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Dr. Paco Jimenez identified the eccrine gland in the upper part of the hair follicle. We discussed that when the surgeon creates chubby grafts in a hair transplant, the eccrine gland is included in the grafts, but when the grafts are very skinny, or stripped of their capsule as with some FUE grafts, this gland probably is not included in the graft. We have seen that chubby grafts produce the best long-term results, and  skinny grafts may possibly be responsible for grafts that don’t continue to grow through many growth cycles.  This is all speculation at this time, but Dr. Jimenez believes that he will hone down further on the value of the eccrine gland in the near future.

I have always believed that chubby grafts are better than skinny grafts and my results of seeing long-term growth has been very good. I also believe that chubby grafts reduce the risk of dehydration of the grafts during the hair transplant process. Dehydration of the grafts is the major cause of graft loss during a hair transplant surgery.


When you have been on minoxidil for a long time and have built minoxidil dependent hairs, then these hairs will fall out within 1-3 months after the drug is stopped.

How long does it take for hair to fall out after stopping minoxidil from tressless


I have had 2 MRI’s without contract. Both times within 2-3 months of the MRI, I started losing massive amounts of my hair. This has never happened any other time in my life. I lost about 2/3 of my hair in about a 3-4 month period before it stopped falling out each time. Also the MRI’s were about 4 or 5 years apart from each other. The reason for the MRI’s were due to an injury not illness.
They say MRI radiation doesn’t cause this. However this is my experience as it is others as I read online. There are many times in history the medical system has guided us one way to find out they were killing us, then rewrite how to handle these things.

Thank you for your comment. I have not had many such complaints from people taking MRIs so I don’t know how to respond intelligently. In theory, an MRI should not impact hair loss so I must wonder what stress you might have been under, possibly contributing to hair loss.


With 4,500 grafts done, clearly there was a failure of growth in much of the grafts. That means that what you had done was not a good deal or your team with not the best team. Another FUE is most likely out of the question because it would create donor site balding, but a strip surgery might work. Your donor area needs to be measured so that a surgeon knows how much donor hair you have left. You need to find a good doctor in your area. If you are in California, I would be happy to give you an opinion.

failure from 4500 FUE grafts


I asked the writer: Did the doctor also take hair from the back? If so, post or send me photos of it and I will answer your question about the extent of the proper donor area.

FUE Hair Transplant-hair taken from non-safe donor area?!? from tressless


I have heard this complaint before so I must believe that the Quality Control that the FDA is supposed to enforce, is not happening. To keep your costs down, you can get Proscar 5mg and split it into quarters as this medication is made by Merck as is Propecia (brand name).

Almost 7 years on finasteride/propecia from tressless


Do you actually believe there will be a stem cell breakthrough in the next few years doctor? I want to believe this, but I have come to see these predictions as moving timelines. It is very disappointing that science has not be able to develop more effective treatments for genetic hair loss. Progress has been at a stand still since finasteride. I want to believe that one day I can have my hair back, but I think it is just wishful thinking.

Yes, I believe that there will be some breakthrough, maybe not stem cell but possibly something else. There are many people working on drugs that stimulate the growth of dormant hair follicles and I believe that is where the breakthrough will come from.



It isn’t just an issue of the prostate shrinking. The attached article points out that there is atrophy (tissue wasting) and apoptosis (cell death) in the prostate as well. You can do a quick Google search to see that there are hundreds of thousands of guys who have used Propecia and despite stopping the drug, still report having watery semen with reduced volumes.

Yes, I don’t doubt that for a moment. I know of one family member that stopped Finasteride after 15 years and had a full return of his semen to its normal level and consistency, so that means that the results vary with people.


There is no substitute for dedication and persistence as this young man shows. His results are better than a hair transplant at almost no cost. Congrats!

*Finasteride journey updated (added minox.) from tressless


If you are under 25, the drug finasteride might reverse it, especially when combined with topical minoxidil. These drugs work best on young men. If you are over 25 and did not have a response to these medications, a hair transplant is a perfect solution.

Hairline revival possible? from tressless


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