A transplant at 21, now at 22 he has more hair loss and needs a MASTER PLAN (photos)

The circles show where the hair loss has progressed since his hair transplant. I tell 21 year old men who want a limited hair transplant to wait until at least they are 25 or they will be back every year as the hair loss progresses as shown in these photos with the circle just one year after his hair transplant at 21 (not done by me, of course). By the time he is 25, he might have a lot more balding present (you can see some crown loss now showing up) and if he had a hair transplant every year from the age of 21, he would use up his donor hair. With patchy hair transplants done every year, the doctor makes money and the patient slowly develops an abnormal look without a plan. That is why I stress the need for a MASTER PLAN for hair loss on EVERY balding male who is thinking about hair transplants. Imagine at age 36, he might look like this: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/


2019-10-17 13:23:17A transplant at 21, now at 22 he has more hair loss and needs a MASTER PLAN (photos)

Is Hair Cloning Right Around the Corner?

I saw this article yesterday about hair cloning on the UK’s Times Online: Baldness cure firm heads for AIM

Here is an example of a business deal coming down the pike shortly which mixes the anticipation of raising a large amount of money with the excitement of hair cloning. Growing hair in a test-tube from parts of the hair follicle that might eventually produce a head of hair in a balding man is the dream. How far from reality is this? I suspect that the clinical trials will tell us that, but as you may know, clinical trials take time to get from testing to fruition and an FDA approved process that is both safe and effective. Many of these processes fail to make the final mark, so this is a high risk deal for those of you wanting to put your money behind the cloning endeavor. It is even a higher risk deal for those of you waiting and waiting and waiting for the cloning answer to your balding prayer.

Tocotrienol?

Hi Doc,

thanks for your awesome website.

I stumbled across this article – Take this vitamin to halt hair loss

and this website – Tocotrienol.org

What can you comment about this? Would love to hear your comments. Thank you!

There are always new products that come out claiming to be hair loss cures. This is one of them. I cannot say if Tocotrienol works or not, but here are some things to keep in mind when doing your own research. Read the report carefully. Find out how many subjects were in the study group. Is it 10,000 or is it only 10? There is a difference, right? In this case, the study was 38 people. Ask if there was a financial or marketing incentive. Find out if the report was published in a well-respected journal (and realize that even if it is in a published journal, it does not necessarily mean it is good study).

Tocotrienol is an herbal vitamin E treatment, and I really have no significant comment to give other that “buyer beware”.

Hair Falling Out — Lighter Color Near Bulb

I am a 21 (about to be 22) year old male and I am currently in between a NW 2 and 3 on the balding scale. I’ve been taking propecia for about 4 months with decent results.

My question is, when I examine hair that has fallen out of my head, it appears that the hair is lighter colored at the base of the hair (near the bulb) than up around the middle and tip. Is this a sign that the hair has thinned or is it normal for hair to be lighter near the base?

You did not state your hair color. In blonde, gray or white haired people, the bulb is lighter. In hair that is near the end of its life, the pigment changes may be lighter in color as is hair that is about to go into telogen. If you are worried about balding, then get your hair mapped out for miniaturization to determine what is actually going on in your hair.


2006-10-23 14:12:29Hair Falling Out — Lighter Color Near Bulb

Took finasteride 1.5 years ago with no side effects, now want to take it again?

Thanks for your time. I took generic finasteride 1mg about 1.5 years ago for three months. I experienced no sides (only erectile dysfunction but I attribute this to porn habits over finasteride) during or after the treatment but decided to discontinue anyway as the stories I read online scared me out of taking the risk. However, now at 21, my hair has shed extensively and I am thinking of taking it back up again. My question is, if i didn’t experience any sides the first time round, is it likely that any sides/PFS are not going to occur/ much less likely to happen? I appreciate any response as I need to make a decision about finasteride once and for all.

If you really didn’t experience side effects from finasteride the first time you took it, you probably will not experience side effects now; however you said you had erectile dysfunction 1 1/2 years ago, so I would ask isn’t that a side effect? This means that you might experience it again.


2019-02-12 06:41:59Took finasteride 1.5 years ago with no side effects, now want to take it again?

Hair Growth After Transplant

It’s been just over 8 weeks since you performed my 3000+ grafts hair transplant. I’m noticing some of the little guys are still falling out. There are no scabs, only small hairs that continue to tumble to their death into my bathroom sink. Am I not being aggresive enough when I shampoo, or do each of these little guys tumble to the ground on their own schedule?

I noticed a few grafts growing immediately from day 1, and these guys are actually pretty long already! Others, though, fell out early and are now pushing their way toward the light. I imagine the ones still shedding will subsequently start their growth later, and that’s probably why the 8-month total wait, huh?

Just wondering.

You are on schedule for your hairs to be doing what they are doing. It is not unusual to lose grafted hair as the old transplanted hairs shed. Sometimes the stubble of the transplanted hairs stay around for a few months, then they sooner or later fall out to their “death” (not really an appropriate statement, as they have been dead since a week after the transplant). The hairs from the transplant that did not grow immediately and fell out, do not reflect the hair growth center cells which are alive and getting prepared to start their anagen cycle. FYI, at the end of the cycle, a hair “bud” situated at the base of the “rest” root (phase 2) develops and will push out the hair in the involution to become a new hair as it ‘grows up’.

At this stage of your recovery, I would not worry much about aggressive shampooing, just do what you generally do and that should be fine. You must wait out the 8 month period to see 80-90% of your growth.

Topical Finasteride & Minoxidil (photo)

This man took topical finasteride with minoxidil and applied it to the frontal hairline for 3 months and already has reversed some of the balding


2021-02-04 09:58:02Topical Finasteride & Minoxidil (photo)

Hair Loss After a Surgery to Fix My Broken Leg

Had surgery over a month ago and my hair is shedding/thinning like crazy! Could it be related?

Shedding after a surgery in a young man is almost always the result of shock loss. I always use finasteride to prevent this in men who are balding, and who are under my care. It is particularly important for men who are also under 30 if they have a surgery, because the incidence of shock loss is high. The hair lost from this rarely returns, and is often a result of the stress from the surgery. We see this very frequently after a hair transplant in a man in his 20s.


2020-04-19 09:14:16Hair Loss After a Surgery to Fix My Broken Leg