Is SMP risky for people with hair?

Looking to get the opinion of Males or Females that have gotten it. I find SMP to be riskier than a transplant, half the People who are bald and get it regret it. There aren’t a lot of stories of people with hair that get it.

We have done quite a few men and women with thinning hair applying tattoo pigments with great responses and happy patients, see here: https://scalpmicropigmentation.com/gallery/thinning-hair/ . It is a great adjunct for people with thinning hair especially for women who have no other options when they are post-menopausal.


2020-11-04 08:46:59Is SMP risky for people with hair?

6 months on finasteride (photo)

Men with blonde hair do better visually (blond hair on blonde skin) as it takes less hair to look fuller than someone with high contrast (black hair on white skin)


2020-10-08 07:26:246 months on finasteride (photo)

6 weeks oral minoxidil and finasteride

Amazing response in just 6 weeks from oral minoxidil and oral finasteride. I expect that in 6 months, you might have your hair back. It would have been nice to see more pictures of you from different angles.


2021-07-09 06:19:246 weeks oral minoxidil and finasteride

Is there any effective way to get a Hair Transplant without meds?

Yes, I have done this many times; however, I require a good understanding of how much miniaturization is present to help my patients understand what might happen to them after a hair transplant if anything. The older the man is, the less miniaturization is usually present, but that is not an absolute rule.

7 Months on finasteride and minoxidil (photo)

Great results from finasteride and minoxidil in a 31 y/o male in just 7 months. I was asked yesterday if balding can be reversed, you have answered the question, at least for now.


2021-05-11 06:56:327 Months on finasteride and minoxidil (photo)

Is this miniaturization?

No, what you are seeing is normal thickness ‘terminal’ hairs. The small hairs are vellus hairs and they are normally present in high numbers.

72 year old surfer, still surfing and he has HAIR (Photo)

Donald had his hair transplant 25 years ago and came to see me today. He volunteered to tell his hair loss history before the hair transplant and here it is!

“I started losing my hair it in9 my early 30s. Being as vain as I am I started looking for answers. The first thing I tried was this electrical comb that smelled weird and purple gas came out of it and they would rub it over my head every week with no results. Of course I was taking vitamins (supposedly) and minerals that were promoted to grow your hair back. There were even hair shampoos that was supposed to grow your hair back etc. I heard that Germany had top technology on hair transplant so I went to Germany. Everything I saw was insufficient and look like dolls hair (that was hair transplants). Then I heard about about a cure in Morocco, so I went there for some sort of cobra venom shots that grew hair so, but eventually I gave up. Until luckily I saw an ad Dr. Rassman had on TV. He was taking one follicle at a time and replacing it on your areas of baldness. Result was natural from day one. And I now have a full head of growing hair.”

Had Donald not hair a hair transplant, he would have a Class 7 balding pattern. The last picture shown is an old photo he brought to the office today taken 10 years before had a hair transplant. To make it look as thick as it does today, we did Scalp Micropigmentation a few months ago. This is something that many men should consider if their hair transplant is not thick enough.


2019-10-26 12:52:1972 year old surfer, still surfing and he has HAIR (Photo)

Isn’t New Hair Grown from Rogaine Still Effected by DHT?

Hello Doctor,

I do not understand this dependability of my new hair grown on rogaine, isn´t this new hair also affected by DHT? what a I mean is: will my new hair fall even if I take propecia? why is this new hair different from the ones being saved by propecia?

thank you doctor

Riding a bike or driving a car may get you to where you want to go, yet they work very differently… just as Propecia (finasteride) and Rogaine (minoxidil) work differently to treat hair loss. Propecia blocks DHT production and by creating this block, the genetic element for hair loss is ‘subdued’. Minoxidil may work by extending hair cycles and/or moving hair into the anagen cycle. DHT can still do its dirty work.


2007-07-26 13:33:02Isn’t New Hair Grown from Rogaine Still Effected by DHT?

9 month finasteride and minoxidil, added 2 months microneddling (photos)

9 month finasteride and minoxidil, added 2 months microneddling and I was amazed how quickly the crown filled in.

I wish the crown photos would be lighter so it could be compared well with the before pictures. I will take your word for it that it is better


2021-07-02 10:32:509 month finasteride and minoxidil, added 2 months microneddling (photos)