These photos show the gradual regrowth of the hair at the hairline on finasteride and minoxidil over a 6 month period of time

This is another great result on a person who appears sensitive to both minoxidil and finasteride. Reversal is more common when hair loss was in the past couple of years.

Frontal reversal is less frequenty than crown reversal. Nevertheless, this man achieved almost complete reversal of his frontal hair loss suggesting that the loss may have been more recent.

The only way a hair transplant is normal looking after it is performed, is to transplant the natural growing groups that hair normally grows in, in their anatomical groups, i.e. the follicular Unit. The average Caucasian averages about 2.2 hairs per follicular unit and the typical human has approximately 50,000 of these follicular units on their entire scalp. So if the average hair count per follicular unit is 2.2 hairs/follicular unit, then the typical Caucasian man has approximately 110,000 hairs on their scalp. For the typical Asian, the follicular count remains at ~50,000 but the average hair count per follicular unit drops to 1.9 hairs/follicular unit for a total hair count of ~95,000 hairs. This is an average, but the range could be wide ranging from 75,000 hairs – 120,000 in any given population.

This is a picture of a 6 hair follicular unit (rare in most people) but worth showing because it shows new hairs in their growth phase. Notice that two of the hairs are shorter than the other four (marked with arrows). These are new anagen hairs growing into this follicular unit increasing the visual hair count by 1/3rd from 4 to 6 hairs. That means that possibly a few months before this follicular unit was excised, it probably had only 4 hairs that were visible. The two new anagen hairs arose from stem cells within the follicular unit. It is likely, that if we allowed this to grow (and were able to follow the hair count in this follicular unit over a year or so), the hair count may actually drop as some of these longer hairs (terminal hairs) may actually turn into their sleep phase (telogen).

These two photos show two different men responding to finasteride, 6 months on the left and 4 months on the right. This shows the value of this drug for many young men.

Again and again we are seeing results from 6 months of microneedling and I suspect as in this man the addition of minoxidil helps move it along. Possibly if he keeps it up, it may get better and better. This man said he got a good result on his hairline. I am surprised that he didn’t get more growth on the crown.

This man shows the value of the combination of both finasteride and minoxidil

l

June 10th marks 6 months since my 1200 FUE graft HT on my temples (lowered hairline as well slightly). The transplant hair is growing in slowly but surely. Unfortunately, I have significant shock loss on my native hair surrounding the transplant hair. Much of this has not grown back yet. Specifically, I have shock loss in the front hairline area and behind my right temple where grafts were placed.

I met with my doc last month, and she boosted me from Fin to Dut to help with growth (I have no sides from either-yay!) She also remained steadfast that all my shock loss hair will grow back, it just takes time. However, part of me wonders if I should really believe her, if she thinks it will really grow back or if she is just saying that.

Finasteride is best taken before the hair transplant as it often prevents the loss of the native hair. Unfortunately, after you lose your native hair and then take finasteride, the effect is heavily muted. I always offer my patients finasteride before I do a hair transplant to avoid this problem. You should wait a full 8 months to see the results of the transplant and then reassess your situation.

I am 6 months and 10 days after my second hair transplant and I am very satisfied with the result, I am starting to behave as if I had not done a transplant seeing myself very well, so I am no longer taking the typical precautions, for example today I have taken sun and unfortunately I have not put sunscreen on the head nor cap. The sun was strong enough today and I took it for about 2 hours, I am now seeing that a red blotch has formed on the upper part of the forehead just before the hairline, but NOT on the skin, that is right where the hair starts. skin, in that point, looks white perhaps because there are so many hairs now that have protected the head from the sun. This red stain on the upper part of the forehead clearly scares me a lot now though, even if it doesn’t burn. I am reddened in that point but I don’t feel burning. The questions I wanted to ask are: at 6 months, a possible sunburn of this type can make my hair fall out: the hair regrown until now with the second transplant? Or could it compromise the growth of future hair?
I would like to understand if at 6 months I can behave as if I had not done a transplant or if there are still precautions to take, thank you very much. I hope in your answer

Don’t worry. Just be more careful in the future to use a hat or a skin blocker. The skin from the transplanted hair came from the back of the head which never saw sun, so this skin has to get used to sun over time, so take it easy and use a blocker to allow the time for a transition.

The issue at hand is not the blood levels achieved. A dose of 5mgs runs heart risks not worth taking for a healthy man. The point is at what level will the hair effect happen. The answer is a 2.5mgs daily, good results are seen and it is safe from severe cardiac side effects which is very rarely reported.