The only instrument I am comfortable with is the Dr. Pen device. It oscillates rapidly and I advise people who use it to (1) get the one with the most needles – i.e. 36 needles, (2) go to a depth of no more than 1.25 mm, (2) hold it in each position for 10 seconds. The goal is to produce a wound that goes below the epidermis to the top of the hair follicles, where there are stem cells that this process can stimulate. Once a week is adequate. I would expect bleeding when held for 10 seconds.
I’m on 0.5mg Dutasteride and 5 mg oral minoxidil right now, I’m willing to fight till death to keep my hair but i see a thinning pattern that is scary like nw7 scary. What could I do to more, I’m willing to do anything except sex altering drugs.
You need a good doctor to develop a Personalize Master Plan for your future management of your hair loss. I also always determine the lifetime donor supply, first and foremost. I get a good examination and history from them. I had several men who were heading to a full Class 7 pattern but wanted to keep their hair. That was their priority, and we worked it out. Here is one example of a man that let me show his present results:https://baldingblog.com/norwood-class-7-pattern-patient-received-11000-grafts-plus-smp/
This patient started his journey in 1996, so my command of the Master Plan was not as clear as it is today. If I had not started transplanting his hair loss along his journey, he have progressed to a full Class 7 pattern. I had to keep up with his hair loss which was actively changing by the years. Today, I would have accomplished these results with less than 11,000 grafts, possibly half that number. This man was very particular and demanding, and hair was as important as wealth to him.
This is an older man, as you can see, because of his gray hair. Finasteride works nicely in some older men. A 74-year-old friend of mine grew his hair back similar to this man’s hair growth when his doctor put him on Proscar (5mg finasteride) for his prostate. Proscar is 5mgs of finasteride.
There is some early corner growth, but not much change on the hairline.
Going to test this out – currently on oral min (just started) topical once a day and oral fin. I have a .5 derma roller in my cart but thinking that isn’t enough. I am nervous that a 1 will be too much for someone new to this but also want the best results. Any insight is greatly appreciated!
Microneedling is better than the dermaroller because you deliver a controlled injury, which will be therapeutic if you do it the proper way. The injury should be 10 seconds in each area and repeated every 7 days. I recommend the Dr. Pen device with 36 needles and 1.25mm depth. The body reacts with a healing cascade, which starts with bleeding, platelet aggregation, macrophage infiltration, new blood vessel formation, and stem cell growth, which stimulates the hair cells to regenerate.
https://www.researchgate.net/publication/375039349_Mechanical_stimulation_of_human_hair_follicle_outer_root_sheath_cultures_activates_adjacent_sensory_neurons
The article contains considerable science suggesting that stimulating hair follicles with massage may stimulate hair growth. Great care must be taken to avoid pulling on the hairs during massage, as the miniaturized hairs are easily pulled out.
If you get results and you want to keep the results, then you must stay on the minoxidil for as long as you want to keep the results.
I have a health condition. My doctor advised against taking oral finastride. So I’m just doing rogain foam (monoxidil) and a cheap $25 1mm deep dermaroller (microneedling). I’m very saddened by my hairloss as I valued and took pride in my looks which I now feel like are all ruined with both weight gain and hair loss.
Don’t take charge of yourself, see a doctor. Unfortunately, most family doctors don’t understand the medical treatment of hair loss. It is clear from your question, that you want guidance. I do free consultations so reach out to me williamrassman33@gmail.com
I have only been on finasteride 2 weeks and I am shedding like my dog. Is this expected?
This means that the finasteride will likely be effective. Now, complete the waiting period and show patience.
I continue to believe that microneedling, when done properly once a week while holding the instrument over each balding area for at least 10 seconds, can produce a remarkable reversal of hair loss, especially when combined with finasteride and minoxidil. For a 41-year-old male, your results are remarkable.
I used minox for 6 month I don’t know why last month I lost many of the hair on the cheek even I am using it continuously they are not coming back even after 25 days
I don’t know why this happened. Why did you want minoxidil, for beard hair or for scalp hair. If it is scalp hair, then it will not make any difference for you. If it is beard hair, then what you are reporting is unusual, especially if you didn’t cut back on your dose.
I’ve seen a lot of talk around dermarolling and topical minoxidil application. My question is if I am already on 1mg fin and 5mg oral minoxidil a day, is there a benefit to dermarolling without topical application?Is there an argument to supplement oral minoxidil w/ topical minoxidil regularly? What about right after dermarolling say once a week?
The use of microneedling has value beyond the medications you are taking. Creating controlled wounding (10 seconds on each location, something that requires a microneedling device, not a dermaroller) will induce a healing cascade that stimulates the stem cells near the sebaceous gland of the hair follicle. This is what causes new growth, and it is independent of the drugs that you are taking.
It is not unusual for some men, even older men like this 48-year-old male, to find finasteride reversed his hair loss in just 11 months. I have seen this far more often than seeing any frontal hair loss reversal in men over 30. Many men who have never tackled their crown loss and are willing to try finasteride may get a reversal of the crown balding, as shown in these photos.
Dutasteride is not FDA-cleared for use on hair loss. It also has a very long half-life of 5-6 weeks in the bloodstream and many, many months in your body. That means if you develop side effects and stop the medications, the side effects can last up to a year. Finasteride, on the other hand, has a bloodstream half-life of 4-6 hours, and if you stop it, it will be out of your system in weeks, not months. The FDA also cleared finasteride for hair loss use.