Why does Finasteride not throw the body’s hormones out of balance?

I don’t know that I can really answer that. The human body does very well to adjust to small changes like what Finasteride does. We know, for example, that testosterone levels often rise with Finasteride, which is a body response to the drug. My son got an increased sex drive from his higher level of testosterone when he went on Finasteride.

How Should I Treat My Recipient Area Immediately After A Hair Transplant

Any hair transplant should be treated the same with regard to the recipient area, but if the donor area has open wounds (FUE), it requires daily washing with soap and water. Within 3 days of surgery, you can resume full activities, heavy exercises if you wish. The recipient area requires daily washes as well to keep the recipient area free of crusts. I generally recommend the use of a sponge and supply our patients with a surgical sponge to fill with soapy water (we supply the shampoo) and press on the recipient area daily in a rolling motion, never rubbing it. By repeating this daily, all crusts can be washed off without any fear of losing grafts from day one forward. If any crust are present, use a Q tip and dip it into soapy water or shampoo and roll it on the crusts and that will lift them off without dislodging them, but never rub them, just roll the Q tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in the first day with daily washing and stay that way. Here is an example of the way is should look like in 12 days with before and after pictures:

https://baldingblog.com/2007/12/14/12-days-after-hair-transplant-with-photos/

The following is an example of one of the worst crusting I have seen in a picture:

https://baldingblog.com/2015/06/04/fue-from-turkey-help/

The problem with this type of crusting, the grafts get pulled out as the crusts come off. We wrote about this in a medical journal here:

https://baldingblog.com/wp-content/uploads/pdf/mp-2006-graft-anchoring.pdf

The key is good washing starting from day one.

How to Transition from Taking Propecia at Night to Taking it In the Morning?

Hi,

I’ve been taking propecia in the evening for a little over 2 months now. I have read your comments that state it is better to take propecia when you wake up and I was wondering what the best way to make the transition is. Should I skip a dosage at night then take it when I wake up and continue taking it in the morning after that?

Just take one the next morning. A 50% increase in the dose for one day will be insignificant in the management of your hair loss.


2007-01-12 10:11:30How to Transition from Taking Propecia at Night to Taking it In the Morning?

Why isn’t body hair FUE transplants to crown more common?

The crown isn’t a styling area, mostly just need the look of fullness over there. It’s common just to get that area micropigmentation. So why not just use some body hair to fill it in? I know there’s a reason why, otherwise it would be done more. But what is it?

Body hair donor sites have problems with them as follows: (1) they grow to a limited length, (2) they only grow about 6-8 months and then fall out, (3) their texture (bulk) is less than most scalp hair so that it takes many more to be equal to a scalp donor hair and (4) half of all of the transplanted hairs are in telogen (sleeping) half of the time which means that for every 10 hairs that are transplanted, only 5 are growing at any one time. In conclusion, it is not practical and very expensive. As for hair elsewhere in the body, beard as a donor source is good but not for the frontal area and only when you run out of good scalp donor hair. Neck hair is not permanent hair so it should never be used as a donor source.


2020-06-01 16:06:52Why isn’t body hair FUE transplants to crown more common?

Hyperparathyroidism and Hair Loss?

(male) Hey,

I wrote before and didn’t know if you missed my last question or just didn’t get a chance to answer it. To cut to the chase, is there a relationship between hair loss and hyperparathyroidism (and the removal of a parathyroid gland)? Blood tests also indicated that I had high testosterone levels before that along with high calcium. Surgery was 2 years ago. I’m just about 21 right now.

Thanks for your help

One of the symptoms of hyperparathyroidism is hair loss. I do not have experience about reversal once the condition is treated successfully. You are of the age where genetic hair loss may come into play here. Be sure that you get your hair mapped out for miniaturization, so that you can be sure that you are not also experiencing genetic hair loss. If there is miniaturization present, then is may be likely that the hair will not grow back.


2006-10-09 09:05:57Hyperparathyroidism and Hair Loss?

Why Would Shock Loss Cause Permanent Hair Loss?

Why does the hair that you lose from shock loss not regrow? I asked my dermatologist about my shock loss and he said he expects that the hair will grow back and that it would be unlikely that the scalp would just stop working and stop growing hair because of the surgery.

Nobody really knows for sure. Shock loss in a man with genetic hair loss often just accelerates the hair loss process. In women, a telogen (sleep) phase occurs and the hair almost always grows back. In men, it is thought that hair lost from “shock” after a hair transplant surgery is mainly the weaker miniaturized hairs that were already predestined to fall out as part of the male pattern balding. The “shock” from the surgery would cause these hairs to fall out earlier than normal just as any stressful event (even an appendectomy). Thus Propecia (finasteride 1mg) has a protective effect on preventing some hair loss from “shock” loss in miniaturized hairs. This is the reason why younger men who are actively losing lots of hair are at an increased risk for shock loss and must use finasteride to protect themselves from the awful complication.


2007-09-24 14:36:03Why Would Shock Loss Cause Permanent Hair Loss?

I am considering a hair transplant!

A hair transplant is a significant decision that should not be taken lightly. Most importantly, you must realize that hair loss is a progressive process, so getting a hair transplant may not solve your hair loss problem down the road. When considering a hair transplant, you must know (1) the worst-case badling pattern that you might end up with, (2) your donor supply i.e. how many grafts do you have in your lifetime to cover future balding? (3) how many grafts are you going to use now? (4) when will you deplete your donor supply such that it, too, will become see-through or significantly bald? (5) what is the quality of your hair (individual hair thickness) in the donor area, hair character (curly vs straight), and lastly what is the color contrast between your hair and skin color? Many undertrained doctors, and especially technicians who mostly need help understanding what I am talking about (above), are the ones who are doing surgeries in Turkey for the money. Many of these surgical technician-run clinics (some have doctors who front the process) are destroying the donor area and failing on the hair transplants, damning their victims with (a) terrible results, (b) not enough donor supply left to fix the failed hair transplant and (c) balding or bald donor areas. I hope that those of you considering a hair transplant find a good surgeon who understands all of the above and can give you the confidence of a long-term Personalized Master Plan, which is what I have done for all of my surgical patients throughout my career.