Author: Dr. William Rassman

June 2021 vs. today (11.2.2022), 1.5 years on 1mg fin every day, Niz 3x per week, and 1 month on 2.5mg oral min every day.

Nice improvement. Stay on your routine and it will only get better. It may take another full year to see more value of what you are doing and it is even more likely that it will get better if you add weekly microneedling to your routine. If this is not enough and you are over 25, then a hair transplant will give you a normal hairline, something to consider.

Wonderful results. You have possibly used up half of your donor supply or more depending upon your original donor density. From the photos, it looks like you have a Norwood Class 4A pattern and the A patterns are great because it is likely that even if you lost all of the hair in that pattern (a Norwood Class 5A pattern), you would still have enough hair to cover the new balding areas; however, for others who are not so lucky and don’t have a Norwood A pattern of balding, so many grafts placed in the frontal triangle would leave them devastated with not enough donor hair to fill up a Class 5, 6 or 7 pattern. Keep in mind that a Personalized Master Plan is needed to not only treat the present balding pattern with a hair transplant as you have done, but the worst pattern that you might develop so that you will always look normal and hairy.

This is a fantastic turnaround. I would not have expected this growth in 3 months on finasteride and oral minoxidil alone. I would expect that he will grow more in the next 3-9 months, and he can, if he wishes, take advantage of it and let it grow out. Click to enlarge

 

 

 

This is a great result in a patient whose hair was very sensitive to finasteride and got a great result.

I’ve been soaking and massaging twice a day per my doctor’s orders. I’m on day 5 now and quite a bit of scabbing has come off, but there’s still some left to go. I’m being gentle and no bleeding at all, so I’m just going to keep at it.

It is tricky to get scabs off at 5 days as the grafts get attached under the scabs so when the scabs come off, the grafts can be pulled out. The risk goes away at the 12th day. Read this article I wrote with Dr. Robert Bernstein: https://newhair.com/wp-content/uploads/2018/11/mp-2006-graft-anchoring.pdf

I’m a 47 year old female. About 7 months ago, I noticed a thin spot on right side of my hairline, then a few months later, the left seemed thinner. It’s my underneath area, temple up to the sides of my widows peak. It seemed to be rapid because last summer I had full hair there. I’m so upset. I don’t know if it’s from my father or hormones. I have no prior hair loss. I don’t know when it will stop or if I need minoxidil. I’m taking stinging nettle and pumpkin seed oil. My thyroid seems ok but I have not checked my iron levels but because it resembles a bit of a male pattern. I wonder if it’s too much DHT. Please help.

Women are complex when it comes to hair loss as there are many causes that require an expert to evaluate. It takes many blood tests and a good examination by someone like me. As women get close to menopause, hair loss problems increase as estrogen levels in your body drop. Estrogen is the protector for good hair, so when menopause occurs, some women experience genetic hair loss. See an expert.

Some doctors just push numbers to make money when they do FUE grafting. I believe that this is such a case I picked up on the internet which shows some patient victimized by too many FUE grafts. The only options to treat this is with Scalp Micropigmentation, a tattoo for the donor area something we do all the time. Overharvesting to make money, is as immoral as a doctor can get. This was a woman who from the pictures, did not have much hair loss and fully 80% of women have miniaturization in the donor area which will absolutely cause this problem, This picture is one months following the FUE surgery and I suspect that there will be little growth and she will be bald in the back of her head.

Can Prolactin in a Male, Like a Spike over 6 months caused by a medication cause some loss? I’m curious. I still have a full head of hair, but was wondering about that.

Elevated prolactin levels in association with diffuse or androgenetic hair loss can be neglected as causative for the hair loss, because there is no evidence that they have an influence to the pattern

I recently turned 46, and I’ve been damn lucky with my hair. Around 5 years ago, I wanted to change my hairstyle to go more forward, rather than back. I was 41. I noticed that when styled more toward my forehead, my hair looked a little stringy. I initially thought it was just a bad haircut. Upon closer inspection, the individual hairs/follicles appeared to have gotten thinner at the front of my hairline. Probably further back as well, but I have enough coverage that it’s harder to notice. There has also been some recession of my hairline (maybe a quarter of an inch), although not much, and happening extremely slowly. It’s difficult to tell a significant difference in photos from 5 years ago to today. The top of my head/crown is still full; no bald spot at all, just the cowlick I’ve had since I was a kid. At 46, does this just sound like normal aging, or is there something to be concerned about?

The things to try would include (1) oral minoxidil, (2) oral finasteride, and (3) microneedling. If these don’t work, then at 46, a hair transplant is the best option, and it will work, provided that you get a competent doctor. Your hair loss is likely to have been present for more than 5 years. The combination of all three drugs should be tried first unless you decide on a hair transplant, which is no fuss and with a good doctor, and best of all, there is no uncertainty.