Month: January 2023

Hello, I am not sure what to do now.

I am a 20-year-old male currently suffering with AGA. I have frontal and crown diffuse thinning. I was on (brand name) Finasteride for about a year, but my hair loss continued. I then switched to (brand name) Dutasteride. No sides and am currently on 1 gram a day rather than 0.5mg. Been on it for nearly 10 months.

All this, yet my hair continues to fall. I can’t use Minoxidil because I am required to look very tidy every day for work related matters. Minox causes a lot of dandruff and makes what’s left of my hair feel coarse and dry.

What can I do? I have been reading up on a famous hair transplant doctor and he mentions how he prescribed a very low dose of around 2.5 – 5mg of Loniten to his patients, and it apparently was very successful. I know of the dangers that come with this drug, though I am prepared to test the waters for a trial with a low dose of around 2mg. This is all I know of that can help. If you know anything else to help I would appreciate it!

You could use topical Minoxidil at night only after a shower, and then shower it off during the daytime. That is as effective as twice a day use. Oral Minoxidil as you suggest might also work, and in many countries it is the drug of choice.

The answer is no, you cannot have a hair transplant. I also always perform bulk measurements with an instrument called HAIR CHECK which is a good way to determine just how much thinning you have that you cannot see. Once this test is done and you have gone a year, I often repeat the test as it gives an excellent measurement on what happened to your hair over the year. If it got better and some of the thinning reversed, maybe you won’t need a transplant and that is the goal that you should look to do. Of course, a good doctor is critical to this course.

You are correct to wait until you are older to be sure where your balding pattern will show up so you will know what you are in store for. Your family history might indicate where your balding may be going. Look at your brothers, uncles, father and grandparents on both sides of the family to see what they hair loss pattern is/was, Usually by the age of 25, you will know and you can then build a Master Plan with your doctor.

I’m basically at Norwood 3 and I don’t want to lose my f***ing youth. Going isn’t an option like for many here since I have moles on my head and can’t grow a beard anyway. I also got depression because of my hairloss, and it’s literally the only thing that bothers me in terms of my body.

However, most information online says you have to be at least 25 to do one. I can’t really wait 25 years and suffer like this. Is it really a bad idea to do it now, and is it even possible? I’ve got around 14k€ saved up, so money shouldn’t be an issue.

It is never a good idea to do a hair transplant at 20 years of age because you don’t know where your balding pattern will end up, and you can use up all of your donor hair before you get to the final pattern. Some bad doctors are unfortunately motivated to make a lot of money by doing more and more grafts on each patient, and that leaves you with possibly nothing left for future hair loss. Send me photos to wrassman@newhair.com

Hey. I am a 20 years old guy and I am loosing my hair on my temples since I am 16. Right now there is the point where if I don’t go on medications I won’t ever do it because then my hair is too fucked up and it is already pretty bad. My urologist told me to not go on fin, he said it is not worth it and I should not fuck up my hormones. But lately hair loss is making me very depressed. How rare are the side effects to occur? And I don’t mean just ED. I mean brain fog and penile shrinking and stuff like that. It seems to be soo fucking retarded to repress DHT, a Hormone that is 5 times as strong as Testesterone. I mean if I hop an fin I would also hop on min, keto and dermarolling. Just to get a bit of regrowth. The thing is I already shaved my head bald 3 times and I instantly regretted it because people are me as an alien… what do u think ?

Hi, I’m a 20 year old Caucasian male, and for the last few months I’ve been concerned about my hairline. I had never paid much attention to it before, as I’ve always had thick wavy long hair that mostly hid it, but after getting it cut short I realized that the corners extended a little bit higher than I’d like them to. The left only extends a little bit above my juvenile hairline, but the right corner is a little bit higher than the left. In both corners above the juvenile hairline mark I have short dark vellum hair.

I’m worried because I have more of this hair on the left than the right. The left almost hits my juvenile hairline while the right does not… Any advice you can give me would be much appreciated.

I give all permission to use these photos.

Thanks for allowing us to post your photos. Click them to enlarge.

You shouldn’t worry about having more hair or less hair on left or right corners of the hairline. Many people have asymmetry, so what you’re seeing isn’t uncommon. With respect to hair loss, I cannot give you a diagnosis at this stage since you’re only 20 years old and anything is possible. This could just be a case of the hairline maturing, but honestly, it is impossible to tell how/if your hair loss will progress just based on looking at photos. There needs to be more hands-on examinations of the hair.

My advice is that if you are concerned about hair loss, see a doctor. First, get an objective measurement — miniaturization studies and bulk analysis of hair on different parts of the scalp). Then get a diagnosis and a suitable Master Plan that will follow you for the years to come.

There is no doubt that this man, now in his mid-50s, looks younger than his balding before state. I did his surgery 20 years ago and it is always a pleasure seeing my older patient. He maintains his hair situation from progressing by taking finasteride which he has been taking since 2002. He has no side effects. I want those of you who are looking at his hairline and see if you can see that this man had a hair transplant. I can’t tell even today. His hair transplant shows the value of a 1/4 inch transition zone made up with around 350 single hair grafts in front of the 2 and 3 hair grafts that bring on hair bulk. This shows that the hairline is not a ‘line’ and it should never be. The transplant does not need the finasteride to hang in for his lifetime because these hairs came from the back of the head where the hair is lifetime hair.

You really can’t predict your hair loss, especially if you treat it with a drug like Finasteride, which can, in some men, stop the process. A NW Class 2 should not be transplanted, and I would recommend that you don’t rush to do a hair transplant unless you see real balding. Build a good Master Plan with a great doctor, and then follow it.

Can you guys rate my 20-year plan on saving my hair? from tressless

What a great picture! At least two of those in the photo, kept their hair where it was 20 years before. Nobody likes to get old, worse still, look older.

Hi I l’ve seen your advise and I was wondering if I could ask for you opinion as you seem to be one of the few in r/tressless who is an expert in hair loss. I’m diffuse thinning and started fin at the end of October. I’m afraid of starting min as well because of the shed. All I’m wondering is do you think min could work for me looking at my hair loss. I’m 20 going bald for about 15 months. This is my hair from last august until this week

That is a lot of balding for a 20 year old. I would add minoxidil to your daily routine, pulling out all stops to hope for some reversal. If I ever saw a man than needs a Personalized Master Plan it is you with a caring competent hair doctor. You are likely going to develop a Norwood Class 7 pattern of balding. Is that what is in your family history? Dad, Grandfathers, brothers, etc….?