I read somewhere that 1mm depth every 10 days is the sweet spot, others, .6mm every 10 days, .5mm 3x a week. Is .5mm every 3 days as effective as 1mm every 10 days? Should I place topicals like oils or minoxidil directly before, after, or 24 hours later? Some people say you’re basically injecting the topical if you place directly before or after while others say it’s the most effective to place it directly before /after. Confused.

My opinion is different. The sweet spot is every 7 days, 1.25mm depth with a Dr. Pen Microneedling device with 36 needles held to each area you want the hair to grow for at least 10 seconds.  The goal is to produce a controlled wound that kicks in stem cells to grow hair. 

Hair starting to thin on the crown, it’s not to bad yet as I am taking finasteride & minoxidil. I currently use hair fibres to hide the thinning crown but I am wondering is there any other things I can try to conceal the thinning or is hair fibres the only option? I’m always conscious if it started raining outside…

In addition to Toppik, I often recommend Dermatch. That works well for some men and women. Experiment with different fiber products. They all of limitations.  For me, I had scalp micropigmentation so solve my problem, see here: https://baldingblog.com/i-just-finished-my-smp-on-my-crown-area-today-see-before-and-after-photos/

First of all sorry for my english, it is my second language. So, I have been experiencing a lot of hairloss for two years now. One thing i noticed this year when I took some trips was that my hair kept falling less. On my last trip that lasted ten days, I felt very relaxed and rarely thought of my hair and i realised that my hair was falling so much less and it felt so much thicker and when i got home it stopped falling for 5 more days and then it began again. I have a lot of stress in my daily life and also I always check my hair if it falls etc why causes more stress. What do you think is causing this?

Stress can induce telogen effluvium which is a cyclic hair loss. You need to learn how to reduce your stress at home

i’m only 21 so i can’t really get a hair transplant until down the line. i got put on 2.5 mg minoxidil earlier this year and i passed on using fin. i’m fine with using this pill for the future because it hasn’t really affected my day to day life in any way and my health is fine, but i was just wondering if it’d even be worth getting a hair transplant down the line if my balding is genetic and it will keep slowly spreading, wouldn’t i have to get like several transplants over time?

I make my living doing hair transplants, but I almost never have done it on someone of your age.  I wait until 25-6 before even considering it.  Maybe the oral minoxidil will work and you will not bald.  Give the drug a chance and stay on it.  

I would like to ask if from your practiacl experience you noticed that people who gain sexual drive from using propecia and increased their libido, do they maintain this status for as long as they use the pills? Have you seen this? Or are they at risk of gaining negative effects or going back to normal status. I know this subject is controversial but I’d appreciate it if you let me know what you saw you in your practice.

I called the one patient I remembered who spoke to me about his increased sexual drive on Finasteride.  That was ten years ago.  He started the drug just after he found a new girlfriend, so the increased sexual drive was very welcome at the time.  He remembered that it lasted for quite a while; however, he eventually married her, and then his sex life became heavily influenced by the various stresses of work and marriage.  Now, he can’t comment on the impact of finasteride because it is now a complex assessment mixed with life.  The drug doesn’t, however, suppress his sexuality in any way. 

 

This man worked his way up from 0.25mgs to 1mg over these 20 months.  The results are impressive. Take a look at the hairline at the leading edge.  It seems solid and significantly different from the photo 22 months earlier. 

How does one tell the difference between telogen effluvium or hair thinning?

The best way to tell the difference between telogen effluvium and hair thinning is to purchase a digital hand microscope from Amazon (about $35) and zoom in on various areas of the head where the hair is strong (donor area) and thin elsewhere.  Miniaturization is a sign of early balding, and telogen effluvium doesn’t show miniaturization.