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This is an unusual genetic condition. Topical Minoxidil may help, but reports are not well documented. When she gets older, try oral Minoxidil as it may have value. I don’t like using this drug in someone of your daughter’s age. For the readers’ education, the short anagen syndrome means that hair, which usually grows out about 3 years in a child at a rate of about 1/2 inch per month, has a short growing cycle that does not allow the hair to grow out long. If the rate of growth is a 1/2 inch per month, and the anagen cycle lasts two months, for example, the length of hair will be limited to one inch or so.

This man had a mustache transplant with the hairs placed pointing in the wrong direction. To fix this, each graft will have be removed and replanted

These dents are the result of constant steroid injections which causes atrophy of the skin of the scalp. This can be treated by injecting fat cells into the dents to rebuild the scalp infrastructure. Hair transplants, if you need them, fix this problem nicely.

I tell eveyone of my patients about PFS as a remote risk that they take if they go on finasteride. I am also quick to address the earliest symptom of ED so I have never seen this in the 20,000 or so prescriptions I have written despite the fact that I have seen ED in about 2-4% of my patients. Doctors who believe that this is a real syndrome tell me that they don’t see it because they tell their patients to stop the medication with the appearance of ED.

Post-finasteride Syndrome — My Story from tressless

I’m 25 and I have a Norwood 2 and I’m just wondering at what age is your final Norwood apparent or predictable?

For most men, hair loss patterns can be picked up by the age of 26 with proper tools (Microscopic imaging and micrometers); however, this is not a 100% rule as I have seen men start their balding in their 30s, 40s, and even in the 50s.

The pictures show that you were probably thinning in the area that is now devoid of hair, so the cause is likely due to the progression of the hair loss into the sides. Another hair transplant into this area will solve it; however, be careful that your doctor does not over-harvest your donor area or you will have a new problem – a see-through donor area with possible donor site depletion as shown many times in the RealSelf posts. Your donor density must be close to its harvested limit with an FUE procedure (assuming that you had an average donor density prior to your FUE transplant) so a strip surgery may be safer. You should make sure that your surgeon measures your donor density prior to making the recommendation for FUE or strip surgery.

So Im 26 now. My hairline is good, and I have no visible balding, but I noticed (since im growing my hair long) that I would lose more strands of hair in the shower than norm. In fact my first dermotologist just looked at my hair and told me Im not balding. Decided to get a second opinion, went to a very qualified dermo, had a scalp biopsy, and it turned out to be aga, and she told me I was lucky to have discovered so early, due to the fact I have no visible balding, or recessed hairline. Basically, caught it before any visible damage was done. I was prescribed finasteride, as well as a 7% minoxidil liquid.

My question is, with how little hair loss I have, would I be fine to just take the finasteride daily and ignore the minoxidil? I find the application of minoxidil extremely annoying and uncomfortable, especially since I have shoulder length hair now.

I would recommend that you get a HAIRCHECK test to find out if you are actually balding (losing hair). If you’re not losing hair by this test, starting on a drug for life based on a biopsy alone make no sense to me. See here: https://baldingblog.com/24-year-old-male-receding-hairline-no-change-hair-loss-past-year-haircheck-test/

There is no difference between the two techniques – FUE or strip. Unless you want to wear your shave or cut your hair closely, then an FUE may be the procedure of choice.

With a good surgeon who offers both and uses modern tools, the FUE is as good as the strip surgery or visa versa.

Take a look at this video as it may help you understand the differences better: https://youtu.be/koPZdjdO4Ng