As Seen on


Your donor area is too high on the fringe and it goes all the way down to the neck area with excision of these hairs as well.  This is outside the safe zone and the areas that doctors believe the hair will last your lifetime.  I hope that your doctor discussed this with you as some of this hair may not last your lifetime and some might not even grow.

outside donor area


If your  first transplant is not thick enough because you wish to keep your hair short, then a second hair transplant will easily double up the density and only you can make that decision i.e. is it worth doing?

no thick enough


Worth the read.

Study form the Univeristy of Milan on Post-Finasteride syndrome released last year from tressless


The hair loss patterns of balding are  inherited. The Class 7 pattern is only inherited in 7% of men and most men are there before they are 30, so if you are a Class 5 and you are 30, you are probably going to stay that way. Hair systems accelerate hair loss as the glues and attachment mechanisms produce traction alopecia?


Hi doctor, I’ve sent you a message on Reddit and you told me to send you an mail.
I’ll try to be as brief, as hard as it is, about my situation is this:
I’ve basically had really good hair all my life, at least till I turned 18. I want to say I have a good hairline, and a fairly good crown. My hairline hasn’t receeded much, if at all, for the past few years. My main problem is that my hair is thinning in in a very unusual pattern. Since I had long hair most of my teenagehood it was hard for me to even notice it was thin – the long hair usually masked it. I found out when I got drafted ~9-10 months a go and had to get a buzzcut, that’s where I noticed some spots on my head are significantly thinner than the rest of the head. Especially at the middle-front of my head there’s practically a hole of seriously thin hair. However, growing my hair to 4-5cm in length is enough to mask it. The thing about my thin hair is that I don’t notice any shedding, and a year a go it seemed perfectly normal. If I run my hand through my hair it will usually take out between 0-3 hairs. Same in the shower. I even remembered worrying about my thin hair before I got drafted because it used to look really bad when wet but when I googled it people said it’s perfectly normal.
Basically I want to get on Propecia but am terrified of the side effects, especially since it will be harder to monitor while I’m in the army which is for at least a couple more years, but I don’t want to wait till then. 
Here are a few albums from different periods:
The reason I’m so confused is because:
1. The hair is thinning out in a very strange fashion
2. The thinning doesn’t seem very aggressive – my hair is maybe slightly thinner than it was a year a go.
3. I remember noticing the back of my head was fairly thin, but this was 3+ years a go. It’s as if my hair is thinning in episodes, I don’t even know anymore.
4. I have or had lots of bad skin conditions, like acne, inflamed pores on my face, and the most dominant is seborrheic dermatitis which is charactarized by red, flaky patches on my entire face and scalp. I used to treat it with Ketozol.
Would love to hear what you have to say, really, any honest opinion would help me so much as this thinning has been wrecking my mental health as of late. I don’t know what to do anymore. I would really appreciate your help.
Thanks ahead,
The chance of sexual side effects are only 4% at most; however, you can talk yourself into these sexual side effects all too easily and then it would be 100%. It is tied to your attitude.  Most of my patients take the drug when I recommend it and very few get sexual side effect (about 2-4%). Statistics are what they are and they are reliable. Most men take their daily pill and don’t notice anything; however, reading the many negative posts certainly doesn’t help but the statistics should help you put the sexual concerns into perspective.



This drug produces hair that is dependent upon the use of minoxidil. When minoxidil is withdrawm the hair that was produced by the drug is usually lost. Hairs are thought to be addicted to the drug and only stay while the drug is used.


When the contrast between hair and skin color is minimal and when the hair is very blonde, hair loss does not show well in such people. I have seen many people in the office over the years that have platinum blonde hair and a blonde or fair skin color and the hair loss does not stand out. Contrast that with a man with fair skin color and black hair (most Asians) especially when their hair is straight, and the balding stands out with less than 50% hair loss. I believe that a platinum blonde person can lose 85% of their hair if it is a distributed loss without seeing the loss.



There are many dermatologic diseases that will kill transplanted hairs. Most of these diseases have signs that are present, either obvious ones like alopecia areata or subtle ones like Frontal Fibrosing Apopecia, easily picked up by a doctor who is an expert in this field or a dermatologist who specializes in diseases of the scalp.  The key to avoid this is to have the diagnosis made in advance, something that an experienced hair transplant surgeon will ALWAYS  look for


Hair transplants are an option if you are over 25 years of age. Many men can look normal and never look like they lost their hair or have had a hair transplant.  If you are under 25, you should not get a hair transplant because hair loss is progressive and your balding pattern would not have declared what it is. By the time you reach 25, most people know, with a good doctor’s help, where their balding is going and then can have a hair transplant if the pattern of balding becomes stable with medications.  If you start a hair transplant process before you are 25, and then you continue to lose hair, you may find yourself chasing the hair loss with more and more hair transplants.  This makes it expensive and wasteful of your donor hair.  You need to build a MASTER PLAN with your doctor that outlines what you will do, depending upon the age, at what point in time.

Should I give up? from tressless


We do know that on a few patient, these permanent hairs may not be permanent afterall. We don’t understand what you are reporting but I would suggest that you see your surgeon and ask him/her to look at the donor area microscopically and see if those hairs are miniaturizing. If the donor areas has miniaturized hairs, that could explain what you are seeing


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