Jason Guillot, MD

If you do have some hyperpigmentation get your provider to prescribe a hydroquinone.  I like ZO Melamin-C its a 20% vitamin c with 4% hydroquinone. Also, what we have found was using  tensage 40 ampoules growth factor repairs and prevents damage to the skin. great for use after laser and aesthetic treatments, also, from irritation caused by retinoids, sun damage, and environmental and smoke toxins. 

what we have found was using  tensage 40 ampoules growth factor repairs and prevents damage to the skin. great for use after laser and aesthetic treatments, also, from irritation caused by retinoids, sun damage, and environmental and smoke toxins. 

Yes, Microneedling is great for this, do your series of 3 we like to space about 3 weeks apart, along with good skin care with glycolic.

Thank you for your question.  I do feel for you and your situation.  You have started to lose your hair at a young age.  You may have a family member (i.e. brother, father, etc.) that has similar hair loss pattern and history.  My first advice for you would be to stabilize your hair loss as much as possible with medical management prior to considering any surgical hair restoration procedures. Two main stays for androgenic/male pattern hair loss are topical minoxidil (Rogaine) and oral finasteride (Propecia; requires a prescription from your doctor).  These two meds are the most reliable and well-studied medications for male hair loss.  For females, finasteride is not recommended due to risk of fetal birth defects and it is not as affective as most female pattern hair loss is not androgen/testosterone related.  There are some other/newer options that are less well studied, but may be helpful (i.e. light therapy, protein rich plasma injections, etc.).  Once your hair loss is stable and predictable, then one can consider having a surgical hair restoration procedure.  Your surgeon needs to design your hair transplant procedure with your future hair loss in mind so that you get a long-lasting and appropriate/natural result for your the rest of your life.

Thank you for your question.  The answer depends on how much is done.  If it is just the upper eyelids with mostly skin removal, the recovery will be shorter (1-2 weeks) versus having upper and lower eyelids done with fat removal/manipulation (2-3 weeks).  But, most patients (assuming normal healing and no complications) will be able to be back at work around 1 week; that said, they may still have a little bruising and swelling evident.   Going back to work depends on the patient's job/job duties and comfort level with still having some visible signs of surgery present.