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I was advised by a dermatologist NOT to have a hair transplant because of the reasons mentioned above: shock loss and possible acceleration of hair loss.

If the reader is over 26 and is willing to take the drug finasteride, the risk of acceleration of the hair loss and shock loss are mitigated.

Hi doctor I have three major concerns:

1. I have been using Tricovivax (“Minoxidil 5%”) for about two months and I have noticed a massive rate of hair fall, shedding, and thinning. Even my family members are telling you are starting to have bald spots in your head.
2. I am very concerned with thinning at the back of my head (donor) are and when my doctor mapped my hair for “Miniaturization” noticed that my donor area is thinning too; and he applied the “pull test” and noticed a large amount of hair being pull.
3. Is setting long time at the computer screen during work will accelerate my hair loss since the computer screen emits radiation?

Thanks a lot doctor

I am pleased to hear that you have had a miniaturization study done. By your brief description, you may have a condition known as DUPA (diffuse unpatterned alopecia) or chronic telogen effluvium. Using drugs such as minoxidil or finasteride may not help in these cases. You need to follow-up with your doctor for options, diagnosis, and treatment. Sounds like he started off by taking the first correct steps.

Sitting at a computer screen will not cause hair loss.

The FUE is not scarless as it will produce some small, punctated scars. If the surgeon uses a small punch instrument, the scars will be small, but with a razor shaved head, the scars will show. We have performed SMP for patients with FUE or strip scars. Many of these people can now shave their head. I try to tell my patients that hair transplants don’t usually give back your original density, so a longer hairstyle works better than a shorter hairstyle since it will not reveal the lower density. To look at some patients who shaved their head with FUE and other scars, see here: https://scalpmicropigmentation.com/scar-covering/

Considering hair transplant from tressless

Our 16 month old baby girl has eczema and also dealt with scalp itching quite a bit. When she was little she had a really full head of hair. But, she did scratch her hair quite a bit to where we would find spots where there was some superficial cuts and bleeding. Her hair is pretty thing now. Do you think it’s going to be permanent or will it come back? We’ve gotten her scalp itch quite a bit under control from what it used to be.

Please follow up with your doctor. In general hair lost from trauma or excessive scratching or ecema may take over a year for hairs to grow back.

Apologies in advance for yet another question on this drug, but I cannot seem to find a good answer to it!

I am just wondering how the dosage of minoxidil has an impact on the hair. The Rogaine 5% minoxidil foam I use recommends 1g twice a day. This seems to be based loosely on expected application to the vertex/scalp.

Now, like so many people out there, I predominately use it on the hairline (though I know results can be hard to come by here). I have some moderate, uneven recession which may just be maturing, but I know maturing can quickly shade into MPB, and I have balding in the family.

Since the corners of the hairline make up a smaller area than the vertex/crown, is it still appropriate to use the full 1g? Does it matter if the full 1g is used in a more concentrated, smaller area? Does using more than the recommended 1g per application dosage ONLY increase the risk of side effects, or can it also have adverse effects on the hair?

In other words, is 1g simply the limit they set to to achieve maximum effectiveness whilst limiting side effects (similar to how 1mg is used daily for finasteride), or does going beyond that have adverse effects?

I only ask because I tend to use the full 1g (half a capful) to cover both corners (0.5g each corner), sometimes more, and I worry this may do more harm than good if I am using too much!

On the flip side, I wonder how people with more advanced/diffuse thinning manage to use half a capful to cover all the effected areas, and achieve good scalp penetration? It doesn’t seem enough!

I think it should be quite simple by using the medication as directed. Rogaine 5% is a topical medication and it is to be used twice a day on the area of balding on the scalp. Applying it, unfortunately, is not a science especially when you have to put it one in areas you can not see easily. It is used for balding on the top and crown areas where it is most difficult to apply and it probably does not really work well on the frontal corners. I realize some people use it for growth on the frontal corner areas in hopes it may work. There is nothing wrong with this. If your head is big or the balding area is big, I would use more to cover the areas needed. I do not think there is an absolute limit that you can realistically apply and what you apply needs to get on your scalp, not your hair. I also realize if you use too much you may have some side effects such as a drop in your blood pressure so use your good judgement.