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i am a 24 yr old sikh male living in the uk. up until the age of 18 i had long uncut hair but then in 2003 i cut my hair. my hair has always been thin in texture from a young age. at first when i cut my hair it seemed to be quite thick on top and didnt seem to concern me too much. however after a few months of getting it cut i began to realise that a lot more of my scalp was visible, particularly in well lit areas.

so in following summer of 2004 i shaved my hair off completely in hope that it would grow back thicker which was really a waste of time. by summer 2005 i had realised that my scalp was a bit more visible than before so then i made the decision to start using rogaine. this seemed to work at good effect and by jan 2006 i had grown my hair a bit longer and had a new style cut. my hair appeared to be a lot better than before and a lot of people did notice. this however may have been due to the new style as well. but by summer 2007 i began to realise that my hair was appearing to be thinner again and i also noticed that at my crown the balding area had increased. the fact i have got a double crown does not help appearance either. so in late december 2007 i decided to switch rogaine for a private minoxidil 5% containing MPG. this too at first appeared to have made a slight improvement, and is a lot easier to apply than the rogaine. however by now in may 2008, i am still not to happy with the density of my hair. i went to a trichologist late last year, he advised me that i should not consider a hair transplant until i am least 25 and that i still have a bit too much hair for a HT. he advised me to take propecia, however i am scared of using the drug due to all the reported side effects. i would be willing to use the propecia, preferbly in a few years and after marriage! both my mother and fathers family have cases of hair loss, my father is bald apart from the hair on his back and sides. both my sisters have fine hair aswel, but they have a full head of hair.

i have seen pictures of hair transplants on patients who have diffused thinning and this would be my preferred method of sorting my hair out, however i am aware that i need to consider the long term instead of the short term. can you please give me some advice on what to do? thanks.

I don’t know what I can say that hasn’t already been said on this site —

I’m not sure I quite follow the logic about waiting until after marriage to start Propecia (finasteride 1mg). The side effects from Propecia occur in less than 2% of men and most claims you read about on the Internet are unsubstantiated. Without seeing your hair, I couldn’t tell you if you’re a transplant candidate, but if you’ve already seen a doctor and were told that surgery was not recommended, I’d listen to him. You could’ve very easily gone to someone that would’ve taken your money and performed a surgery on you just to appease you. I don’t know which doctor you went to, but by not doing surgery on you, he likely did you a favor. You are, of course, entitled to go to another doctor and I’m sure eventually you will find a surgeon that is more than willing to take your money.

See the following for more:

• Dr Rassman, Why Do You Insist on Young Men Taking Pills Rather Than Just Get a Hair Transplant?
• The Truth About Cheap Hair Transplants

“Another feel-good story: An elderly man in New Hampshire was bitten by a rabid bat that was hiding in his iPad case, but he got treatment in time to save his life, as reported by WMUR. The incident was newsworthy because of its peculiar circumstances, rather than any medical novelty, and so we passed on it.

That being said, only 1 to 3 cases of rabies in humans are reported annually in the United States. Half of all lethal cases over the past decade have resulted from contact with a bat. So while we won’t go as far as recommending that you throw your iPads out, we’re glad the man in question had the insight to seek medical attention.”

Finasteride: https://www.google.com/search?q=finasteride%20before%20and%20after&tbm=isch&hl=en&rlz=1C1CHBF_enUS811US811&sa=X&ved=0CCIQtI8BKANqFwoTCLC45pfiyIADFQAAAAAdAAAAABAy&biw=1903&bih=880

Micrroneedling: https://www.google.com/search?rlz=1C1CHBF_enUS811US811&sxsrf=AB5stBh9CQfNPcJgeoLsVF66afptlgCjuw:1691696303248&q=before+and+after+microneedling+hair+photos+images&tbm=isch&source=univ&fir=h1ZOE2i_kH0whM%252COeKBNn3X7rgquM%252C_%253BjUJQIMpc0BXGKM%252Cx56aU7_t8iURBM%252C_%253BWn2-nrfuXlkMVM%252COeKBNn3X7rgquM%252C_%253BGqqB9rIUUi96ZM%252Ch-wvL2hflGBV_M%252C_%253BhX061oluFQAixM%252CBZIg88pkejOUNM%252C_%253B_5rh2ckuBfnTlM%252CQYjR6aULLuQajM%252C_%253BB-BDc13Frq-2-M%252CWdvDElzbt8xw3M%252C_%253B5ZqG_B-WqKTVVM%252CWdvDElzbt8xw3M%252C_%253BQabMX0LX-9818M%252C1Ww0njYmj3ZZoM%252C_%253BHhHr116ndm3cDM%252CLD8AEs24R7OnJM%252C_&usg=AI4_-kQdCsYhlk0RX0kX-zTWzWeffF074w&sa=X&ved=2ahUKEwiogeTp69KAAxU6JkQIHfBZAkEQjJkEegQIGRAC&biw=1920&bih=931&dpr=1

The Scientific American reported a fix for hair loss in August 1914. Let me share it with you. “A gold wire 1/500 inch in diameter is bent to form a loop barely visible to the naked eye, which is then threaded with a woman hair of the desired color and from 8 to 12 inches long. The wire is introduced into a Pravaz hypodermic needle and then bent and cut, forming a tiny hook. The needle is inserted normally, twisted and carefully withdrawn. The doubled hair is anchored by the hook in the subcutaneous tissue. As many as 50,000 hairs may be required. ”

Source: Scientific America

That amounts to 15 grains of gold. Someone made money out of this.

I will assume from these pictures that your hair is coarse. The arrow I placed on your photo shows the location of the middle of the new hairline and a mature hairline shape. If I am right, then the number of grafts to do this job would be in the range of 1,200-1,300. If your hair is finer, then it will take more grafts. It might take 2,000 grafts to get a reasonable result with fine hair. Everyone is different so the amount of grafts required reflect not only the thickness of the hair itself, but the area that has to be covered. This takes an experienced surgeon to do proper estimates.

 

It is ok, but it does not meet my standards. The hairline has many two hair in the leading edge of the hairline which makes it an obvious hair transplant. I would build a transition zone in front of these grafts so that no-hairline hairline exists, meaning that the hairline does not have an abrujpt start as it does in these photos. There is also a small gap on the sides which should be addressed. The hairline on the right is one of our hairlines and as you can see it is much different than the one on the left (your hairline)

This is a great video which shows many photos of what to look for in patients, the doctors work and how they do it, the importance of the microscope in every FUE, etc.. The speaker had the worst hair transplant from the 1990s on his own head and had it fixed, but probably put the hairline a tad bit too high. He missed two important nuances of the FUE. (1) The skin of the FUE grafts is trimmed under the microscope. By trimming off most of the skin, the cobbling of the skin, something called cobblestonning (like the old streets which used bricks instead of pavement) produces small elevations of the graft at the point where the skin enters the scalp. (2) The grafts are always placed flush with the skin so that bumps never appear at the point where the grafts enter the scalp. Nevertheless, this is one of the best videos I have seen for evaluating a doctor.

I’m thinning, and i decided to shave it all off. A big thing for me is the fact that once its all shaved off, there are follicles everywhere and thus it looks like i shaved out of style and not necessity. My question can the hair follicles itself, as time goes on, stop regrowing?

Your pictures shows you are thinning a bit. Some people believe that if they shave it, it will grow back normally, not true. To find out how much hair has been lost, the HAIRCHECK instrument check will tell you (see: https://baldingblog.com/2017/01/10/value-haircheck-bulk-measurements-two-patients-seen-today/) . The hair will keep growing until such a point as your genetic hair loss (assuming that is what you have) advances to your family genetic inherited pattern. That takes time. Based upon the HAIRCHECK results, you may consider finasteride if there is hair loss confirmed and if you are under 30 years old when the drug works best.

So I started taking finastaride on Saturday the 22nd of June. And here is what I have taken. Saturday 0.25mg Sunday missed a pill (hurt my leg playing football and was in hospital for scans) Monday 0.25 Tuesday 0.25 Wednesday 0.25

So here’s my question. I have taken in total 1mg of finastaride and last (Thursday)I have started to have an irrated nipple to the point where it feels like it has been chaffing on my T-shirt’s( I was wearing a rough embroider shirt) I’ve had no other sides (for now) and I am well aware that this could be in my head and I am a massive over thinker in these types of situations but the things that are swaying me to thinking gyno is:

1. I had gyno as a pubescent teenager (had the full lumps and everything during puberty, it wasn’t bad and it didn’t make it look puffy but it was there I think)

2. I had a doctors appointment today and i mentioned my symptoms and how I was feeling, I was had told my doctor I had been on finastaride for 2 weeks (obviously a lie, was a brain lag it’s not even been 1 week) and she felt around my pectoral area and she said my left hand side (which is the tender/irrated one) is slightly fuller than my right. But my right is also a bit fuller.

So my question is, do you guys believe this could be gyno? My doctor recommended to stop for 2 weeks and see what happens to the symptoms. I’m just unsure how fast gyno can happen?? I really don’t want to lose my hair so I’m debating whether taking a SERM with finastaride??

Thanks a lot for listening and I’ll be very grateful to listen to anything

After a single dose or a limited dose, I doubt that the gynecomastia would get worse. Considering your history, I would think that you are too much focused on this side effect and .what you are experiencing may be a nocebo effect. Seeing your doctor is a good idea.