniaturized. I can see my scalp now with wet hair. It all happened quickly, this wasn’t a gradual thing. The hair texture feels weird. My beard hair has thinned the same. I had thick hair on arms and legs now it’s all very fine. My pubes are now thin and wispy. I started taking fin a few months ago. I was prescribed it for prostate. Will this help? I can’t find anything about this when searching the net, only TE but does hair thin during that? At the start of the year I was very stressed, hardly eating or sleeping for a couple of months which I”m sure caused this.
Let’s imagine a hair that grows out for two years and is 12 inches long. If miniaturized started into the second year, the hair closest to the scalp would be thinning then the hair at the end which was made 2 years earlier. So a miniaturized hair can be seen simply by pulling out a long hair and looking at both ends. Another aspect of these miniaturized hairs is that they will grow slower and slower over time, eventually they stop growing and just stay there, falling out with washing, brushing and just the wind.
There is another condition that I just recently defined in the literature called Age Related Thinning. In this situation, all of the scalp hairs become thinner all at once and it is uniform thinning throughout the scalp. Although this is more common in men and women over 50, it does appear in younger men and women. I have seen it in men in their 20s and they make the mistake to think that this is balding because they can see through the hair to the scalp. There is no known treatment for this and neither minoxidil nor finasteride can reverse this as I know it. This is my article about it: https://newhair.com/pdf/Kumaresan-Muthuvel-Bernstein-Rassman-Commentary.pdf
Basically I’ve been on finasteride now for 6 weeks and my sex drive has shot right up. Is this normal? I thought finasteride has the opposite effect.
My own son reported it when he went on finasteride. His girlfriend loved it. I have heard this from many men. Few come forward on forums, just those who lose their sex drive.
Do you happen to know if topical fin is considered safer in terms of side effects then oral?
For those who have no side effects, oral finasteride is fine. For others, the topical may be a better solution as it is reported to have far less side effects.
This article discusses microneedling and shows many photos of men before and after its use
https://www.hairliciously.com/blogs/news/the-best-before-after-microneedling-and-derma-roller-results-for-hair-growth
These areas of necrosis for some technical problem induced by the surgeon usually heal with a large scar as shown here (before with necrosis on left, after healing on the right).
