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Nice results in a young man on finasteride for 4 months

Back in the 80’s & early 90’s this was an acceptable hairstyle to rock for men with hair loss. The shaved head has only been a more recent trend among balding dudes. At some point will the horseshoe be considered a more stylish option than shaving your head? I’m curious because I’m sick of balding dudes all having to rock the same haircut.

Balding with a shaved head works for many men. Some men get Scalp Micropigmentation (https://scalpmicropigmentation.com/ and look at the men on the front page. Also drill down on the bold men in the gallery). Either way, it is more what is in your head than what is on top of it.

Usually, the grafts can’t be moved at 6 days. I know because I tried to do it, and they come apart as they are pulled out. Now, you should wait until the hair has grown, then fix what you don’t like after the hair has grown in.

Is hair transplant useless if finasteride doesn’t work on your normal hair?

Hair transplants are taken from the back and sides of the head. These hairs (we call in the donor zone) are permanent hairs that never fall out, so when they are moved to the balding area they take their genes with them. Finasteride has no effect on these permanent hairs.

I started out 1.5mm, but now I’m concerned about scar tissue. I’ve heard 0.6mm might be better, but the redness goes away pretty fast. I started out doing once-a-week needling, but then I’ve seen people who did it twice a week at a lower depth followed by minoxidil that had great results

Microneedling depth should be able to reach the stem cells at the top of the hair follicles which lie about 1mm below the skin so 1 of 1.5 mm microneedles are about right. These stem cells have some cells that specialize in hair cycling so that when stimulated, the command goes out to the other stem cells to kick in the anagen cycle (theory at present).

“Recently, the Centers for Disease Control and Prevention (CDC) identified 19 cases of nontuberculous mycobacteria wound infections among US residents who had undergone cosmetic surgery in the Dominican Republic.[1] Fourteen of these patients required hospitalization in the United States, with corrective surgery and long courses of antibiotic therapy.” This was quoted from Medscape June 24, 2012.

Surgery overseas (medical tourism) reflects a multi-billion dollar business today. Because of the high costs of medical care in the United States, many consumers are traveling to other countries to get their surgical care, which can often be less than 10% of the fully loaded costs seen in the United States. It is critical to determine if the facilities are accredited, as that adds some modicum of safety in the decision to travel. Failure to do your research, can produce problems as defined in the CDC statement above. You must plan for such an endeavor asking yourself about the language of the country you selected, finding out the credentials of the doctors, the track record of the facility (infection risks should be documented by the facility), the risks of traveling after the procedure, how you are going to follow-up after you leave the country. etc..

Return air travel should be delayed long enough to ‘cover’ anything that goes wrong. Traveling after a procedure can increase the risk of blood clots in the legs and clots that travel to the lungs from a long flight after surgery as cabin pressure changes during the flight home. This is particularly important if a general anesthetic is administered. To learn more about these risks, see: www.cdc.gov/travel

The field of hair transplants are applicable here as doctors outside the US offer transplants for less costs than here in the US; however, where is their track record to be found, one might ask? FUE in particular is a common offering outside the US and competitive pricing, but once you leave the US, you loose the ‘legal’ protections offered by the US Court system. As it takes a full 8 months to see the success of a hair transplant, what if the doctor had not mastered the technique (very common amongst all doctors in the US or outside the US). We see failures at 8 months that are not uncommon as patients come to us to determine what they should do after a failure has occurred. There is little legal recourse for these patients and many of the doctors in the US are not compassionate about answering to their FUE hair transplant failures.

There is not much to say other than good luck for more hair. The drug has done wonders for you and more value will yet occur over the next 12 months or so.

Most people believe that the lines on the graphs will continue on the same general slope after the 5 year time-frame. Not a good outlook for the non-Propceia user.

Hello there Dr. Rassman,thanks so much for your helpful blog. Here are 2 questions for you that I’m hoping you can help me with. I lost my full hairline (receding in temple area) when I was about 24. It receded for a couple of years and then stopped. I am now 33 and over the last 2 months has started again-very quickly!! It seems I can tell the difference weekly. I am now almost at just a strip in the center and this is quickly disappearing!! Is this normal or may other factors be at play. Also, does a 5mg Proscar pill cut in 4 have the same effect as Propecia?? Thanks for your help again, hope to hear from you soon.

Male pattern baldness is never normal for the young man who wants to be hairy, but it is normal for your genetics. You are probably experiencing further hair loss and it could go through bouts of rapid loss. It is best to visit a doctor for thorough evaulation of your hair loss pattern by using a densitometer or a magnifying video camera to determine the amount of miniaturization that is present. Proscar and Propecia are the same drug, called Finasteride. Propecia is dosed at 1 mg of Finasteride. Many people cut Proscar (5 mg) into 4 pieces equal to 1.25 mg of Finasteride and the only difference is that the dose may vary based upon the size of the cut pieces.