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

I am often asked about what a typical strip scar would look like.  Not everyone heals this well.  This scar can be hidden even with a #2 cut or any reasonable long hair ..read more

I saw this photo posted and decided to comment on it. There are many things wrong with this surgery, and as I don’t know the age of the patient nor the number of grafts he received, it is hard to complete my assessment; nevertheless, it is important for those of you who are considering a hair transplant to understand the difference between good and bad hair transplant techniques. The transplant donor area was unusually focused above the donor area, and that hair may be lost if this man develops an advanced balding pattern with age. The surgeon did not confine his surgery to the permanent ..read more

Finasteride actually works fast (ignoring a shed) by at least slowing or stopping the hair loss within a week or two ..read more

Your hairline responded as I would expect in a young man under 25 with 1mg of finasteride daily.  ..read more

Will finasteride affect my strength performance at the gym and my ability to put on muscle? Finasteride should have no impact on your gym performance ..read more

The man on the left uses great shampoos and conditioners, has a great diet, and takes hair loss medication, while the man on the right is Homeless.  It’s all in the genetics!  (Taken from a Facebook post). Hair loss is in your genes ..read more