Effectiveness of finasteride & serum Testosterone levels

These two classic article cover the dose effectiveness of finasteride ranging from 0.1mg to 1mg daily as well as the serum testosterone effects from this drug

https://booksc.xyz/book/17840978/d696b4

https://booksc.xyz/book/17840977/b2aead


2020-12-07 08:37:41Effectiveness of finasteride & serum Testosterone levels

Scars from Strip Harvesting Surgery

I have a terrible scar from a previous hair transplant in the donor area. What can be done about it?

If you find that you have a scar from your donor harvest that you find is unacceptable, these options need to be discussed with a competent doctor. The scar often has ridging from the nature of the closure and that will be determined by the doctor who evaluates you. Scars from the donor area are not uncommon and when the surgery is done by a competent surgeon doing standard of care work, scars may still form and be the result of the way your body heals. The treatment of scars are as follows:

  1. Do nothing
  2. Perform a scar revision with a surgeon who can do trichophytic repairs and use ACell in the wound to give you the best opportunity to heal it.
  3. Have FUE into the scar. This can fill in the scar, but hair direction may not be controlled by the surgeon, making the results often disappointing. Two sessions into the scar may be needed.
  4. The use of Scalp Pigmentation has been a significant breakthrough in our hands. Risks include change of color (unusual for the back of the head where hair covers the pigmented area protecting it from the sun). This will not address any ridging in the scar area.

Empress Re-Gro

im a 28 year old black male, my temple area is getting real thin, what do you recommend a couple of sites said, “that provillus and empress re-gro hair is good for black males.” What do you think? or any these products any good and/or effective? Do you know a better treatment? Thanks.

Empress Re-Gro contains 2% minoxidil, and just like so many of these hair loss products you see advertised constantly, if there is a benefit to your hair, it usually comes from the minoxidil (which is FDA approved).

I can not recommend what to do for you, as I do not know what problems you are facing. Many people are driven by what they see on the TV informercials, which are heavily exploited by Provillus and other potions and lotions. Black people have the same characteristics that produce alopecia as white people, so when one product pushes its value for black people, I would generally run away from it.


2008-05-20 15:31:15Empress Re-Gro

Seborrheic Dermatitis and Hair Loss

Hi Dr.I wanted to follow up with you. I wanted to let you know what I’ve found out after three trips to my primary care doctor. I gave blood twice and had it checked for thyroid, full panel scan, cancer and HIV to name a few. Plus chest x-rays.I have all normal levels and no HIV. I’ve been diagnosed with seborrheic dermatitis on my face and scalp. When I started using the brow conditioner is about the time my eyebrow hair started falling out. The areas it was applied, started flaking bad. I am still having hair loss in my eyebrow and some on my temple areas with itching. I hear hair loss is normal with seborrheic dermatitis? I notice the eyebrow hairs falling often have a piece of dry skin attached to the base. How long can I expect to have hair loss now that I’m being treated with desonide cream? Will the hair grow back once the seborrheic dermatitis clears? If not when can I consider scalp and eyebrow transplants. Will they be successful? Thanks.

The role of seborrheic dermatitis in hair loss is debated. Patients with seborrheic dermatitis may lose hair indirectly due to the inflammation of the skin that can accelerate telogen effluvium, which is reversible in most cases. The other mechanism of hair loss in these patients is through traction alopecia by scratching and rubbing hair. Traction alopecia is reversible in many cases. A small group of patients with baldness due to chronic traction alopecia may never grow hair back and a hair transplant may become necessary and could be done successfully after the skin inflammation is over. Before embarking on a transplant for the eyebrows, be sure that you have controlled the seborrheic dermatitis. This should be easy for a good dermatologist.

Estimating lifetime donor supply

I’ve attached a magnified picture of my donor area that I captured; a couple of your posts I saw stated that folks can send you pictures of their donor and you can use your personalized formula to estimate their donor. The caliber of my hair follicles are 55 which I’ve been told is in the middle. Would you mind helping me estimate my donor grafts availability?

There are 29 follicular units I counted (click on the photo below), and I took the total hair count and divided it by the number of follicular units 72/29= 2.5 (rounded). This means that you have a donor density of 2.5 hairs/FU, which is 24% higher than the average Caucasian Donor density. With a hair thickness of 55 microns as measured by your micrometer, I would suspect that you can easily harvest between 8000-9000 grafts in your lifetime. Of course, the type of FUE that picks out all of the high numbers of Follicular Unit hair grafts would reduce this number substantially. That means with proper FUE performed, leaving enough good grafts behind, you can bald to a Class 7 pattern and still get hair.

Self-Esteem and Its Relationship with Hair Loss (from Reddit)

There is little doubt that hair and self-esteem go together. Imagine how many celebrities and successful business people’s self-esteem increased after a hair transplant and their careers took off. Some of these people (men and some women who had their hairlines lowered by us), believed (wrongfully) that the hair made the difference, but, when a person feels good about themselves, they act more positively and confident. Positive attitudes make positive things happen. Hair may be an important contributor to this process.

Bullied my whole life for being too ugly, when things were getting slightly better, I start going bald.. from tressless


2018-09-13 13:39:13Self-Esteem and Its Relationship with Hair Loss (from Reddit)

Exactly what is a “master plan” going to look like?

I get a good family history and try to match the patient’s hair loss pattern with his family history. Then I mark where the patient is in his hair loss process, usually deploying the HAIRCHECK instrument test (https://baldingblog.com/haircheck-test-how-it-is-done-video/). Then I discuss the various options that are age related. Many of the men under 25, who may be balding and wanting a hair transplant, I discuss the need to delay such decisions and offer the various treatment options such a minoxidil and/or finasteride. Then I see the patient yearly to find out the effectiveness of the treatment and may make adjustments. Once the man has passed 25-26, I may or may not discuss the hair transplant option. Throughout this process, I develop a relationship with the patient so we get to know each other and I learn and understand who he/she is, what their concerns are and acting like a doctor, do the things that good doctors do, that show concern about the course that the hair loss undergoes during this period, year to year.


2019-12-24 12:47:36Exactly what is a “master plan” going to look like?

Sex and Hair Loss?

Will having sex cause an increased rate of hair loss on men? And if so, is it better to have sex without ejaculating?

It is probably true that there is a relationship between testosterone and sexual appetite. There is also a relationship with testosterone and hair loss and if, for example, a man (who has the genes for androgenic alopecia) applied testosterone creams, he would increase his testosterone blood levels and probably have more hair loss due to the increased DHT. That is where this conversation ends.

Ejaculation (present or not) should not increase testosterone levels. There is no connection between ejaculation and hair loss. If you want to have sex without ejaculating… good luck!

Experiencing Shock Loss Months After My Hair Transplant

Ok here’s my situation, about 7 months ago I got about 1400 grafts performed. The standard strip style surgery. I’ve healed up well and I would say less than 2 months after surgery the hairs immediately started to grow. I also started propecia right before the surgery. I experienced shock loss immediately after the surgery and it ceased about 2 months after. I shaved my head completely and my hair grew in like crazy very thick and flowing. About 4 months after the surgery my hair started to fall out again and has since been falling out and progressively getting worse. I apply rogaine and copper peptide solution daily and am not doing anything any different. What can you suggest as a course of action?

Because of the protective effect against shock hair loss, you should’ve been taking Propecia (finasteride 1mg) prior to the hair transplant surgery — so the question now is whether you started it early enough (best a few weeks before the procedure). Accelerated hair loss associated with a hair transplant is most probably caused by shock loss. One must use the history and the association to point to the cause. You might be going through a hair loss cycle unrelated to what you are doing and there may not be anything you can do except to wait for your hair cycle to take its course. If there was a considerable amount of miniaturized hairs, then you would be a ‘set-up’ for shock loss. Studying your hair miniaturization and distribution may point to more information in helping to make a diagnosis, but as I am not your doctor, I have no access to your patient records and can’t provide much more help than suggesting you post these questions to your doctor.


2007-10-08 14:33:38Experiencing Shock Loss Months After My Hair Transplant

Shedding After Increasing Propecia Dose?

Hi,
Can someone have shedding after increasing the dose of propecia? I’m 22 years old started losing hair 2.5 years ago, a year ago I started taking proscar pills cut in quarters, hair loss continued but it may have slowed down a little bit, about 3 months ago I started taking proscar pills cut in half, and since then my hair loss increased a lot and I lost hair much faster than before, so could it be shedding from increasing propecia dose?

thank you

When finasteride is taken and is effective, it can accelerate the hair cycle and can give you temporary hair loss. We have seen this rarely in people who start the drug and it often disappears in 2-3 months. I would guess (although I have not seen it) that the same phenomenon can be observed if the increased dose was working on you. It should abate in 2-3 months.


2009-09-15 09:10:43Shedding After Increasing Propecia Dose?