Clinical Experience With Tissue Expansion

The user underwent a second hair transplant for the crown and mid-scalp, achieving good density. They are using minoxidil, finasteride, and biotin, and considering PRP treatments to enhance growth.

The conversation discusses changes in scalp texture and appearance in areas of hair loss, with concerns about the suitability of these areas for hair transplants. Users mention issues like fibrosis, inflammation, and thinner skin, advising caution and consultation with clinics before proceeding with transplants.

500 grafts are insufficient for crown density; alternatives like dutasteride and SMP are suggested. Minoxidil is avoided due to blood pressure and scalp irritation issues.

The regimen for hair loss includes topical finasteride, clascoterone, tretinoin, minoxidil, oral saw palmetto, beta-sitosterol, vitamin D, microneedling, and anti-fungal shampoo. Expected benefits are increased hair growth and density, with considerations for potential skin irritation and interactions between treatments.

The user is experiencing severe shedding and progressive hair density loss after a successful hair transplant, despite using finasteride, minoxidil, microneedling, and scalp treatments. Suggestions include trying stronger treatments like oral dutasteride, topical RU58841, and higher doses of oral minoxidil.

Diffuse thinning can result in varied regrowth, with some users experiencing better results at the hairline and others at the crown. Treatments mentioned include finasteride, minoxidil (oral and topical), RU58841, microneedling, and dermarolling.