A classic female hairline is curved, and in the middle, it touches the crease of the furrowed brow. This woman’s hairline receded to the male position and the corners also moved up. This newly drawn hairline will address all of her concerns. Note that the normal female hairline does not have temple peaks present as they are buried inside their concave hairline.
I have seen a similar curve running for 10 years. It shows a similar spread between men who stay on finasteride and those who do not use it. The non-users develop a more advanced pattern of balding. I try to tell every man that is balding that this is a progressive process over the patient’s life, so a hair transplant doesn’t stop the balding in the non-transplanted areas. Today’s young men who head to Turkey or get less reputable surgeons seem to be getting high graft numbers, so the reserves for future balding will not be there.
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This is not an uncommon problem in the hands of less knowledgeable surgeons, assuming, of course, that this was done by a surgeon and not a technician. The Necrosis outlined in the photo by a circle, is probably the effect of improper use of adrenaline (epinephrine) to minimize the bleeding at the time of implantation. In addition, note that all of the grafts are placed in rows. The grafts line up like soldiers. In men with straight hair, these rows will be detectable when and if the hair grows out.
If these all become necrotic, then this man has a problem as there will be scars in these “Black” places, some of which I pointed to with a white arrow, but there are many other black areas as well.
This young man sent these photos to me asking about this area of extreme thinning, which appears in the same place, even on the other side of his head. He said he had this same thin area when he was younger and it is also on the other side of the head, just less prominent. This is often an inherited balding area called triangular alopecia, which is always found in this area. A simple hair transplant can permanently fix it if it is triangular alopecia. It could be alopecia areata, which is rarely in the same place on both sides of your head.
I am often asked about what a typical strip scar would look like. Not everyone heals this well. This scar can be hidden even with a #2 cut or any reasonable long hair.
I see questions about if a beard will grow with finasteride on here, and for me it doesn’t seem to affect my beard! I’ve seen improvements and have used minox for my beard, even before my hairline started going. I was aware of the results from minox research I’d done for my beard, so thank god I knew of treatment when my hair started to go, because it went quickly..
I use a simple routine of fin oral 1mg and minox foam on my beard and hairline once per day before bed and that’s it. Tried oral minox for a bit and actually lost ground, so swapped back to topical foam and got the hairs back. For me, topical is more superior than oral even at once per day.
Your beard response is dramatic. I would not rush stopping the minoxidil on the beard, as these hairs may be dependent on minoxidil until your genetic kick in. The big question for you is that at some point, your beard should grow independent of minoxidil, so ask yourself, when do you stop the beard minoxidil? Possibly when you are in your later 20s, to be sure that your genetics are controlling the beard.
It only took 3 months and this young man regressed to his inherited balding pattern. If you are on these medications and you have good results, think more than twice about stopping them. These changes are inevitible.
Finasteride actually works fast (ignoring a shed) by at least slowing or stopping the hair loss within a week or two.
Your hairline responded as I would expect in a young man under 25 with 1mg of finasteride daily.
Will finasteride affect my strength performance at the gym and my ability to put on muscle?
Finasteride should have no impact on your gym performance.
The man on the left uses great shampoos and conditioners, has a great diet, and takes hair loss medication, while the man on the right is Homeless. It’s all in the genetics! (Taken from a Facebook post). Hair loss is in your genes!
I started minoxidil at 18, then added finasteride and then added microneedling. I got my hair back. What should I do now?
You can cut back on the microneedling to once a month. Keep up the other medication. It is likely that at 18, when you started this routine, you might have had good results from finasteride alone. 18-year-old men are generally very responsive to finasteride in the frontal hairline.
I have now been able to remove all the scabs.
I hope you didn’t pick them off. Picking at scabs too early can cause a loss of the graft. Picking also causes folliculitis. Proper washing of the recipient area is the solution to obtain a clean look after a hair transplant.