I’ve recently started topical finasteride.  The point is that the solution, called Alocare, is at 2.275 mg/ml. The prescription states that only 4 sprays must be applied on daily basis, each one of them containing 0,114 mg of finasteride. Is it too low? Only 0.456mg are applied daily…  Opinion? Is it useless?

Your confusion is at the heart of my opinion.  I have been warning many readers that topical finasteride goes through the skin and goes systemic. That is why you are better off with the oral. It is also less expensive if you go to Costco at $30/year. If you need to keep it out of the body, get the Topical LIPOSOMAL finasteride, which keeps it in the scalp by over 80%.  I prescribe it by contacting me at williamrassman33@gmail.com

This is an interesting article which shows that women with thinning hair may respond to nutritional dietary supplements to correct their thinning hair.

 

 

 

 

 

 

 

 

 

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I have used a 1.5mm roller in the past, and while it was quite uncomfortable to use, I always managed to cover all of my receded front corners and some of my forelock.  I tried the Dr Pen 16 pin (I would have used 32 but these were the size that came with the unit) at your recommendation Dr. Rassman, a few months ago, and it was more or less unbearable. It feels like it’s jackhammering into my skull. I lowered the depth to 0.5mm to see if there was any difference, and it felt the same. I can scarcely use it over more than a couple of areas, and holding it flat against the skin in one place for up 10 seconds is more or less impossible. I need to emphasize the sensation of it reverberating through the skull, like having teeth drilled.

 

Nice early results suggest that you are getting some benefits. There is no point in using both topical and oral finasteride. The topical goes systemic so you might as well control what is happening to you. With the added topical finasteride, your systemic dose through the skin increases systemic levels more than you realize. Some nice early results, keep it up. 

I’ve been doing 1.5mm every week using a dermastamp. I don’t press down too hard. Sometimes I do get some pinpoint bleeding, now a lot. I was wondering though, that even if I barely bleed or don’t really see redness/soreness the day after, that I could still be damaging my skin/hair follicles. Is there any other signs I should be looking for?

I’m 24 and have been on topical minoxidil and 0.3mg finasteride for 1 year now with no response. I’m depressed and see no future for myself. 

60% of men will not respond to topical minoxidil. but 100% will respond to oral minoxidil. Men taking 0.3mg of finasteride are not getting the full benefit of this drug.  Move it up to 1mg/day.  Speak with your doctor about switching to the oral minoxidil. You may get a response. Move up your finasteride to 1mg.  If you are treating yourself, that is also a problem, as you are not an expert. 

If somebody adds grafts to a transplanted hair line is shock loss to these prior transplanted hairs likely?

Shock loss impacts miniaturized hairs, so transplanted hairs very rarely get hit by it.  I believe in thousands of patients I have performed surgery upon, maybe two have had shock loss of previously transplanted grafts.  I remember them well and their hair returned within less than 6 months. Also, the first hair transplant on a person not taking finasteride, can produce shock loss impacting all of the miniaturized hairs on the head.  For a person having two surgeries, the first takes the toll, the second does not.