Can I for instance use:
Propecia pills
Hairmax
Organic shampooAll at once? What is the best combo? Your advice is appreciated. Thanks!
There is no “best combo”. I do not endorse any products. I only prescribe medication such as Propecia (finasteride 1mg), because it works. All others are “buyer beware” as far as I’m concerned. With respect to the Hairmax laser, I have written extensively on that topic (here).
2007-05-23 12:33:512007-05-23 12:33:52Best Hair Product Combo to Use?
Hair characteristics plays a big role in the final appears of a hair transplant, but does any characteristics have more of an advantage than the other? If there were two men who had the same amount of grafts transplanted; one with relatively fine blond hair (that closely matches his skin shade) and another man with relatively course dark hair (that drastically contrasts his skin shade),who do think would have a fuller appears?
There are general rules I use to determine what a person will look like so I can help set expectations with my patients. Amongst the rules are:
To assess the various elements, a very complex multivariate analysis would have to be done to really answer your question above, but the general answer is that in my hands (for example) it is experience and my artistic abilities that allows me to help you set expectations. Ask you doctor about your characteristics.
2010-09-08 15:04:082010-09-03 10:11:09Best Hair Characteristics for a Fuller Looking Hair Transplant?
Hello Doctor,
I want to thank you for a great blog that I visit nearly daily. I visited your offices around 5 months ago and had a consultation with Dr. Pak, who was very informative and understanding. Since then, I’ve been on a daily regimen of Finasteride 1.25 mg/day but am going to wait until the follow up appointment before I make any judgments (superstition does that to you).
I have two questions. I already know that Finasteride does not completely stop hair loss. It just provides its patients an outlet for growing old gracefully (under my impression). Have you seen or heard of any patients who took Finasteride while also including Minoxidil in their regimen to maintain for longer than 10 years with good results?
My second question is how big a part does diet factor into the MPB process? I’m already exercising 6 days out of the week even before MPB hit me but diet (what kind of foods to eat) has always escaped me. I would like to know if there is any information a professional such as yourself can provide pertaining to what kind of diets would promote hair growth and what kind of diets work best in conjunction with Finasteride and Minoxidil to maintain hair.
I apologize for the long message and sincerely appreciate all the help you have given.
Best regards!
I believe that for some people, the use of both Propecia and minoxidil has value when used in combination, but that may depend upon a variety of factors including age, appropriate use of the medication, where the minoxidil is applied, and where on the head the balding is that you are treating. The crown generally does better with combined treatment compared to the frontal hairline. I have seen patients using both medications with good results after a decade of use.
I do not believe that any particular diet works better than another, provided that the diet is well balanced.
2010-04-26 12:34:352010-04-22 12:30:52Best Diet with Finasteride and Minoxidil to Maintain Hair?
Derma-rollers are something I’ve overlooked but seeing as how they’re so popular here I think I’ll give it a try. Thing is, I’m not quite sure how to tell if one is good or not. I did read that 0.5mm is the ideal starting size, used once a week, but other than that is there anything else I should know about? I’ve heard the titanium ones are better than stainless steel. Also, are the rollers better or worse than the derma stamps? I have large diffuse thinning, not just a local spot.
And does the brand matter? Any brand or model recommendations?
Microneedling is best done with a reciprocating needle device like the Dr. pen device, which has 36 needles and a depth of 1.25mm. Using once a week is the best way to go. You can hold it in a single area for a defined period, like 10 seconds, which delivers a known injury. This injury starts a healing cascade that brings in or activates the stem cells found in the upper part of the hair follicles or in the upper part of the dermis at a depth of about 1 mm.
What kind of comb is best for men’s hair…my hair is thinning. I was using Dupont Nylon comb — it is smooth and does not irritate. Then I switched to a Ace comb — it is ok, but after a few uses my scalp hurts. What’s best – nylon, rubber, or plastic…
Thank you.
I generally recommend the use of a wide tooth brush or comb and not tugging on your hair when you groom yourself. Rough handling of your hair will cause you to pull out weak hair that may be in the process of miniaturizing. Hair loss from a comb or brush is a mechanical problem. With respect to material: nylon, rubber, plastic, metal, etc… there is no real clinical difference.
I’m 20 years old and have been receding at my temples for the past year or two, and I’m not happy about it. There are no signs of it stopping. I think it is now passing the point of a “mature hairline”.
I’m very conflicted on whether or not to try finasteride because of my age and concerns about hormones and affecting things like facial hair development, sexual function, and god knows what else that DHT does. I only just turned 20. I think it’s early enough to catch and stop with fin, though.
I thought I’d do a post both here and in r/bald to get the “steel man” arguments from both perspectives. What are your best arguments/evidence for why finasteride is nothing to worry about? Feel free to go all out.
Thanks guys. Just trying to figure out the best option.
2018-12-03 05:32:262018-12-01 10:35:55Your Best Arguments For Fin (From Reddit)
I’m 31 years old. Last year people really started to notice my hair loss… I recently discovered FUE. I expect my hairline to further recede as I age. What age should I wait to – if I should wait – to start to seriously consider FUE (or similar measures)?
Hair transplants come in two flavors (1) FUE where the surgeon uses a punch like instrument to remove single follicular units ‘one at a time’ ( https://baldingblog.com/class-23-patient-just-5-days-after-fue-procedure-with-photos/ ), this is the surgery I pioneered worldwide, and (2) the strip surgery (often called FUT) where the surgeon removes a strip of scalp and they sews it closed. Both cause scarring, the FUE causes very small punctate scars and the strip surgery causes linear scars (usually just a fine line but sometimes these will stretch). You should ask yuour surgeon to allow you to meet some of their patients (we hold open house events monthly where former patients come in to discuss their experience and show off their work). At 31, you can do either type of hair transplant, just find a good surgeon. We offer Reddit readers 5% off plus we offer travel reimbursement programs for out-of-town patients.
2020-12-17 01:32:152020-12-17 07:51:03Best age to do FUE?
Hair transplant from tressless
Dr Bessam Farjo graduated as a doctor of medicine in 1988 from the Royal College of Surgeons in Ireland. He spent 5 years working in the national health scheme (NHS) hospitals in Ireland and the UK training in the field of general surgery.
In 1992, he travelled to Toronto, Canada, and joined a training course in hair restoration surgery at the office of Dr Larry Fremont. He started practicing hair in Manchester later that year. In 1993, he co-founded the Farjo Medical Centre with his wife, Dr Nilofer Farjo, exclusively practicing hair restoration surgery and medicine in Manchester and London. They currently operate a busy practice to the tune of over 300 hair restoration surgical procedures a year.
In 1993, he joined the International Society of Hair Restoration Surgery (ISHRS) and has served on its Board of Governors since 2002. He was ISHRS President in 2007-2008, the first from Europe. He is one of a handful of doctors who have attended every annual meeting since the society’s inception.
In 1996, he co-founded the British Association of Hair Restoration Surgeons and served as President during 2002-2004. In 2001, he was granted fellowship of the International College of Surgeons and in 2003 fulfilled the requirements and passed the examination of the American Board of Hair Restoration Surgery (ABHRS). He has served as ABHRS Board Director since 2006.
In 2002, Dr Farjo was host, program chairman and congress organiser of the 5th Annual conference of the European Society of Hair Restoration Surgery in London, England. He served as Board Governor and Vice-President until 2005.
He is a registered member of the Institute of Trichologists (est. 1902) and has been a Board Governor and medical advisor since 2000. In 2006, he was bestowed with the title of Fellow of the Institute of Trichologists in recognition of contributions to the Institute as well as his involvement in the in research and field advancements. He is also the Editor the Institute’s Trichologist journal.
Other affiliations include member of the European Hair Research Society, Fellow of the European Academy of Cosmetic Surgery and Founder member of the Trichological Society.
He has to-date over 25 different hair and scalp presentations/publications to his credit at more than 40 different meetings, workshops and conferences around the world. Along with Dr Nilofer Farjo, he is the only British hair transplant surgeon recognised by his peers as regular educational contributor at international meetings and congresses. During the last few years alone he has lectured in the USA, Canada, England, France, Germany, Ireland, Italy, Spain, Austria, Switzerland, Egypt, Turkey, Mexico, Australia, Romania and Poland. In addition to his clinical work, he is involved in several hair research projects including collaborations with University of London, University of Bradford, Intercytex plc and Unilever plc.
See www.farjo.com for more details.
I know what mpb and TE and CTE is but can there be other involvement with miniaturization of a follicle? Like toxins, emotional stress for a long period, extreme lack of nutrition etc.
Add to your list: aging (senile alopecia), a deficiency of various vitamins (vitamin A, vitamin B6, vitamin B12, beta-carotene, biotin, vitamin C, calcium, vitamin D, inositol, iodine, iron, magnesium, niacin, pantothenic acid, selenium, zinc), and a series of many autoimmune diseases.
The list goes on and on.
