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The costs for a hair transplant are usually priced per graft and the costs range from $4-10/graft depending upon the doctor, the location, and the reputation of the doctor for consistency and predictability. I always ask patients: Would you try to find the least expensive brain or heart surgeon? The hair you have on your head that the surgeon transplants can be seen by everyone. You MUST meet some of the doctor’s patients to see the quality of the work your surgeon does routinely. My patients have been coming to monthly Open House events months for 27 years just to help prospective patients learn about the process.

I’m 21 and I’ve used minoxidil in the past (foam and liquid), but it was just too much of a hassle to apply consistently so I never saw any gains. Has anyone here used oral minoxidil with good results?

Oral minoxidil can be effective for male patterned hair loss. For many years, poorer countries have been using it successfully for male patterned hair loss before finasteride was released in their country. In India, for example, many people couldn’t afford Propecia and genetic finasteride wasn’t available so oral minoxidil was the only drug for hair loss.

At what point do you know that it has receded beyond a mature hairline? And by asymmetrical, do you mean that the forelock can remain in the juvenile spot while the temples mature faster?

I’ve been told by a professional I am not balding but I still remain super anxious about it. Though I do have anxiety disorders which probably relate

You have to manage your anxiety. Yes, you clearly understand what is happening. If you think it is going beyond a mature hairline, you can see a doctor or even send me photos, but wait at least a year. Connect with me at info@newhair.com

I was wondering how long can you have a hair follicle outside the body before it dies? I had surgery that lasted 10 hours and I am worried because I saw my grafts sitting in a clear solution for over three hours. Is this normal?

A freshly extracted hair follicle or hair graft can survive outside the body for as long as 6 plus hours. It is very fragile and if mishandled it may desiccate and “die” in as little as a minute. A harvested graft must be hydrated, kept moist, and cooled as soon as it leaves the body. Cooling slows down the metabolism process. If your grafts were not cooled, it may be an issue!

It all comes down to the experience and expertise of the surgeon and staff. With poor coordination, and standardization the surgery may be failure even before it has a chance to be implanted.

Some doctors use special solutions and precise temperatures to keep the grafts alive longer. However, this DOES NOT guarantee that the grafts will go on to survive the implantation process! More importantly there have been recent concerns that these new “solutions” to maximize the graft survivability may actually do harm than good. Often times doctors may advocate PRP but these solutions also have not been proven by randomized controlled scientific studies.

The implantation process can also dry up the grafts and harm the grafts if mismanaged by an inexperienced staff. In other words, cooling or preserving the harvested grafts would all be for nothing, if the team cannot transfer it from the petri dish back to the recipient site with care and expertise.

This is one of the many reasons that hair transplant surgery is not a standard or a guaranteed process. In other words, shopping for “cheap” surgeries may sacrifice these critical quality control issues.

Should Finasteride and Dutasteride be taken on the same day? For example: should I take Dutasteride in the morning, then Finasteride at night?

It makes no sense to use both dutasteride and finasteride. Pick one or the other. Get a doctor to advise you.

Ok, how is the long term efficacy of minoxidil when mixed with finasteride?

When you grow hair from minoxidil, it usually stays around until you stop it; however, continuing to take it, may not grow a wave of new hair.

Generally the statement is ok. I see many men immediately stop the loss and have have seen reasonable growth in less than 6 months on some men but I tell everyone to wait 12-18 months to see maximum yield.

The donor area in the average Caucasian male has ~12,500 Follicular Units of which possibly up to 60% can be taken for hair transplants. For FUE without becoming over-harvested, about half of this amount (30% or 3,750 grafts) can be taken with FUE to be safe. The thickness of the hair shaft (fine, medium or coarse) alter this number (lowers if for fine hair and increases it for coarse hair). The question to ask, is how much hair do I have to leave behind to keep my donor area LOOKING healthy and full enough not to reveal that I was transplanted.