Jump to content

Is HT a good idea if you won’t be taking Finasteride?

Recommended Posts

Not sure anyone can say with any great conviction they have stopped balding (unless a person has lost all the hair on top), even more so if they are not on medication and in their 20s or 30s. MPB is progressive and can creep up on you at any age even when you feel it has stopped.

With regards to finasteride, it's pretty simple .......by taking it you are playing the percentage game and giving yourself a better chance of keeping hold of remaining hair while adding through a HT and thus increasing the chances of holding onto a result.

HT's can and are done without finasteride but the emphasis on mapping out a plan with your surgeon for the future is much greater imo and you may find yourself looking at another procedure sooner than you thought if/when you continue to lose your native hair. You would need enough donor supply to cover future loss and it needs to be used wisely with one eye on the future. For that reason, they'd more than likely be a need to be pretty conservative in your expectations  without finasteride i.e wouldn't be expecting to lower a hairline too much if you still have a fair amount of native hair or throwing too many grafts at the crown/vertex area.

In a way, guys who have more extensive loss probably have a better chance of getting away with a HT without finasteride. Usually a clear pattern has developed and a surgeon can probably better predict where the loss maybe heading in the future and a conservative approach is usually taken.  When the donor supply/characteristics have permitted and in the hands of good surgeons, I've seen some good results with these kind of patients but they have generally been conservative and on patients in their late 30s onwards.

Think guys who still have a lot of native hair and decide to go for a HT without finasteride (especially younger guys) are playing  a guessing game and this is where it gets tricky imo. Think any good surgeon will look to mitigate the uncertainty factor as much as possible and finasteride is an important 'tool' that aid's that.

  • Like 3
  • Thanks 1

Share this post

Link to post
Share on other sites

Couldnt have said it better than ^^^


if you truly are "done" balding than go for the most agressive HT you can get but the truth is youre going to be balding till you die, you may have just stopped for a time. 

Share this post

Link to post
Share on other sites

I took Finasteride years ago and experienced side effects and stopped. That's why I'm hesitant to go back.


But if it turns out that HT without Fin isn't that effective, I may not do the procedure. Has someone in here done HT and then NOT taken Fin?

Share this post

Link to post
Share on other sites

There are plenty of people on here who have....but results will vary. Some have lost a lot of hair from shock loss because they weren’t on Fin. 

Its definitely risky. I always feel you should try even really small doses or every other day doses before completely giving up on Fin because it’s going to be hard for most to keep their hair without it....and the risks associated with shock loss will be much greater. 

Share this post

Link to post
Share on other sites

Fozzie said it all.


Personally, I think it's a must for lower NW levels, especially when they are in their 30s or younger. 


But a lot of people get them without it. You have to be more conservative about your expectations though. 

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

View Dr. Konior's Website

View Spanker's Website

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

Share this post

Link to post
Share on other sites

Generally, no it’s not a good idea. However, I’ve had three transplants and don’t take finasteride. With that said, I accept that I’ll have to use concealers to achieve my desired look long-term. I’m at peace with that. Not everyone will be though, so if you have high expectations with hair restoration and don’t want to take fin, I’d say don’t bother with surgery.

I do not provide medical advice, recommendations, all responses are my opinion.

My Hair Transplant Journey

Melvin- Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

Follow our Social Media Instagram @thehairtransplantnetwork FacebookPintrest, Linkedin and YouTube.


Share this post

Link to post
Share on other sites

I took it for about two years after my HT, and while it is typically a good idea to do it, I experienced mild side effects and stopped taking it around two years ago. That said, my surgeon really wants me to go back on and try a lower, less frequent dose to see if it offsets the sides - and I'm open to it. But for me (to put it bluntly), it's simply a matter of choosing between slowing down any potential hair loss and having stronger erections... And at this point in my life, the latter is much more important to me, so I'm fine with the potential consequences my hair will face because of it. 

I am a patient advocate for Dr. Parsa Mohebi in Los Angeles, CA. My views/opinions are my own and don't necessarily reflect the opinions of Dr. Mohebi and his staff.


Check out my hair loss website for photos

FUE surgery by Dr. Mohebi on 7/31/14

2,001 grafts

Ones: 607

Twos: 925

Threes: 413

Fours: 56

1.25 mg Finasteride daily since July 2014

Share this post

Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.