The photos speak for themselves. The corner recession is often responsive to these medications in men under 25.
This man was 19 when he started t treat the thinning that he had. In just 12 months, the diffuse thinning returned to normal. Finasteride is a micacle drug for such young men.
I have been doing hair transplants for 32 years. Some of my patients from 25-30 years ago, call me from time to time and tell me that their hair transplants have held up very well. One who recently spoke to me 22 years out, send photos and it seemed that his transplants thinned. This happens to a minority of hair transplant patients
Should I get PRP with or immediately after a hair transplant?
I have never used PRP with hair transplants. My hair transplants grow regardless of what one does after. I personally believe that it is a waste of money.
I plan on switching to dutasteride. Do I need to taper the finasteride, and if so for how long?
If you switch to dutasteride, you do not have to tape off of the finasteride. Remember, the half life of dutasteride is 6 weeks so if you get any side effects, it will take you a good half year to rid yourself of them
I think that the Dr. Pen with 36 needles and 1.25mm depth is the best unit. When you use it, keep it in the same spot for 10 seconds and do it once a week.
My results are not a good as I would expect. Should I increase the dose for finasteride?
The ideal dose is 1mg. Let doing is less effective
Many of my hair transplant patients used this as a justification to get a transplant
Recently I’ve decided to start care about my look and hair overall. My hairline is a nw1/1,5 and i have a full head of hair. I want to start dermarolling for now, just to keep this hair as long as i can. If i will notice hairloss i will add minoxidil to my regimen. Is it a good idea to start microneedling a non balding head, or it will cause damage? Also what dermaroller did you recommend? 1mm or just go for the 1,5?
If you really have a Norwood 1 or 1.5, then you don’t have hair loss and are not balding. It would be bad for you to commit a lifetime of medications and treatments for no balding. Maybe you will not develop balding. I would be happy to look at you and give you my opinion if you wish. Write to me at williamrassman33@gmail.com and send some good photos and your phone number and I will call you. No charge for my opinion.
I was born in the US in 1974 and have had a dime sized bald spot (white in color) at the crown of my head my entire life. Oddly enough, my daughter, born in 2000 has an identical bald spot in the same exact spot. She is due to give birth to my first granddaughter in 2 weeks and we are both curious to see if she has one as well. No clue why either of us have them.
Based on this history, I suspect it is an unusual inherited bald spot.
One question, how long can I expect finasteride and minox to keep my hair around. Since I’m pretty early on in life, I’m worried they’ll grow less effective the more I take them. But, I just don’t know how it works. Is me responding well a good indication they may last longer? I’m hoping to keep my hair for as long as possible, none of this “I’m aiming for 40”, I’m aiming for until I’m on my deathbed and the doctors forget to administer it.
Some small amount of fill of the forelock with some extension into the lateral hairline is what I see. Two months is way too short a time to make a judgment; however, assuming that you keep getting more filling in the forelock and the full hairline, your lifetime should be a good expectation or hope. The forelocks are interesting because they are tougher than the rest of the hairline, so it may work in your favor.
It just made me realize something though, will stretching the scalp with FUE greatly decrease hair density? Even with a larger FUT session, since there’s stretching involved, does that decrease hair density? If so then what is the difference in a decrease in density due to either FUE or FUT since in either one, the size of the scalp does not change and you would be taking whatever hair is available and redistributing it over the same surface area.
It is true that FUE will stretch the entire scalp (very modestly), mostly on the back and sides, but elsewhere. The difference between FUE and FUT is that FUE is a patchy decrease in density confined to only the donor area (3 inches high around the back and sides of the head) while FUE stretches uniformly all around the head but mostly in the back. FUT also reduces scalp redundancy, which FUE does not
I am a 21 year old male that has noticed my hair appears to be thinning on the back and sides after I buzzed it. This was not visible whilst I had longer hair. Please see the attached image of my donor area under a microscope.
This is a difficult call. What I am seeing is a drop off of the hairs in each follicular unit and some complete follicular units that are miniaturized. A few have the advanced miniaturization that is associated with DUPA. I would keep an eye on it, meet with a doctor and go on finasteride and then reassess in a year or so.
This tells me a few things:
1- His original juvenile hairline was located at the tip of the widow’s peak.
2- I can judge recession by looking at the shape, size, and location of the widow’s peak as well as when this man lifts his eyebrows high and shows the creases on the forehead.
His black hair makes everything stand out. I showed this photo because I believe that he might have had a very early recession making the widow’s peak very prominent but this is a hard call. I would look for miniaturization to make the diagnosis using a hand microscope.
I was wondering if it’s possible to get a hair transplant to increase density on top even if I’m not balding (but have naturally thin, fine hair). If I had no hairloss say by age 26-30, would it be possible to transplant hairs into the top in order for my fine hair to look more full? Again, my hair looks generally normal but since my hair is very fine, an extra 5000 grafts implanted into the top and crown would really help a lot, as the finer the hair, the higher density needed to achieve a “thicker” look. So if my hairline was a NW1, and I wasn’t balding, but had fine hair all over, would it be possible to get a HT to increase my hair density on the top in order for a better look overall?
Today, most surgeons would frown on doing surgery on a young man without hair loss. Surgery has consequences. Depleting your donor area is not a good idea because men with fine hair may not be able to move 5000 grafts in their life-time without getting donor site depletion. It would be likely that with 5000 grafts moved to the top of your head, you would have a see-through donor area.