I had a hair transplant surgery since one month and week before (on the 20th of June), my hair is full of white crusts as shown in the photos, they exist everywhere in my hair. They are itchy and annoying. They increase with time. I wash my hair every day with a shampoo but don’t dry it to avoid hurting the grafts. I don’t know if this because of the residual of the shampoo or what. How to get rid of these white crusts please? They are very very annoying. I am afraid they affect the transplanted hair. I need your help please. I tried to contact the doctor did the surgery and didn’t reply. I am sorry for your disturbance. 

This is residual crusting and requires a more vigorous hair washing with your fingers and a good shampoo. At this time you can’t harm the grafts so be aggressive.

I had just my first of four sessions of SMP. Look how great it came out?

These results are exemplary of the value of SMP (see here: https://scalpmicropigmentation.com/gallery/thinning-hair/ ) We have a break-through at two levels in this field: (1) a new laser tattoo system that allows the process to be done in a single session ( https://newhair.com/wp-content/uploads/data/docs/pubs/Tattoo%20Pigment%20Delivery%20with%20a%20laser_final.pdf ) and (2) a totally new ink which is encapsulated and is not free to spread once it is placed into the scalp. Spreading of the ink is the #1 problem with today’s SMP. The new ink can still be removed with a laser but it will be much more stable in the scalp. At this time, our group will be the first group in the world using this new ink in the next month or so.

My boyfriend is 22 and is quite noticeably balding on the top of his head. I’ve never said anything about it because I figured he was probably already aware and bringing it up would just come off as rude and hurtful. I really don’t care — sure, I like his hair, but that’s a very minuscule part of what makes him attractive to me.

Recently, though, he mentioned to me that he took creatine briefly while trying to bulk up for a role in a play where he had a shirtless scene. He said he stopped taking it pretty quickly after his doctor advised him to avoid that stuff. He said “I heard it can make you lose your hair and my hairline is already going a bit.”

Take a read of these post: https://baldingblog.com/combover-madness/ and here: https://baldingblog.com/goodbye-combover-hello-hair-with-photos/. Many men practice denial all the way from early thinning to complete balding as suggested here. Some eventually with the help of a wife or child, find out. I, for example, didn’t know my crown was bald until my oldest son (about 18 at the time) commented on my bald spot in the back of my head. When I became a hair transplant surgeon, my wife told me that it would be bad for business if I had a bald spot, so I fixed it. Some men just don’t pay attention while other deny it.

The number of grafts depends upon (1) the thickness of your hair (fine, medium or coarse), (2) the donor density which tells the doctor how many hairs are present per follicular unit and (3) where the center hairline belongs (I don’t see the highest crease of the furrowed brow to measure the appropriate distances). Based upon these three factors and assuming that the center hairline is now in its final position, I would guess that the number of grafts (assuming that the grafts average 2.2 hairs/graft), that it would take 1700-2700 grafts (more if the hair is fine and less if the hair is coarse).

I took both finasteride and dutasteride for 5 months and this is what happened to me

Before considering a hair transplant you might want to be evaluated by a dermatologist, possibly getting a biopsy to be sure that the cause of this loss will not also impact any eyebrow hair transplant. The loss of the lateral eyebrow is often a target for a variety of skin and autoimmune disorders. I would need to see your entire hairline looking for problems there as well, such as a loss of vellus hairs in the frontal hairline.

This 10 year study of finasteride in Japanese men is very significant. (1) it revealed improvement and prevention of disease progression in 99.1% of the 532 Japanese men with AGA treated with 1 mg/day finasteride for 10 years, (2) younger patients show more improvement than that of older patients with AGA treatment [24,25]. In this study, AGA patients at the early stage of N-H classification showed more improvement than patients at the later stage did.

https://www.oatext.com/Long-term-(10-year)-efficacy-of-finasteride-in-523-Japanese-men-with-androgenetic-alopecia.php

We evaluated the long-term (10-year) efficacy and safety of AGA treatment with 1 mg/day finasteride in a large study population (532 patients), as the first study of this kind in Japan, to our knowledge. A high objective efficacy was demonstrated by the MGPA, which revealed improvement and prevention of disease progression in 99.1% of the 532 Japanese men with AGA treated with 1 mg/day finasteride for 10 years. Furthermore, the outcome was similar to or better than that reported by other studies in Japan [8-10,13,17]. Differences have been known to occur in the progression of AGA symptoms between Japanese and Caucasian men [8,18]. This efficacy of the investigated treatment in Japanese men exceeded that reported in other studies in Caucasians. The superior response of Japanese men with AGA was reported to likely be attributable to their hair characteristics (greater diameter, black color, and lower density), which facilitated the detection of slight changes [10,19-23]. A novel finding observed in this study was the significant difference in the improvement of AGA following finasteride treatment between the N-H: I/II/III and N-H: IV/V/VI/VII groups at the first visit. The ROC analysis revealed a similar difference, that was performed to classify patients with improvement (MGPA?5) and deteriorating (MGPA<5) condition at year 10 of treatment; the cut-off point was N-H: III (AUC: 0.746). Furthermore, the MGPA of the total study population and the N-H: I/II/III group at the first visit significantly improved from treatment year 5 to 10 (P<0.001). This efficacy was different from that of a 5-year study in Japanese men, which reported that the efficacy began to plateau after 4 years of treatment [10]. Several studies have reported that AGA progresses in N-H classification with age, [7,11,12,18] and that younger patients show more improvement than that of older patients with AGA treatment [24,25]. In this study, AGA patients at the early stage of N-H classification showed more improvement than patients at the later stage did.