Finasteride

[spartacus7]

I have read some were that: If you start the DHT blocker medication (most commonly Finasteride or Dutasteride) before surgery there is a chance that it will artificially strengthen the hair near the donor site that is not naturally resistant to DHT. Because we cannot differentiate between the two hair types we are at risk of transferring the ‘weaker’ hairs to the recipient area. While these hairs may still thrive post-transplant there have a much higher chance of miniaturization in the future.

 

Is this true

[A_4_Archan]

@spartacus7 No...a good doctor can easily see the difference between them by using magnifiers during extraction and thats how they take out the healthiest grafts from your donor...

Edited May 24, 2023 by A_4_Archan

[duckling]

3 hours ago, spartacus7 said:

I have read some were that: If you start the DHT blocker medication (most commonly Finasteride or Dutasteride) before surgery there is a chance that it will artificially strengthen the hair near the donor site that is not naturally resistant to DHT. Because we cannot differentiate between the two hair types we are at risk of transferring the ‘weaker’ hairs to the recipient area. While these hairs may still thrive post-transplant there have a much higher chance of miniaturization in the future.

 

Is this true

honestly with FUE this risk will always be there no doubt because when doing big fue procedures they have to go above and beyond the "safe zone".

doctor can mostly make out DHT resistant/non-resistant hair from their diameter using trichoscopy. still some bad hair will come. "HT is not perfect" is video made by both melvin and dr sethi.

one other thing is that if you are very young and are going into HT then its going to be tough for them as some hair which would have thinned in near future may get transplanted. they will be of good diameter currently but you run risk of losing them in future. this is one more reason why HT is delayed atleast until 25 so that from pattern they can see which grade you may end up in and that will give them idea which areas other than the "default safe zone" they can take grafts from. still AGA is something you cannot predict. it overpowers finasteride and minoxidil for many ahnd some get sides and leave meds so after a certain time it can progress to more norwood levels than initially predicted by your surgeons and you end up losing some donor hairs too if its very aggressive. (example: if crown dips a lot ). or you get retrograde alopecia.

all this aside you have to hope for best and pick a good surgeon and get HT once you are atleast 27,28. by that time any retrograde alopecia pattern is noticed and also if you got any sides from meds can be found as you would have been on it for few years by that age. 

[spartacus7]

Thanks guys.