Author: Dr. William Rassman

At your age, you might find that you could lose some of your existing native hair following the transplant. From the pictures, I see a low crown balding area which suggests that you might develop an advanced balding pattern in the long term. The use of the drug finasteride reduces this risk, but balding in men is progressive. Ask your doctor where your balding pattern might end up. Find out what your donor density is, so that some calculations of your reserve donor hair can be made now, before you start your transplants. Keep the hair transplants to the frontal area only, because if it goes into the crown, then you will be caught in a conundrum with patches of hair transplants in the front and in the crown will leaving you not normal looking. These steps will be the best approach to minimizing the risk of getting into multiple hair transplant surgeries as you lose more hair, which you should expect to happen. Your goal should be that just a single surgery will stand on its own and that is why I am suggesting that you only transplant the frontal area at this time.

Is it worth getting a HT? from tressless

You should get a HAIRCHECK test to find out if there is any loss that you can’t see in the top and crown area of your head. You need to know there is the possibility that you might develop hair loss elsewhere. I call this a Master Plan which every male having a hair transplant should have. You look, on the surface, to be a great candidate, but if the HAIRCHECK test reveals hair loss behind the hairline, it is something you MUST know (See: https://baldingblog.com/value-haircheck-bulk-measurements-two-patients-seen-today/)

My first question is a bit strange. I’ve been on Propecia for about 3 weeks now. And I believe I am have a side effect, though it’s not what I was expecting. I don’t even know how this is possible, but my Libido has become aggressively, distractedly active, to the point it’s almost detrimental. I can’t even focus on basic tasks since starting it because I’m horny like I’m 13 again (I’m 30). I don’t know if this is possible or if anyone else has ever heard of this happening. My semen has also become very watery.

One of my son’s went on Propecia (Finasteride) and found an increased sex drive as you reported. The water semen is common. I think that this side effect (increased sex drive) is more common than most people think; however, we focus more on those individuals who have a reduced sex drive and this is the complaint we hear about.

These results for three months looks goo. I would expect much more value over the next 9 months if you to stick to the treatment

I am 26 and I lost a lot of hair giving me a huge forehead. How many grafts will this take?

First, what I need is a frontal picture with your hair pulled back and your eyebrows lifted high so that your forehead creases. That shows me the anatomic point that allows me to determine the proper place of the hair line. Once I know this, I can give you a recommendation on the number of grafts you would need for a hair transplant. Keep in mind that fine hair takes more grafts than coarse hair. In addition to the picture, I would want to know the thickness of the hair in the back of your head.

Very nice results from just using minoxidil plus microneedling. The corner hairline was the focus and the arrow shows his starting point

It is impossible to know which of the three modalities produced such a nice reversal which seemed to have happened almost immediately after it started to get this hair length. It appears that the miniaturization reversed.

I have been to 4 different doctors about my hair loss and none of them gave me a diagnosis or treatment recommendation other than Rogaine. I am not happy with the results of the Rogaine and I want a solution to find out what is wrong with me and what can I do about it. Any suggestions you might offer will be helpful.

You most likely have some component of female genetic hair loss. I look at you and would ask: How can I help you if you came to see me. Assuming that your blood tests and medical history was clear of causes for hair loss, I would do the following:

1- Perform a hair transplant in the frontal 1 1/2 inches where there is clear balding

2- Perform Scalp Micropigmentation for the rest of your scalp where your hair is thinning as hair transplants don’t do well with thinning hair in women (see here: https://scalpmicropigmentation.com/smp-for-women/)

See if you can find a doctor who can do both of these processes. If not, consider coming to Los Angeles, as we do offer travel subsidies.