No, Dandruff is common and more pronounced after a hair transplant because skin turns over more frequently (skin shedding). If you are concerned about the growth and you are at least eight months since the surgery, then go back and speak with your doctor comparing your expectations to your doctor’s expectations.
Dr. Rassman, I think you are running a brilliant blog. After reading several posts, I am encouraged to share my own views and ask a question. I recently got a FUE megasession done in Europe and am pleased with the results, atleast till now (just 2 weeks post-op). While going through this website, I personally felt that it would be a great idea to start a new category called ‘Post-Operative Care’ since I am going through this phase myself and can feel the need to interact with others out there on the topic. Don’t worry, I don’t think it will scare away any prospective patients. It will only lend credibility to the transplant procedure.
On that note, I also have a question. I am using Minoxidil 5% to help with the growth of new hair. But my scalp in the recipient area shows considerable dryness / development of flakes when the scalp is dry. I was recommended to apply a hydrating lotion on the scalp. Would you agree with this advice and can you recommned a good hydrating cream /lotion meant for hair?
Thanks in advance.
Thanks for your kind words and for the new category idea. I’ll add a Post-Operative category now.
The results of the FUE will take 5-8 months to show, so then and only then, will you know the value of what you had done. Minoxidil does cause dryness and flaking. Any non-alcoholic creams will work. Also, try a variety of hair conditioners as well. Take risks until you find the right one. Ask your hair dresser, as they may know the best that is available in your country.
Dermrollers seems to work on some dedicated users.
2019-10-14 12:55:172019-10-15 05:03:53Dermaroller Success Video (from Reddit.com)
I wanted to say that my wife is 8 months pregnant and I have been on fin for ~ 16 months.
so dr? i interpret from your blog that 5a reductase is responsible for MPB and sensitivity of the receptors have nothing much to do with such catastrophe?
Male pattern balding MPB is not a catastrophe. It is the cards that we are dealt when we are born just like the color of your eyes, shape of your nose, or the way you look. As stated in numerous posts, GENETIC inheritance is responsible for male pattern balding.
One of the mechanism of this genetic predisposition we know of is dihydrotestosterone (DHT). There may be other mechanisms other than DHT but it has not been discovered.
Scientists have found that if you block DHT, male pattern balding can be altered/ halted/ slowed/ temporarily reversed. Male pattern balding is not curable but it can be managed with drugs or surgery.
Blocking DHT is accomplished (as we know it) by slowing down the production of DHT. This is accomplished by inhibiting an enzyme called 5a reductase. 5a reductase is responsible for producing DHT from Testosterone. I suppose there may be another way to block DHT by blocking the receptors for DHT (not the enzyme that produce DHT). This will be new type of drug – yet to be discovered. Another drastic way to address MPB is castration to stop most of the testosterone production thus stopping most of DHT production but this will be drastic.
My point here is that it isn’t about DHT or 5a reductase. It is a genetic issue. So for those looking to completely block DHT with stronger medication such as Dutasteride (Avodart), it does not work as one may hope. Mainly because (I say again) it is a genetic issue. Another way to put it is that if you do not have the genes for MPB, you can have a very high DHT level and you will not be bald.
I have MPB which has hairs receding from temple region.I went to a dermatologist today and she said even if you do hair transplant, the hair in the middle section of your head will continue to fall. So she said take Finastride 1mg every day for 3 months along with mintop 10% twice a day everyday and vitamin 3 tablets. Also she said she would do PRP once a month for 3 months which will most probably bring some hair back in the temple region.
I would like some opinion on the medications that she has given and the PRP. Please help.
When it comes time for a hair transplant, the drug finasteride will usually protect the native hair including the miniaturized hairs on the head. As far as PRP, I have written about it here: https://baldingblog.com/go-looking-prp-used-hair-transplant-good-thing/. Minoxidil is a good medication, but 10% concentrations tends to produce more side effects than the traditional 5% and 10% it is not a standard dose.
2021-08-13 01:36:572021-08-08 20:47:28Preventing hair loss after a hair transplant
Hi.
I seem to recall reading a message of yours where in a reply to a reader you mentioned that you personally discontinued your usage of finasteride. You felt it had stabilized your hair loss.
What confused me is that you seemed to imply finasteride stabilized your hair loss and you could thusly stop treatment. (or at least chose to and wasn’t any worse for it). It was my understanding that hair-loss will always resume once treatment is discontinued. Is this not true? Or did I misunderstand your message?
Thanks.
You’re right that once you discontinue Propecia (finasteride 1mg) treatment, your hair loss resumes. For me though, since I originally had crown loss, I tried finasteride to see if I could increase the hair in the crown. At that point, my crown was clearly stable and I did not gain anything from the finasteride.
Considering that I was about 60 years old when I started taking the drug, I probably had as much hair loss as I could expect for my age. There are advantages of being a senior besides discounts in the movie theaters and on public buses. I hope that clears up any confusion!
Doctor, you mentioned in one of your recent posts that you supply one bottle of Progaine Shampoo to your patients after the surgery. I use Progaine a lot but can only find the Progaine Volumizing Shampoo available. The other Progaine products do not seem to be available at this time over the internet or in stores. Do you know why only one Progaine product is available at this time? When would the other products under the brand name be available again? If you could provide any information, it would be appreciated very much!
Progaine is just a volumizing shampoo like any other volumizing shampoo. It does not grow hair. There were other formulations, but I believe they’ve been discontinued. I just did a quick search online and you’re right -only the volumizing shampoo seems to still be for sale.
But… um… I must’ve had a temporary memory lapse when I said that Progaine was what I give to patients after their hair transplant surgery. I used to provide Progaine, but for years now I’ve provided GraftCyte shampoo (which contains copper peptide to promote better healing). You can find more info about that here. Sorry for the confusion!
2009-06-12 12:34:082009-06-12 12:34:10Progaine Shampoo
Dr. Rassman,
I am a 23 year old male. I recently began using Rogaine and Nioxin because of hair loss, but stopped after about 3 weeks because of severe itching/irritation. One of the products (not sure which since I stopped/started them at the same time) has given me dandruff. I have never had this problem before in my life. I would like to know if this is a common problem with either of these products, and if so how long will it persist? Indefinitely? Also can dandruff cause hair loss? Thanks so much for your help.
Your scalp irritation or dandruff may be from either Rogaine or Nioxin as both of these may irritate or dry the scalp. Since you started them at the same time, it is impossible to tell. I have heard on occasion that Rogaine (as with any topical medication / shampoos / lotions / etc) can cause significant scalp irritation.
Dandruff does not cause hair loss. If you have dandruff you may consider using an anti-dandruff shampoo or seeing a dermatologist.
2007-08-31 12:34:492007-08-31 12:34:53Did Rogaine Give Me Dandruff?
I am 27 year old Male. I have diffuse thinning of hairs. There is no bald spot yet and i can hide my thinning with thickening shampoo. But thinning became quite visible when my hairs are wet or oily. I have been using 2% Rogain for past 2 years and it helped in hair loss. But thinning continues.I want to move on to Propecia but recently i read about articles of its effect on semen. I will be getting married in a year and want to have kids in near future. Will it be advisable to start Propecia? Is any of your patients became father even on Propecia ? Any advise will be helpful. Thanks
There have been questions raised on the relationship between low sperm counts or fertility issues and the use of Propecia (finasteride 1mg). While there is no clear evidence that there is a direct relationship, there are reports you may find on the Internet that may justify such concern. The best advice is to speak with your doctor about your concern before starting any medication and consider your risks and benefits.One thought is to have your sperm count and your fertility tested before you start the medication. This is what is often missing in all the case reports. I do not know of any of my patients with this issue and I’ve known many patients (on Propecia) who married and had children.
