What If I Haven’t Seen Regrowth Results from Propecia At 9 Months?

You always say at the 8th – 9th month mark you should see Propecia’s regrowth/thickening of hairs. If you haven’t seen anything by then does it mean there is no possibility of thickening of miniaturized hairs or regrowth after that? I read that Propecia can take up to 1 year to see it’s benefits, so what’s the deal here?

I do not believe I said Propecia will make your hair thicker or regrow new hair all the time. Medication works differently for each person, so I couldn’t guarantee that. You must understand that there is no magic cure for hair loss and all drugs have limitations. As such if you are not noticing growth, you may notice less hair falling out. Less hair falling out still means it is working.


2008-12-15 09:00:27What If I Haven’t Seen Regrowth Results from Propecia At 9 Months?

History of Hair Transplant Pricing

I am someone who currently is probably not the best candidate for a hair transplant but may be interested in the future if my pattern of loss continues. While the FUE procedure looks like a desirable option it is expensive for someone on my salary/budget. I’m curious about how much the cost of hair transplantation has gone down or up in the past and what that could mean for the affordability of hair transplants in the future. Also, I understand that the costs of hair transplants vary based upon the quality as well as other factors but Im wondering more from the perspective of the hair transplant industry as a whole. Any thoughts would be appreciated. Thanks!

MoneyHair transplant pricing follow the rules of supply and demand. There are discounters who sell it for less and many of these discounters will not provide the same quality. Quality is defined by the percentage of grafts that really grow and the art of the distribution of the hair. Price ranges from follicular unit transplants range between $15 and $2/graft depending on where you live. FUE (follicular unit extraction), on the other hand, seem to have a slightly higher rate ranging from $20/graft to $7/graft. Because of the recession, prices have dropped. We have dropped our FUT (strip method) pricing by 20% to reflect the hard financial times in the economy. See our fees here.

What is Chronic Telogen Effluvium?

hi there! What does chronic telogen effluvium mean? I have ulcerative colitis, and it seems like every time I get sick, about two months later my hair falls out. then after about six months it stops. Then when i get sick again, it will start to fall out again. is this chronic effluvium and will it last forever, or does chronic mean that the hair will always be falling out?

The exact mechanism of this is unclear, but what you are describing does seem to be chronic telogen effluvium. The hair is pushed into a resting phase (telogen) by the activation of your autoimmune system with the ulcerative colitis. You may try 2% Rogaine (minoxidil) for 8 months and see if you can push the hair out of the resting cycle. The good news is that the hair is sill there and probably alive (resting), but the bad news is that treatment results are generally unpredictable.

For more information on TE, see Telogen Effluvium by Elizabeth CW Hughes, MD.

How and where should I seek professional advice for my hairline recession?

I’ve been slowly thinning and receded hairline since my early twenties. I’m now 37 and probably about a NW 2.5. I think it’s time to seek professional advice. Firstly, to officially diagnose what type of hairloss I have, to tell me how bad it will get and what my options are.

My question is, what is the best way to seek this type of help. Should I go to a GP and ask for a referral? Should I pay to see someone private? I’m thinking it’s not a good idea to go to a hair clinic, because they might try and sell me something against my best interests

You should find an expert in the field of hair loss. It might be a hair transplant surgeon like me, or a local dermatologist who has an interest in the hair field (many don’t). A proper diagnosis include video microscopy, HAIRCHECK instrument checks when appropriate, a good hair and scalp examination and a doctor willing to spend time with you to answer your questions.


2019-04-08 10:33:45How and where should I seek professional advice for my hairline recession?

What is the Accelerated Hair Loss After Stopping Finasteride?

I am a 51 year old male with some recent thinning in the vertex area, but otherwise a I have a full head of hair. I don’t seem to shed many hairs. In fact, after combing my hair, I may see only 1 or 2 hairs in the sink and never any hairs on my pillow when I awake in the morning. I have recently procured a prescription for Proscar, but I’m hesitant to use it because of some of the side effects mentioned. In an earlier answer to someones post,you mentioned the fact that if one was to use Finastaride, then discontinue it’s use, that subsequent thinning would occur at an accelerated pace. Does this mean only the hair you may have grown as a result of proscar use, or your overall hair in general? I’m currently trying grape seed extract, multi vitamins and Sawpalmetto. I’m also considering just letting things take their natural course and joining the rest of bald headed America.

Thanks for your anticipated response

In my opinion, grape seed extract, multi vitamins, and saw palmetto will not significantly affect your hair loss problem. Bald can be beautiful. There is nothing wrong with being bald.

With regards to finasteride (Propecia or Proscar), it may not cure hair loss, but it is the best medication available to slow down hair loss or even grow some hair back. If you stop taking this medication after many years, you may experience what I describe as “catch up” hair loss in which you lose all the hair that grew or stayed as a result of the drug. In short, your hair state will be at a point if you had never taken the drug in the first place.

How Can I Repair Heat Damaged Hair?

When I was around 14 my brother took me to the barber and made me get haircuts that looked good but required a hair dryer to maintain the look which I wasn’t good with. Every morning after having a shower I would use a shitty hair dryer on the max setting on my hair for a good few minutes to try and achieve the original look which I couldn’t really do and this went on for at least a year.

I thought I was balding since I could see my scalp when I looked close in the mirror but I wasn’t losing any hair and I was cutting my hair short so it didn’t really matter that much at the time but when I kept my hair longer it didn’t look pleasing so I decided to shave all my hair off because I thought it would remove all the “thin hairs” I had and then grow thicker hair which was all a waste.

That was two years ago and my hair is still weak and fine. How do I go about repairing my hair so it becomes thicker on the top? Should I use a Dermaroller?

Hair damage is solved as the new hair grows up from the scalp, while scalp damage to the growing hair follicles in the scalp can be permanent. See a doctor.


2019-07-30 14:42:39How Can I Repair Heat Damaged Hair?

What is the half-life of finasteride in tissues?

The official half life in the blood is about 6 hours and in the body tissues is 4-7 days. But as you take the calculation forward, some will remain for a few weeks after that. I tell my patients that 4-6 weeks is a reasonable expected target.


2021-08-14 08:14:46What is the half-life of finasteride in tissues?

How Could Wayne Rooney’s Hair Transplant Grow So Fast?

I am a little confused by Wayne Rooney’s hair transplant. He only got the procedure done a couple of months ago and already has what appears to be complete growth. Even immediately afterwards it looked as if he had just a shaved head which I didn’t realise would be the case.

RooneyFor those unfamiliar, we’ve written about soccer star Wayne Rooney’s hair transplant a few times (see here).

I have had some patients that had their transplanted hair grow out very fast. I might see such growth in 2-3 months if every graft grew out immediately, but this is rare. I’m not Mr. Rooney’s surgeon, so I don’t have the benefit of examining his scalp. From the looks of the couple recent photos I’ve seen, styling and hair color have more to do with his new look than full growth does. I am sure he still has a way to go before complete growth is seen. Generally, it’ll take up to a year to see the final results from a hair transplant.

One of my reasonably bald cousins that I did a hair transplant for had full growth of 2 inch long hair in 4 months… so while every patient would like to see the immediate visual impact from the surgery, it’s the lucky few that see such speedy growth.

What is your opinion of this transplant (photo)

Too straight, too regular and not enough density. I am being honest. If you end up with a second hair transplant, you can easily fill in the density and make it irregular on the hairline and behind it. Did the doctor put single hair grafts in the front as he should?


2020-11-05 12:32:07What is your opinion of this transplant (photo)

How do I make the proper diagnosis for hair loss?

So I’ve been to dermatologist and started using fin and minoxidil. He used some camera to see whether I have hair follicles on my temples and it turns out that I have a lot (basically I could go back by 0.5-1 norwood if I grew them out). From what I understood my dermatologist seemed to suggest that there is hope in regrowing this hair. But I’m not sure whether I understood his words correctly. It’s said a lot that fin is going to let you “preserve what you already have at the moment”. And that minox works on scalp only. But I’ve been instructed to use fin, dermaroll once a day and use minox on both crown (which has very little loss) and temples. Does it mean I’m trying to regrow hair on my temples this way? Most articles mention that hair regrowth on the temples is unlikely as hair follicles are probably already dead (unless you lost your hair just recently). In my case I’ve lost hair on my temples quite within 4-5 years mark but most of the follicles seem to still be there. Does it mean I can expect regrowth?

A proper examination of the hair for balding is (1) the use of a video or hand microscope, (2) the use of a HAIRCHECK instrument which will measure the actual hair bulk in different parts of the scalp, and (3) see a good doctor who specializes in this field. With all of that done, you can be confident that you have done everything you need to do to make a proper diagnosis and commence treatment. Hair may or may not regrow with drugs like minoxidil and finasteride.


2019-03-26 18:25:46How do I make the proper diagnosis for hair loss?