Dandruff doesn’t necessarily lead to hair loss; however, if you aggressively scrape or pick at it, you can get hair loss from that. The frequency of genetic hair loss in people with dandruff is probably the same as in people who don’t have dandruff.
Very nice early result suggests that you are sensitive to both minoxidil and the microneedling.
Recently noticed thinning above the crown; is this a sign of MPB? If so, what would the logical steps be to prevent any further thinning?
Crown thinning is often the first sign of genetic balding; however, your does not appear severe enough to worry at this time. You can see a hair doctor and have trichoscopy performed to find out if there is significant miniaturization present, and if there is, then treatment might be appropriate.
For the past 2 weeks, i was shedding quite a bit. I am not sure if finasteride causes shedding after 2 years or is this TE from the covid I caught 3 months ago. Can the covid be the cause of my hair loss?
Any disease can cause a telogen effluvium so it is reasonable to connect your bout of Covid with the hair loss. Hopefully, you will be stable after the TE resolves.
You should get a doctor to use a trichoscope and see if the central area has considerable miniaturization and if so, work out a Master Plan for the future.
It’s supposed to look like hair, not dots of different sizes. You might consider removing it with a laser (special lasers in doctors office to remove tattoo) and do it with someone that know what it is supposed to look like.
My hair loss is due to my kidney transplant that I received over two years ago. The medication causes hair loss. Before my kidney issues/transplant I had a lot of hair. I have been on Minoxidil for 3 weeks, I am currently going through the “shedding face” super scary. However I’ve heard that Minoxidil is used for andorgenteic allopecia not for chemical induced allopecia. And that it won’t work on me and will make me hair loss worst. Is this true ?
From what I have read, Minoxidil does not adversely affect renal function in the majority of patients with hypertension and a normal glomerular filtration rate (GFR). In patients with established chronic kidney disease, minoxidil can stabilize GFR — if not improve renal function — when BP is properly controlled. Always check with your doctor.
Do you know a good dosage for liposomal? I have a 0.1% fin 5% min liposomal gel that I custom ordered, applying 1ml every day. But I’ve seen some places sell the liposomal gel at fricken 2.5% fin. I had an online pharmacist explain that the liposomal mechanism means this higher dosage is effective and safe, but as someone who got sides from just 0.25 mg of oral fin EOD, it seems like an absurd risk. Any insight? At the end of the day I just don’t want to be dicking around with the 0.1% liposomal gel if it’s ineffective and I’m still losing ground.
From my research, 82% of the topical liposomal finasteride stays in the skin. You can calculate that if 18% goes systemic, what the equivalent dose would be for the liposomal preparation. That is the reason I titrate upwards when I prescribe it assuming that 18% of the dose might go systemic, so that would be 18% of the 0.01%. My experience so far is that one out of hundreds of my patients developed sexual side effects. I have written a series of post on https://baldingblog.com/ addressing topical liposomal finasteride which you might want to read.
Ok, how is the long term efficacy of minoxidil when mixed with finasteride?
When you grow hair from minoxidil, it usually stays around until you stop it; however, continuing to take it, may not grow a wave of new hair.
The hair grown with minoxidil requires you to stay on the minoxidil as the hair is dependent upon this drug. if you stop the drug, the minoxidil dependent hair will fall out.
Why do TE change the hair texture so much? My hair is completely dry and stringy
You can treat your TE hair with a good quality thickening and softening products.
Had a question about my hairline and widows peak. My mom has three brothers. Two have normal straight hairlines and one has a widows peak. My mom also has a widows peak. Her other sister does not. My moms mom does not have a widows peak but my moms dad does.
On the opposite side my dad or grandfather does not have a widows peak. My moms brother who has a widows peak has a good hairline for 60. Much like my moms father up until he passed away at 40. Is it safe to say im following there pattern for hair given my widows peak?
The widow’s peak is a remnant of the juvenile’s hairline which means that the hair around it (when you were a child) disappeared leaving the point called the Widow’s peak. I would suspect that you might follow this pattern as well
I want to know why there are so many scabs covering my grafts. I can’t see the density that the surgeon put in. What advice can you give me?
These are questions you should be asking your surgeon. Scabbing occurs because of bleeding around the grafts and/or leakage of a serous fluid around the grafts that contain fibrin which form these ‘clots’ or scabs. Once they get set up (about 2 days) then they shouldn’t be removed aggressively because that will pull out the grafts. I have a vigorous washing technique to prevent this from happening.
Sorry that you didn’t get this information in advance of your hair transplant. because of the scabbing photos you sent me, I can’t read the density. Your surgeon will tell you how many grafts he put in and you can measure the recipient area and calculate the recipient transplanted density.
After using topical minoxidil for about 6 months, I switched to 1mg finasteride daily due to palpitation problems. It has been more than 1 year in total. The shedding has decreased a lot (thank God) but there is no new hair growth from the shedding areas. Bald areas are covered with feather-like hair but there is no progress. I am 44 years old and now I am seriously considering hair transplantation. Do you think it can be improved with medication or should I turn to transplantation?
If you have developed a Personalized Master Plan with your doctor and you are over 25 without effective medical treatment and more progressive balding, then maybe it is time to have a discussion with a good hair transplant doctor who cares for his patients above making a ‘transplant sale.’