Please tell me about post finasteride syndrome, is it real? Is taking finasteride worthy it? Can you havd pfs for taking one to two months of using finasteride? your experience from finasteride? Thank you

If someone complains about permanent sexual side effects, to him it is real. Many doctors doubt the existence of PFS, but from the patient’s perspective, it must be recognized as a risk factor when taking finasteride for any reasonable length of time. I tell young men who have reported sexual side effect that it can’t be fixed with a lower dose, to stop taking the medication and as a result of this advice, I have never seen this in my practice patient population.

The one photos that is labeled one month old, shows the area beyond the necrosis where maybe the scalp skin will survive, but the hair most likely will not.  The necrotic center of this lesion looks ‘angry’ to me which means it might have some infection around it.  The second patient shows a more extensive necrosis and I would expect all of the skin will not survive and be replaced by scar without hair.  Both men will need more work to fix this terrible complication which I believe reflects poor surgical management and anesthetic management with too much epinephrine

The stem cells you want to reach start at 1 – 1.5 mm below the skin edge. You want the needles to get to these stem cells, so 1 – 1.5mm needles should do the job

David shows that he still has his rounded juvenile hairline that he had when he was 5 years old. No sign of balding and I suspect it will stick with him for the rest of his life.

Hello Doctor, may I ask if microneedling could induce hair regrowth in an area of the hairline that is completely bald?

I believe that it may be associated more with how long it has been bald there. If you are under 26 years of age, then the balding area might still have active stem cells but if you are 60, the stem cells might have died off by now.

As promised I am entering in the 7 months with complete photos took each month.

Routine:

1. finasteride 1mg every morning when i wake up

2. minoxidil twice a day 

3. zinc + D vitamin 3 months cure After dinner

4. cafein + kératin 3 months cure After dinner for better absorption

5. microneedling once every 2 weeks at 0.5 to 0.75mm with 16 needle dermapen . If i go more than 0.75mm = bleeding which i do not want

6. 15mn head massage twice a month

7. t gel shampoo once a week max.

8. essentiel oil shampoo that i have made (Cedar + ginger oil)

Amazing!  This is strongly the work of microneedling  plus help from everything else.

 

 

This man developed keloids or extreme hypertrophic raised scars possibly from some infection on his chest hairs or some injury like a burn.  This is highly unusual in a Caucasian.  Nevertheless, there are treatments for this which he will need to seek out.

Doctors who perform hair transplants must be aware of the keloid or hypertrophic tendencies of their patients as this would be a terrible complication on the scalp from a hair transplant impacting either the donor or recipient area.  A small series of test grafts in an area where it can’t be seen, might give the patient and the surgeon comfort that a hair transplant will not produce such scars on a large scale if there is a history of such scarring.