The arrows show large grafts at the hairline, something that should never be done as they appear pluggy. Also growth seemed either under transplanted or this man has inadequate growth. Either way, this man should get his money back and go to a good hair transplant surgeon to fix the problem
Hi Dr Rassman, sorry to bother you but I have a question for you. I have been on finasteride 1mg/day for the past 2 years now. I have also incorporated minoxidil foam for the past year(initially twice a day, but in the last few months it’s only been once a day). Both have resulted in success of hair regrowth for me.
So in the last 1-2 months I have noticed A LOT more shedding. Before this time, I rarely had been shedding any hair at all.. but for whatever reason now I lose hair even when I run my hand through my hair.
I am unsure if it is stress/diet from the new school, perhaps a damaged minox canister or the decreased frequency of applying it, or maybe the most unfortunate which is that the finasteride has lessened it’s effectiveness on me… Anyways, just was hoping to get your insight if you have the time. Thank you
It is possible that the shedding actually is related to the genetic hair loss. Wait it out for 2-3 months and you should see reversal of the shedding if it is drug induced.
Yes, a hairline lowering surgery can cause a scar. In this example, an unusually bad scar resulted. I say unusual, because incisions that are horizontal on the forehead tend to heal well. I suspect that this man had either unusual tension as the advancement was closed by the surgeon (most probable cause) or this particular patient had scarring tendencies. This can be fixed with hair transplants, either FUE or FUT; however considering the degree of scarring, FUE might be a better choice. The surgeon who does this better have a great deal of experience when designing the hairline to repair this problem as a poorly designed hairline will just add to this man’s misery.
This man is showing that minoxidil has worked on his hairline. The reason that most say that it only works on the crown (vertex) is that the FDA only got approved for claims on the crown (Vertex) when the drug got approved. It clearly works sometimes on the hairline as many men will tell you so and it works well in the crown for many men.
These two photos show two different men responding to finasteride, 6 months on the left and 4 months on the right. This shows the value of this drug for many young men.
This young man rushed to get a beard transplant. He should have asked the surgeon to show him other patients who had it done in that surgeon’s hands. Unfortunately, that didn’t happen. Now he work in a public position and every asks him what is wrong with his face? He wants to get rid of the transplants, all 2500 of them. This will possibly produce scarring even when they are out. The use of a very small punch by the surgeon and test removals is the way to go to see what is outcome will be. There is clearly a balancing act, the removal process and the possible scars left behind, or leaving it the way it is.
Hi, I didn’t understand if Saw Palmetto can decrease dht levels in blood and if it can do a visible results in hair health. Because i know that finasteride is the n#1 remedy used for AGA. Saw Palmetto should be a sort of ‘natural propecia’, less effective but without relevant sides as finasteride. But i really don’t understand if a man can have results in hair density and regrowth taking only saw palmetto. I mean if the starting situation of hair is not so bad (a little thinning hair but not bald at all).
There are many studies that show that Saw Palmetto is a very weak and poor DHT blocker for hair loss. Intersting read: https://newhair.com/baldingblog/general-questions-on-dht-blocking-supplements-have-birth-defect-risks/
Nice early result
This man shaved his head so that he could tell the benefits of finasteride better with photos. He had restoration of much of the crown and some or the frontal hairs. This is not unusual in most men responds better in the crown.
No, I don’t recommend DHT testing. Finasteride is a competitive inhibitor to DHT at the 5 alpha reductase level. Simply put: competitive inhibition means that finasteride competes with DHT for the receptor that triggers hair loss. If the finasteride occupies the receptor, than DHT can’t cause the hair loss. Finasteride is about 75% effective at competitive inhibition.
This man has both Retrograde Alopecia and a low density donor area (;possibly DUPA) who wanted a hair transplant. Any hair transplant done on this man will fail.
This man started on minoxidil and estrogen and after 3 months added dermaroller to the routine for a total of 9 months. The use of estrogen is unusual and I can’t surround the contribution of it to the growth that you see.
You may be allergic either to the carrier for the minoxidil or the minoxidil itself
The shape is different on the right. Frankly, I don’t know! It would be a hell of a good hair transplant if is was!
Time will tell. Longer hair will help. Please resend photos back to me in a couple of months. I am concerned that the blood supply to the donor area may have altered the color of your hair as well reduced the amount of hair significantly.
