Finasteride after a hair transplant
Balding Blog
by William Rassman, M.D.
18h ago
The clinics told me that your transplanted hairs are not sensitive to DHT, but I hear everyone here many people saying that these hairs can also fall out, is this correct? Transplanted hairs from the donor area are protected against DHT and balding; however, your native hair is not and if you have any miniautirzed hairs in your head, they will fall out unless you are on finasteride.  In addition, your pattern of balding will advance, so finasteride slows that down.  ..read more
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I had a hair transplant 4 years ago (photo)
Balding Blog
by William Rassman, M.D.
18h ago
It changed my life ..read more
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4 months on finasteride and minoxidil (photo)
Balding Blog
by William Rassman, M.D.
1d ago
Young men (early 20s) often respond like this man did, sometimes even in a short period of time.  ..read more
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Finasteride and minoxidil 6 months (photos)
Balding Blog
by William Rassman, M.D.
2d ago
This is the type of early response one hopes for when taking these two drugs. Your hair is coming back in the corners.  Keep it up, and clearly, more hair will come ..read more
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Losing short hairs in my crewcut.
Balding Blog
by William Rassman, M.D.
3d ago
Is it normal to lose short hairs if you don’t have MPB If one gets a crew cut, then when the anagen hairs go into telogen, then you will shed the short hairs as that is the only hair that they have.  Every hair on your head goes into telogen every 2-3 years and recycles. In women, the cycle may be longer than 2-3 years on average, especially younger women.  That means that there is a limit to the length a hair can grow, which is totally dependent on the duration of the anagen component of the hair cycle.  ..read more
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Increased testosterone on finasteride
Balding Blog
by William Rassman, M.D.
3d ago
No more panic attacks after starting fin, also testosterone stabilized to higher value Most men on finasteride find that their testosterone levels rise in the blood tests.  The body’s feedback loop responds to a reduced DHT presence from the finasteride.  ..read more
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1 year on microneedling twice a week, minoxiidl and DHT blocker (photo)
Balding Blog
by William Rassman, M.D.
4d ago
This is a 41-year-old male.  Men of this age, are often thought not to respond to medication; however, I am sure that the dermaroller twice a week (one week would suffice, got such nice reversal of what appears to be a Class 6 or 7 pattern of hair loss.  ..read more
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Transplanted hairline densities with high graft numbers in Turkey
Balding Blog
by William Rassman, M.D.
4d ago
What you should know about the hair density of a transplanted hairline. The results of the end product depend upon the following: The appearance of thickness comparable to where they were before they became bald. The color contrast between your hair and scalp color. The closer the match, the better the transplant looks. Many transplants from Turkey appear to push graft numbers high. Where I might put 1500-2000 grafts in the first 2 inches of the hairline, many Turkish clinics (with or without a doctor on staff) have technicians or inexperienced doctors deciding graft numbers.  They ..read more
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Finasteride and hair growth overtime with graphic
Balding Blog
by William Rassman, M.D.
1w ago
I have seen a similar curve running for 10 years. It shows a similar spread between men who stay on finasteride and those who do not use it. The non-users develop a more advanced pattern of balding. I try to tell every man that is balding that this is a progressive process over the patient’s life, so a hair transplant doesn’t stop the balding in the non-transplanted areas.  Today’s young men who head to Turkey or get less reputable surgeons seem to be getting high graft numbers, so the reserves for future balding will not be there.            Click to enlarg ..read more
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Necrosis and lack of random placement of grafts
Balding Blog
by William Rassman, M.D.
1w ago
This is not an uncommon problem in the hands of less knowledgeable surgeons, assuming, of course, that this was done by a surgeon and not a technician.  The Necrosis outlined in the photo by a circle, is probably the effect of improper use of adrenaline (epinephrine) to minimize the bleeding at the time of implantation.  In addition, note that all of the grafts are placed in rows. The grafts line up like soldiers.  In men with straight hair, these rows will be detectable when and if the hair grows out.   ..read more
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