Imagine this man has inherited Male Pattern balding. It happens. A challenge for hair transplant surgeons.
Read more about this condition here: https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/cutis-verticis-gyrata/
Fine blonde hair is often produces a see-through hair. Most people with very fine hair can see their scalps
Finasteride is not known to cause acne. A report in a study of females showed that finasteride reduced the incidence of acne in the females studied
If I have been using minoxidil for years and didn’t see any regrowth/kept losing hair, can My hair still develop a dependancy on minoxidil?
Unfortunately, it takes stopping the minoxidil to find out if you are dependent on it. Then, of course, you will lose all of the dependent hairs.
A doctor suggested that I could get a beard transplant to fill in the voids. They recommended 1500 beard grafts. Does that make sense?
I think that SMP is a better option. Grafts will never be enough unless you put in 4000, which will make you worse off if the donor is from the scalp. Even a beard transplant will not help your ‘white’ scars from the FUE
Always had a massive forehead and started receding at the front around age 17. MTF trans and the hairline is a big source of grief for me, this sub has given me hope. I have no loss on the crown but it is the thinnest part of my hair, although I am more confident of hair thickening there than I am about recovering it on my temples where it’s gone completely.
Construction of a concave female hairline with hair transplants will solve the look and is standard treatment for many MTF trans people. You need to continue to protect your hair with the appropriate hormones to maintain a female hormone balance removing the androgen effect thus preventing further hair loss
Can Dermarolling(Microneedling) make your scalp less suitable for Hair Transplantation Future?
I don’t believe that microneedling will make you less of a candidate for a hair transplant.
When doing a hair transplant, is it a good idea to also put hair into good hair areas that will eventually fall out?
I generally don’t agree with preventive hair transplants, putting the transplants where there is significant amounts of hair present. When this is done, it tends to kick out and accelerate this residual hair.
Thinking about taking minoxidil for my hairline but in the past I had some issues with my heart racing. Also I’m an athlete so heart is always pushing. Do you guys think it’d be a bad idea to start? Should I use topical or oral? Thanks for your input!
Minoxidil is a hypotensive agent so it can cause palpitations. If you had palpitations before taking minoxidil, maybe this medication is not for you. Check with your doctor
I’m about soon to reach two years of Finasteride (1.25 mg per day) usage. My hair loss has continued and I now have a diffused crown, which I did not have when I started the treatment.
I’m gonna reach out to my doctor and ask for a prescription of Dutasteride.
It would be great if someone with more experience than me could introduce me on how to add Dutasteride to my daily intake of Finasteride. Should I give up on Finasteride completely once I start taking Dutasteride? I was reading somewhere that a good start is to take Dutasteride once per week and then take Finasteride the rest of the week.Let’s keep the discussion to just Finasteride and Dutasteride. I have used the 3-big, a lot of supplements, oils, thyroid function test, PRP etc etc. Nothing has really worked for me to stop the hair loss.
If you are going to take dustasteride, then there is no need for finasteride. Dutasteride does the same job as finasteride for hair loss. By doubling down, you are increasing the risks of all sorts of side effects
I have read of some people seeing no impact on their beard development whatsoever from taking finasteride whilst other peoples beards have completely halted growth of new hair. I understand the impact finasteride has on ones beard is different in every case but will topical finasteride have the same impact as oral? Thanks
No, as a good topical liposomal finasteride will stay in the scalp and will largely not go systemic. A patient of mine last week told me he checked his DHT level on topical liposomal finasteride and there was no change in the DHT level he measured before going on this topical drug
I having been thinning for a while but holding my own with topical treatments. I started TRT earlier this year and I’m losing the battle. Looking at making an appointment to discusses hair restoration. I am located in Kansas City but willing to travel in the US to get it done. How does one go about finding a reputable surgeon for this?
TRT causes hair loss. Be careful, even with a hair transplant, if your inherited pattern is advanced, even a hair transplant might not save you from more hair loss needing more transplants down the road.
Recently I’ve been shedding a lot of these really fine, almost invisible hairs, as well as some normal looking ones and others with different textures than my natural hair. I’ve been shedding for at least a few weeks, and the shedding has kinda increased in intensity over time. I’ve been on 1.25 mg finasteride daily for 3 months and I’m definitely below baseline, so that kinda sucks. I went to a dermatologist a month or so ago and got diagnosed with MPB, Telogen effluvium, and Seborrheic dermatitis.
For treatment, I’ve been doing prescription Ketoconazole 2% shampoo 1x week, Free & Clear Anti-Dandruff Shampoo (has Zinc Pyrithione 2%) 1-2x week. I typically shampoo every other day or every 2 days, and on the off days I do nothing or just rinse my hair with cool water. So far the treatment for the dandruff hasn’t really helped, so I don’t know what to do about that.
I also have recently, like in the last few days, started using minoxidil on my temples and hairline because they’ve always been pretty bad, and I don’t want them to recede any farther lol.
So besides all that ,my question is: is prolonged shedding at 2-3 months finasteride, and to go below baseline, normal? I just want it to stabilize at this point lol it’s a rough situation. Maybe I should lower my finasteride dose? It’s hard to tell what’s making the shedding worse because there’s a lot of variables like diet, new medications other than fin., and telogen effluvium (which will go away with time, but I’m around 2-3 months post-op from surgery so I could be getting hit with another wave of it).
Another question: is there anything else I can do at this point? It just feels kinda helpless and bums me out. I don’t have another derm. appointment for a while so I don’t know what to do about the dandruff not going away.
There is no normal for a finasteride shed, but that usually stops in less than 3 months. Your hair loss may be your genetics run wild. You should not reduce your dose and you are correct to go back to see your doctor. The shed from finasteride suggests that it is working
After one year on minoxidil and adding finasteride at 9 months into the course, the frontal loss reversed nicely
Retrograde alopecia is found not-infrequently in men who are balding impacting the neck hair and at times the side hair above the ears. There is little that can be done for this as it doesn’t respond to finasteride or minoxidil. This can happen at any age and if someone were to use this hair as donor hair for a hair transplant, it will disappear so it should never be used as donor hair for a hair transplant. We have performed Scalp Micropigmentation which works well to camouflage this condition, but it is not hair and hair styling at the back of the head should be adjusted to allow good blending to occur.
