Month: January 2023

No way! Hair is an organ, and therefore transplants from another person will always reject, alive or dead!

I had diffuse thinning for 2 years, and now my hair is suddenly regrowing, will miniaturized hairs on right side of my hairline get thicker?

Miniaturization in genetic hair loss reflects an early stage of hair loss. Miniaturized hairs can be seen in various stages of miniaturization. For example your normal hair shaft is 70 microns in thickness, a miniaturized hair could be any thickness less than 50-60 microns on any particular individual. So in the earliest stage of hair loss, it might be 50 microns in thickness and over time come down to 40, then 30, then 20 microns and at some point it might just be like a tread with almost no thickness to it at all. All of these are miniaturized hairs. When people take the drug finasteride, it often reverses the degree of miniaturization such that a 30 micron hair thickness which is less than 50% of its original value, may thicken to 90% or at times 100% of its original value. That is why I like finasteride as it works both to reverse miniaturization and to stop the hairs from both miniaturizing and falling out directly (another manifestation of hair loss).

I would want to know your age, your family history and what you have done so far to treat it. You need a doctor. I make myself available on-line here: https://newhair.com/doctors/rassman/

1. Have DPA young patients (Early 20´s) more oportunities with finasteride in comparasion with a MBP who have a normal patron (NW 6).
2. Have you ever seen a early 20´s with DPA who have a good response to finasteride for a long time (10 years)?

I am a 21 years old and I have taken finasteride since I was 18 years.. My dermatologist prescribed it to me.

Here you have photos of mine when I start the treatment (2012) and now
(2014).

You have my permission to publicly use it.

Diffuse Pattern Alopecia (DPA) is basically the same as Male Pattern Balding otherwise known as Androgenic Alopecia. DPA, as the term implies, shows up as diffuse hair loss that occur in a “pattern” such as you see in male pattern balding but the permanent zone on the back and side of your head not impacted.

Finasteride (Propecia) is used for the treatment of this condition (DPA, AGA, MPB – they are all the same).

There is another condition called Diffuse Unpatterned Alopecia (DUPA), which may be genetic, but does not respond to the drug finasteride (Propecia). DUPA is uncommon; however, it is critical to have your doctor make this diagnosis before being considered a candidate for hair transplant or medication. These DUPA male patients often get a failure of the transplant, even if on the drug finasteride.

I cannot make a diagnosis with your photo and this blog is not a place for making diagnosis. I also cannot predict what will happen in 10 years. I am not a fortune teller. I have seen men in their early 20’s start finasteride for male pattern balding and has kept most of their hair. I have also seen them lose their hair rapidly despite being on finasteride as their genetic predisposition overtook the drugs ability to slow things down. It doesn’t mean that the drug didn’t work.

This is a 3-inch high donor area. This is the proper height of the donor area.

Go to https://scalpmicropigmentation.com/ and go down to the second man on the front page which has a video where the man tells his very interesting and funny story about his experience with Scalp Micropigmentation (SMP).

Is it true that a trained doctor or professional can predict an someone final hair loss pattern?

Not 100%, however using family history, timing your appearance of balding (when you started), how fast it is moving, miniaturization analysis and most important if you have a significant amount of hair get a HAIRCHECK test (https://baldingblog.com/haircheck-test-how-it-is-done-video/), then I might be reasonably confident I could advise you on your final balding pattern, especially if you are over 25 years of age.

I had a hair transplant done a few years back with a top doctor and am happy with the results. That said, I wish the hairline was a bit lower and straighter. I am considering getting another one to fix this.

Right before my first procedure, I met with the doctor briefly to discuss where the hairline was going to be. I was surprised by how un-sophisticated this part was. He just drew a hairline on, showed me a hand mirror, I said lets make it a little lower, and he did and that was it. However, its very hard to imagine what the hair is going to look like and what that hairline really means in terms of how it fits your face and features.

Thus, what I would really like is for some sort of computer simulation of where the hair is going to be and what its going to look like when its grown out, from all angles. Do any practitioners do this? And if not, what is the best way to do this myself, so that I can communication it to the doctor prior to my next procedure?

Some doctors use photoshop or some special software imaging system, but most have stopped because the photoshop illustration did not reflect the final result and it left the doctor with some liability. The reason for this is that if hair is fine, medium or coarse, the hair type makes a world of difference in the hair transplant. The thinnest result of course will occur with fine hair and the best results with coarse hair and the software doesn’t do justice to these distinctions.

An experienced doctor can work the final hairline with you on the day of the surgery. After thousands of these, I have to say that I don’t remember anyone who complained about their final hairline from my work. Experience is the best teacher.