Author: Dr. William Rassman

4 months on minoxidil and microneedling with good initial results. I will be curious on how long it will last. Are you going to stop doing the microneedling and just continue with the minoxidil? You should probably continue the microneedling at least a few times each year.

 

Nice result in 4 months on minoxidil and finasteride.

Usually, the grafts can’t be moved at 6 days. I know because I tried to do it, and they come apart as they are pulled out. Now, you should wait until the hair has grown, then fix what you don’t like after the hair has grown in.

Some doctors just push numbers to make money when they do FUE grafting. I believe that this is such a case I picked up on the internet which shows some patient victimized by too many FUE grafts. The only options to treat this is with Scalp Micropigmentation, a tattoo for the donor area something we do all the time. Overharvesting to make money, is as immoral as a doctor can get. This was a woman who from the pictures, did not have much hair loss and fully 80% of women have miniaturization in the donor area which will absolutely cause this problem, This picture is one months following the FUE surgery and I suspect that there will be little growth and she will be bald in the back of her head.

The donor area seems to have been over-harvested, in other words, too many grafts were taken from your original donor density. The grafts were also taken too high and too low from the donor area so that these hairs may not be permanent. I recommend you speak with your surgeon.

As you get older your testosterone drops along with the DHT and then the finasteride is often less effective as you get older. What hair you have has stood the test of time which is an indication that much of it might stay; however without seeing you, I can’t make such a judgment.

Can Prolactin in a Male, Like a Spike over 6 months caused by a medication cause some loss? I’m curious. I still have a full head of hair, but was wondering about that.

Elevated prolactin levels in association with diffuse or androgenetic hair loss can be neglected as causative for the hair loss, because there is no evidence that they have an influence to the pattern

Your donor area appears over-harvested especially because I see that the doctor went out of the permanent zone, into your neck hair which is not permanent and above the permanent zone on the right side. The area itself, looks like the density has been significantly depleted. Time will tell as you allow the donor hair to grow out.

This is a fantastic turnaround. I would not have expected this growth in 3 months on finasteride and oral minoxidil alone. I would expect that he will grow more in the next 3-9 months, and he can, if he wishes, take advantage of it and let it grow out. Click to enlarge