I got hair implants a while ago and I like my hairline now. I started TRT a month ago but I’m scared that it might make the implanted hair fall. Do you have experience in this regards?
The transplanted hair will be fine, but the native hair could be subjected to balding if that is the way your genetics dictate. I generally think that it is risks to take TRT if you have genetic balding
This is an unusually good response for just 3 months on topical minoxidil alone.
Amazing. This man demonstrates the value of both drugs working together to get such spectacular results
How long before hair follicles become dependent on minoxidil?
Only the hair that minoxidil grows, is dependent upon minoxidil. The normal terminal hair will not become minoxidil dependent.
Hi Dr Wrassman, was wondering if you could shed some light on this for me… After seeing the results on here and elsewhere, I’m considering using minoxidil foam on my beard area and potentially my balding crown. However, I have a young daughter and I don’t want her to be impacted in any way whatsoever. I’ve done lots of reading and question asking and the general consensus is that if I wash it off the minimal residue won’t do anything. However there are now reports to the contrary. So, I was wondering is there any way of removing all residual traces from your skin when using a topical medication like minoxidil? Sorry if I’m not allowed to contact you directly and I understand you probably get tons of questions daily but I’m at a bit if a loss as to who to ask this
I generally advise men who use topical minoxidil to take it at night (the liquid for the hair is better but the foam or the liquid for the beard should work) after a hot shower. This will soften the skin and possibly reduce the barrier to absorption. You daughter will be sleeping so at night there is no possibility of transmission. Then you can shower it off in the morning. I don’t believe that there is much of a threat.
Fantastic results with new growth evident even now.
Clearly fantastic results. This type of result suggests that his hair loss was probably recent.
The question I believe is just how many grafts you need, as that should determine what is done. There is often a limit as to how many grafts can be removed from a strip surgery and that reflects the donor laxity (redundancy of the scalp skin) and the donor density. If too much scalp is removed, problems could develop with the wound.
The arrow shows the new growth.
This man was on finasteride for 5 years, then added topical minoxidil 1 year ago when the before picture was taken. He switched to oral minoxidil 6 months ago. The addition of the oral minoxidil took a stable but receded hairline and corrected the recession in just one year.
Amazing response to the combination of dermaroller (Microoneedling) and minoxidil.
It is not safe . I know a guy that took 3 pills and have been messed up for years. Check out a site called Propecia help and see the thousands of men there with horrific ongoing symptoms that have not went away even years after stopping this medication. I’ve read one guys post that says he would rather lose a limb than have post finasteride syndrome.
I have 25 years of experience prescribing finasteride so I know first hand what the risks have been. I have been managing finasteride with my patients and am always responsive when they develop side effects. I can’t explain why a man who took any drug that has a half life of 6 hours with just three pills, can have long term side effects, so I can’t help explain this to you.
Do you know why some docs like Hasson/Wong/Rahal say they can do a 3500-4000 graft FUT procedure and charge per graft, while others say they’ll they’ll just take out a strip and transplant however many grafts they get, charging a flat rate and say that they can usually only get 2000 or so grafts in a single FUT session (assuming a second FUT session). There seem to be two camps of doctors: one aggressive, charging per graft and indicating a large number extracted from a strip, while others conservative, charging a flat rate and indicating they will probably only be able to get about 2000 at most depending on laxity.
I can’t speak for other doctors and why they do what they do. I have always charged per graft because that reflected the amount of work, the size of the staff needed and the value to the patient. Also, by estimating grafts yield, I can tell the patient what to expect and also address the donor supply that remains which can then be calculated into a Master Plan for the future balding of that surgery patient. I am big on long term strategic planning and that includes what future costs might be for my patients as the balding progresses.
It is impossible to know which of the three modalities produced such a nice reversal which seemed to have happened almost immediately after it started to get this hair length. It appears that the miniaturization reversed.
