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I have been to 4 different doctors about my hair loss and none of them gave me a diagnosis or treatment recommendation other than Rogaine. I am not happy with the results of the Rogaine and I want a solution to find out what is wrong with me and what can I do about it. Any suggestions you might offer will be helpful.

You most likely have some component of female genetic hair loss. I look at you and would ask: How can I help you if you came to see me. Assuming that your blood tests and medical history was clear of causes for hair loss, I would do the following:

1- Perform a hair transplant in the frontal 1 1/2 inches where there is clear balding

2- Perform Scalp Micropigmentation for the rest of your scalp where your hair is thinning as hair transplants don’t do well with thinning hair in women (see here: https://scalpmicropigmentation.com/smp-for-women/)

See if you can find a doctor who can do both of these processes. If not, consider coming to Los Angeles, as we do offer travel subsidies.

Very nice results from just using minoxidil plus microneedling. The corner hairline was the focus and the arrow shows his starting point

The response to finasteride is variable long term. Everyone is different. I tell people that it is a balancing act, balancing the positive benefits and the negative side effects against each other. The decision here is, therefore, yours to make. If you had ED problems that got worse, I would tell you to stop the medication for risks of PFS, but for people with increased sex drives, there is no evidence that prolonged use of finasteride is a problem.

This is an amazing sequence of photos taken every week for 9 weeks after starting on finasteride and minoxidil. If he keeps up on this routine, it looks like he will get his hair back

I developed an infection and met with my doctor who put me on antibiotics. It seemed to get better. I am worried about it harming the grafts in the recipient area. Is that a problem?

It is hard to tell from the pictures if the infection is under control but your doctor will tell you that and you should see no significant pimples or redness. If the infection was promptly treated, it will not harm the grafts. The good news is I see early growth already.

This young man went on finasteride, minoxidil, pumpkin seed oil and used LLT for 3 months, appearing to shrink the size of the balding crown

Here’s a patient that reported continued growth of his hair transplants without going through the dreaded dormant phase that usually occurs for some time following the procedure. Now to be honest, the After photos were taken just under 2 years after the surgery so I can’t say I saw this instant (or continued) growth with my own eyes… but the patient is a doctor and is convinced that the reason he didn’t experience any fall-out was due to taking vitamin B2 and fish oils. I’ll leave it up to you if you want to try that approach in hopes of continued hair growth following a transplant, but I wanted to share the results here nonetheless. Click the photos to enlarge.

After one procedure of 2031 grafts

 

Before

 

When your original donor density is lower than average, 3000 grafts can be too many grafts harvested through FUE and this causes donor site depletion such that the donor area has a problem with a see-through look. The doctor should have measured your donor density before pushing large numbers of FUE grafts. For some people with very low donor densities, 2000 grafts could cause donor site depletion. It seems that in this situation, the surgeon could not get the entire 3000 grafts from the permanent zone, so the surgeon moved outside the permanent zone into the neck (which is not permanent hair) and possibly also above the permanent zone into another area that may sooner or later may bald. The only treatment for this is scalp micropigmentation, something we do all of the time. https://scalpmicropigmentation.com/ This technique can make your donor area LOOK normal but it will not put more hair there

Read the article here: https://www.omicsonline.org/open-access/hair-restoration-in-androgenetic-alopecia-looking-beyond-minoxidil-finasteride-and-hair-transplantation-jctt1000105.php?aid=68395