Author: Dr. William Rassman

A picture is worth 1000 words. You can actually see where the new hairs are because they are short. The mole shows that the hairline has advanced.

Great result from the combined use of finasteride and minoxidil

I am 37 years old and had this balding for 10 years. I started using 1 mg PO finasteride daily 1 ml topical minoxidil twice daily 1 biotin vitamin daily, Saw palmetto shampoo, plus 0.5 mm micro needling at home 2-3 times per week.

I would increase the microneedling needles to 1.25mm and reduce the treatments to once a week. That depth gets to the stem cells that control the growth of the follicles to react to the wounds. You also might consider switching to oral minoxidil. Speak with your doctor. The photos suggest that the stem cells are still there and alive, so push the depth of the microneedling t where the stem cell reside.

This is a spectacular photo showing the early hair growth in a 22 y/o male taking finasteride on the hairline in just 6 weeks (early growth shown with arrow)

Amazing response in just 6 weeks from oral minoxidil and oral finasteride. I expect that in 6 months, you might have your hair back. It would have been nice to see more pictures of you from different angles.

A hair transplant in one session is never normal hair density for the size of the area you are transplanting. You can see it by looking at the lack of density of the grafts, but in your case, the area covered could have had more grafts. I don’t like the line-up of the hairs that were transplanted as they should have been more randomly placed. Your grafts were placed far too orderly for me but another hair transplant with more random placement of the grafts will solve this problem and give you more density. If this is the way your doctor does his transplants, I would look for another doctor.

Donor hair that is taken never regrows as it is lost forever. More than 6000 FUE grafts is a very large number of grafts which suggests that your donor area might be depleted and you will have a thin look in the back of your head.

My comments are as follows:

1. He has a risk of developing necrosis on the scalp recipient and donor areas. The look immediately after surgery doesn’t tell much about what it will look like in just a few days.
2. This man almost certainly will have balding on the side and back of his head at the donor area in most men will not support 6100 grafts and leave enough hair for coverage purposes.
3. I wonder how many of these grafts will actually grow

Somehow, either the Black Market folks who did this surgery or the patient thought that these large numbers of grafts would create a great head of hair. I would be surprised if it did.

Telogen Effluvium is the medical term for acute hair loss that sometimes returns. The return reflects the hair cycle for most women of your age, which is relatively shorter than when you were younger. 50% of postmenopausal women have genetic hair loss from the mother’s side of their family. If it does not reverse in a year, consider a cosmetic solution that is often performed in postmenopausal women who have hair loss called Scalp Micropigmentation. Stress can induce genetic hair loss in women of your age which may not be reversible. (see: https://scalpmicropigmentation.com/smp-for-women/)