Regular Member DavidFrancis Posted June 12, 2023 Regular Member Share Posted June 12, 2023 Hello forum, I am now 5 months on oral minoxidil 2.5mg, and 6 months on finasteride 0.5mg daily. The hair loss has slowed down, but there is still a shedding of very miniaturized hair. On the photos, dry hair looks like there are no holes (even if I feel a huge lack of density), but wet hair is a disaster. I'm a bit disappointed with the medication, I was expecting better results. I also want to remove 600-800 grafts because the front grafts are very thick plugs that frizz. I also have a problem: all my hair is extremely dry and dull. Could this be due to a TE? Or a lack of vitamin D? Thanks friends Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted June 12, 2023 Valued Contributor Share Posted June 12, 2023 What were you prior to surgery? Norwood 3, 6, etc? You need to be on oral minoxidil to see the peak benefits and up to two years on finasteride to see the peak benefits also so don't feel discouraged. GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Regular Member DavidFrancis Posted June 12, 2023 Author Regular Member Share Posted June 12, 2023 2 minutes ago, Gatsby said: What were you prior to surgery? Norwood 3, 6, etc? You need to be on oral minoxidil to see the peak benefits and up to two years on finasteride to see the peak benefits also so don't feel discouraged. It's very hard, my friend... before the transplant, I had lost the gulfs and the frontal line, but in 1 and a half years, it has progressed enormously, so fast that I'm thinking of a tellogen efluvium. The front hair is straight up, of poor quality, and it falls out everywhere. I don't even know where to start, repairing my graft or waiting a while. Link to comment Share on other sites More sharing options...
Valued Contributor A_4_Archan Posted June 12, 2023 Valued Contributor Share Posted June 12, 2023 If you can than please share your pre op pics and immediate post op pics so people can understand your situation well...medication takes time to work fully and as you mentioned the hairloss is slowed up which is a great sign that it is working ..so imo you should continue it if you are tolerating it well and could even up your dosage to 5mg minoxidil a day and 1 mg finasteride a day after consulting with your doctor....actually you might have lost your native hairs due the hairloss progression .....please post your pictures and details about your surgery... Check Out My Hair Transplant Journey --> My Thread 3611 FUE Grafts With Dr Kongkiat Laorwong | Norwood 5 | 2nd May 2023 Link to comment Share on other sites More sharing options...
Senior Member TheGreatPretender Posted June 12, 2023 Senior Member Share Posted June 12, 2023 Honestly basing solely on the two pics you shared your hair seems to be quite dense. Like @Gatsby said don't be discouraged for not seeing progress on Finasteride for 6 months. You will usually see the max benefits in two years and Oral Minoxidil will certainly help you thicken it up and perhaps regrow a bit. Link to comment Share on other sites More sharing options...
Regular Member DavidFrancis Posted June 13, 2023 Author Regular Member Share Posted June 13, 2023 Thank you for your advice To tell the truth, I think I'm having problems with morning erections with finasteride, I'm thinking of switching to the topical form to stay on the long term. Im afraid of shedding, i had a big shedding when i started medications. Here are some photos just after the transplant, and one at 4 months. The hair is straight up, of poor quality. I don't know if they can be removed, but I've already been told on this forum that it leaves scars, and other people tell me it doesn't. In the meantime, it's fallen a lot on the middle. Link to comment Share on other sites More sharing options...
Regular Member duckling Posted June 13, 2023 Regular Member Share Posted June 13, 2023 there is hope that meds work for you by 1 year. Because from the comparision of wet hair and dry hair pics i can see that hair diameter is surely low because in dry hair pics if density isnt bad but when hair is wet and you put harsh light it looks like bald spots so its not like you have lost those hair completely but they have thinned way out too much from DHT. and your shedding of miniaturized hair backs it up. dont be disheartened and keep taking meds. maybe up the dosage for fin to 1 mg after consultation. you might have to wait for results after changing dosage though to more 1 year. (possible better results but not guaranteed as it depends on your hair's sensitivity to DHT) Link to comment Share on other sites More sharing options...
Regular Member DavidFrancis Posted June 13, 2023 Author Regular Member Share Posted June 13, 2023 10 minutes ago, duckling said: there is hope that meds work for you by 1 year. Because from the comparision of wet hair and dry hair pics i can see that hair diameter is surely low because in dry hair pics if density isnt bad but when hair is wet and you put harsh light it looks like bald spots so its not like you have lost those hair completely but they have thinned way out too much from DHT. and your shedding of miniaturized hair backs it up. dont be disheartened and keep taking meds. maybe up the dosage for fin to 1 mg after consultation. you might have to wait for results after changing dosage though to more 1 year. (possible better results but not guaranteed as it depends on your hair's sensitivity to DHT) I hope so. But I'll opt for the topical form instead. But for transplanted hair, is it possible to remove at least the temples? I can't see myself staying with this for the rest of my life. Link to comment Share on other sites More sharing options...
Regular Member duckling Posted June 13, 2023 Regular Member Share Posted June 13, 2023 8 minutes ago, DavidFrancis said: I think I'm having problems with morning erections with finasteride check with doctor, then change to topical version. it also works well for many. Link to comment Share on other sites More sharing options...
Regular Member duckling Posted June 13, 2023 Regular Member Share Posted June 13, 2023 1 minute ago, DavidFrancis said: I hope so. But I'll opt for the topical form instead. But for transplanted hair, is it possible to remove at least the temples? I can't see myself staying with this for the rest of my life. yes you can get a corrective surgery done. it will depend on surgeon on how well they fix it so its undetectable as many surgeons dont do temple work that often so be careful when selecting surgeon for second HT. for now i will suggest working on current hairloss situation and not worry about temples. Link to comment Share on other sites More sharing options...
Regular Member DavidFrancis Posted June 18, 2023 Author Regular Member Share Posted June 18, 2023 (edited) Thank you for your advice. Concerning the minoxidil, would you advise me to increase it to 5mg? Is it much more effective? I'm also thinking of switching to topical fina but with these two changes I'm afraid of a lot of shedding. As for the repair, yes, I'm planning to go to a specialist. But I'm wondering what's the point of correcting when I've got a diffuse at 25, and in 10 years' time I may have nothing left. I can’t even go out I also use a small brush to massage the scalp. When I use it, I lose about 150 miniaturized fine hairs. Should I continue because it's good for growth? Or not? Edited June 18, 2023 by DavidFrancis Link to comment Share on other sites More sharing options...
Regular Member DavidFrancis Posted July 3, 2023 Author Regular Member Share Posted July 3, 2023 Hi, there, I went to a specialist in Belgium, who told me that removing the grafts leaves scars, and that he could not re-implant where the grafts were removed. I just don't get it. Can we normally put grafts on areas of grafts removed by laser or FUE? It was my only hope. Link to comment Share on other sites More sharing options...
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