I picked at my grafts (6 days) and a few came out (Photo)

We performed a study where we actually picked out the grafts on days 1-15 in over a few dozen patients. The grafts that were removed were sent to pathology. What we learned is that picking the crust (scabs) while they are still there, will pull out the grafts up to 12 days or so. Once the crusts are gone, the living part of the grafts do not come out. The pictures show you still have crusts and are at risk of removing the grafts if you continue to pick on them. Here is the published article for you to read: https://newhair.com/wp-content/uploads/2018/11/mp-2006-graft-anchoring.pdf


2020-09-01 09:59:45I picked at my grafts (6 days) and a few came out (Photo)

I See Cyclic Changes in My Hair and Do Not Understand Them

Doctor can this happen on propecia. Ive been on it for 2 and half years with good results, maintained and thickened a bit, but my hair is weird. the first year on propecia it looked like it was getting worse, then into the second it started getting better over all. then again half way through the secong it looked bad again, and then a few months later it thickened again. I take pics, and that’s how I can tell. also there is a single hair that I excluded from the other hairs to follow and look at to see how it progresses, and to give me an overall picture on how the other hairs might be responding and growing. the last month or so that specific hair thinned and looked like it was gone, and then a few days a go I see It growing and thickening again. I know this is a weird email lol, but from you experiences does hair go through diff stages?

to be exact I started propecia in june 2011. from june 2011 to june 2012, it looked like I lost ground a bit, so I still stuck it with propecia. then around January 2013 my hair started looking good, and was thicker and the pics I took started to show a difference from the baseline. around april of 2013 my hair looked thin again and looked like I was reverting back to baseline. around august till about now my hair has looked its best. I started noticing new hairs sprout from the hairline that were not there before, and the looked so much thicker, and way different from baseline. its basically at its best. my question is why does it go through these stages? bad, good, bad, good, etc? is that normal?

Our hair will cycle and grow in different stages, so some hairs fall out while other grow from a stem cell that regenerates the hair follicle. You may be noticing some changes, but you cannot really say with scientific objective certainty what is really happening with just subjective observations or pictures. For example, dry frizzy hair in dry fall weather can make your hair seem voluminous, where oily damp hair in the humid summer days can make your hair seem flat and thin. Even different shampoos or hair products can affect how your hair may look and feel. For a more accurate analysis, we try to quantify it with measurements such as miniaturization study and hair bulk measurements and compare values on a yearly basis.

Finally, you need to understand that being on Propecia does not mean your hair loss will stop. Based on your genetic predisposition you will continue to lose your hair to the predestined hair loss pattern. Taking the medication (Propecia) means it will slow the process of hair loss down to each individual’s response to the drug. There may be some variations where you may notice less hair loss and more hair loss over the many months to years. We generally lose about 100 hairs a day (on the average), but this number is also highly variable with time for the individual. So I think what you are experiencing is likely normal.


2013-12-08 13:00:00I See Cyclic Changes in My Hair and Do Not Understand Them

I Stopped Worrying About Propecia Side Effects and Realized They Were Just In My Head

Hello Doctor,

I’ve written to you in the past about my initial experiences with propecia. When I started, I was worried I had side effects… but I couldn’t figure out if they were real, or in my head. I soon decided that I was going to stop worrying about it, and just continue on with the medication.

Soon after, the side-effects stopped! I’ve concluded that in my case, the side-effects were most definitely in my head. I’m also happy to announce that propecia has helped me go from a NW 3/4 to a NW 2/3!

I could not be more impressed!! I hope this encourages other men who are worried about side effects to stick it out a little while longer, and to not worry about it so much!

Thank for writing and sharing this with us. I would expect that your case would be more common if some men didn’t let the side effect potential get in their heads, but in any case, I’m glad it worked out for you.

I Think I’m a Norwood 1.5 and I Can See My Scalp Under Bright Lights

Hi, I am a big fan of this blog.

I am a male of 24 years from India and have been losing hair since I was 18. Here is the condition of my hair:
-I think I am Norwood 1.5 and my hair seems full to others
-I lost much of bulk on my balding zones, non balding zones are okay.
-I lose hair which are so thin. Most hair strands that I lose are thick at the tip, but gets so thin towards the root (the bulb portion). The root portion is also whitish in colour.
-My scalp is so freakishly oily and have dandruff only on the balding zone. Whenever I scratch I find hairs that are almost invisible.
-Some long hairs can be pulled out easily. They move in the slightest of wind while holding at the root. Those strands are medium thick but very lifeless.
-My crown is feeling very thinner. The scalp can be seen at bright lights

I think I am in early stages of balding. I want to do something to treat early before it is too late. I am a bit scared of fin but I wont mind giving it a try. What do you say about my hair condition? is it mpb? Can i take fin without seeing a derm? or should i wait for histogen?

If you’re seeing a Norwood class 1 or 2, that isn’t really considered balding. It is normal to lose hair daily, as new hair grows in (hair cycling). It is also normal for your hair to appear thinner under bright, direct lighting. All in all, what you’re describing sounds pretty… normal.

If you are concerned that you’re in the early stages of male pattern baldness (MPB), you should see a doctor. Do not just take finasteride without a prescription. It is a prescribed medication for a reason, and you must see a doctor (dermatologist or otherwise) that can tell you if what you’re seeing is even MPB.

I couldn’t tell you if Histogen or other future treatments will become a reality, or how effective they will even be, or when they will even be public. There are still a lot of questions about future treatments, but we’re all waiting to know.

I Took Propecia For 3 Days And Have Gynecomastia

I have a question regarding my start with Finasteride. Im a 26 years old Male suffering from mpb. I just started Finasteride 1mg / day 3 Days ago and feel some kind of pain in my right Breast area i didn’t have before. What would you recommend lowering the dosage to 0,5mg or stop the medication at all or try to ride it out with 1mg? Im really afraid that fin won’t work for me because of the very rare side effect of gynecomastia.

I recommend seeing your doctor who prescribed you the medication. Having your doctor examine your breast and having a discussion about side effects associated with the drug.

I suppose anything is possible but some things are improbable. Go see a doctor (in person).

I Want My 17 Year Old Brother to Take Propecia

Hello Dr.

I have a problem regarding my brother starting to lose his hair.He is losing his hair at a very young age (he is 17.5) I want to get him on propecia since he is nearly 18 but i am worried that even 18 years old is a little young to use propecia,do you think this is true? The reason i think it may be too young is that boys don’t stop growing until they are around 20 to 22 sometimes, and i am worried that DHT is needed for boys to develop into men.Do you think 18 years old is to young to use propecia and could it stunt his growth? I am really worried for him,please respond.

You are your brother’s brother, not his doctor, so you can not be objective about the process of hair loss and its diagnosis and treatment. Assuming that he meets with a good doctor, gets examined for miniaturization, and gets a diagnosis of male pattern baldness (MPB), taking Propecia at 17.5 years old should not be a problem. The clinical trials and data are from men as young as 18 years old, and as you stated he’s nearly 18, he should be done growing anyway.

Maybe there is something else wrong? Perhaps he is not genetically balding, but just developing a mature hairline In any case, do what is right and in his best interests. Seeing a doctor should be step 1, as the medication is by doctor’s prescription.

I want to reduce the size of my forehead now (photos)

Lowering a male hairline is a role for a hair transplant if you are over 25 years of age. I would not seek a hairline advancement surgery (another solution to high hairlines) because male pattern balding (genetic balding) might cause you to lose hair behind the surgery site and expose a scar: https://baldingblog.com/had-a-hair-transplant-at-21-now-at-22-he-has-more-hair-loss/. I would try to reverse the early hair loss with medications such as finasteride and minoxidil and with a little luck, you might get a response like this: https://baldingblog.com/10-months-on-finasteride-fantastic-result-photos/. You need a good doctor who cares about you and will build a Master Plan for you so that you will never look freaky while fixing your forehead or balding problem


2021-03-18 07:45:39I want to reduce the size of my forehead now (photos)

I wanted to share a consultation I did this morning with you

Your examination showed that your hair is fine (measuring 40 micron thickness), has a salt and pepper color, is straight from what I can see, and your scalp laxity (the looseness of your scalp) is very good. I spent some time explaining that the area of balding you have now, was originally covered by 75,000 hairs. With the hair remaining around the back and sides of your head, only about half of it can be moved to cover this large bald area. I can move possibly between 10,000-15,000 hairs in two surgeries to cover an area that originally was covered by 75,000 hairs, so that the new density will be 1/5th or the original at best. As your hair is fine, the value of each hair is less than if it would have been coarser and does not cover very well without a substantial numbers which you will not get from the two surgeries I am recommending for you. I showed you many pictures today including someone with fine hair who had front and top coverage and expected that this is what you would look like, and you told me you would be satisfied with this look. I also discussed that when the hair is fine, longer hair gives you better coverage so when it starts to grow in after the hair transplant, you will make determinations at that time as to what length looks best.
I recommended at least two surgical sessions with as many grafts as possible and as are safe. The first session will get out between 2500-3000 grafts and the second session will be another 2500-3000 grafts (each graft contains about 2 hairs). If after the second surgery has grown in (about 6-8 months after), then we will make a decision about how full it is, if it meets your goals and if you want it to appear fuller, either a third hair transplant or Scalp Micropgimentation (http://www.scalpmicropigmentation.com) to color in the background), would be the next and possibly last step in the process.
I told him that I was confident that we would achieve the goals he and I defined if he followed the plan I outlined for him.

I Was Prescribed Propecia After the Doctor Just Glanced At My Head

I am a bit of a hypochondriac, I admit it, and every once in a while I really fear losing my hair. I am a 26 year old male and haven’t experienced shedding, hair in the drain, etc, but I recently looked in the mirror and worried that more scalp may be showing than before. Of course this could be my imagination, because I don’t look at the back of my head very often. No history of hair loss on my father’s side. On my mother side, I have one cousin with hair loss, but neither his father (my uncle) nor my grandfather had hair loss. I have always had very thin/fine hair.

I recently went to a dermatologist, who after looking at my hair for about a half a second, said I had early signs of MPB and prescribed me propecia. He didn’t ask about my history or symptoms at all.

I don’t want to take the propecia unless I am certain that I am losing my hair. I’m not convinced that I am, but I also don’t want to delude myself either. I was wondering what advice you could give me. I am sending a couple pictures, if that can help you give me a recommendation. Many thanks.

I discuss all of the time that the diagnosis is made in the early stages before hair loss is evident by mapping out the scalp hair for miniaturization and establishing a metric for it. If you don’t do it this way, then the next step is recession and frank balding, not something you want to find all of a sudden. The early miniaturization will show the beginning process very clearly so that if you take appropriate medications, you might stem the problem before it gets to frank balding. If you do not have miniaturization, then you probably do not have early balding and do not need medications. A simple glance of the head is not going to cut it for a case like yours.


2008-04-18 16:35:40I Was Prescribed Propecia After the Doctor Just Glanced At My Head