Balding Blog

I am a candidate for a hair transplant but i don’t want to use finasterade or minoxidil. A surgeon told me that the transplanted hair would create a shock loss to my existing hair and speed up hair loss. Is this true? What happens in shock loss?

It is too early to tell much. Your hairline is still in its juvenile position (because it approximates the highest crease of the furrowed brow) and I would expect that it would rise about 1/4 inch from where it is. Maybe what you are seeing on the right side is the first step in this process. If I were to see you, I would look to see if you had miniaturization in the frontal area, which would indicate changes coming.

Recently, I’ve been worrying about my hair as I’m seeing more hairs fall out in the shower. The issue is that at least have these hairs are short (1 inch or less), thin and tapered at the end, not the root. My hair on my head in general does not look or feel any thinner but the amount of these types of hairs falling out is concerning me. Are these types of hairs an early symptom of balding? Thanks.

Male pattern balding (MPB) is a genetic trait. The hair loss is apparent from a certain “pattern” that develops. The morphology of hair may be an sign of hair loss as miniaturized hair is smaller in its diameter. However ALL of us (even those who are not balding) have miniaturized hair. It is part of the cycle of hair.

I recently noticed my hair thinning and it has put me in a state of sadness. There are times during the day where I can’t bring myself to do anything because of how upset I am about my hair loss. I am a 23 year-old Asian male with what I suspect to be diffuse thinning. However, I have not seen any hair fall out on my pillow and just a few fall out when I shower. Would it be possible for you to look at some pictures of me to give me a confirmation? I want to take Finasteride but I am scared to death of the sides.

I don’t think that you are balding. Asians often have lower than average hair density and with your black hair and light skin, the see-through of low density reflects the high contrasts between skin and hair color. To find out if you are balding, you need to see a doctor who has an instrument called HAIRCHECK which will tell you if you lost hair bulk in any part of your scalp. In men, this is caused by genetic hair loss. I suspect that if you get this test, it will show that you do not have hair loss but to be sure get the test. Even if you are not balding but your hair appearance is not satisfactory, you can get Scalp MicroPigmentation and reduce the contrast between your scalp and your hair. See https://scalpmicropigmentation.com

You may be allergic either to the carrier for the minoxidil or the minoxidil itself

Close to making a decision about a transplant, just unsure about whether my donor area might be too thin. I have always had messy/forward hair and would like to keep this style, is this possible with a HT? In most results I’ve seen, the hair seems to be placed facing upwards.

See the photo below. Left Box has 33 hairs and 16 hair groups = 2.1 hairs per Follicular Unit. The Right box has 38 hairs and 18 groups = 2.1 hairs per Follicular Unit. Both of these man have an average hair count reflecting about 110,000 total head hairs and a donor supply equal to about 6-7000 grafts in their lifetime. I purchased this from Amazon to do this photography: Xenvo Pro Lens Kit for iPhone, Samsung……….

I m thinking Smp for my strip scar.can it be done without shaving?

Yes we do this everyday at the New Hair Institute. See the video and the reviews for Scalp MicroPigmentation:

RealSelf Patient Reviews of Jae Pak, MD

I keep trying to find online stories of people who were not responders to fin switching to dut and at least maintaining but throughout my googling I cannot find a single one. Quite the opposite actually, people keep saying it did nothing.

I switched to dut after not responding to fin three weeks ago. Does anyone know any stories of fin non responders responding to dut as I’m pretty demotivated by finding one possible success story and finding 20 other failures from my position.

Also if anyone did have success how long did it take?

You increase the risk of sexual side effects because dutasteride blocks the DHT receptors about 90% vs finasteride at 70%. Also there are sterility reports from dutasteride. Be careful about this decision

22y/o here with diffuse thinning. I’ve accepted that growing my hair out long isn’t an option due to thinness and my hairline has started to go. I look fine with a buzzcut but would look great if I could fill in my temples. Ive stabilised loss with fin and min (on for 6 months) but am wondering if getting a small transplant (1k) to fill in temples is a a good idea (aged 24 or so). I think it would look better than some dodgy SMP. Has anyone done this/got any opinions

A small hair transplant is like being a little bit pregnant. You should never start the hair transplant process unless it is part of a Master Plan that looks into your future (see here: https://baldingblog.com/so-if-i-replace-my-receding-hairline-what-happens-in-ano).