Author: Dr. William Rassman

Amazing response in just 6 weeks from oral minoxidil and oral finasteride. I expect that in 6 months, you might have your hair back. It would have been nice to see more pictures of you from different angles.

A hair transplant in one session is never normal hair density for the size of the area you are transplanting. You can see it by looking at the lack of density of the grafts, but in your case, the area covered could have had more grafts. I don’t like the line-up of the hairs that were transplanted as they should have been more randomly placed. Your grafts were placed far too orderly for me but another hair transplant with more random placement of the grafts will solve this problem and give you more density. If this is the way your doctor does his transplants, I would look for another doctor.

This is a spectacular photo showing the early hair growth in a 22 y/o male taking finasteride on the hairline in just 6 weeks (early growth shown with arrow)

I am 37 years old and had this balding for 10 years. I started using 1 mg PO finasteride daily 1 ml topical minoxidil twice daily 1 biotin vitamin daily, Saw palmetto shampoo, plus 0.5 mm micro needling at home 2-3 times per week.

I would increase the microneedling needles to 1.25mm and reduce the treatments to once a week. That depth gets to the stem cells that control the growth of the follicles to react to the wounds. You also might consider switching to oral minoxidil. Speak with your doctor. The photos suggest that the stem cells are still there and alive, so push the depth of the microneedling t where the stem cell reside.

Telogen Effluvium is the medical term for acute hair loss that sometimes returns. The return reflects the hair cycle for most women of your age, which is relatively shorter than when you were younger. 50% of postmenopausal women have genetic hair loss from the mother’s side of their family. If it does not reverse in a year, consider a cosmetic solution that is often performed in postmenopausal women who have hair loss called Scalp Micropigmentation. Stress can induce genetic hair loss in women of your age which may not be reversible. (see: https://scalpmicropigmentation.com/smp-for-women/)

As promised I am entering in the 7 months with complete photos took each month.

Routine:

1. finasteride 1mg every morning when i wake up

2. minoxidil twice a day

3. zinc + D vitamin 3 months cure After dinner

4. cafein + kératin 3 months cure After dinner for better absorption

5. microneedling once every 2 weeks at 0.5 to 0.75mm with 16 needle dermapen . If i go more than 0.75mm = bleeding which i do not want

6. 15mn head massage twice a month

7. t gel shampoo once a week max.

8. essentiel oil shampoo that i have made (Cedar + ginger oil)

Amazing! This is strongly the work of microneedling plus help from everything else.

 

 

Donor hair that is taken never regrows as it is lost forever. More than 6000 FUE grafts is a very large number of grafts which suggests that your donor area might be depleted and you will have a thin look in the back of your head.

Very nice regrowth with the combination of microneedling, finasteride and minoxidil. I believe microneedling makes all of the difference