Telogen Effluvium After Scalp Mohs Micrographic Surgery: A Case Report

The user has been using topical 5% Minoxidil, 0.1% Finasteride, dermastamping, 2% ketoconazole, and a DHT-blocking shampoo with saw palmetto, caffeine, biotin, and argan oil for hair loss. Despite some baby hair growth on one side, the user is experiencing continued hairline recession and shedding, leading to distress.

The user experienced chronic telogen effluvium and mild male pattern baldness, treated with finasteride, oral minoxidil, and later switched to dutasteride, which stopped excessive hair shedding. Other treatments like low-level laser therapy, hair loss shampoos (except ketoconazole), and supplements were ineffective.

After four months of using minoxidil, finasteride, tretinoin, and microneedling, fine white fuzz appeared on bald patches. There is uncertainty if this fuzz will develop into full hair.

The user stopped oral treatments due to side effects and switched to a regimen of topical minoxidil, tretinoin, azelaic acid, and dermaneedling, with recent addition of topical finasteride. They are questioning the long-term effectiveness of non-hormonal methods and considering hair transplantation.

The user has been using topical minoxidil for over a year and finasteride for 2.5 years, seeing some progress but still experiencing thinning at the crown. Suggestions include continuing with current treatments, considering oral minoxidil, adding dermastamping, and possibly a hair transplant if desired results are not achieved.

Significant hair regrowth was achieved using a topical combination of 0.3% finasteride and 6% minoxidil, with weekly dermastamping and ketoconazole shampoo, without side effects. Others suggested additional treatments like red light therapy and PRP.