Caucasian and Asian follicular units are straight; however, in African individuals with coarse, kinky hair, the curl seen above the skin is also present below the skin. That is the only difference between African hair and the hair of other races. Getting these out with FUE requires a lot of experience, and placing them into the recipient site could be challenging. For many experienced surgeons, that challenge has been addressed. The photo on the left is a typical follicular unit excised with FUE. Note the curl in all of them and that in this sample, they only have two hairs in each graft. The photo on the right shows Caucasian follicular units, with 1, 2, 3 and 4 hairs in the grafts shown. Count hairs in the grafts yourself.
To determine the value of the donor area, you need to measure the donor density in the donor area as well as the value of each hair in terms of donor hair thickness. These two numbers will allow you to know how good your donor supply is and how many grafts you can move safely, now and in the future. I routinely measure these numbers; see here: https://baldingblog.com/creating-a-personalized-master-plan-for-present-and-future-balding-photos/. I also have be suggesting that you purchase a micrometer from Amazon (only $22) to measure the thickness of single hair shafts in the back of your head. The product I use can be found here: https://www.amazon.com/dp/B09964YBMF?psc=1&ref=ppx_yo2ov_dt_b_product_details
Yes, what you are experiencing is normal. You are angry with your reality, while so many male friends do not have the problem. In addition, many of the posts on various forums are frightening. I always tell my patients they must learn to ignore the scare tactics many individuals post on various forums. Reach out to a good doctor and ask that doctor about these drugs and what you really have to worry about.
I’m thinking about taking Dut or Fin but I’m not having any hairloss. I made a post yesterday about being concerned about my testosterone levels. I know that Dut and Fin can raise T levels by a little and I would like to do that in combination with other natural supplements that supposedly boost T levels. So are there negative consequences if I start using Dut or Fin without hairloss?
Why would you want to take a drug that you don’t need? It makes no sense. I would never advise anyone to do this. There are always negative effects from drugs of any type, certainly finasteride and dutasteride.
Why not get a hair transplant for the front hairline (with a reputable surgeon ofc), leaving the crown area to go bald naturally but use a hair-system to cover that. I figure that combo would be less noticable than a whole hair-system.
In theory, this works. I have done a few of these and found that all the men went back to their hair systems, which pulled out the hair transplants. They never waited out the results. If you want to transplant the frontal area and then use a hair system behind it, that makes sense, but the burden is on you to follow through properly. I have been doing hair transplants for 33 years, so I have much experience to share.
This man had a hair transplant a few weeks before these bald spots appeared on his head. More and more of them appeared. To make the diagnosis, a biopsy needs to be done. It is likely a scarring alopecia, but it could be a variety of scalp/hair diseases triggered by the hair transplant. I have seen men who never had alopecia areata, then get a hair transplant, and alopecia areata appears from days to weeks after the transplant. A surgeon must have a keen eye and perform a good trichoscopic examination on the head of all of his patients before the surgery. As a surgeon, I don’t like surprises, and I am sure that you, as a patient, wouldn’t like them either.
hey dr, your patient that take oral minoxidil do they develop unwanted hair on back- shoulder or upper cheek? thanks
Every person responds differently. Some get more body hair, and some don’t.
My dermatologist recommended that I should give oral minoxidil a try now, but I’m concerned about the generalized effect it will have on hair growth. I am generally quite happy with my low body hair level and would like to avoid getting a unibrow and super hairy arms and legs. Could some people share their experience with hypertrichosis while on oral minoxidil?
If you start on it and develop hair growth side effects that you don’t like, stop the medication, and the hair side effects will go away. Hair growth from minoxidil is heavily dependent upon taking the minoxidil and my stopping the drug, the unwanted hair will disappear.
I started using a higher dose of topical finasteride about a month ago and ever since then I have been noticing more hairloss. I do know the so-called “finasteride shed” (initial period where hairloss temporarily increases) but I am surprised that it started literally the day after my first application (I thought it should take some time to start working). I have been monitoring the amount of my hairloss (after washing my hair) for months and nowadays I see about twice as much hair in the bathtub than before. I know that this is probably happening due to finasteride and that it should be a good sign but a part of me still worries that it might be just my hairloss getting more aggressive.Could you please advise me on how long the increased shedding period should approximately last
Finasteride shed should stop within another month or so. It rarely lasts more than 3 months, and if it approaches 3 months, it may be your balding is accelerating and the finasteride is not stopping it. Will will know which one it is by month 4.
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