Folliculitis Decalvans Developing 20 Years After Hair Restoration Surgery in Punch Grafts: Case Report

A 31-year-old male switched from oral to topical dutasteride due to side effects and reduced oral minoxidil dosage after a 7000 graft hair transplant. He added dermastamping, topical retinol, and caffeine, seeking advice on the effectiveness of his new regimen.

The conversation is about a user using topical minoxidil twice daily, oral finasteride once daily, dermastamping weekly, and taking biotin and collagen supplements for hair loss. They are considering whether to continue the treatment or opt for a hair transplant for the crown area.

The user underwent a hair transplant in Turkey and has been using a topical solution with 5% minoxidil and 0.0025% finasteride, along with Ket 2% shampoo and derma rolling, to maintain hair status. They are uncertain about improvements, noting thicker non-transplanted hair, and are considering increasing medication frequency to enhance results.

The user experienced hair regrowth over three months using oral finasteride daily, topical minoxidil 5-6 times a week, a weekly derma stamp, and tretinoin 2-3 times a week. The regrowth includes small hairs, attributed to the treatments.

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 is managing hair loss with oral finasteride, recently switching to dutasteride, and topical minoxidil, but faces challenges due to seborrheic dermatitis. They seek advice on effective regrowth methods that don't worsen their condition, with suggestions including various shampoos like Vichy Dercos and ketoconazole.