The younger you are, the better the finasteride works. This applies in most men; however, there are a few men who are going to develop advanced balding patterns by their mid-20s or earlier and the effects of finasteride on them is much less valuable. Look to your father or grandfathers patterns of balding to see if you may fall into this category.
2020-12-14 02:48:302020-12-14 11:06:27How young can you start finasteride?
Hi,
First of all I’m a 29 yr old male with extreme anxiety. I’ve read a couple of posts on this site about Xanax & hair loss. In every question asking about whether Xanax can cause hair loss, you mention that it definitely can.As I stated earlier, I have an anxiety disorder & have just recently started taking the generic version(1mg 3 times a day) of Xanax again. Can you explain to me how & why the Xanax would cause hair loss? I’m just REALLY concerned now after reading about that. I was thinking that extreme anxiety would be more likely to cause hair loss than Xanax?
If you could just give me any kind of explanation, I’d be extremely grateful.
Occurrence of hair loss can be due to several factors. Although most the common cause of hair loss at your age is male pattern baldness, anxiety could be considered an aggravating factor for your hair loss. Hair loss is not one of the commonly known side effects of Xanax. We hear from our patients who just got started on Xanax that they lose hair, but it is hard to prove that their hair loss is really associated with Xanax or if it has to do with anxiety itself.
I am just curious to know how many grafts would it take for a Norwood 6 to return back to a Norwood 1? I know this is not possible, but suppose hair multiplication became possible in the next decade, can you give us an estimate of how many grafts it would take for a Norwood 6 to return back to Norwood 1 ?
In general, you need about 15% of your original hair density to achieve the appearance of non-balding if you have an average hair density. Please note that this will give you a non-balding look (somewhere between a Class 2 and 3 pattern), but not the complete original density. Moreover it is NOT all about the numbers. Factors such as hair color, skin color, texture, etc are of great importance. For more, check out the Assessing Hair Loss page at the NHI site (scroll down to “How Much Hair Do I Need?”).
But if you want to know how many grafts you need to replace (hair for hair) of hairs lost, it could be in the 30 to 50 thousand hairs range. This is based on a general assumption that you are born with about 100,000 hairs. Remember, grafts are made up of 1-4 hairs.
This is a recent comment from my post back in 2005: https://baldingblog.com/2005/12/01/hair-club-for-men/
I wore the hair club wig with the front french lace for 10 yrs. It works well if you learn how to maintain it and use the blue tape up front and hard glue in back. Your head needs to be dry when applied. Put the tape on the wig first and then roll hair piece onto scalp. You can swim etc for about 2 days in it. Every two days the front needs a retape. Use 90% alcohol to clean and retape. Do this with it still glued to the head in back. This can go on for a month like that.
It is great for the club and nights out. Nobody will know you have it on if done right.
People at work will eventually figure out it is a wig at some point. There are too many prying eyes in the bright light. Use a style that covers all the hairline for best results. Watch your color match and use bright light to test it out.
All in all, a good choice when done right and bad otherwise. Now in my mid fifties I don’t wear anymore. I just use a No 1 cut all over except the top. Definitely not as attractive as a man with nice hair though now.
I have hypertrophic scars from numerous cutaneous surgeries, and even under modest tension my scars tend to spread quit a bit. None of them have an adequate cosmetic result in my mind for a hair bearing region. As a result, harvesting grafts with a strip is something I am not considering. Given my propensity for making ugly scars, am I likely to have abnormally visible scarring from follicular unit extraction at the harvest or transplant site, or are these so small that hypertrophy and spreading are of little concern?
Nobody wants a bad scar, but for hair transplant surgery (or any surgery on the scalp), the scar should always be hidden under the hair if you keep it at a normal length (more than 2 inches). Even a bad scar can still be hidden after a haircut with a #3 clipper most of the time. I also realize many men would like to cut their hair very short in the back where the scar may be visible, and that’s when follicular unit extraction (FUE) may be a better option. However, if you have a tendency to have hypertrophic scars, then even the FUE may leave you with hundreds of noticeable dots.
As with everything in life, you need to have some perspective on what you are doing and what you are willing to give up. Nothing is perfect. There is no such thing as scar-less surgery. There are men who choose to have hair in the front and top, but sacrificing the gain with a scar in the back of their head. There are men who do not want any scars on the back of the head (linear or otherwise), and for them surgery is simply not an option. There has to be some give and take that you have to be comfortable with.
Think about cosmetic surgery on women: Women who want larger breasts will sacrifice their gain in cup size with a scar under the breast, around the areola, in the armpit, or in their belly button. Women who want a face lift will sacrifice a youthful face for a scar along the back of their ear and behind their front hairline.
Remember, keeping your hair very short after a hair transplant will not give you the best cosmetic results no matter how many grafts you transplant. A very short hair style will look much thinner than a longer hair style, which covers more of your head. This is because the surgeon is working with a limited number of grafts to cover a big area.
Is it true that female donor hair that is transplanted does not become permanent and may eventually fall out of the transplanted area whereas male transplanted hair will never fall out?
Whatever happens to the donor area will happen to the transplanted hairs in their new location. Female genetic alopecia is often diffuse and when it progresses, it impacts the donor area with miniaturization that is progressive, so you will see that impact in the recipient area for donor hair as the miniaturization progresses. In most men, the donor area is spared from miniaturization, so when this hair is transplanted into the recipient area it reflects that stability seen in the donor area and is not lost. In other words, men have that ring of hair around their heads (often called the permanent zone), whereas women aren’t going to necessarily have that same permanent area.
I’m going to talk to the doctor about my type of hairloss and why I am thinning on Dutasteride. I’m going in for a free consultation and I’ll see what they have to say, whether I have normal MPB, DPA, or DUPA. I’ll keep you guys posted.
DUPA (Diffuse Unpatterned Alopecia) was first published by me in 1996. When it occurs in men, it impacts the donor area and as a result makes these patients poor candidates for hair transplants. Back then, doctors transplanted these men when they were balding and most of the time the transplants were failures, often leaving these men with scars and hair transplant deformities. The diagnosis is made with a hand microscope looking for miniaturization in the hair in the back and sides of the hair which is generally immune to balding. It can sometimes respond to finasteride, but it is not predictable. The cause is unknown.
2020-05-01 04:00:142020-04-28 16:32:23I Am Going for a Free Consultation to Find out If I Have Dupa
I fell and have a tiny sliver 1/4 inch scar, but a i lost a chunk of hair and thin layer of skin about the size of a quarter. Will hair regrow when the skin does? how long?
If you lost hair bearing skin, then hair will not grow back. If the skin is sutured skin edge to skin edge (hair-to-hair edge), it will grow back.
2008-08-15 08:35:422008-08-13 14:47:57Will Hair Regrow When Skin Does from the Cut On My Head?
22y/o here with diffuse thinning. I’ve accepted that growing my hair out long isn’t an option due to thinness and my hairline has started to go. I look fine with a buzzcut but would look great if I could fill in my temples. Ive stabilised loss with fin and min (on for 6 months) but am wondering if getting a small transplant (1k) to fill in temples is a a good idea (aged 24 or so). I think it would look better than some dodgy SMP. Has anyone done this/got any opinions
A small hair transplant is like being a little bit pregnant. You should never start the hair transplant process unless it is part of a Master Plan that looks into your future (see here: https://baldingblog.com/so-if-i-replace-my-receding-hairline-what-happens-in-ano).
2020-01-14 04:00:282019-11-05 10:18:13I Am Thinking About Doing a Small Hair Transplant at 22 Years of Age
Hello Doc hope you are well. Just wanted to get your take on something. I’ve been taking finasteride for about 2 years with decent results , mostly maintenance. However I’ve seen considerable progress microneedling my scalp. I’ve been doing it for a over a year and it is still yielding positive results. I would attribute most of my regrowth to microneedling in fact. Since this is a natural treatment I was wondering what your thoughts were in regards to the possible longevity of this treatment. If I’m happy with where I’m at , could say a microneedling routine once a month maintain these results? Love to get your thoughts on this. Take care.
I know a little bit about the research done when injuries like microneedling induces hair growth. These hairs may need to be ‘kicked’ with another short course of microneedling, possibly every 6 months. We are not clear what will happen to the hair follicle when it goes into telogen (rest) cycle and then must come out of it into Anagen (growth) for the new hair to develop. I believe some ‘kick’ should occur periodically and I am guessing about every 6 months or so. We are learning more as we go forward.
2020-07-16 19:24:272020-07-16 19:24:27Will microneedling need a boost?
