Young men (early 20s) often respond like this man did, sometimes even in a short period of time.  ..read more

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

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

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

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

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

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

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

If these all become necrotic, then this man has a problem as there will be scars in these “Black” places, some of which I pointed to with a white arrow, but there are many other black areas as well ..read more

This young man sent these photos to me asking about this area of extreme thinning, which appears in the same place, even on the other side of his head. He said he had this same thin area when he was younger and it is also on the other side of the head, just less prominent.  This is often an inherited balding area called triangular alopecia, which is always found in this area. A simple hair transplant can permanently fix it if it is triangular alopecia. It could be alopecia areata, which is rarely in the same place on both sides of your head ..read more