Month: January 2023

I am 24 years old and I’ve been experiencing some hair loss for the last three or four years. I’ve noticed it when I shower I’ll end with about 30-40 hairs on my hands, and there will be about 10-20 others on the pillow when I wake up. I’m kinda worried about this since it didn’t happen before and I am not through a period major stress, I didn’t make any changes in my diet either. I will see a dermatologist as soon as possible but I don’t know if I should make a big deal about it or not, since I can run my hand through my dry hair or pull it and there won’t be any hairs on it afterwards.

Some extra info: my dad isn’t bald but has a receding hairline and started experiencing hair loss when he was about 40 or so. It is summer where I live, I add this because I understand hair loss can vary depending on the season.

You should see a good doctor and find out exactly how much hair you are losing with the HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ). The point is to find out if you are really losing hair, how much you are losing and lost and what to do to stop it. This test establishes a metric on the loss so that in a year after you may have started treating it, you will know if you are gaining of losing ground.

This is a failure of the transplant unless your surgeon placed far less than the 2200 grafts you reported. I would go back to have a frank discussion with your surgeon as you paid good money to have this done. The most frequent reasons for hair transplant failure, is some technical glitch or lack of experience by the surgeon and/or his team!

This is his answer to me: “Thanks for your reply. You bring up a very good point that if I continue to bald behind the transplant it will look strange, however, if that does occur, I do plan on chasing it with further HT’s in the future. I positioned myself in a career where I can financially do this and am very aware that this is not a “quick fix”. I see this initial transplant as the first step in a long process. Please continue to voice your thoughts and concerns.”

If you go forward with this plan, be sure to put together a good Master Plan for your future, and include an assessment of your depleting donor supply, which will occur as you do more and more hair transplants. You must make sure that you never get into a situation where you will run out of hair.

He appears to be thinning in two areas and his forelock appears strong and he wants a hair transplant. Forelocks tend to last a lifetime if it remains strong until a man is over 35 and these tend to run in families. This man is not a candidate for a hair transplant yet at 23, but possibly when he get to be 25 or 26, he will see these areas bald more. If he takes the drug finasteride, it might not happen.

If you have thinning and possibly PCOS, treatments like Scalp Micropigmentation works very well to make your hair look fuller: https://scalpmicropigmentation.com/gallery/smp-for-women/

Should I get a HT ? Im 23 i used minoxidil for 2 years and did nothing just stopped the shedding so what you advice me to do ?

I’m a 23 year old male experiencing male pattern hairloss around the crown. I’ve noticed it for 8 months and it’s been getting substantially worse recently- more hair loss in the shower, more strands on my pillow every morning, hair follicles on my hand as I run it through my hair. I’ve also been experiencing Dry Scalp recently which I think is related to the balding. I’m meeting my Primary Care Physican soon, I plan to ask him for a 5mg Proscar prescription and get a pill splitter with that. I do not want to use Rogaine, as I’m a medical student and expected to look professional all the time. I’m afraid it might mess with the oils on my skin. As for the shampoo, I’m thinking of ordering shampoo either nizoral or DR regenpure. Which one do you recommend using? Are there any additional tips you can provide? Could the hairloss be associated with medical school stress to any degress? Thank you for your time!

I believe that there is a 99% chance you have genetic hair loss in process and the best treatment is finasteride 1mg/day or as you said split a Proscar into 1/4 or 1/5th. You don’t have to be 100% accurate as long as you end up totallying 5mgs every 5 days. If you can find someone with a HAIRCHECK instrument (https://baldingblog.com/2017/01/10/value-haircheck-bulk-measurements-two-patients-seen-today/), get your hair bulk measured and then you can get a metric on the value of the drug over time. I don’t believe that the shampoo makes any difference, but for a douoble wammy, if you are having crown loss as well, I would consider adding minoxidil once daily to the crown.

The frequency of Erectile Dysfunction in men in their 20s is about 20%. Also, it is not unusual nor abnormal not to have a good sex drive. If you are worried about it, see a doctor and get your testosterone level checked to see if it is hormonal. The impact of finasteride is independent upon your original sex drive and erectile function if you decide to take it. It all depends upon the importance of your sex drive to you, independent of your hair loss and the treatment of it.

It is very difficult to tell from this photo if you are receding or developing a maturing hairline. The best way to determine this is to lift your eyebrows so that your forehead wrinkles and the hairline should be no higher than one finger breath above the highest wrinkle. If this is the case, maybe your hairline is maturing.