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You should get a HAIRCHECK test to find out if there is any loss that you can’t see in the top and crown area of your head. You need to know there is the possibility that you might develop hair loss elsewhere. I call this a Master Plan which every male having a hair transplant should have.  You look, on the surface, to be a great candidate, but if the HAIRCHECK test reveals hair loss behind the hairline, it is something you MUST know (See:

28 yo male frontal HL


 That is the $64,000 question. No one knows for sure, but I personally think that it should not ruin your chances in participating in the cure when it is out.


Some doctors had lawsuits when someone claimed that they lost their sex drive permanently. The risk is far less than 1:1000 but some doctors put their fears in front of patient’s welfare. What I do is inform my patients of all of the risks then prescribe it. It is the patient’s decision to take or not to take the drug. My son took finasteride for 15 years so far, and he told me that his sex drive went up when he went on the medications. I take it with no problems.  Of course, internet forums only want the bad news, so you rarely hear about the other side effects.  Any doctor can prescribe it, even your family doctor.


Read the article here:


There is no evidence that mesotherapy works from what I have read. You should make sure that this treatment can be validated by your doctor. Finasteride is a known entity and the sexual side effects that your doctor is discussing is between 2-4%. The decision is yours, of course.


The donor area seems to have been over-harvested, in other words, too many grafts were taken from your original donor density. The grafts were also taken too high and too low from the donor area so that these hairs may not be permanent.  I recommend you speak with your surgeon.

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J hairs reflect a defect in the placement of grafts. There is a question if all of these J Hairs will eventually grow or not. We don’t really know.

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No, you should not try to remove the scabs at one week or else you will risk pulling out the grafts.  I wrote an article on this and it takes 12 days for the grafts to settle. The key is to wash it properly so that the crusts don’t form in the first place.


Yes, Scalp Micropigmentation will make your hair look fuller, but if you continue to lose hair, then you need a plan. Think about it and see a good doctor to help you build a plan for a worst case scenario. The SMP works forever, if you shave your head.

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If a hair follicle from a hair transplant dies from a failure of surgical techniques, it will never grow.


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