18 citations
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July 2003 in “Dermatologic Surgery”
The conclusion is that creating natural-looking hair restoration requires replicating natural scalp whorl patterns and inserting grafts at specific angles.
A 23-year-old is concerned about potential crown thinning and has been using minoxidil for 3 years and finasteride for 10 months, with overall hair improvement. They are unsure if their crown appearance is due to natural hairwhorls or early thinning.
The user's experience with hair loss, their doctor explaining that they were likely hyper aware of thin spots due to anxiety and an underlying whorl in one area, and providing encouragement for those feeling discouraged. Treatments mentioned include minoxidil and spironolactone.
The user has been using 0.5mg Dutasteride and minoxidil foam for 4-5 years but recently noticed increased hair loss. They have increased Dutasteride to 1mg, started using a dermaroller and Nizoral shampoo, and are seeking advice on further steps.
Minoxidil was applied to a single miniaturized hair follicle over four months, resulting in less miniaturization but not yet terminal growth. The user used a 5% minoxidil solution, specifically the Regaine brand, and observed changes using a handheld WiFi microscope.
User shared 12-month hair growth progress using finasteride and dutasteride, with nizoral 3x per week. They experienced a finasteride shed but saw improvement after a year and offered advice for managing hair loss expectations.