Will this impact the hair transplant growth?
Wounds like this could leave a scar, which could be minimized if stitched with very small sutures. The stem cells for the grafts are still there, and I expect them to grow.
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Is shock loss after HT worse if you’re on fin and min than if wouldn’t be taking any medication? And how long does it last approximately? I’ve lost a lot of native hairs as well.
Finasteride takes time in some men. Give it a full year before drawing conclusions. I have found that in close to 100% of men, the drug will slow, stop, or reverse the hair loss. Slowing it down is common and sometimes hard to detect unless the drug is stopped, when hair loss will immediately accelerate. Stopping hair loss is less common, and reversing it is even less common (more common in men under 23). Finasteride is very effective at preventing hair loss
There is some good teaching in your photos. This is an outstanding regrowth of hair from microneedling and minoxidil. I want to call your attention to the corner area which received microneeding beyond (below) the natural adult mature hairline, which did not bring back the hair to the full extent of the microneddling. It is important to note that microneeding in areas where your juvenile hairline is lost, microneedling this area will not bring your juvenile hairline back. For those who are microneedling, please limit it to the mature hairline you want to return to.
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I found this graph showing the various racial origins for various hair densities.
Reference: Interesting graph!Diversity in human hair growth, diameter, colour and shape. An in vivo study on young adults from 24 different ethnic groups observed in the five continents. Geneviève LOUSSOUARN, Isabelle LOZANO, Ségolène PANHARD, Catherine COLLAUDIN, Charles EL RAWADI. , Gilles GENAIN, L’OREAL Research and Innovation,
11-13 rue Dora Maar 93400 Saint-Ouen,,France, Eur J Dermatol 2016; 26(2): 144-54
Diversity in human hair growth, diameter, colour and shape. An in vivo study on young adults from 24 different ethnic groups observed in the five continents
Background: Based on previous findings, from a worldwide study, classified the shapes of human hair into 8 major types, from straight to highly curly. This clearly extended the usual classification of hair into African, Asian or Caucasian types. However, determinations of hair growth parameters and hair density were excluded from such studies. Objectives: To measure and compare the hair growth profiles of young adults without alopecia living in the five continents. Materials & Methods: 2249 young adults (18-35 years, females and males) without alopecia, originating from 24 various human ethnic groups were includedin the study. Total hair density, telogen percentage and growth rate on three different scalp areas were measured, using non-invasive validated techniques. Natural hair colour level, curliness and hair diameter were additionally recorded, when practically possible. Results: Diversity in hair growth parameters among the entire cohort was a key finding, with differences linked to scalp area, gender and geographic origin. Statistical approaches depicted African hair as having lower density and a slower growth rate. Asian hair showed a thicker diameter, with faster growth. Caucasian hair showed a high total hair density. Conclusion: On the one hand, this inter-continental study of hair growth parameters provides initial valuable base-line data on hair in young adults without alopecia, and on the other hand, further extends our knowledge of this unique human appendage.
Click to enlarge for details
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After overcoming my initial fears about fin and now being on it, my worries have shifted to the possibility of it not working. Just asking about stopping loss not about regaining ground.
Finasteride takes time in some men. Give it a full year before drawing conclusions. I have found that in close to 100% of men, the drug will slow, stop or reverse the hair loss. Slowing it down is common, stopping it is less common, and reversing it is even less common (more common in men under the age of 23).
Specifically, is the spike in testosterone levels just an effect from the body adjusting to the finasteride?
Yes, it is the body’s feedback loop. Some men actually get an increased libido from the increase in testosterone. one of my friend’s son had that happen to him and he called me worried. His girlfriend loved it, so I told him to enjoy the experience.
From the longest time, I had been taking 0.5 mg of Finasteride daily yet was still losing ground. People said that the differences between the two doses were negligible, so I assumed that increasing the dose wouldn’t help. After seeing little progress over a year, I decided to bite the bullet and increased my dosage to 1 mg daily. The differences were noticeable within a few weeks. I had less shedding both in the shower and on the floor. In addition, my libido was slightly lower than before, but I took that as a sign of efficacy. And hey, I would personally rather have a full head of hair and have sex a little less often than the opposite. Fast forward to a few months later, and I’ve already noticed regrowth. Take my anecdotal testimony with a grain of salt, if you must, but let this be a warning, or perhaps a beacon of hope, to those who are unaware: there is a difference in dosage for some people. If your hair loss is aggressive, don’t be afraid to increase your dosage. Those few percentages can be the break point between losing and gaining.
In Mercks original study on Propecia, the 1mg dose was the recommended best dose. Thank you for sharing your experience. I hope you become a model for others who take shortcuts and don’t get the full benefits of the drug.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
I am now 3 months after the surgery. The grafts have started to grow. This photo was taken one day after the surgery. What do you think?
This is a nice job. I hope that readers who go to Turkey note that you received 2000 grafts, not 5000 grafts. This means that your surgeon respected your donor reserves while covering the areas that were needed. I like your work and wish I would see more conservative use of grafts on those of you who go to turkey. Hair transplantation is not a race to see who can get more grafts in a single session.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
I went to Turkey to get a hair transplant and the results were amazing. My confidence did a 180 and life really did get better. However, now I am noticing thinning in my hair transplant area and its starting to look pretty bad. Is this normal? I wonder if there is something I have done to damage the hair? My hairloss in general has been stable for the past 5 years and the only noticable area is the hair transplant.
That is a lot of grafts for the frontal area. What happens if you lose the back as your hair loss progresses? Is there enough donor hair left to follow your balding? What is your Master Plan? Actually, I think what you did was overkill, using too many grafts. Let’s assume that you continue to bald as you get older. The donor supply is often around 6000-8000 grafts, and with a higher number, it is almost certain that you will have a see-through donor area unless your hair is coarse.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
Over and over again I see photos of very bald men who reverse the process (partially or completely) with microneeding augmented by minoxidil and finasteride. I am sure that the key to this outcome is the microneeding. I am increasingly convinced that many of these very bald men have active sleeping stem cells left over from their hair days. The results will improve if he keeps up the microneeding for a year.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
I’m going to is talking about using a robot to harvest grafts I’m just wondering if I can trust it I’m worried about losing my donor area. The surgeon said it’s better but I would rather have a surgeon do it themselves. Do you have experience with this?
Focus on the quality and experience of the surgeon and his/her team. I am the inventor of the hair transplant robot (https://patents.google.com/patent/US20080033455A1/en?q=(Hair+Transplant+Harvesting+Device+Rassman)&oq=Hair+Transplant+Harvesting+Device+Rassman), so I can tell you that the skill is not in the robot but in the surgeon’s hands, artistic skills (so he knows where to place the grafts, create a hairline, and direct the hairs that are placed), and knowledge of the field. Check to meet some of his patients to be sure you have the right place.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1386573/pdf/brjclinpharm00094-0143.pdf
The article suggests that minoxidil may have long-term cardiac effects. It was written in 1988, suggesting that more recent updates are available. I haven’s had the time to delve into further research on this subject.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
So I’m 34 and had a fue hair transplant 7 years ago (1000 grafts ) it was probably to young for me to do.. but you live and learn. I know I’ll eventually have to get another transplant & I’m tempted to soon .. but I’m trying to hold off getting another one soon as I know the donor area has around 6000 grafts to be used over your lifetime ,with medication I’ve only stuck to natural remedies(should of jumped on fin/min earlier.. ) but here we are . I know I need to make a decision, what are your experiences with topical solutions ?
Try three things: 1) finasteride, 2) oral minoxidil, and 3) microneedling. If within 8 months you don’t get results from this combination of things, then a hair transplant by a good, competent doctor is the next thing to do. If you can’t tolerate oral finasteride, then topical liposomal finasteride is an excellent option as it mostly stays in the scalp. After having had one hair transplant and being 34 years old, I doubt the medications will regrow your hair. If you don’t want medications, then you can go for another hair transplant, and considering this would be your second, I suspect it will work well. Depending upon your donor hair thickness, a good hair transplant surgeon can determine how many grafts you need and predict your probable outcome. I do this, and I have been doing it for 33 years, all with follicular unit grafts before anyone was on to it.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
I can’t see the front and top areas from the photo you supplied. Do you have any hair there now? First, you’ll need the doctor to evaluate your donor area to rule out any disease that may be there. Good doctors routinely perform trichoscopy to rule out diseases of the donor area and the metrics that I am about to discuss. You need metrics for your lifetime donor supply, which will include (1) donor density and (2) hair shaft thickness of the donor hairs. This will tell the surgeon what you will look like after the hair transplant, which will be shared with you. Then, a good surgeon will complete the examination by judging where your balding pattern will end up. Good planning is critical so you don’t expend all of your donor hair on a limited vision of where you are now. Balding is progressive, and you want to be sure that in the long term, you will always look normal and have enough hair left to follow the progressive nature of YOUR balding.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
