They say you can get a transplant once you’ve stabilized your hairloss with Fin – but how reliable is it actually? I’m not sure how accurate this is, but I often read that Fin doesn’t really halt your hairloss, it slowns it down a lot but your hairline is still receding. And who’s to say that you get you a transplant and, 3 years later, Fin starts losing effectiveness and you end up looking even worse before? Do you just have to gamble on this, or am I missing something? Or is the transplant a commitment in the sense that you’ll eventually need more to “recorrect” everything?

What are you realistically getting in the long term with a hair transplant?

I have been doing hair transplants for 28 years and started the trend with small follicular units used for the hair transplants. Many of my patients from 28 years ago, come and visit me and a few came back for more hair transplants as they continued to lose hair. In good hands, hair transplants work and in 99% of people, the results are permanent. That is good and bad because if it is done well, you will look good, but it is done poorly, you will always look freaky.

Nice early results. It shows the impact of finasteride and minoxidil used in combination. The impact on the crown is clearly better than on the front, but both are better. It is unusual to see results in just 3 months but because he kept his hair short, the new hair impacted by the finasteride and the minoxidil showed better. If his hair was longer, then he may not have seen the value as quickly because only the hair close to the scalp was helped by the finasteride and the minoxidil.

I didn’t post this in the other thread mainly because I have a weird bald spot that I’m hoping someone will help me identify.

A few years ago I went to a hair salon to get my hair curled and somehow the hairdresser burned off some some strands of my hair (one in the front and one in the middle). I only noticed it weeks later when the one in the front was just standing out up in the air (it looked weird lol). Around the same time I realized I had a weird bald spot in my scalp. Until this day I’m not sure if it was caused by the blow dryer/curling iron the hairdresser used or if it happened naturally. I still have this bald spot. And I’m saying “the hairdresser used” because I don’t curl or flat iron or blow dryer my hair at all. That was a rare thing and I did it for an event. So now I don’t know if this is part of the alopecia or if somehow the hair root was burned and that’s why it’s not growing back. Does anyone recognize what this is?

Also I feel like my hairline is receding but I do notice some baby hairs growing at the same time. The middle part of my hair is significantly thinning over the past couple of years. Is this androgenic alopecia? And is the bald spot related to this? Should I start treatment and do I have keep doing it for the rest of my life (cue panic mode).

I attached pictures from different distances. Please excuse the dandruff and the frizz (trust me, I’m trying to get ride of it). Thank you so much for your help!

If this is new, you should see a dermatologist who will perform dermoscopy on your to find out if you have any disease in this area. You might have had a partial burn to the scalp that could cause it, but the loss is uniform

This finding at your age suggests that you may have significantly more balding as you get older.  See a doctor and build a Master Plan with that doctor that accounts for the short and long term changes that you are undergoing.  Your frontal hairline needs to be examined closely by an expert.

My best alternative for my hair loss is to get a Hair Transplant. However I have read various news from the internet and I came down to these conclusions:

1. It is permanent however you would need to get another hair transplant in the future if you want more density.

2. My hair transplant doctor says you do not need to take any medications, treatments. For my case, and that is exactly what I want to do but alot of internet topics suggested to take minoxidil, rogain, finasteraide, proprecia, prp to keep the existing hair for the rest of your life if you do not want to lose anymore hair.

3. I wear toppik and have 1 picture of my current hair.

4. I would consider a hair transplant if all I had to do was 1, and no medications were required. Is it possible or are you in a endless cycle of multiple transplants and a lifetime supply of treatments.

You discussed endless cycles but at 20, the reality is that repeated hair transplants every year until your balding becomes stable is a awful endless cycle, see here: https://newhair.com/baldingblog/22-year-old-received-a-hair-transplant-of-2800-grafts-from-reddit/

This spider is also called the Brown Recluse Spider. It often hides in boxes that you store away the the basement. This bite can cause you to lose an arm or leg. The picture shows what the bite looked like and what the spider looks like. My wife saw the spider land on me one day (she has a photographic memory and acute vision) and tried to tell me before I wiped it off of my arm.  Too late, the spider bit me and in a day my arm swelled but I did not get the necrosis shown on the picture on the left so I did not need surgical excision of the bite venom. This is a dangerous bite, but other than swelling and a fever, I did OK but it caused pain for about 3 days and it took a week for the swelling to go away.  Some people have been known to die or lose an arm or leg from such a spider bit. This happened to me in Los Angeles, California but the spider is wide spread in the United States. The patient in the photo shows that a surgeon removed the area of the bite because the skin died (necrosis) and this surgery was needed.

So I’ve been to dermatologist and started using fin and minoxidil. He used some camera to see whether I have hair follicles on my temples and it turns out that I have a lot (basically I could go back by 0.5-1 norwood if I grew them out). From what I understood my dermatologist seemed to suggest that there is hope in regrowing this hair. But I’m not sure whether I understood his words correctly. It’s said a lot that fin is going to let you “preserve what you already have at the moment”. And that minox works on scalp only. But I’ve been instructed to use fin, dermaroll once a day and use minox on both crown (which has very little loss) and temples. Does it mean I’m trying to regrow hair on my temples this way? Most articles mention that hair regrowth on the temples is unlikely as hair follicles are probably already dead (unless you lost your hair just recently). In my case I’ve lost hair on my temples quite within 4-5 years mark but most of the follicles seem to still be there. Does it mean I can expect regrowth?

A proper examination of the hair for balding is (1) the use of a video or hand microscope, (2) the use of a HAIRCHECK instrument which will measure the actual hair bulk in different parts of the scalp, and (3) see a good doctor who specializes in this field. With all of that done, you can be confident that you have done everything you need to do to make a proper diagnosis and commence treatment. Hair may or may not regrow with drugs like minoxidil and finasteride.