1 year on finasteride (photo)

This man shaved his head so that he could tell the benefits of finasteride better with photos. He had restoration of much of the crown and some or the frontal hairs. This is not unusual in most men responds better in the crown.

10 Days After Hair Transplant (with Photos)

This patient had 1461 grafts just 10 days before these photos were taken. There is only a small beard and no real problem hiding that he had hair transplants as I comb my hair foward. In this way there is a canopy covering the frontal hairline. As with any surgical procedure, there is some visible redness (the degree of which varies per person), but this will subside more in the coming days. So many men expect that the post-operative patient will show deforming holes in the head. Note that there are no wounds evident, just a beard.

Click the photos to enlarge.


2007-03-21 11:11:0010 Days After Hair Transplant (with Photos)

1 Week After Transplant, I Accidentally Hit My Head

i had 1200 graphs put in one week ago. after reading your blog, i wish i had done them with you. i was planning on another 1500 or so in my next procedure and i will come see you first for sure. so you will be seeing me about 12 weeks from now. unfortunately, today i was getting into my car and hit my head on inside part of my car door. ( again i am one week post op) i hit it relatively hard…when i reached to see if there was bleeding( i hit in the area of my recepient site) it was bleeding. I did not stop bleeding for about 35 minutes. Did i likely dislodge new transplanted graphs as well? The cut is about 2 inches long, not very wide not too deep. After one week am i likely to have dislodged graphs? i did not see any follicles, but you never know? your opinion?

It is difficult to answer your question without examining you in person (you’re in Los Angeles — we’re in Los Angeles). That being said, the hair grafts are generally considered permanent after the first couple of days. It is very, very difficult to dislodge a graft after they get set-up and I have seen people get lacerations of the scalp from accidents at about 1 week and when I examined them, all of the grafts were intact and in place (unless they were inside the laceration itself). If you did not see any grafts, you probably did not do any significant damage. However if you have a cut on your head, you will get an inevitable scar and hair may not grow on the scar.

If you do decide to make an appointment to have your injury looked at, please mention this blog entry to me (or to Dr. Pak, who is a contributing editor to this blog).

10 year Japanese Study of Finasteride use

This graph taken from the article below, tells us a great deal about long term finasteride use by pattern of hair loss. Look at the stabilizing effect on the progressive nature hair genetic hair loss once the pattern has been achieved (about 5 years into the study). It appears that many of the less advanced patterns of hair loss, have even gained some hair over the 10 year study.

Source: https://www.oatext.com/Long-term-(10-year)-efficacy-of-finasteride-in-523-Japanese-men-with-androgenetic-alopecia.php

1005 Grafts To Thicken the Hairline (with Photos)

First of all, let me thank you and your technicians and please convey my appreciation to the GREAT job they did in placing my grafts and for the fabulous technical job on my hair. I believe my regrowth was close to 100%. Grafts are very firmly rooted with no weak hairs that lie flat that I know of. I saw substantial new growth between the third and fourth months…I’d say from then up to six months when it was pretty much done. The grafts are very natural looking in the sense that texture and thickness is indistinguishable from other hair.

I’m extremely pleased with the appearance of the hairline and how the temples have filled in…it works very well with my features and the shape of my face…really well done on your part. I pull probably twenty-five white hairs from the first inch of the hairline because they look a little unnatural amongst the black hairs…I think it’s just the low density overall that makes it so. I just wish I had a spare three or four thousand hairs to throw at it!

The downsides? I now have more gray hairs around the scar line. The sutures took a long time to dissolve and were quite irritating. The scar line itself healed well but it’s still a scar line.

OK, I’ll stop by at some point so you can take a look in person…until then Best Wishes!

Sometimes we get great results with less hair than we would have liked to use, because of donor supply limitations. His surgical history is that he had 1600 grafts from us in 1996, then 1900 grafts from another well known clinic, and finally another procedure of 1005 grafts with us 2 years ago. The before photos presented below are from just prior to that surgery in 2010, and you can guess to how his hair loss progressed over the years to that point.

The after photos were sent to us by the patient, so the quality, size, and lighting are all different from the before photos. Click to enlarge.

After (1005 grafts):

 

Before:

 

1.5 months on finasteride (photo)

Thanks for lifting your eyebrows and allowing your forehead to show the creases. 1.5 months is too early to see results but there are small hairs on the left side which appear stronger than they were in the before picture so this is a hopeful sign.

1 year on finasteride (photo)

This is a predictable response for finasteride. This drug works best on the crown and it is more predictable with response in the crown when compared to the frontal area. The older you are, the less responsive the frontal reversal will be.