This was a complication arising out of a hair transplant performed by unskilled technicians in Turkey. The patient most likely was a smoker. This complication is called ‘Necrosis’ which means in this situation, all of the skin in the area that is now an open crater has died. Fortunately, he either sloughed off the dead skin or a surgeon removed it. I will eventually heal with a huge scar and transplants into the scar may correct the defect after everything has settled down.
Hi Dr. Rassman,
If Finasteride has a half-life of only 5 hours, how can it be so effective at stopping hair loss? If we take 1 mg or 1.25 mg of it, it would be pretty much out of our system before the end of the day. Does only a small amount of it prevent DHT from being created? Is it’s efficacy only dependent on a miniscule amount being present? Why is taking 2 doses per day not more effective than 1? And also, what are your current thoughts on what time of day to take it?
Just because a drug’s half life is 5 or 6 hours does not mean you need to take the medication according to its half life. Although half of the drug is out of the blood stream in 5-6 hours, some of the drug remains in the tissues for as long (possibly) as a week or so. Doubling the dose was not shown to be effective for better response in the original tests for Propecia.
In addition, the drug has been tested at different intervals and different doses, with trials determining that taking it once daily was just as beneficial as twice a day for treating hair loss. The best time to take Propecia is when you can remember to take it on a consistent basis.
Normally, I tell my patients that finasteride is a lifetime commitment. It takes about a year to see the benefits. Some see it earlier and a few see it later. Most people will find that it slows or stops the hair loss as opposed to reversing it. The younger you are when you start it, the better is the result so men who start it in their late teens probably see less long term balding than men who start it in their late 20s.
2020-01-01 04:00:412019-12-11 09:24:29If I take Finasteride, What Can I Expect?
It has been 2 months since the hair transplant and now I have pus all over the graft area. What shall I do? Will it harm my hair transplant? I live in New York and went to Turkey for the transplant so my doctor can’t see me unless I fly back there.
Yes, pus throughout the recipient area is a problem and it can harm your eventual graft growth. With your doctor out of the country and inaccessible, you should find a local hair transplant doctor or a local dermatologist to get it treated ASAP. After an examination and a culture of the pus, the doctor will treat it with an appropriate antibiotic.
2020-07-03 03:59:302020-07-02 07:59:48I have an infection, will this harm my hair growth (photo)?
I am a male and started to loose my hair when I was 18 yrs old and now I am 78 yrs old and have male pattern horseshoe shape baldness. I hate being bald. is there any solution for me? thank you
It’s never too late! I have performed hair transplants for men in their 70’s and 80’s. Here are two patients off the top of my head that have had surgery in their 70s:
2008-06-09 10:33:352008-06-05 13:40:32I Am Bald at 78 Years Old — Is There a Solution for Me?
I’m in a bit of a predicament now. I can feel my hair getting thinner over the past year, but visually, my hair density still looks somewhat the same as before. If I were to take a picture right now, no one would even suspect I’m thinning because I still have a full head of hair. In fact the dermatologist I visited just took a look without using a trichoscan thought I was crazy and just prescribed me Minox unwillingly.
From what I have seen here, almost everyone hopped on Fin only when they start to see visible thinning. I haven’t come across anyone who has a head of hair on Fin. Despite people saying that prevention is the best, it seems that people only start medication once thinning becomes noticeable?
Finasteride has been shown to slow hair loss significantly when compared with men who didn’t take it. The spread between the two groups last years, showing that people who lose hair on finasteride lose it slower than they would have had they not taken in. Another way to look at it is that men on finasteride kept their hair longer over more than a decade than men who didn’t take it. Here is the graph that shows this: https://baldingblog.com/5-year-growth-plotted-with-propecia-compared-to-control-group/
The photos show a lot of miniaturized hairs behind the hair transplant. I would expect to see hair loss behind the hair transplant unless you had been prescribed finasteride. Even with that, your hair transplant probably didn’t extend far enough back to cover the area of what appears to be advanced thinning. Hair loss here will not come back.
2020-06-02 04:00:452020-06-01 03:47:04I Am Losing My Hair Within a Week of My Hair Transplant (Photo)
Great Question! Your final pattern is the pattern you inherit from your family (mother or father’s side). The drug finasteride will slow the transition to balding. However, it depends on the effectiveness of the drug in your situation. If your father and grandfather on both sides of the family had a Class 7 pattern, then it is likely that will also be your pattern. If you have great donor density, then it is possible that hair transplants can solve your balding problem as I have done in many Class 7 men with average or higher than average donor densities. You should find a great doctor who specializes in this field and build a Master Plan with that doctor so you can manage your hair loss. You will not be a hair transplant candidate until the age, at least, of 25.
Will my hairline recede to a NW7 if I use fin? (MPB at 17) from tressless
2018-09-09 11:16:052018-09-14 09:09:36Will My Hairline Recede to a NW 7 If I Use Finasteride? I Am Now 17 and Starting to Bald. (from Reddit)
