Balding Blog

9 month finasteride and minoxidil, added 2 months microneddling and I was amazed how quickly the crown filled in.

I wish the crown photos would be lighter so it could be compared well with the before pictures. I will take your word for it that it is better

I’ve had two procedures in two consecutive days. First day, they took 4,000 FUE grafts, then they made scratches in the recipient area. The doctor said I had too much bleeding from my scalp (because of Minoxidil). On the second day, they took 4,000 more FUE grafts, and then transplanted all 8,000 grafts. I am now one month after the surgery, and my hair looks worse than before the transplant. I have not used the Minoxidil since the surgery and my donor area has poor density now.

If you had the first 4,000 grafts taken out and stored, then the next 4,000 grafts taken out the following day with all of the grafts transplanted on the second day, I suspect that not all of the grafts survived, particularly those taken out the first day. Some of the grafts placed into the recipient area might have problems as well, unless very strict protocols were followed for graft preservation. If the grafts were all transplanted on the second day, then all of the grafts taken out on the first day would not survive. Studies show that after 8 hours, graft survival drop off at 1% per hour.

If your hair is worse now, maybe this will continue. Until the eighth month, you will not know the survival of the grafts or the preservation of the native hair that you had present. If you had 8,000 FUE grafts, I am almost certain that you will have significant donor site depletion (balding in the donor area) as few patients have the density in the donor area that can support that number of FUE grafts. This many FUE grafts will make the donor area see-through (appear balding) and will not tolerated well.

I have written about this here: https://baldingblog.com/2017/07/21/many-fue-grafts-many-fues-grafts-one-know-safe-limits/

 

Never ask for 8000 FUE grafts. Unfortunately, too many patients want more hair and forget that if they take it from the back and side of the head, what is removed to fix the balding front, top and crown will be gone forever. Now this man traded a bald look in the mirror (I am assuming that the transplant was successful) for a bald back and side of his head. Not Good!

These results would have happened with finasteride as it did with dutasteride. The key for this man was minoxidil which was very effective even as early as 4 months, just better at 8 months.

These pictures show that finasteride works throughout the head and scalp. I don’t think I have to tell you which one is the before picture!

This is a fantastic result from finasteride. Clearly the hairline as responded as well as the rest of his frontal scalp.

Good results from using finasteride for 8 months, the first 5 months at 1mg and the last 3 months at .5 mgs

The photos say it. I suggest that you note his hair styling.

This shows an excellent result from the combination of finasteride and minoxidil over an 8 months period of time. Many people need to wait a full year to see such benefits

These are very impressive results