Dear Boston,Hello and thank you for your excellent question. Although finasteride has not been shown to cause dry, itchy scalp, it is always possible. Minoxidil can also cause this problem, if you have recently started it. For patients with dry, itching scalp, I recommend that patients start treatment for serborrheic dermatitis, such as a zinc-containing shampoo. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck! Best, Jon Ver Halen, MD FACS Harvard educated plastic surgeon Texas “Top Doc” 2017, 2018 RealSelf100 America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018 BeautyAdvisor Top Contributor