Author: Dr. William Rassman

This is a young man getting early growth from finasteride on the hairline. Persistence will guarantee the results. The picture on the right shows early miniaturization while the picture on the left is highly suggestive of early reversal of the miniaturization

The look is great, but you have used up more than 50% of your donor supply which could be a problem if your balding pattern significantly advances. I would ask your surgeon a simple question: “Could the same results have been achieved with 3000 grafts (1500 each side)? If your hair has a medium or better thickness, the answer is ‘yes’ in my opinion.

More than 5000 grafts performed in this limited space with FUE will deplete the donor area and this many will now have this huge discrepency between his donor area that was not harvested and the area that was harvested. Ther are two solutions for this type of balding (1) is scalp micropigmentation (https://scalpmicropigmentation.com/scar-covering/) and the second might be just to grow the hair he has long enough to cover the donor area. The over-harvested FUE means that he can never keep his hair short unless he has scalp micropigmentation.

Some good results with growth in the corner hairline from minoxidil and finasteride at 5 months

I’ve been in fin for 5 years and maintained everything I had, even grown some back. Hairline looks great. A little thin around my right temple, but other that, great. Reason I’m stopping, is I’m having some slight pain when ejaculating and the wife and I have been trying to have another kid for almost a year with no luck. Semen seems to be hit or miss. Sometimes it looks thick, other times it looks thin and watery. Anyways,I’m 30 now, and just going to shave it all off. I’ll try to keep you guys updated if curious. I have stayed away from here from the fear mongering as it wasn’t healthy for my mental health, but wanted a place to post.

You should think twice about the decision to stop finasteride after 5 years of use. You will lose all of the hair you would have lost over the past 5 years once you stop the medication. I have seen many men regret the decision. Watery semen is a common occurrence. I am writing this to let you know the consequences of stopping finasteride.

You have classic donor site depletion resulting from over-harvesting the grafts considering your donor density. The surgeon did not know what he/she was doing and clearly pushed your donor area well beyond what the blood supply could support and probably what your original density was. From what I see, this looks like you had too many grafts removed from your donor area. The absolute number of grafts is relevant with regard to your original donor density, although few men’s donor area can support 5000 FUE grafts. We perform Scalp Micropigmentation (https://scalpmicropigmentation.com/scar-covering/) on people like you but you will have to commit to keeping your hair shaved in the back for the rest of your life. The good news is that you will look normal after what must have been over a year of hell. Make sure that you do not have alopecia areata which could look like this? To make a diagnosis, you would need a biopsy.

An FUE surgery of 5,000 grafts is most likely too many grafts for the donor area in 98% of the population. As a result, you have a problem with over-harvesting which produces a see-through donor area. The original density may have been too low to support the number of FUE grafts you had done. You now have a depleted donor area, and since your hair appears short in the photo, this problem is made worse. If you let your hair grow out more, maybe it will cover this overharvested donor area. One reasonably good solution is Scalp Micropigmentation.

Whatever you do, do not do another FUE as your situation will become worse. FUE is often promoted as a scar-less surgery, but clearly, it is misleading as in your situation. You can either let your hair grow longer to cover it or get Scalp MicroPigmentation which will camouflage these bald areas exceptionally well.

See here: https://scalpmicropigmentation.com/scar-covering/

Mid 40s, started losing hair in my early 20s. It progressed pretty slowly but consistently over the years and I figured I would let it gracefully fall out. A couple years ago it went into fallout over drive and I’m just not ready to give it up quit yet. Pretty sure the copious amount of stress and anxiety of the last few years could be the culprit here. Started almost exactly 3 months ago

.5 mg Oral fin 5% Topical min twice a day. I’ve had sides taking 1mg fin so I jumped down to .5mg and they pretty much cleared up.

Good job. I would expect that a man in his mid-forties might not respond as well as you did. I suspect that after taking it for a year, you might get complete reversal.

Female hair loss, unlike male hair loss, is rarely complete and most people believe that these hairs are still there, possibly cycling irregularly or poorly? When some new drug is discovered, we may find that the hairs that are not there, will appear.