Hair Transplantation and Micrografting for Oral and Maxillofacial Surgeons

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.

Dermatologists use treatments like oral minoxidil, finasteride, and RU58841 for male-pattern baldness, considering side effects and patient preferences. Photobiomodulation is noted as mildly effective but costly, while PRP is debated for its effectiveness compared to microneedling.

FUE transplants for advanced baldness are challenging, with success depending on donor hair availability. Some suggest trying medications like Minoxidil and Finasteride first, while others recommend consulting with specialists like Zarev or Pitella.

The user has experienced decent hair regrowth using oral finasteride and minoxidil for 20 months and is considering a hair transplant, with opinions varying on the suitability of their donor area. Some suggest a smaller graft procedure or consulting an elite surgeon, while others recommend additional treatments like microneedling and dietary changes.

Male pattern baldness (MPB) may be influenced by androgen receptors in scalp hair follicles and potentially poor blood flow. Transplanted hair is not immune to DHT, and factors like inflammation and scalp tension might also contribute to hair loss.

The user experienced male pattern baldness starting at 18, tried finasteride with no success, and switched to dutasteride, which halted hair loss. Minoxidil had no effect for them, while their brother, who didn't use AR inhibitors, maintained a juvenile hairline and successfully grew a beard with minoxidil, highlighting the unpredictable nature of genetics in hair loss and treatment response.