Month: January 2023

Hi Doc. I have a few questions regarding male pattern balding and hormones.

1. I obviously have a lot of DHT as I am 22 and have hair on my shoulders, back and chest and had bad acne growing up. Does this mean that I will be more susceptible to MPB?
2. I have a widows peak that I inherited from my father. He is in his 50’s and the only extent of balding happened before his mid twenties that resulted in a pronounced widows peak. Does this mean That I will probably follow his pattern? if I have more DHT that he does is there a greater chance that I will have more balding…or is your pattern of balding predetermined…regardless of the amount of DHT you have.
3. I have noticed miniaturized hair falling out every once in a while, they are thin but still as long as the rest of the hair. Does this always mean MPB or does some hair naturally miniaturize. (could other scalp conditions cause this, such as dermatitis)

I appreciate any info you can offer regarding these questions. Excellent site, keep up the good work.

1. Having “lots” of DHT does not necessarily mean you will have MPB. You need to have the gene for MPB. Just having hairy shoulders, back, and chest does not necessarily mean you have “lots” of DHT either.
2. You may or may not follow your father’s hair pattern. There is no way to tell for certain.
3. Miniaturized hair does not necessarily mean you have MPB. Men with MPB have miniaturized hair in certain “patterns” — thus, the term male pattern baldness (MPB).

I have seen great initial growth with finasteride in some men 18-22. It works best when the hair loss is recent. See the photo collection from Dr. Robert Bernstein’s office here: https://baldingblog.com/dr-robert-bernsteins-library-of-finasteride-results/

Am I more likely to get a worsening of my problem if I go on finasteride?

Men who have gynecomastia are not more likely to get breast enlargements or breast lumps than men who don’t have it when then go on Finasteride

This will be my 3rd attempt at hair transplant. How many grafts will I need and how many can my donor still provide? I would also like to blend my next HT with SMP. Please find the pictures attached. Thank you for your suggestions. Thanks.

The original donor density has to be known. It may still be possible to estimate that number but I would have to examine you and measure it myself. In addition, you did not state how many grafts you had so far and there is a suggestion of over-harvesting on the photos, but I would still have to see you to understand what your remaining supply is. SMP is the final step and should not be done until a Master Plan has been built!

Hi Doc, I read on a website that a doctor is offering FUE surgery at $0.50 that is 50 cents a graft in Pakistan. What do you think?

 

Your guess is as good as mine. I really can’t validate this claim.

There was a sarcastic remark made about the Taliban and how it may relate to prices. Apparently it offended a few readers. We apologize for the insensitivity to those who were sensitive to the comments.

 

If you really have DUPA, the chance that your hair transplant will fall far short of your expectation is close to 100% and the chance that you might lose it all is high. Any good doctor, who doesn’t care about the money and cares about you, will not do a hair transplant on any man with DUPA. In my opinion, it is malpractice.

I’m a diffuse thinner, and while my hair is paper thin, I technically don’t have a completely bald spot on my whole head. Does a thin hair mean there’s a chance it can be revitalized?

No. Thinning is not an easy diagnosis to make and it requires a trichoscope and an expert doctor to understand the cause and if there is an effective treatment for which a hair transplant is often not appropriate.