jclenz30

I have heard of people applying the azelaic acid cream just prior to applying the minoxidil. This may be a viable option if you want to use the minoxidil foam. I also imagine that it may take awhile for your scalp to get accustomed to the azelaic acid. Search for Lipogaine on YouTube...there is at least one review that I found useful.

Hi MGZ,

You could try a lower dose of finasteride/proscar (e.g., .5 mg per day) to see how it affects you. Some argue that you can get the same results using a lower dose anyway.

I bet you will know if the finasteride affects you within the first month or two -- so you can get off of it fairly quickly with no harm done in the long term.

Dr. Keene (Tuscon, AZ) recommended 2.5mg (half a Proscar) MWF. So I still get 7mg per week without having to quarter the pills. But it sounds like some of you are having success with just 1.25 or 1mg MWF.

I agree that, in many cases, filling in behind the existing hairline makes sense for a lot of people. I suppose that the native hairs in front will naturally recede back into the transplanted hairline.

I have what Matt at the Shapiro Group described as a "three-finger hairline." My hairline definitely starts below the natural curve on my head, so he felt that it makes sense to start it behind -- which will hopefully preserve some donor and shrink the overall area that may need to be covered over the years.

Conversely, Dr. Sharon Keene -- who has done extensive research on hairlines and hairline placement -- pointed out that it may make perfect sense to fill in the hairline where it is today.

I guess it's best to collaborate with your surgeon to get the best results over a lifetime.

Dr. Bernstein,

What was your placement strategy for this patient? He appears to have good coverage from front to back.

I just started Finasteride (1.25mg/day) roughly six weeks ago. I have not noticed any shedding yet. I would imagine a second bout of shedding is not a bad sign. I have heard of individuals experiencing shedding past the six-month mark.

I'm sure others who have used Finasteride for extended periods of time can speak to it better than I can...

Is that 1mg MWF?

Fantastic result Joe!

 

Out of interest are you able to tell us the age of the patient and whether he is on any medical regime or not? I'm curious because I have very similar hairloss to this but have been unable to tolerate finasteride unfortunately.

 

Also, another question related to this patient (who I am using as a sort of test case for myself based on his photos!). There seems to be a relatively clear differentiation between the visually obvious miniaturized and non-miniaturized zones. Do you anticipate potential further loss in the non-miniaturized areas or do you think it's safe to say his relatively high back and sides native hair will remain as they are with or without medication? I know nothing is certain in this world but I figured the doctor would have a good inkling based on his history and physiology.

 

Hope this wasn't too many questions and thanks again for showing this case; great work!

Great questions! I'm bumping this to see if Joe has this info available.

Hi Joe,

How old is this patient? I am wondering what the remaining donor bank is...he looks fairly young.

Hi Joe,

How would you describe this patient's donor density?

Orangehair,

What is the age of this patient? And do you know roughly how many grafts he had done previously?

The result looks excellent! It appears this patient's hair is curlier in the front. Is his donor hair curlier than his native hair in the front?