How long will Finasteride maintain my hairline if taken consistently? I was a Norwood 1.5 – 2 at 20 years old, and I have been using Finasteride consistently for 13 months now. My hairline definitely maintained, and I see a little bit of regrowth in my temples. My question is: can Finasteride maintain my hair for another 5 or maybe even 10 years? My dermatologist said yesterday that Finasteride should maintain my hair for life if I use it consistently after seeing my one year of progress. But what do you think?

In many men who take Finasteride for life, they might maintain their hair if the drug continues to be effective as they get older; however, as man’s testosterone often drops with age, the effectiveness of the DHT blocker on the hair follicles may become less effective. One never knows what would happen if they did not take the drug when they are over 60. I had one patient who was 58, and he decided to stop the Finasteride after being on the drug for almost 2 decades. Within one month, he started to lose a great deal of hair, suggesting that the drug was holding on to his hair.  At least their risk of prostate cancer is probably less.

I used Rogaine for 1 year.  I thought it wasn’t helping and my shed picked back up 8 months in.  I quit Rogaine this last December and about the last month have had huge shed.  Sometimes 300-400 hairs.  I am45-year-oldd female with FPHL.  Should I go back on Rogaine?  Will that decrease shed and can I take Fin as I have had a hysterectomy?  My temples and sides are the worst, losing density.

Going back on Rogaine may return the hair and it may not. A Hair transplant is a reasonable option that will absolutely put the hair back where it was lost.

Hats have nothing to do with hair loss for men, it is just purely genetics.

If my hairline is receeding, should I stop wearing caps? from tressless

I have found that many of the rich and famous don’t do their research when it comes to getting a hair transplant as I have had to fix many of them. Donald Trump is a good example of a botched job (scalp reductions and now he is stuck with a terrible scar down the middle of his head with balding around it). This man that you referenced should have had his donor supply quantified and a proper plan built. Maybe he was a bad candidate for a hair transplant but now that he has it, he can do something about it like possibly another transplant to thicken the frontal leading edge and the getting scalp micropigmentation (https://scalpmicropigmentation.com/bold-shaved-look/) for the rest of his head and he might look much better. A repair is never as a job well done as at the start and if he was not a candidate in the first place, now he either learns to live with what he has or find a doctor like me who specializes in repairs.

A billionaire diamond businessman’s hair transplant from tressless

I always talk about the “tug of war” between the drugs, like Finasteride, on one side, and the balding process (which is progressive in all men) on the other side. Sooner or later, the genetic balding will win the war. Working with a good doctor may help you get around the problem. The use of oral Minoxidil is commonly used and can be very effective, but you need a doctor to monitor it.

Propecia for 2.5 years, no shedding/sides. Hair still thinning away… do I have any options left? from tressless

I’ve taken steps to combat hair loss that I’ve been experiencing since about 20. I’m 23 currently, and about 2 months in the big 3 + Dermarolling. Recently, I’ve been experiencing shedding of very thin and small hairs. Is this a positive sign that they are going to be replaced by thicker hairs? Lastly, is there any signs of regrowth on my hair pics above? I’d like to say I see small progress for 2 months, but it could be hair length factors/lighting.

You have to wait a full year to see 80% of the value of the drug Finasteride. Sometimes, shedding is reported for the first two months as in your case. I don’t think that the Dermaroller adds value. You could add topical Minoxidil nightly to accelerate the effect. At your age, this combination of medications should work.

There is an association with taking Finasteride and your lipid and cholesterol profile, as shown in the following article: https://www.ncbi.nlm.nih.gov/pubmed/10996351. Thank you for your contribution and reference.

Effect of finasteride on lipid profile – increased triglycerides and decreased HDL cholesterol after 3 & 6 months of therapy from tressless

Sun exposure directly on the grafts after any hair transplant is never a good idea. UV light negatively impacts healing and can burn the skin edge of the grafts. People often forget that these grafts, which are taken from the back of the head, have never been exposed to the sun for your entire life. You should wear a hat, and even after it has healed, you should use UV protection.

I often prescribe Finasteride to patients at your age. Bone growth is complete at this age, so I would not worry about it.

Will i finish my devlopment if i stop finasteride? from tressless