What is the severity of my baldness and nw grade? What is the prognosis or can I regrow hair back? (Photo)

Question

I am 23 years old male suffered from hairloss starting 3 years ago , its a diffuse patterned hairloss as I think , please what is the severity or nw grade of my baldness? And can I regrow my hair using propecia and minoxidil? Thank you

Jason Emer, MD · Answer

Thinning Hair -- Rogaine, Propecia, Viviscal, Progesterone, PRPIf you have thinning hair you really need an evaluation to see if it is genetic or from another cause like stress or autoimmune.  If it is determined to be genetic there are many options and traditional treatments like rogaine foam and propecia pills can be used.  I have great success in my practice using injectable progesterone and prp to the scalp.  Postmenopausal women also benefit from spironolactone.  I suggest seeing a dermatologist with expertise in hair loss.  Best, Dr. Emer.

Jae Pak, MD · Answer

Based on the photo you may end up with a Norwood 5 or 6 pattern as you age.  If you think otherwise, you can see a doctor for a proper exam.

Brian Goertz, MD (retired) · Answer

Your hair loss is currently class 5 on the Norwood scale and it is likely to progress. Family history of hair loss from both sides of family can be of predictive value.  A medical rather than a surgical approach is very important for you at this stage. Finasteride is very effective in the crown area as long as hair loss is treated earlier rather than later. Occasionally, I see some patients have improvement all over rather than just the crown area. Once the crown area is completely bald finasteride does not work nearly as well, so the earlier the better. Rogaine, which is minoxidil also is helpful but not nearly as effective as finasteride. You should stop smoking if you area smoker. Eat a clean, chemical free diet as possible as this effects overall hair thinning. Seeing a dermatologist to rule out other aggravating conditions may be of benefit.

William Rassman, MD (retired) · Answer

Your biggest enemy is the progressive thinning
leading to a balding patter. The
degree of thinning that you are showing would suggest that you should see a
doctor who most likely will get Bulk Measurements of your hair to determine the
degree of the thinning that you are presently having. If the diagnosis is early
genetic hair loss, then the best treatment would be the drug finasteride which
is highly effective in men of your age and may not only stop the hair loss but
possibly reverse it. If you are developing a more advanced balding pattern the
the best test to get will determine the Bulk Measurements of your hair and this
will show, over a one year time frame, how effective the treatment will be.
Once you know this information, then you and your doctor need to develop a
MASTER PLAN which will define what you need to do over the years to come.

Gregory Pistone, MD - Account Suspended · Answer

Hello, you have a fair amount of hair loss for your age.  It appears you are headed to a Norwood Type 6 or 7.  Assuming this is male pattern hair loss, as it appears, I would strongly consider Finasteride and Minoxidil as your first line treatment.  You might also consider a laser cap and perhaps PRP (platelet-rich plasma) therapy at some point.  I would urge you not to consider any type of hair transplant surgery at this time.  It will not serve you well in the future.

What is the severity of my baldness and nw grade? What is the prognosis or can I regrow hair back? (Photo)

Answers (5)

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