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You are a good candidate for a hair transplant. The crown component is narrow, which is good when it is present that way. It takes less grafts but there is a good possibility that it will get wider in time. Be aware that if you go the FUE route, there is a limit on how many FUE grafts you can have in your lifetime and that depends upon your donor density. The average Caucasian with 100,000 hairs on their head, have an FUE limit of about 3600 FUE grafts. Anything above that will make the donor area look bald. When you meet with your doctors, ask them to measure your donor density and have them build a Master Plan with you for your future hair loss, which will almost certainly happen as the hair in the middle of your head will eventually fall out and the crown component may widen and go lower. Read this as well:

FUE or FUT? Photos inside and would like additional advice! from tressless


This Patient had both Strip surgery and FUE surgery and had scars from both. We performed Scalp Micropigmentation in the morning and this is what he looked like just 6 hours later. The pinkness in the repair will be gone within a day.

before SMPafter SMP


I know honest doctors who use PRP (Platelet Rich Plasma injections) but many of these doctors are unimpressed but they may be doing it because patients want it and there is considerable hype on the internet that this does wonder for hair loss. We’ve heard “universally good results,” and “very effective in my hands” comments from doctors doing PRP; however, PRP has no standardization and it has been around for more than 25 years without any absolute proof such as a clinically valid ‘Double-Blind Study’ with objective measurements of the results. What we hear among many of the doctors offering it are glowing comments and some even say “I’ve seen a tiny handful of impressive visual results” but is this really true?  Most good results occur when PRP is used in combination with finasteride, minoxidil, etc., which is an important variable, scientifically and something to keep in mind if you are considering PRP.

PRP is a VERY profitable business for the doctors who offer and perform it. How popular would it be for doctors pushing it if it were not so profitable? Would they believe in it as much as they do now?  When a person spends a few thousand dollars getting their PRP treatments, they often rationalize that they are better, after all, it cost a great deal. But it would be good to be able to tell a patient who had PRP that their hair bulk was checked with the HAIRCHECK instrument and “You Mrs. Jones, had a 30% increase in your hair bulk since I started your PRP treatment”, but the HAIRCHECK test doesn’t seem to be offered to these patients. I ask, Why Not?
You can tell from this post that I am not a fan of doing something for my patients that I don’t believe in, nor something that I can not see or measure by some objective measurement. So, I don’t offer PRP to my patients.


Donor area depletion occurs when more than 50% of the donor area hair is removed, especially if the hair is fine. A medium weight hair is better for slightly more harvesting with FUE and a coarse hair is certainly better as more than 50% of the donor supply grafts can be harvested. This is a number calculation that can be made prior to your surgery. See here:


Most of my patients actually enjoy the surgical experience. We use drugs to bring the patient into a light sleep and then perform the local anesthesia so that they don’t feel it. I always tell the patient to think about taking a trip to Hawaii. Last week, a patient told me he preferred Cancun, and when I was doing the surgery he was moving like he was dancing. It made the surgery a bit more difficult, but at the end of the surgery I asked about his trip to Cancun and if remembered dancing at the beach. He said he somehow went to Hawaii but did remember that he was dancing with beautiful women at the beach in Hawaii. We all laughed. Don’t worry, the surgery will be a great experience.

Less than two weeks until my FUT surgery. from tressless


I was prescribed .25mg oral minoxidil for hair loss. I stopped taking my finateride and topical finasteride and lost much of the benefits I had with my gains from my previous treatments including my frontal hair, my temples and the hair in the crown which had regrown with the topical minoxidil. I regret ever switching the original treatment approach.


Yes. If this is a change, it is possible that you have developed early gynecomastia of the right breast. If there are no lumps (painful or otherwise), then you should see your doctor for advice on what to do.

Screen Shot 2018-05-15 at 11.03.00 AM


A HAIRCHECK test should be done to (1) confirm that you are balding and (2) to document the actual degree of balding so that when and if you take Finasteride, you can measure the benefits or the lack of the benefits of it every year.

What tests should I do before taking fin ? from tressless


You can have these beard grafts removed with FUE using a large enough punch to get out the elevated skin along with the grafts. You might want them to put back the hair at the same time without the excess skin to that it will minimize the scar discoloration that would occur.

bad beard Tx


Minoxidil is an antihypertensive medication, and as such, can lower your blood pressure. That could cause an increase in your heart rate, so if this is a problem, maybe you are not a candidate for this medication. Ask your doctor.


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