2 years on finasteride in young man in early 20s

Men always worry about hair loss and young men are hung up on the 3-4% risk of sexual side effects of the drug finasteride; but form time to time we see the huge impact of this drug on hair loss reversal in young men as shown in this photos of a young man on the drug for 2 years. Many doctors are now not prescribing this drug for fear of being involved in the Class Action law suits brought by men who are suing the drug company Merck as they fell that they are part of the 3-4% of those with sexual side effects. Nevertheless, here are the pictures I am referring to.

2 Weeks After My Hair Transplant, I See The Grafts Growing

Hello Doctor,
I have undergone HT 2 weeks back with 2 sessions of a total of 5000 grafts done. Till date, I don’t see a single transplanted hair being fallen out. Instead, I see them growing in length. Is this something to be worried?

I’m wondering why would you worry if you are seeing something positive like growth? You must have had a great donor density to get out 5,000 grafts in two sessions.

In general, most people see what appears to be graft growth in the first 2-3 weeks (it is actually the hair in the graft being pushed out of the scalp). As this is actually the shedding process of the hair which is going into telogen, most of the transplanted hairs will fall out in one month. Either way, follow up with your doctor as he/she can better assess your post operative course and progress.


2011-09-13 15:47:432 Weeks After My Hair Transplant, I See The Grafts Growing

2 years on finasteride, what do you think (photo)

From the photos, it looks like the drug may have stabilized the loss. It is possibly slightly better but most important it is not worse. If you were to stop the medication, I’l bet you will lose a lot of hair.


2021-01-21 16:06:552 years on finasteride, what do you think (photo)

2 Weeks After My 2800+ Graft Surgery, I Had Massive Shock Loss

hi, two weeks after a surgery with dr. rahal of 2846 grafts (888 1 hair, 1526 2-hairs, 429 3-hairs, and 3 4-hairs), i experienced a massive shock loss. it has been one month post surgery and i am very worried about even going to my original look, which at this point i would be happy with. i only take minoxidil, because of the side effects of finasteride.

do you see a lot of this shock loss from the pics as being temporary, because although i am thinning, i am not an entirely diffuse thinner, but lost everything. at this point would total of the 5239 hairs even be enough to fill in what i have lost? i should also note that the hairs that are remaining are ones from a previous surgery with ziering that was supposed to be around 2300 grafts, but i am not even entirely sure about his work.

thank you so much for your help and suggestions, greatly appreciated!

Click the photos to enlarge:

 

It is difficult to make many comments about your exact situation, because the before picture and the change in your hair length are confusing your situation. I will assume that you are young (under 30 years old). Were you afraid of possible side effects from finasteride, or did you actually experience them? Shock loss is common in young men after a hair transplant, unless the young man is protected with Propecia (finasteride). Prior to the appearance of this drug on the market, shock loss was a common problem for hair transplant surgeons. Since the use of finasteride, this type of report is relatively uncommon.

Shock loss usually appears in the first three months after a surgery, when it happens. I do not believe that the size (# of grafts) is related to the shock loss, as a hair transplant of any size can do it. Shock loss reflects your genetic timelines and often accelerates the timelines 1-3 years.


2013-04-17 12:58:082 Weeks After My 2800+ Graft Surgery, I Had Massive Shock Loss

2 years on minoxidil and finasteride (photo)

I often tell my patients that it takes 1-2 years to maximize the drug finasteride even with the addition of minoxidil. This man had the patients to hold the course.


2020-11-04 08:37:352 years on minoxidil and finasteride (photo)

2 years on finasteride (photo)

The photos show that you have nicely filled in the hairline and regrew some of the frontal hairs as well


2020-07-22 10:11:182 years on finasteride (photo)

20 Month Old With Possible Alopecia

I have a 20 month old who I am suspecting may have alopecia. Can you recommend a physician in the Chicago area who sees children and specializes in alopecia? Thank you for your time.

Look to the ISHRS website for a hair specialist, or even the American Academy of Dermatology for a listing. Best for you to consult your pediatrician as there are many causes of balding in young children that he/she should be able to treat and if necessary, make an appropriate referral to a competent specialist in the field.

20 Year Old Thinning Heavily After Stopping Propecia

Hello Dr Rassman,

I am a 20 year old male and have had some hair thinning in the front for about half a year.. I started propecia and stayed on it for a about a month, my hair thinned out even more and side effects were not worth it. Now 2 months after stopping treatment my hair is shedding like crazy over 200 hairs a day and the hair feels brittle all over my head. I searched through your blog but havn’t seen anything about this issue in my age range. thanks

My blog is full of recommendations to get yourself diagnosed. You need to have your hair mapped out for miniaturization, as I have said 1000 times before (perhaps even more than that). If you do not know what is wrong with you, how can you treat it? The miniaturization map tells what is going on and that comes about before you treat it.


2006-09-07 12:57:0120 Year Old Thinning Heavily After Stopping Propecia