This man’s photos shows two problems. (1) above the scar, there are areas of balding which indicate that the scar will become obvious, and (2) the stitches were placed far back creating a railroad pattern which will (a) cause hair loss and )b) probably keep elements of this scar. This man will need a hair transplant to fix this once it is healed. Why would any man do this when a hair transplant alone would have solved his hairline recession?
The use of 1 or 1.5mm needle length will produce bleeding. Healing is slow and if you repeat this every week, the pink color may persist over the entire week depending upon your skin characteristics. Be prepared to have a pink color show here after the microneedling has healed a few days.
The crown often responds to finasteride alone in men under 30 as shown here
This man is very sensitive to minoxidil and finasteride in combination which has produced almost instantaneous growth. The new hairs look like that are 3/4 inch long suggesting that the growth response to these medications was almost instantaneous. Such a fast response is highly unusual.
I have used minoxidil for twelve weeks and now just started on finasteride. Will my hairline return to its normal shape on the finasteride?
I started taking oral minox about 7 weeks ago and I can’t believe how well I’ve responded compared with topical minoxidil.
This is common as only 40% of men will respond to topical minoxidil while 95% or better respond to the oral minoxidil, see here: https://baldingblog.com/sulfotransferases-and-minoxidil/
I have seen men who keep their juvenile hairline (arrows point to this juvenile hairline) and then lose all of the hair behind it. I believe that this man is probably able to keep his hair and even regrow it with drugs like minoxidil and finasteride
This is a young man 22 years of age, with recent loss of the corner hairline on both sides. Men of this age are generally very responsive to drugs and microneedling
Just had a question about finasteride. I have to get surgery and needed to stop finasteride. If I’m off finasteride for a month or 3 weeks will there be a lot of catch up loss making my finasteride use worthless?
Usually, finasteride stays in your hair follicles for about 2-3 weeks. Ask your doctor about reducing the period to 2 weeks for the holdout.
These are remarkable photos of hair exiting the scalp (arrow show point of exit) and the hair shafts showing the recent growth has white hair but the older part of the hair shafts are black
If patients are not seeing results with topical >6 months into treatment, do you think a switch is advisable then?
If you are taking the oral, then you should see some benefit in 6-12 months or less. That may not be true for the topical because better than half of the men using topical get no response at all. This is because for minoxidil to work, it needs a special enzyme , see here: https://baldingblog.com/sulfotransferases-and-minoxidil/
I am 23 years old. I was told to start topical Minoxidil (rogaine) a few months ago by a specialist in my city as a preventative measure for hair loss. However, I started having heart palpitations and chest pain while using the medication. It’s a bit difficult to reach the specialist on short notice, so I thought I would reach out to you. Do you suggest that I stop using Minoxidil while I wait for an appointment? I’ve been using it for three to four months now so I imagine I’ll begin shedding heavily after stopping it.
This is amazingly fast response for these three modalities in just 3 months
