This patient has 4500 grafts 10 months earlier. It is clear that the central part of the transplant did not grow as well as other areas. This central part has the greatest problem with regard to vascular supply so I suspect that there was some compromise of the vascular supply to this area. He will not probably get any more growth.
This was clearly done by someone who didn’t know what they were doing. I feel sorry for the patient who is a victim of the person who did this, probably a non-physician
Dutasteride worked here but I suspect that finasteride would have worked just as well.
I continue to post these photos to show that many men get good responses from minoxidil and finasteride
4 months on finasteride and minoxidil show a very responsive hair loss pattern in this man with generalized thinning in a Class 6 pattern of balding.
Another good example of the combination of minoxidil, finasteride and microneedling.
Ive noticed that the hair on the back of my head is slightly thicker than the rest, at first I thought this was balding but I recently saw a picture of me when I was 11 and it looks like the hair on the back of my head is thicker than the hair on the top, is it possible that my hair has always been different densites on different parts of the scalp, or is that not possible?
Yes and no. Each person has a particular average donor density, but often on the sides above the ear, the density is lower. When a person starts balding, hair densities will fall in varying areas of the head, so to command this process I do a HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) to help me put measurements to hair bulk in different parts of the head, often not seen with my eyes but the men who come to me somehow know that this is happening. This test either confirms or denies their suspicions.
Photos show a substantial change. I would expect much more benefit by the end of one year on treatment.
I went to my dermatologist because I’ve also been dealing with diffuse thinning on my scalp. Very aggressively lately. He told me about finasteride and gave me 300 tablets. I’ve been on them for 3 weeks now. In the first week, my libido went up a lot. From zero to feeling horny almost every single day. Kinda like my old self.
Now, I did some research… and I know this is common for people starting fin. However… I read that this is because fin gives a slight boost to testosterone… resulting in extra sex drive. What I don’t understand is that my testosterone was already pretty high. Almost at the ceiling of the normal range. And yet my sex drive was very bad. Yet this slight testosterone increase from finasteride gives me an enormous libido boost.
Is there an explanation for this? I’m obviously happy about the change, but I’m also not expecting it to last and I’m kinda interested in the science behind it.
I have heard about this many times, but I can’t explain it. Consider it a blessing.
The surgeon was proud of this picket fence which is what it will look like when it grows out. What is a normal hairline is one that has a transition zone from the forehead to the thicker hair. Look at members of your family (male and female) and I think that will show you what normal is.
There does appear to be short hairs about an inch long (see arrow) suggesting that these are new hairs brought on by your Finasteride, minoxidil and microneedling approach.
4 months on minoxidil and microneedling with good initial results. I will be curious on how long it will last. Are you going to stop doing the microneedling and just continue with the minoxidil? You should probably continue the microneedling at least a few times each year.
The combination of Dutastereide, minoxidil and microneedling shows that the corner thinning (shown by arrows) has lessened with this treatment. These are early results and further benefit can be expected over more time.
It is always interesting to know that you are not alone when you are worried about hair loss. You are fortunate that you are in 2020 when the art of the hair transplants is as good as the natural hair growing normally. Had you done it 30 years ago, you would not have been so lucky like Joe Biden (had plugs that were fixed) or Donald Trump (who had a scalp reduction and now is probably bald with a good hair system).
See if you can tell who had hair transplants and who has a hair system from this list: https://www.buzzfeed.com/kimberleydadds/42-celebrity-men-who-are-less-bald-than-they-used-to-be
The number of grafts depends upon a variety of factors including (1) The thickness of your hair shaft (to determine your hair mass index), your donor density (to determine your lifetime donor supply of hair which is finite, (3) what areas you need to cover (not clear from the photos) and best covered in a conversation over the phone or an in-person evaluation. I would question if you adequately treated this first on the possibility of reversing the hair loss.
