Category: Uncategorized

Hair systems never look good, IMHO. I know a guy who makes a lot of money and went very detailed on hair system versus transplant and explained very well why he got the system and it’s the first thing I notice every time I see him. Yeah, I know he has it and I can’t unsee it. So that creates a bias, but even if I didn’t know there is no way I would think it’s hair.

Some transplants look terrible, too, especially when I see one on UK celebs for some reason. A lot of unnatural looking hairlines. But I’ve seen a lot of good natural looking transplants, too. Micropigmentation looks good but only for a very specific style.

When hair transplants or SMP is performed in the right hands, it looks natural. The key is to get someone who knows what they are doing. You wouldn’t say Elan Mush’s hair transplants looks bad, would you?

I am a 20 year old boy I have been noticing hair fall eveyday. I have read on the website progesterone cream for hair fall. Is this safe? What about PRP

While progesterone is generally considered a natural female hormone, biochemically it is an indirect precursor to testosterone much like testosterone is a a precursor to DHT. (Men produce progesterone naturally just like women produce testosterone in their body)

If you follow this logic you can argue that you should be taking more cholesterol for male pattern balding and all hormonal deficiencies (since cholesterol is a precursor to testosterone/ progesterone/ etc)

Without going into detailed biochemical / medical logic, there may be an academic reasoning behind the use of progesterone (of how progesterone can counter DHT levels) but it is not a standard treatment for male pattern balding.

Keep in mind, male pattern balding is a genetic condition for which there is no definite cure. Drugs such as Propecia and Rogaine can help but over the long run the genetic predisposition will manifest. The only FDA approved medication for the treatment of male pattern balding is Propecia and Rogaine.

There is nothing wrong with doctors promoting off label treatments such as progesterone, PRP, low level laser light therapy as they have a right to practice medicine within the bounds of their Hippocratic Oath. Likewise the consumers (patients) have a right to choose their doctors and treatment options based on their own research and free will. However, it is my opinion that the consumer take a “buyer beware” approach. For every success story behind these treatments, there are many disappointed consumers who have spent thousands of dollars with no benefit. I may be biased because in my 23+ years in the hair restoration field, I have met with thousands of these disappointed consumers.

This is very patchy results. I think the grafts that were transplanted came in patchy which means that many did not grow. I would go back and speak with your surgeon. If you were my patient, I would make it “right.” A good examination is critical to going forward and in trying to understand this bizarre result.

If the hairline is maturing and there is no genetic balding, there should be no shedding

The attachment goes through all of the definitions, common practice and a reasonably complete review of the industries experience with microneedling with minoxidil, PRP and mesotherapy. This is a must read for those of you who want to go through this treatment modality, how to do it and what you can realistically expect. The conclusion from the various references seems to show a uniform benefit from the microneedling.

A Scientific Perspective in Microneedling for Alopecia from tressless

Yes, I just has a patient I put on Topical finasteride and within a week he developed brain fog and sever sexual side effects so I told him to stop the medication. It does happen, but I am told it is less frequent.