S235: Management of the Anterior Neck in Facial Rejuvenation

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.

A 27-year-old male is using a minoxidil and finasteride spray for hairline recession and is considering other treatments like oral minoxidil, exosomes, PRP, or a hair transplant. Suggestions include microneedling, possibly with tretinoin, while another user suggests the hairline is fine and mentions body dysmorphia.

The conversation discusses concerns about getting a hair transplant with the potential release of a new treatment, PP405, which may regrow dormant hair follicles. The user is currently using Minoxidil, Derma, and Keto but is waiting to start finasteride or dutasteride.