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Dr. Michael Beehner

52 y/o male, 2 sessions; 3266 grafts; Dr. Mike Beehner

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This 52 year old male had his first HT in October of 2012 with 1652 grafts (1192 FU's and 460 DFU's) for a total of 4161 hairs. A year later he underwent a second procedure, receiving 1614 grafts (1172 FU's and 342 DFU's) equal to 4022 hairs. Overall, he received 8183 hairs in the 3266 grafts. At the time of these "after" photos being taken, he was setting up his third and hopefully final procedure to achieve his final density. He has been on a quarter of a 5mg finasteride tablet daily for 8 years also. The area transplanted included the entire top of his head, not just the frontal region, because on magnification there was a good amount of miniaturization throughout the scalp, and it was obvious he was heading for "horse-shoe" baldness (Norwood Class VI) eventually.

Mike Beehner, M.D.

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In answer to your question, he said that his hair loss, both in the receded fronto-temporal areas and the moderate thinning in the crown, was very gradual over the past several years. The classical teaching I have heard in lectures on finasteride is that for most patients there is an increase in "hair mass" (determined by hair shaft diameter and length of hair, the latter factor obviously dependent on how long a patient lets the hair get before cutting it) for around 4-5 years, and then there is a very gradual downhill loss of hair mass over the next several years and onward into the future, and staying on the drug, even after those 4-5 years is still beneficial, since going off the drug would bring a much steeper curve of hair loss. Obviously, this is not true for every patient, but I have pretty much seen this in the most of the patients I have treated.

Mike Beehner, M.D.

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Bummer. I'm hitting five years. I've seen people start losing ground at about 9 years plus and I've seen them never stabilize well, so, like everything with hair, it's ask a bit if a crash shoot. I agree that it's beneficial to staying on even if you are losing ground, especially if you saw a positive reaction to begin with.


I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians.

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I am not a medical professional and my opinions should not be taken as medical advice.

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It is difficult if not impossible to do a controlled study on yourself so you either must believe in it or not and go from there.

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