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Fantastic restoration of your hair line. Good job!

This patient had 4,500 FUE grafts and you can see in the photo the difference between the donor area, which is a bit too high, and the normal hair density on the neck side of the photo. The surgery depleted the donor hair significantly. This is caused by either (1) very fine hair or (2) a low original donor density (something that the doctor can measure in advance).

So over Christmas break, I was on supplements called chromium and alpha lipoic acid on large doses. Both are known to cause hair loss. I came home, got a haircut, hair looked fine. Then i took these supplements and i noticed hair falling out. Like i could grab lose hairs of my head and hair came off into my hand in the shower, maybe like 10 or 15 strands. Finally a month later i connected the dots and stopped the supplements and the shedding soon stopped. Thing is, I got the exact same haircut again from the exact same person, and I feel like there’s less hair around my temples and more of my forehead is showing. Like It caused thinning in that short amount of time. Thoughts?

Generally hair loss takes time but your detecting it might be in a day when you look at yourself and stop denying what you have been seeing for sometime. Most people just don’t notice it until it passes a threshold. A doctor in Denver 30 years ago, pulled out 50% of the hair on one side of a black haired, white skinned man. He couldn’t tell which side was 50% with photos or independent observers. That tells you that you can lose a lot of hair without seeing it. That is why I perform HAIRCHECK tests to measure what can’t be seen. Hair loss rarely happens overnight.

You don’t lose your hair overnight, but you recognize it after you stop denying that you are losing your hair and that can be instantaneous.

This is truly an amazing response to finasteride. This rarely occurs in men over 28 but is more common in men under 25.

Some good results with growth in the corner hairline from minoxidil and finasteride at 5 months

I had 2300 FUE grafts and I am worried about my donor area. Is it over-harvested?

Usually 2,300 grafts will not cause over-harvesting unless your original donor area density was very low and/or your hair is very fine. See the link below that defines the limits of FUE.

https://baldingblog.com/2017/07/21/many-fue-grafts-many-fues-grafts-one-know-safe-limits/

Mid 40s, started losing hair in my early 20s. It progressed pretty slowly but consistently over the years and I figured I would let it gracefully fall out. A couple years ago it went into fallout over drive and I’m just not ready to give it up quit yet. Pretty sure the copious amount of stress and anxiety of the last few years could be the culprit here. Started almost exactly 3 months ago

.5 mg Oral fin 5% Topical min twice a day. I’ve had sides taking 1mg fin so I jumped down to .5mg and they pretty much cleared up.

Good job. I would expect that a man in his mid-forties might not respond as well as you did. I suspect that after taking it for a year, you might get complete reversal.

The International Society for Hair Restoration Surgeons meeting this year was in Bangkok, Thailand. I was on the teaching faculty and almost 1000 people attended making it one of the more successful meetings in the history of this teaching hair restoration society. The subject of Platelet Rich Plasma (PRP) and its value was discussed by Guest speaker Ramon Grinalt). He reported his review of the entire literature on PRP subject material and said he could not find a single study that proved that PRP grew new hair or resuscitated dying hair.

He discussed some of the more well known studies. When PRP was compared with microneedling using saline injections, any benefits that were seen with the PRP injections were comparable to the saline controls, when benefits showed up. Various doctors in attendance did not necessarily agree with this conclusion based upon their personal experience; however, many of these doctors could not prove (beyond a shadow of a doubt) that PRP worked.

In conclusion, I believe that microneedling with saline injections will work as well as PRP, for far less money.