As Seen on


4500 FUE grafts are most likely too many grafts for most men. The typical Caucasian’s limits are around 3600 grafts based upon an average donor density and medium weight hair. Without knowing your original donor density, I cannot tell, but I can predict that you will most likely have a see-through donor area. See:


Yes, Minoxidil can cause body hair anywhere as it gets absorbed through the skin. Many women find that it brings on facial hair as well.


Shedding on Finasteride has been reported by many patients on the various blogs, including When it happens, it usually stops in 1-3 months, and then the benefits are seen to begin slowly over the next year or so. 

Constant anecdotal mentions of Fin causing shedding, yet it’s not listed in any of the official literature’s side effects? from tressless


Running testosterone with Finasteride is fine. Finasteride is a 5-alpha reductase type 2 inhibitor (which you, of course, know). It is not a DHT blocker, but it does block the conversion of testosterone to DHT. Therefore, a DHT derived agent (Winstrol, Halotestin) will still function in all its wonders and will of course have all its side effects on hair, rendering Finasteride ”useless” since it is being bypassed by the DHT-agent.

People who take testosterone and are genetically prone to hair loss will get hair loss even if they take the drug Finasteride, which is only 70% effective at blocking the DHT at the receptor level.


I got my doctor to prescribe Dutasteride after the Finasteride failed to stop my hair loss. It has now been a month with still no benefit. How long do I have to wait to see a benefit of this drug?

Wait a full year to see results. Some people just can’t stop the progressive nature of balding,even on Dutasteride.


I’ve used Min and Fin for 18 months, and it’s worked well. It’s slowed recession to 85-97% – though it’s hard to be objective – and there’s some light Min regrowth around my hairline. If it kept working like this indefinitely, I’d be rapt. … and that’s what I’m wondering. Many users – and, IIRC, studies – report efficacy of both these medications to at least somewhat dip over time. But I’ve anecdotally seen people on other forums talk about 10-15 years of use.

So how many Fin users ( and/or Big 3 users ) have reported good results from the drugs that have simply maintained anywhere near the same level of results over 5-10+ years? In other words: who has kept near to what they started with and had decent-to-strong long-term results – and/or even gains? 

I have seen the Finasteride work for as long as it has been on the market. I know that because one of my patients, 62, was on it since it was released, but decided to stop it and got “catch-up hair loss”. He was devastated. He went back on the drug, but did not get all of his hair back.


This is our classic woman with thinning hair who elected to have Scalp Micropigmentation instead of a hair transplant.  Smart move!

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In an article published in a peer-reviewed journal (, there appears to be at least one case report suggesting that Finasteride may have caused Melasma (acquired hypermelanosis).  In the article, there is a suggestion as to its cause.


I have noticed surgeons advertise combining the two hair transplant methods FUT and FUE in 1 surgery. What are the benefits of combining FUE and FUT? Is it better than using one method? Do you combine them when you do surgery?

If a patient and a doctor agree that they want to push the number of grafts, then combining the FUE and strip surgery is a reasonable way to do this without over-harvesting with FUE alone. The strip surgery has an advantage of harvesting donor grafts in what we surgeons call the “sweet spot”: the place where the grafts are most concentrated and usually safe. Some doctors push the FUE too high, and when they do, they develop balding to some degree in the donor area. So, combining FUE and strip surgeries is a reasonable option for those who want to maximize the number of grafts in a single session. See here for impact on over-harvesting the donor area with FUE:


This does not look like scabbing, but rather two areas of necrosis (death of the skin in the blackened area). The pink color around the larger black area indicates an early infection that is spreading out from the necrotic area. Return to your surgeon and ask about this. If I am correct, you will have a real problem that will require a lot of wound care. This is a terrible complication of a hair transplant.

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