Hair line worse 8 months after Finasteride is it too late?

Question

22 yr old male, Ive been on 1mg finasteride since the past october, my shedding amount has not really changed, i have increase of diffuse thinning on my temples. Ive been taking a daily vitamin and have added biotin recently to see if I can get some more results. Is it too late? Am I just not responding to the medication? My PA said give it a year and then in a return visit my dermatologist says that I should have responded by now and then said i should get FUE and renewed my fin prescription.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. It would be helpful to see photos of your Finasteride results. In the meantime, I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy for NeoGraft Hair Restoration.
Best wishes,

Jason Emer, MD · Answer

This needs an in-person evaluation. I suggest seeing a hair loss expert now to evaluate and go over your condition and provide you information about your best treatment options. There are great non-invasive options like prp/progesterone and/or hair transplantation. See an expert. Best, Dr. Emer

Jeff Donovan, MD, PhD · Answer

Most experts worldwide would say you’re too young for hair transplants. I don’t know the cause of your hair loss as I don’t know your story and have not seen photos. There is a small chance you are a finasteride non responder but make sure you and your doctors are not confusing balding for maturation of the hairline. If you have other diagnoses (like seborrheic dermatitis or telogen effluvium) treat these aggressively. You are probably not yet a good candidate for surgery. Get tonnes of advice on this from experts.

Joyce Davis, MD · Answer

I would consider adding PRP  (platelet rich plasma) to your treatment protocol.  A series of monthly injections (plus maintenance treatments approximately every 6 months after) should boost your hair.  It will lessen shedding and help you to regrow your hair naturally.  PRP contains growth factors found in the platelets of your blood.  They are concentrated and injected into your scalp  to maximally stimulate your hair follicles.

Ben Talei, MD · Answer

Any treatment you do in relation to hair takes about 3 months to show any form of results.If your dermatologist has not found any condition then should you consult a hair specialist to better assess what your options are. Using finasteride is a great first stop to counter attacking hair loss. There are non surgical treatments such a PRP that also help in slowing down the hair loss and sometimes also strengthening your existing follicles.

Ilhan Serdaroglu, MD · Answer

It is better to see your photos  in order to understand the problem you have, treatment methods and/or estimate how much graft do we need to cover area and cost of operation. Hair transplant can be an option for forehead  hair line to get the desired hairline in just one sesssion of dense packing FUE hair transplant.

William Rassman, MD (retired) · Answer

Hopefully your finasteride is being managed by a doctor who you can go back to and discuss this problem with

Hair line worse 8 months after Finasteride is it too late?

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