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Hey, Dr. Rassman. Thank you for checking in. Unfortunately (or, perhaps, fortunately, in that I have an answer) I was diagnosed today with lichen planopilaris. It seems worst case in a way, but again, I’m relieved to have an answer. Starting injections soon. I’ve finally found a good dermatologist that was willing to take a biopsy and didn’t just prescribe finasteride at the first mention of “hair loss.” Thank you for perusing this subreddit and helping people out. If we’re here, we’re miserable, and it’s good to have someone here who will listen and give actual advice. All the best, and happy holidays to you and yours

This is becoming more and more common in younger men and men of all ages. We used to think that this was a woman’s scalp disease and now we know better. You must get a good doctor when you treat hair loss, as this man struggled to get the proper diagnosis. If he was to be transplanted by some over-zealous hair transplant surgeon, it would have failed because the disease that took his hair away would have done the same thing to his hair transplants.

It looks like a lot of us are going to be going into lockdown for the foreseeable future, which means a lot of us aren’t going to be getting enough Vitamin D. Now, Vitamin D does have a proven link to hair growth. It’s not going to stop AGA but it’ll help keep some of the thickness and generally just make us feel healthier in these times. Stay safe

If you live in cold climates, have to stay indoors for a long time, don’t have a tan, then taking daily Vitamin D supplements may be a good idea for your hair. Vitamin D only works in the presence of a Vitamin D deficiency.

I have been transplanted twice. Both times, this bald spot, which was transplanted, didn’t seem to take the grafts and grow out like the rest of the hair.

You most likely have Alopecia Areata. This condition will cause the hair to fail to grow in an active area of the disease. I recommend that you see a dermatologist. He will look at it via microscopic examination and possibly find ‘exclamation hairs’. He will also perform a biopsy to confirm the diagnosis. This is a critical step for you because this disease can get worse.

I’ve taken steps to combat hair loss that I’ve been experiencing since about 20. I’m 23 currently, and about 2 months in the big 3 + Dermarolling. Recently, I’ve been experiencing shedding of very thin and small hairs. Is this a positive sign that they are going to be replaced by thicker hairs? Lastly, is there any signs of regrowth on my hair pics above? I’d like to say I see small progress for 2 months, but it could be hair length factors/lighting.

You have to wait a full year to see 80% of the value of the drug Finasteride. Sometimes, shedding is reported for the first two months as in your case. I don’t think that the Dermaroller adds value. You could add topical Minoxidil nightly to accelerate the effect. At your age, this combination of medications should work.

I doubt at 35 year old that you are regrow that corner hair. A hair transplant is ideal with your hair color because of the low contrast between your blonde hair and skin color. If this is all the hair loss you have, you might find that you will not develop an advanced balding pattern because there would be evidenced by the age of 35.

I always talk about the “tug of war” between the drugs, like Finasteride, on one side, and the balding process (which is progressive in all men) on the other side. Sooner or later, the genetic balding will win the war. Working with a good doctor may help you get around the problem. The use of oral Minoxidil is commonly used and can be very effective, but you need a doctor to monitor it.

Propecia for 2.5 years, no shedding/sides. Hair still thinning away… do I have any options left? from tressless

This is a scarred scalp and it will have to be evaluated by a hair surgeon to find out if this should be transplanted or treated in other ways. The wounds still look fresh and I would want to see everything healed before making recommendations for a hair transplant or other treatment modalities

Some men are very sensitive to minoxidil.