After trying every single dose of finasteride, oral 1mg – 0.25mg EOD and topical doses, 0.025% and 0.0125% i got the liposomal topical finasteride 0.01%.
I would suggest that you get a DHT level and see if it is normal (which it should be on the topical liposomal finasteride. If it is normal, the finasteride is not playing with your hormones as it is not going systemic. Look for psychological factors or placebo effects
I have been on topical minoxidil for about 6 months, switched to Oral about a month ago and I am shedding right now. I am honestly surprised as I thought that the shed that occurred when I started topical would mean that I won’t shed now.
The shedding is a sign that the oral is working much better than the topical. About 40% of men respond to topical minoxidil but better than 90% respond to the oral so what you are seeing is a vigorous response to the oral minoxidil.
Most likely, you will keep some or all of the hair benefits of minoxidil as long as you take it.
In the early 1990s when I pioneered small follicular units in large sessions, many doctors could not place the grafts with forceps in these tiny holes, so they purchase NAILS from a hardware store, and used them as dilators to open these little holes so that they could get the grafts into the balding area. This was barbaric, but the doctors who did this, did this because they had to. Their patients wanted large sessions of small grafts because it became the new Standard of Care that everyone wanted. I hope that they sterilized the nails before they use it. Dr. Brad Wolfe sent these to me as a reminder of things done in the past (not by him but by others).
This unfortunate man who went to Turkey, has well more than 5000 grafts. I am sure his donor supply was significantly depleted and the grafts, at least many of them, may not grow. The people who perform such surgeries are challenged to product a very high number of grafts thinking that this is good surgery, even better surgery. In fact, this is POOR surgery because the grafts will not get enough blood supply to thrive and grow. There is also a good possibility that they patient may develop necrosis because the blood supply to the recipient area was cut off from the many wounds created for the recipient sites. As long as there are believers that this is a bargain that they can’t turn down, then these terrible surgeries will continue leaving victims flying home from Turkey now knowing what will happen to them and many with problems like necrosis which will require more expensive medical care.
Yes, oral minoxidil can produce facial hair, but I doubt to the degree shown in the photoshopped photo below. For women who use minoxidil, facial hair to some degree is common. This is something women must know about before taking this medication; however, if it happens and the woman stops taking the drug, these new facial hairs will fall out.
Hi doc I had a quick question. If a 3-4 hair follicle is grafted with FUE, can one of the hairs be sliced off and inserted back into the donor site? You get a 2-3 hair follicle to use on the head and the single hair follicle growing out of the donor site would make scarring irrelevant.
Sometimes the surgeon will see a 4-5 hair graft, leave 2 hair or two behind as only 3 hairs may come out. Sometimes the follicular units are not tightly bonded and one or two of the hairs in a 5 hair follicular group can be seen exiting in a wider splay. The punch size often limits the number of hairs per follicular unit that is removed and when there is splay, it is not unusual to take out just the closely bunched hairs. The hairs that remain, will grow.
Great response to the drug in just 2 months. The viewers can see the small hairs growing in the frontal hairline.
An impressive set of photos with an unusual responder to Finasteride in just 5 months. You can pick up where his mature hairline should have been in the first picture and then watch it fill in. This is not common with finasteride alone.
What would you recommend?
I suspect that you have been balding for sometime. You appear to be leaving some of your hair longer so that you can use it as a combover. Men in their 40s. are best treated with a hair transplant. Have you considered a hair transplant. They have gotten so good today, you can’t tell it is a hair transplant.
I’ve read quite a few posts complaining of visible inflammation of the scalp, and I have experienced it myself, as my scalp is sometimes red, but more significantly mostly on my right temple (where I’m loosing hair) It seems to come and go, some days worse than others. Sometimes for a whole week or a few days it’ll fade off. I’m at the end of my tether. I can’t quite believe this is happening to me. I’ve been to see every specialist possible, spending over 3000 dollars in consultation fees with tricoligist and dermatologists, none of them have the slightest idea what is happening to me.
Read this post I wrote about men who have hair loss, inflammation, redness and itching: https://baldingblog.com/pearl-i-got-from-ishrs-meeting-last-week/
I have been getting thinner and thinner. I am a woman age, 34. Any suggestions?
Women with progressive thinning require a trichoscopic examination where the doctor magnifies the hairs on the scalp and looks for miniaturization. Some women just develop premature Age Related Thinning where there will be no miniaturized hairs on the scalp. In ART, the best treatment is to use thickeners iin your shampoo and conditioner which will increase the thickness of the hair shafts as it is forced to absorb water. An alternative is to use either topical concealers (like Tokkik) ot Scalp Micropigmentation (a tattoo of the scalp make to look like cut hairs). If your hairs are miniaturized in some areas, you need a hair specialist to assess that for you.
I developed this spot on my scalp. What is it and can it be transplanted?
This appears like alopecia areata which is an autoimmune disease and best treated by a dermatologist with medications. Transplants to this will fail.
I am sorry if I add to your problems, but this is what I try to get guys under 25 to understand. The risks of hair transplants could be devastating, even if you took the drugs finasteride to minimize shock loss. It doesn’t always work. How many grafts did you have? How much hair remains in your donor area? Do you have a doctor with a lot of experience that understands how to manage a problem like what you have? It MPMD your surgeon? You can reach out to me if you wish.
MPMD subject model loses all his hair, holy cow…! from tressless
This is a remarkable video of Dr. H Mohmand performing FUE at a rate of over 3000 grafts per hour at his clinic in Islamabad, Pakistan. Very commendable skills.