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when i microneedle i achieve redness all over the scalp, but within the hour the redness goes away and by the morning it’s completely gone and i feel no pain at all. am i doing it wrong? is there no inflammation?

Some people have Histamine positive skin which turns red easily. If you scratch your forehead with your finger nail and it turns red in a few minutes, then you have Histamine positive skin. It just takes longer to lose the red color. Microneedling is becoming more and more popular to bring back the hair from the micro-wounds it creates. It does work on some people

The use of 1 or 1.5mm needle length will produce bleeding. Healing is slow and if you repeat this every week, the pink color may persist over the entire week depending upon your skin characteristics. Be prepared to have a pink color show here after the microneedling has healed a few days.

The arrows show large grafts at the hairline, something that should never be done as they appear pluggy. Also growth seemed either under transplanted or this man has inadequate growth. Either way, this man should get his money back and go to a good hair transplant surgeon to fix the problem

That is a very impressive result. The microneedling was the key here; once a week, the 1.5mm needles helped it along nicely. The long-term becomes an issue; in other words, what must you do to maintain your final result when you get there? I am almost sure that if you don’t maintain some microneedling, even every month, these hairs, when they go through their next cycle, may not go into anagen (the growth phase) without the stimulus of the micro-needling. This could happen even earlier than the next hair cycle. We just don’t have the information we need to answer that question. You would find out the answer to that question if you did follow-up repeating the microneedling. If the hair starts falling out again, pick up the microneeding and write to me.

I have noticed that 90-95 of men who are losing their hair have a greasy or shiny forehead or scalp including myself. But what I also noticed is that men who have excellent hair never ever have a greasy or shiny forehead or scalp. I feel if we can control what is ever producing that greasiness then we can control hair loss. What are your thought or have you read or head about any research in regards to this?

I am not convinced that greasy hair is related to hair loss. If you have hair you would not notice their greasy scalp from visual observation alone (as the hair is covering it)

Male pattern balding is related to genetics. Greasy and oily skin may also be a genetic issue, but not related to the hair loss gene.

Is hair miniaturization always male pattern baldness?

Mostly miniaturization indicates hair loss is probably genetic in both men and women.

I’m 26 years-old, 27 in October. Until around the end of last year, my hair loss hadn’t been very bad at all and was progressing much slower than the other men in my family. I was about a 3A/3V until I started noticing a bald patch appear on my crown about 4 months ago. Since then, the area around the patch has gotten noticeably thinner, and the front part of my hairline has also started to thin out. I started taking Minoxodil about a week ago as well as a few biotin tabs every day, and the shedding hasn’t been so bad. What is my future going to be like?

At 26, the advancement of your balding pattern is a bad omen for future balding. You should see a doctor experienced in this field. The drug Finasteride can slow, stop and sometimes reverse the balding but rarely will Minoxidil do this. The only real solution is hair transplant surgery so you might start, at the least, familiarizing yourself with this process. Look at this post to see results on patients who took Finasteride.