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Old 01-13-2018, 12:16 AM
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Default So I just started using finnasteride - how much longer before I should do surgery?

I'm a NW2V - I have some mild recession in the temples but a little more extreme loss in the crown - 2 balding patches that I noticed when I was 25 or 26. I started using rogaine since then and I have not lost any more hair. Last week, I also started using fin


here's my question - do I wait 5-6 months before surgery in hopes that maybe the fin will regrow all my lost crown hair or is that very unlikely?? I don't think I've had any sides on fin BTW - I've had no problems finishing sexually 1-3 times a day


I'm 29 by the way. I have great density in the hair except for the temples and the crown. I think a transplant with a good surgeon will make my hair look fantastic
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Old 01-13-2018, 12:29 AM
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Most doctors will recommend at least one year to see how you respond to the medication.
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Old 01-13-2018, 07:53 AM
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Most doctors will recommend at least one year to see how you respond to the medication.
what are the odds of extreme regrowth in the crown? Even mild regrowth and I would want to do the surgery
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Old 01-13-2018, 10:09 AM
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what are the odds of extreme regrowth in the crown? Even mild regrowth and I would want to do the surgery
from my experience, the odds are slim. most people don't regrow hair with finasteride. most people are just able to reduce (not eliminate) the rate of DHT attacking hair follicles, and hence stabilize the loss.

in fact i'd say the vast (90-95%) of people don't regrow hair with finasteride. sometimes i feel like those who claim that they've seen regrowth are only subject to an illusion by lack of lighting or longer hair.

i'm not saying it can't happen but it's surely not common. i say do fins for a year and then consult with surgeons. meanwhile consider dutasteride to enhance the fight against DHT. I take finasteride 5x/week and dutasteride 2x/week after much consulting with my doctor.

these are my opinions
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Old 01-13-2018, 11:05 AM
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from my experience, the odds are slim. most people don't regrow hair with finasteride. most people are just able to reduce (not eliminate) the rate of DHT attacking hair follicles, and hence stabilize the loss.

in fact i'd say the vast (90-95%) of people don't regrow hair with finasteride. sometimes i feel like those who claim that they've seen regrowth are only subject to an illusion by lack of lighting or longer hair.

i'm not saying it can't happen but it's surely not common. i say do fins for a year and then consult with surgeons. meanwhile consider dutasteride to enhance the fight against DHT. I take finasteride 5x/week and dutasteride 2x/week after much consulting with my doctor.

these are my opinions
then I should just do surgery now. I've stopped the hair loss with Rogaine already
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Old 01-13-2018, 11:10 AM
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Let's look a the science, shall we? Look up fin/dut studies from clinical trials. You'll see increased hair counts up to a certain # of months - then that's it.

Most people on these meds will see an increase initially in hair counts and then stabilization and if you are an aggressive or steady loser of hair (not talking about really slow hairloss guys over decades) then after about 7-12 years of these meds you'll begin to see 'genetics' taking over again but from a baseline that is more hair than if they never took the meds.

These are generalities, ymmv.

Good luck to you.
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Old 01-13-2018, 06:48 PM
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Let's look a the science, shall we? Look up fin/dut studies from clinical trials. You'll see increased hair counts up to a certain # of months - then that's it.

Most people on these meds will see an increase initially in hair counts and then stabilization and if you are an aggressive or steady loser of hair (not talking about really slow hairloss guys over decades) then after about 7-12 years of these meds you'll begin to see 'genetics' taking over again but from a baseline that is more hair than if they never took the meds.

These are generalities, ymmv.

Good luck to you.

I've noticed basically zero hair loss last couple years

what's the downside of surgery now?
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Old 01-13-2018, 10:11 PM
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I've noticed basically zero hair loss last couple years

what's the downside of surgery now?
Shock loss.

Please spend some time doing research on this forum. Many of the answers to your questions can be easily found here. It appears that you should really do a lot more homework before even thinking about surgery. You may end up putting yourself in a very undesirable situation.
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Old 01-14-2018, 12:18 AM
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Shock loss.

Please spend some time doing research on this forum. Many of the answers to your questions can be easily found here. It appears that you should really do a lot more homework before even thinking about surgery. You may end up putting yourself in a very undesirable situation.

shock loss is a risk at any point though right

I'm just frustrated because I have beautiful black hair except for the front left temple and two patches in the crown. Fixing those 3 things will make me look great
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Old 01-14-2018, 01:49 PM
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shock loss is a risk at any point though right

I'm just frustrated because I have beautiful black hair except for the front left temple and two patches in the crown. Fixing those 3 things will make me look great
Correct, but Finasteride can help strengthen existing hair and minimize shock loss. It can also help “future proof” your hair from requiring multiple surgeries.

I understand your frustration, but hair transplant surgery is serious. If you are not FULLY aware of the pros and cons for your specific situation you may regret the surgery for the rest of your life. Proof of misguided and uninformed patients can be easily found on this forum. Some of them end up here to blame everyone else, but themselves, for their poor decisions.
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