Looks like you are allergic to either the carrier or the minoxidil. If you are using the foam, switch to the liquid or visa versa. If you still see the redness, then the allergy is to the minoxidil, not uncommon.
Losing hair in my 40s
Sometimes, the genetic balding process starts later in life. Usually, most hair loss occurs in a man during their 20s, sometimes in their 30s and more rarely, like you in their 40s. If you were to see me as a doctor, I might recommend the use of minoxidil (a topical treatment) to see if the hair thickens up. Your have a good chance that this will happen.
Just hit 40 and noticed that it’s getting a little thin up top. How does it look and what steps should I try first? from tressless
2017-08-16 13:25:192017-08-16 18:51:22Losing hair in my 40s
Am I Experiencing New Hair Growth on the Crown?
Dr Rassman,
thanks for all your blog has done, its really a great resource and place for answers. Its been a great help for me.
I am turning 25 soon, and for the past year have been driving myself crazy because my hair has thinned. I did catch it very early, its far from noticable to the naked eye, and ive been on propecia for almost 10 months.
Heres my question, I recently noticed what feels like short spikey hairs on my scalp, my hair is long so i cant see them, only feel them.
would this be considered new hair growth? I know all about miniaturization (thanks to this blog) but these hairs feel very hard and spikey. And im sure they werent there a few months ago. The spikey hairs are only on the crown and other areas my hair has thinned.
any comments you have to help answer my question are greatly appreciated
You could be experiencing new hair growth. Follow it over the next few months and get some good photographs if you can ASAP and then more later on to compare.
2007-02-15 09:32:152007-02-14 14:53:02Am I Experiencing New Hair Growth on the Crown?
Loss of Hair After Hair Line Lowering Procedure in Woman (Photo)
A female had a hair line advancement surgery, then she lost her hair behind the advanced hairline. The scar from the hair line advancement is shown above. The black line is where she now wants the hair line to be placed, so that it hides the scar from the previous surgery. Hair loss, a known complication of this type of surgery produces (1) further recession of the hair line, (2) visualization of the scar from the surgical incision, and (3) often more corner hair loss, not uncommon in women who have facial surgery or just age. The treatment for this is a hair transplant which can cover the scar, restore a normal hairline, and fill in the corners to make a perfect feminine concave hairline.
Amazing response to Oral Minoxidil in 18 weeks
Lots of Questions About PRP (Platelet Rich Plasma) and ACell Use
I am quite interested and for many years now have been following and consulting with numerous HT doctors around the world regarding their results of using injectable hair stimulation PRP (+/- ACell) for treatment of MPB as stand-alone non-surgical treatment. HT surgery is something I am not interested at this time due to myriad of factors (e.g., DNA genetic programming resulting in possible future progressive hair loss and miniaturization of existing hairs, accelerated loss of native hairs due to the trauma of surgery, depletion of donor hair, multiple transplant procedures / sessions over my lifetime, not every person knows if they will achieve 100% satisfied result, picking right doctor is not easy as HT doctors have varying egos/costs/skills/artistry/ethics, etc). So for now I am content with only non-surgical methods and not HT surgery.
Obviously, I am not a doctor, and just another 55 year old male suffering from MPB thinning and receding hairline….but from all these years this is the information I have been able to glean regarding PRP (+/- ACell) treatment for MPB without HT surgery:
• Currently there are no scientific studies to indicate PRP (+/- ACell) works to regrow hair. There are positive anecdotal results with some enthusiastic and cutting edge HT doctors (e.g., Dr. Jerry Cooley and Dr. Gary Hitzig) but nobody can tell me what success percentage I will achieve, and will it be significant or not. Unfortunately, there is no established, standardized, or proven protocol that has been shown to be superior to any other delivery method….and each doctor is trying something different on their own through a trial-error effort to get to the point where a proven protocol will provide consistent results.
• Some HT doctors are spinning their own PRP with cheaper equipment and injecting what they claim are optimal platelet concentrates at < 5x platelet concentrates….on the other hand there’s Dr. Cooley who claims optimal results using 5x or > platelet concentrates via the ANGEL system….and some HT doctors are now copying Dr. Cooley’s protocol after networking and sharing his notes @ various ISHRS meetings and conferences. Bottom line, it appears HT doctors are injecting differing platelet concentrate amounts in their practices depending on results….which again shows there is no established, standardized, or proven protocol for PRP (+/- ACell) hair injections.
• With HT surgery, as it is with PRP (+/- ACell) treatment by itself without HT surgery, it appears individual DNA genetic programming plays key role in determining overall treatment outcomes/success for each individual….and the ideal platelet concentration amount of PRP injected appears to have profound impact regarding how patients respond and their results….and presence of different cell types and growth factors also impact final results.
• Appears there is limited evidence to suggest lasting benefit with injection of PRP (+/- ACell) or growth factors, although there may be thickening of native hair follicles. It is unclear how long the benefits of treatment last and if the benefit will continue through subsequent hair growth cycles. However, all HT doctors agree on several factors regarding duration of treatment benefits: 1) underlying genetic balding pattern (e.g., PRP will last for a shorter time period for those who are DNA genetically prone to bald faster); AND 2) other maintenance treatments the patient is using (e.g., Propecia, Rogaine, LLLT or LaserCap, other topicals).
• Appears for many HT doctors/Dermatologists/Cosmetic Surgeons/Estheticians….especially in the United States….they charge excessive amount for PRP (+/- ACell) injections because they view as easy revenue steaming source due to desperation and gullibility of people with MPB issues buying into the HYPE for the next BIG THING or BALDNESS CURE….which it’s not.
With that in mind, I do have specific questions regarding personally using PRP (+/- ACell) for MPB without HT surgery. These questions may seem anal and more detailed than normal, but I have to ask because of the personal costs involved, and the fact there are still no established, standardized, or proven protocols to date for PRP (+/- ACell) hair injections for MPB without HT surgery .
• What specific protocols are you using that provide consistent results for PRP (+/- ACell) for MPB patients (without HT surgery)? Where did you receive and why did you determine to use these specific protocols?
• What centrifugal equipment are you using for PRP platelet concentrations? What PRP platelet concentration levels are you getting? What amount of PRP (+/- ACell) injections for individual patients? And how do you determine concentration level amounts of PRP (+/- ACell) injections for individual patients?
• How much do you charge for PRP (+/- ACell) injections?
• How many PRP (+/- ACell) injections per year do you recommend someone getting? Is PRP (+/- ACell) injections perfectly safe over the long haul many years from now due to stimulating cell growth? Obviously, cancers are concern for everyone and nobody wants to wake up or stimulate genetically predisposed cancer cells, etc.
• How many PRP (+/- ACell) injections for MPB (without HT surgery) have you performed to date? How long have you been performing these PRP (+/- ACell) injections in your practice?
• What is the success percentage of total PRP (+/- ACell) injection patients for MPB (without HT surgery) that actually grow more hair and increase diameter size of existing miniaturized native hairs? From these successful injections, can you measure or visually see the significant or appreciable percentage difference in overall hair growth and appearance for your patients? (e/g., 25% better stronger looking hair?/50% better stronger looking hair?/75% better stronger looking hair, etc)?
• Do you have portfolio of these patients before/after photos that I can see on-line? Even better if possible, can I contact these patients myself either via email or telephone to ask their overall impressions regarding their results?
The above text was written to my private email and is a good overview of the PRP topic, so I have included it in our blog.
I do not engage in using PRP and ACell for hair growth or in hair transplantation. We do use on occasion ACell with the patients permission for donor wound healing, but we do not charge the patient any money for this. We absorb the few hundred dollars for the ACell since we cannot positively claim its benefit. Once I see value, clinical proof, and scientific proof, I can change my mind about the offering.
I don’t believe that these treatments are anything more than human experimentation for profit, or just a profitable venture. Desperate people will spend lots of money chasing the pot of gold under a distant rainbow.
Anatomy of a hair
For those of you who perform microneedling, you want to reach the area between the gland and the skin which is between 1 – 1.5 mm from the skin edge
M 19, How severe is my miniaturization based on dermoscopy?
The average head has up to 20% of the hairs miniaturized in the donor area and even in a non-balding man; however, in the balding area, I would expect to see a lot more miniaturization in the process of your losing your hair. Please send me microscopic views of your hair mapped against your head as shown here: https://baldingblog.com/mapping-out-your-balding/
2021-02-17 02:17:102021-02-17 09:56:25M 19, How severe is my miniaturization based on dermoscopy?
Another failed FUE performed by a technician with photo
The picture says it all. Yes, it was a bargain but at what cost? This patient had over 3000 FUE grafts permanently removed from his donor area (possibly had only 6000-7000 total for all hair transplants in his lifetime), plus he is now scarred and he will have to go after another transplant just to look normal. When that is done, he will be depleted in his donor area and probably be bald there. Switching balding from the top of the head to the back of the head is not bargain.
2020-07-24 03:09:392020-07-27 15:19:07Another failed FUE performed by a technician with photo
Male Losing Pubic Hair
Dear Sir,
im 26 years old male but have been loosing my pubic hair and my head hair at a very bad rate since i was 16 years old. now at the age of 26 its getting obvious that you can see my scalp and my pubic hair has thinned as well. I had very very thick hair. other parts of my body like my chest hair seem to be dropping, but not as bad. When I shower or just run my hands through the pubic hair it just drops at least more then 10 strands sometimes, and my head hair is the same, dropping all the time. I have taken a blood test and waiting for results, what else should I do, can you please advice thank you. im desperate for help.
Head hair loss has been addressed extensively in this blog, almost every day. With regard to pubic hair and body hair, I would like to know what medications you might be taking. The problem with internet advice is that it is one sided, question to me (alone, often without supporting information) and no real opportunity for me to probe further for info. I often tell medical students that the best doctors can make 90% of the diagnosis without ever laying a hand on a patient — by just taking a good and careful history. My interest in helping people is why I became a doctor. Unfortunately, I won’t able to be much help here without knowing more first. Without two way communication, I can not take a careful history, which is why a visit to a good doctor’s office is what the practice of medicine is all about.
2006-08-29 14:35:072006-08-29 11:15:26Male Losing Pubic Hair