Scalp Pathology for the Hair Transplant Surgeon: Donor vs Recipient Dominance Revisited

The post discusses a theory that hair regrowth after transplant is due to the angiogenesis process (new blood vessels forming), not because the transplanted hair is unaffected by DHT. The responses highlight the established belief in 'donor dominance' (the importance of the hair's origin in transplantation) and skepticism about the new theory.

A 20-year-old experiencing hair loss since age 16 is using finasteride and minoxidil and is considering future hair transplants. Discussions include the potential for multiple transplants, the use of body hair for coverage, and the importance of treatments like dutasteride and scalp micropigmentation for maintaining hair density.

The user experienced significant hair regrowth using finasteride and minoxidil, leading to doubts about proceeding with a planned hair transplant. Many suggest postponing the transplant to save grafts for future needs, as the current results are impressive.

A 22-year-old is considering a hair transplant to address diffuse thinning and is currently using oral finasteride and minoxidil, with plans to switch to oral dutasteride. They are debating between one or two procedures and are seeking advice on graft numbers and additional treatments like oils and micro-needling.

A 26-year-old male underwent a hair transplant with 3610 grafts after using finasteride, dutasteride, and oral minoxidil for hair loss. He was satisfied with the procedure and care but felt his hairline might be too conservative.

The user experienced progress in hair regrowth using minoxidil and finasteride after switching from dutasteride due to side effects. They are considering a hair transplant for more density in the double crown area.