1.25mg oral minoxidil for 10 months
Amazing and complete reversal of frontal thinning on oral minoxidil. About 40+ percent of patients may be candidates for this drug. 
Surgeons say do not do a hair transplant because I am 24
I’ve been on Fin for 2 years, Rogaine for 6 years, and dermarolling for the past 4 months. Also been using Nizoral shampoo for like 3 years. Talked with 3 different reputable hair transplant doctors and they all said I am too young (24 yrs old) for transplant and that my hairloss seems pretty aggressive. I have diffuse hairloss and was told that my donor reserves are somewhat limited. With the current pattern I will probably end up as NW6/7. I feel like Fin/Rogaine had slowed it down a bit but it seems to be less effective then it use to be and my hairloss is starting to accelerate again. I’ve been thinking about doing PRP now. Any other things worth trying assuming money is not an issue? One of the hair transplant doctors recommended I switch from Rogaine foam to liquid since it absorbs slightly better. I’ve been on it for a couple weeks now and have had major dandruff. Hoping it will clear in a couple weeks otherwise I will switch back to foam.
P.S. I’m not looking for a surgeon to say yes. I talked with some of the best surgeons in the game, and they all said no, so i’m going to take their word for it. I will not go to some shady place to have a hair transplant.
I wrote a paper a bit over a year ago suggesting that when combining FUE (of FUT) with Scalp Micropigmentation, almost anyone can have a hair transplant (https://newhair.com/wp-content/uploads/2018/11/Combining_Follicular_Unit_Extraction_and_Scalp.98621.pdf). A try to teach here that everyone needs a Personalized Master Plan for their hair loss and that includes a hair transplant when appropriate. Although I tend to delay hair transplants on 24 year old men, to at least 25 or 26, if the balding pattern is clearly evident, I have often transplanted someone of your age provided that the man is (1) mature, (2) realistic, (3) has realistic expectations which I help set and (4) they have the financial means to complete what they started.
2020-12-17 02:35:432020-12-17 07:47:56Surgeons say do not do a hair transplant because I am 24
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.
I Had 3500 Grafts 3 Months Ago, Why Is My Donor Area Soo Thin? (Photo)
The donor area has been significantly impacted by FUE, suggesting that your original donor density was significantly less than what the number of FUE grafts could have supported. Your doctor should have measured your donor area density prior to doing FUE. The limits on FUE is related to your donor density, otherwise it produces significant scarring as this photo shows. If the donor area remains see-through, you should get Scalp Micropigmentation to fill in the missing spaces.
Zinc and Argenine for AGA and TE
https://pubmed.ncbi.nlm.nih.gov/33878855/
Conclusions: Based on our results, the combination of arginine and zinc tested in our study could represent a good therapeutic option for the treatment of AGA and TE and it might represent a valid alternative to finasteride.
2021-04-24 01:53:422021-04-23 08:56:27Zinc and Argenine for AGA and TE
Hair Loss Information – Balding Blog
Hi Doctor,
A lot of questions on here about initial shedding after a transplant, but my question is regarding transplanted hairs shedding years later, due to the natural hair growth process.
I noticed my transplanted areas have become thinner over the past couple of months. It has been almost 4 years since my surgery. It is well known that the hair growth cycle for hair is between 3-4 years, then they shed to make room for new hair. I was wondering since all transplanted hairs are relatively growing at the same rate or time period, should we expect periods of thinness every 3-4 years when these hairs are ready to shed again? In other words going through a shed similar to your first initial shed before the hairs started growing again. I hope my question makes sense.
Transplanted hair is permanent for most people. In the recipient area, the surrounding non-transplanted hairs may not be permanent and you will continue to lose those hairs. Years after a hair transplant you may be noticing the non-transplanted hairs falling. This is assuming there was non-transplanted hairs mixed in with the transplanted hairs.
If your hairs were transplanted on a completely bald area of your scalp and you are noticing shedding, this is not considered normal. It may regrow if you are experiencing telogen effluvium, which is a temporary hair loss that can occur at any time… or you could be one of those rare people who lose transplanted hair. I always look at the permanent zone when someone asks me about hair loss in the recipient area, in case they are losing donor area hair. Whatever happens to the donor area will happen to the recipient area. For example — in elderly folks, there is a condition called senile alopecia which reflects thinning of the hair throughout the head, including the donor area.
In a very rare instance, you may actually be experiencing permanent transplanted hair loss which I have seen possibly a dozen times in my 20+ years in practice. I don’t remember a cause of this to ever have been pinpointed in most of those patients and I wonder if I should be biopsying them when I see that problem, looking for diseases like diffuse alopecia areata.
this is my grandfathers brother. I don’t have a picture of his crown but from this picture could tell me please if he’s a Norwood 6 or 7? I’m praying you will say 6.
Without seeing the back of his head I can’t be sure but from the sides, it looks like a Class 7 pattern. You need a Personalized Master Plan with a good hair restoration doctor. White hair generally does very well with transplants, especially if it has a medium or coarse hair texture
2020-12-15 01:06:272020-12-15 08:34:26
1 year on finasteride (photo)
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).