It is common to omit transplanting the forelock, as with you, when the forelock is strong. No need to induce trauma to the hairs in the forelock.
Will Miniaturized hair that is under Finasteride Grow back thicker and longer if it is plucked?
Terminal (normal) hairs plucked once will always grow back. Miniaturized hairs that are plucked many times may not grow back. If you are under the influence of finasteride and the miniaturization is reversing, and then you plucked your hair, I suspect it would grow back. I would like to know why you are even thinking about plucking your hair. That makes no sense.
You mention regularly that different parts of the scalp have higher and lower probabilities of filling in on consistent Finasteride use, highest going to the crown and lowest going to the temples. I wanted to know, however, from your experience if it happens that one area can improve while another continues to regress. I’ve recently noticed some new hairs around my forelock. I don’t expect the temples to thicken up as quickly, or much, given the data but I would like to know what you think. It doesn’t make much sense that one area improves while another regresses, but I am very curious to know your thoughts given the amount of patients you have seen.For context, it’s been about 8 1/2 months since I started and am 32. Noticing any improvement at all the first year seems promising long-term.Anyways, let me know what you think if you have a moment.
Finasteride, from my experience and others, shows varying responses in different parts of the scalp, often age-related. Young men under 25 get better overall responses than older men. In men over 50 good results are often seen in the crown, even when there is no new growth in the frontal hairline. I have seen men over 70 get good hair growth when they were treating their prostate problems; it is a welcome but unintentional benefit.
Ive been taking minox for about 4 years now, (fin too) and suddenly in the past month the area where i apply has become incredibly itchy. It also looks like im losing denisty and hair in those areas, even though im not actually getting any hairs loose when i put my fingers trough it. Hair is pretty long now so id notice. The few hair i do get out look very thin. I find myself half sleeping scratching the area , i cant help myself.ive started using ketoconazole every day now for the past 2 weeks, it hasnt gotten better yet. Its the same brand, same amount and same place i get it from.
You may be allergic to the minoxidil or the carrier within the preparation. Ask your pharmacist for a different minoxidil brand with a different carrier.
As you suggested, this is a photo using a hand microscope of the donor area. What do you think?
My rule for diagnosing DUPA is to count the miniaturized hairs from the back of the head. If they exceed 20%, as yours does, then it is DUPA. You have some hair that is being lost and quite a few that are just miniaturizing. To be sure, I would want more extensive views of your donor area, as this is a disturbing diagnosis to be made with such a limited view of the donor area.
This is overharvested. Some areas had the grafts taken out too close.
Retrograde alopecia reflects a condition where hair is lost around the hairline and at the nape of the neck. Your photo shows the typical pattern for retrograde alopecia. Treatments may include finasteride, Vitamin D, and Zinc, which positively may impact your appearance.
There is often a shed when either minoxidil or finasteride is started. Other than the shed which tells you the drug will work on your head, there are no negative hair effects
Normal juvenile hairlines in young men like you, will evolve into a mature hairline so that the shape will change from a concave shape to a convex shape as your photo is showing.
If I have a more painful microneedling session, I seem to get quite a bit of baby hair growth pretty quick. I’ve even switched to doing a session every other week instead of weekly so I can go the extra mile. I use 1.5mm needle on Dr.Pen. Have you seen this? I was previously dermarolling but wasn’t seeing much. After going 1.5mm on the dermapen, the results picked up pace. I put Minox right after.
The science suggests that weekly is the best approach. Microneedling creates a wound, which starts a healing cascade; first comes the platelets, then the macrophages and other cells, and then, on the third day, the stem cells start activating. The stem cells we want to hit are located at the top of the hair follicle and maybe those that control hair cycling. That would explain why microneedling works. We are still determining if the hair will last the entire hair cycle (usually 2-3 years for a man in his 20s). If some maintenance program is not continued (like once a month), these hairs may go away as their predecessors did. This microneedling has arisen because young men are looking for solutions, and the medication profession hasn’t gotten the message yet. Since I speak with men almost everyone, I find that I learn more from my patients than I often teach them.
The before-and-after photos show his wonderful results. I performed his transplant just under two years ago. He recently sent me photos and said the front and crown were nicely filled in. Of course, he uses some styling to cover a reduced density in the crown and could easily fix this with more grafts or SMP in the crown. He told me he didn’t feel as old as he used to look and liked the man in the mirror every time he shaved. Surgical note: I always try to complete the frontal hairline in the first session. Then, with good styling, most men can handle a low density in the crown, especially when you are as tall as this patient is.
I’ve been reading scare mongering stuff online about how finasteride could harm your wife or a potential child if you were trying for one if they come into contact with finasteride which is worrying, can anyone share their opinion on this?
In the warnings originally published by Merck when they first came out with finasteride (today as well), they warned that women should not touch the pill because of the association between finasteride taken in women and fetal abnormalities (usually sexual identification issues), which were found in women who took the drug while they were pregnant. I have never been convinced that if a pregnant woman handled the drug (like giving you the pill to take), this drug could be significantly absorbed within a few seconds. Their legal team creates such statements to absolve them from any side effects.
Minoxidil has a different mechanism of action, so combining both is often better than one drug alone.
A good rule to remember for hair loss victims is that when it comes to hair transplant surgery and sushi, never be attracted by a bargain.
Graham Norton
Is it worth giving up minoxidil before a hair transplant to ensure all new hair isn’t minoxidil-dependent? I only want to have a transplant once in my life, I’d like to avoid going back in a few years once my min-dependent hair has faded.
Hair grown with minoxidil requires that you stay on it. I tell my hair transplant patients to stop the day before the hair transplant and restart one week later. This way, the benefits of minoxidil remain.