The donor hair thickness’s value will dictate the graft quality and quantity you need. Men with coarser hair require fewer grafts and get better results than men with fine hair who require more grafts; even with more grafts, the difference between the results is significantly different. In Turkey, most of the clinics (not physician-run nor ..read more

I’m 21 and I want to get a hair transplant. My Norwood class of balding is a Class 3.  I met with one doctor who wanted to do 4000 grafts on me. What do you think? At 21, you should not do any hair transplants. Your balding pattern will not be clear, and the use ..read more

I am in the situation where I am quite good looking (sometimes get asked if i’m a model when wearing a hat), but genetically have a terrible hairline. My hairline has been like this as long as I can remember. It’s a problem that’s been bothering me greatly since I was 13 already, always wearing ..read more

The addition of microneedling, especially in men over 30, will add a different dimension and all more frequent reversals.  Nice to see short-term results.    ..read more

My shedding from starting finasteride is still happening 6 months since I started the drug. What should I do? Drug-induced shedding usually stops in a month, rarely 2 months. See your doctor and find out what the cause of your shedding is as it may not be the drug but some acceleration of your hair loss ..read more

When did you see results after using oral dutasteride and/or oral minoxidil These drugs start working almost immediately. Remember that hairs that are miniaturized and benefit from these drugs have to grow from their base, a process that takes up to a month or so before they emerge from the scalp. If you plucked one of these hairs at, say, four months, you would see a wider shaft at the bottom (the new growth) and a smaller shaft on the upper part (the miniaturized component of the hair ..read more

I would wait until all of the healing is complete on the recipient area.  That would take 3 months.  ..read more

Editorial comment from American Journal of Dermatology: Scalp pruritus affected 19% of participants in the topical minoxidil group. Pretibial edema occurred in 4% of participants in the oral minoxidil group. Hypertrichosis was more common with oral minoxidil (27% oral vs 4% topical), although this side effect was mild and well tolerated; 3 participants did not take any action to remove the excess hair, and 5 managed it with waxing. There was no difference between the groups regarding the variation of mean blood pressure over time. The mean heart rate at rest increased 6.5% in the oral minoxidi ..read more

Doc, how many months would you say if I went on finasteride? Is it needed for a very miniaturized hair to return to its original thick shaft diameter? Thank you. That varies between people and the aggressiveness of the balding process. In some men, I have seen plucked hairs indicate that the new growth occurred within a month ..read more

It is likely over-harvesting, but you must wait this out for 6 months as shock loss will usually reverse itself by then.  Let your hair grow out to cover it up.  You can use Toppik to cover the problem while it is short.  If it doesn’t reverse, then SMP by a good operator will solve the problem. Be sure to view the work of the SMP clinic you find, as seeing is believing and you don’t want to become a victim again if it was overharvested ..read more