Month: January 2023

Nice post on your blog. I’ve always wondered why some people’s HT don’t always take.

Questions this brings up:

– should one go to a dermatology clinic instead of a doc to get this done?

– perhaps in the same way one can take fin to mitigate shockloss, would it be wise to take corticosteroid pills say leading up to and after a HT?

Just trying to gauge how to put this information into practical use 😀

Thanks again! Love your work!

June 2021 vs. today (11.2.2022), 1.5 years on 1mg fin every day, Niz 3x per week, and 1 month on 2.5mg oral min every day.

Nice improvement. Stay on your routine and it will only get better. It may take another full year to see more value of what you are doing and it is even more likely that it will get better if you add weekly microneedling to your routine. If this is not enough and you are over 25, then a hair transplant will give you a normal hairline, something to consider.

Have your patients reported to you that their life improved was improved from getting a hair transplant (E.g. Confidence, more time etc)? I’m thinking about getting it done and I’m really worried about the first day travelling home.

Almost all of my hair transplant patient regret not doing it earlier. The average age for a hair transplant in my practice is mid-thirties. The older the man is, the more they regret not getting a hair transplant and living with balding. Almost 100% tell me hair transplants were a life changing process. I started doing large session transplants in 1991 with follicular units back then. I never did a ‘plug’ surgery

I have been on finasteride but still encountering recession in my hairline in terms of miniaturization. But i noticed that my hair fall has actually decreased, so is the fin working or…? Was wondering am i really having Androgenetic alopecia

Yes, it is working but possibly not well on your hairline.

I’m a 47 year old female. About 7 months ago, I noticed a thin spot on right side of my hairline, then a few months later, the left seemed thinner. It’s my underneath area, temple up to the sides of my widows peak. It seemed to be rapid because last summer I had full hair there. I’m so upset. I don’t know if it’s from my father or hormones. I have no prior hair loss. I don’t know when it will stop or if I need minoxidil. I’m taking stinging nettle and pumpkin seed oil. My thyroid seems ok but I have not checked my iron levels but because it resembles a bit of a male pattern. I wonder if it’s too much DHT. Please help.

Women are complex when it comes to hair loss as there are many causes that require an expert to evaluate. It takes many blood tests and a good examination by someone like me. As women get close to menopause, hair loss problems increase as estrogen levels in your body drop. Estrogen is the protector for good hair, so when menopause occurs, some women experience genetic hair loss. See an expert.

Wonderful results. You have possibly used up half of your donor supply or more depending upon your original donor density. From the photos, it looks like you have a Norwood Class 4A pattern and the A patterns are great because it is likely that even if you lost all of the hair in that pattern (a Norwood Class 5A pattern), you would still have enough hair to cover the new balding areas; however, for others who are not so lucky and don’t have a Norwood A pattern of balding, so many grafts placed in the frontal triangle would leave them devastated with not enough donor hair to fill up a Class 5, 6 or 7 pattern. Keep in mind that a Personalized Master Plan is needed to not only treat the present balding pattern with a hair transplant as you have done, but the worst pattern that you might develop so that you will always look normal and hairy.

I recently turned 46, and I’ve been damn lucky with my hair. Around 5 years ago, I wanted to change my hairstyle to go more forward, rather than back. I was 41. I noticed that when styled more toward my forehead, my hair looked a little stringy. I initially thought it was just a bad haircut. Upon closer inspection, the individual hairs/follicles appeared to have gotten thinner at the front of my hairline. Probably further back as well, but I have enough coverage that it’s harder to notice. There has also been some recession of my hairline (maybe a quarter of an inch), although not much, and happening extremely slowly. It’s difficult to tell a significant difference in photos from 5 years ago to today. The top of my head/crown is still full; no bald spot at all, just the cowlick I’ve had since I was a kid. At 46, does this just sound like normal aging, or is there something to be concerned about?

The things to try would include (1) oral minoxidil, (2) oral finasteride, and (3) microneedling. If these don’t work, then at 46, a hair transplant is the best option, and it will work, provided that you get a competent doctor. Your hair loss is likely to have been present for more than 5 years. The combination of all three drugs should be tried first unless you decide on a hair transplant, which is no fuss and with a good doctor, and best of all, there is no uncertainty.

I’m taking dut and oral min daily, and I’m waiting till I’m a bit older to get a transplant (age 21 nw3). In the meantime, I thought it would be a confidence booster to wear a hair system (wouldn’t stop taking meds). I’m trying to figure out if that would accelerate existing hair loss but I can’t seem to find any info online. Thought some of the guys here who’ve been wearing systems for a while might have some Valid input.

Yes, the glues and clips used to hold the hair system in place produces traction alopecia most of the time. These glues will produce a more advanced patterns of balding by the time you reach the hair transplant age. I would think this through carefully and maybe have a talk with your parents before you act.

I started out 1.5mm, but now I’m concerned about scar tissue. I’ve heard 0.6mm might be better, but the redness goes away pretty fast. I started out doing once-a-week needling, but then I’ve seen people who did it twice a week at a lower depth followed by minoxidil that had great results

Microneedling depth should be able to reach the stem cells at the top of the hair follicles which lie about 1mm below the skin so 1 of 1.5 mm microneedles are about right. These stem cells have some cells that specialize in hair cycling so that when stimulated, the command goes out to the other stem cells to kick in the anagen cycle (theory at present).