I think 1mm is fine for ppl thinning a lot, just do a nice back and forth roll about 3 or so times in 3 inch patches, that way you can keep good pressure on the spot and then move to the next patch
@@niceadz6164 Have you gotten side effects from topical finasteride? Also do you use other treatments such as minoxidil as well or only topical fin? Thank you
DERMA ROLLING QUESTION: If using the proper length needle (1 mm) on a weekly basis, how long would it take to achieve OPTIMAL regrowth benefits for hair?
I been Derma rolling/minoxidil 3X a week for over 2 years. Amazing results. He says that you only do it once a week,maybe that is why they are not getting any results. Keep consistent!!! I don’t think once a week is going to work. I started when I was 48 years old.I had hair loss for 15 years. I grew back 80-90% of my hair. Don’t Give up
Derma roller with onion juice. This is my secret combination, which I has been trying for 3 weeks in this COVID lock down day's. I am able to see new hairs in the bald spots, even though hair density is not outstanding but I am able to see new hairs.
I agree with that last commenter. I've seen a ton of cases where derma-rolling was used to bring back almost all their hair. I don't see any reason why someone like me, who barely has any hair loss in comparison, couldn't use it to get back their original hair line or get close enough that it would be unnoticeable.
@jcorb There is some regrowth, and I have restarted microneedling. However, at the time I was referring to and an indentation pattern where the needles had been.
Dermarolling should only be treated as an adjunctive treatment to a hair loss regimen. Can it re-activate senescent follicular stem cells temporarily? Yes. Will it last over time while DHT and Testosterone continue their necrotic effects? No.
You have to be carefull when dermarolling or microneedling with Minoxidil - you can get too much product into your bloodsteam causing sideeffects e.g low blood pressure, fainting, dizziness, headache, tiredness.
You should wait 12-24 hours before applyning minoxidil to the scalp. Otherwise it can go systemic and cause various side effects. Never microneedle and apply minoxidil immediately. I dont understand why he is even saying that? Do you have answer Dr Vikram Jayaprakash?
@@JocyThomasC I know that very well, I have seen all their episodes.. Then you should try microneedling with Dr Pen 1.5 mm then put minoxidil based with ethanol and propylene glycol than tell me how feel mr. Seriously don't be stupid 😊
Doctors, thank you for educating us on most aspects of hair loss & treatments. It is most helpful & appreciated. Would you recommend the derma roller or the derma pen with adjustable depths?
Zilla i didnt see much improvement yet. Temple area no regrowth all, i feel like vertex is maybe a bit regrowth but thats only my feeling. I will start Dermarolling with DermaPen today too. Btw it usually takes 2-3 months until you see results from your treatments so i have few months to go
Hello Dr. Vikram Jayaprakash, Thank you for your very informative video. A few question. Can women use topical finasteride? I heard that it is very effective and safer than oral finasteride. How to use topical finasteride with derma roller? You mentioned that derma roller can be used with minoxidil. Should I use dermaroller before or after applying minoxidil products?
Hi Vikran, love the videos! please keep them coming. I have a question.... I've been using fin and minoxidil+micro needling for just over a year now and I have managed to get some good regrowth and thinkend up my hair. My hair is naturally thin so I know I'll never be able to get a full thick head of hair but I'm fine with that. I've stopped using hair styling products such as wax and hair gels about 5 years due to my hair being so thin and wispy looking. But recently I've been using wax and volumizing moose on my hair again because I have more hair to play with. It does look really nice once its styled to point where you can never tell I'm a hair loss sufferer. This brings me to my question... Does using hair styling products cause further hairloss or affect the quality of your hair if you use them quite often?? Thanks again for your informative contents 👊
Generally no. Remember, the hair shaft that you see is essentially 'dead'. You can apply whatever product you want without causing issues. Things like hair dyes are also fine, but depending on the chemical used, they can make the hairs brittle.
@@TheHairLossShow So we know we want the growth factors from dermarolling, but are we also after the collagen production? The reason I ask is because if collagen production is another integral goal of this protocol, then it's generally universally agreed that MNing should not be performed any more often than every 4-6 weeks...3 weeks at the earliest, as you don't want to introduce new inflammation and disrupt the prior collagen remodeling process that was already initiated. This would contradict the advice out there to needle every 1-2 weeks. But if all we want is the growth factors, then needling at this rate would be fine. Also, would the depth and protocol for MNing the scalp be the same as for sideburns and a beard? I have been MNing my face for skincare at 0.5mm -1.0mm depths every 4-6 weeks. However, gaining a denser beard would be more important to me than the skin quality underneath the hair (since it can't really be seen anyway)...So I suppose if you said "no, collagen production is not a vital piece we're trying to gain as it pertains to beard hair", then I would be willing to MN every 1-2 weeks with no concern about breaking the 4-6 week rule we typically associate with skin rejuvenation.
Some dude actually did it! And he have RU-vid show I think you should know about him as long as you have hair loss channel. Anyways thank you for the effort you guys put to educate us
Hey Doc, love your channel, I have a question that I personally hate being asked, as I myself have a business and I price jobs that I do accordingly, but I find that it is so expensive in Australia to get a hair transplant, given that it's one day procedure, wouldn't it work out better for hair transplant industries in Australia to work together to bring the price down a little so people don't go over seas, I mean you would be flooded with business if the prices where reduced, anyway just a thought. Cheers Carter.
Hello Doctor, I'm 17 y/o. I have had a very bad mental breakdown last year in October which resulted in massive stress and I've noticed significant diffuse thinning at the end of December. I took instant actions regarding the topic by replacing the products I use and started natural oil massages which stopped the shedding.In March, I started using derma rolled (.5mm) which grew a little bit of hair and then the progress stopped. Could I do anything about it? Please take my question. I'm very much concerned.
Could you please make a video about natural foods, vitmains, natural supplements that can help slow down hair loss. Thanks for this great channel my number go to for hair loss education
Nothing natural is efficient. Give up on that idea, you're eating and interacting with unnatural factors every day anyway, taking some medication for hairloss won't make much difference
@@ozeki6 that contributes whiles taking propecia and minoxidil of course. For people who have no mbp gain a lot of benefits from fresh organic foods, treatments and healthy life styles so it's only logic of you maintain you hair with propecia and minoxidil surely these add ons could help
Hello doctor, I got a question for you, Nowadays I’ve been using minoxidil and A dermaroller, for 3 -4 months, and I consider My baldness has reduced, Ive seen improvements, bud now I’ve heard that finasteride can be added to the minoxidil bottle, (reducing to dust the pills) do you consider that could be possible and secure? Using it toppic? Best Regards
Hello and thanks for the vids, best on youtube, at least the best one I've found! I've a question, I'm in my early 20's and started thining, should I start with finastiride and see if this helps or minoxidil 1st?
No, don't listen to this guy. Start with finasteride because it will slow down or completely stop your balding for years. Minoxidil on the other hand will have to be used for the rest of your life. If you use finasteride now, maybe you will have the same hair in 10 years
Dr.Vikram please give your opinion on applying essential oils for hair loss ( rosemary castor or coconut oil) and can a person use derma roller before applying these oils
Dr. Jayaprakash, First and foremost, thank you for the amazing information you and your partner offer. I have been on thyroid medication (Armour Thyroid for hypothyroidism) for over 2 years and have noticed some hair loss in the frontal area. The top, sides, and back grow full, only the front is thinning and temple areas. For a few years, I've also noticed that my front hairline (temple areas) are receding significantly. Can using a derma roll + minoxidil 15% help me prevent and regrow hair in those areas?
What do you mean by "losing hair aggressively"? Is there some rate/year to know if the loss is slow or fast? Is 1 year enough to see a big difference for a 30/31 year old man with thinning hair?? (no hair on the pillow, no hair on the hands during the shower - Obviously normal falling hair...20 - 30 strands a day).
Dear dr jayaprakash, I currently take finasteride 1mg daily and dutasteride 0.5mg weekly. In terms of combining them , is it recommended to drop the finasteride on the days you take dutasteride or do you still take it on the same day as the dutasteride ? Cheers David
Hey Doctor, what is the best pomade or cream that could/should that doesn’t necessarily cause hair loss? Is there a particular brand you would recommend ? Thank you.
Hi Dr, I really like all your videos. What brand of Monoxil would you recommend using with the Derma roller. I did find a brand "FOLIGAIN Thinning Hair" It doesn't contian Monoxil but it contains Trioxidil. In my case I'm thinning at front and crown. Thanks.
Hi Dr. Vikram, What length derma rolling needle do you guys recommend for ONLY the increased absorption of Minoxodil and should this length be used everyday?
So what Doc basically said for #6 is if there are indeed bulbs that are dormant still it is important to not just derma roll but to add something else to the routine such as minoxidil or fin. That will net you better results
I have been using finasteride 1mg since 2018. my hair loss is somewhat stable( not 100%) but excess hair shedding is still a problem. can biotin supplement (2500 mcg/day) help in reducing hair shedding to normal level?
Thanks for giving me hope, I am a Norwood 4a and just started micro needling today. I have been on fin and minoxidil for 2 months now and started using nizoral as well
Thank you Dr. I have a questions regarding Topical solution (Minoxidil). Is it safe to use because I have thinning hairline? Does it affect visions, cardiovascular problems or other side effects when you use minoxidil 5% once a day?
You should be okay to use it safely. However, if you have any pre-existing heart condition or restrictive lung disease, I would only begin the treatment under the guidance of your physician.
@@erickson5126 Yup that works as well...Something like 0.1 or 0.25% finasteride solution combined with minoxidil works fine if you don't want to take finasteride pills. However, it is not quite as effective as taking finasteride orally.
One of my biggest question regarding the hair loss : People who suffer from androgenetic alopecia are their hair prone to DHT because of their genes or is it there body is producing too much of DHT ?.... I mean people who don't go through androgenetic alopecia can we say that their bodies don't produce that much amount of DHT as compared to people going through androgenetic alopecia OR is it just every male's hair in this world is prone to too much of DHT ? In simple words does "genes" contribute to the factor of producing more DHT or does it contribute towards weakening of hair follicles due to presence of DHT in one's body ?
I am wondering about just dermarolling by itself. I have barely noticed one of my temples started balding (only noticed because i haven't gotten a haircut in months). Am I early enough to find best possible results by just dermarolling?
Would derma rolling fit in to my hair routine? I had 2700 fue 4 months ago.(just starting to see a small amount of hair growth) And currently take finasteride everyday 1mg, I also use my laser hat (CapillusPro) every other day for 30min. And use topical minoxidil everyday. Just based off of that would you recommend rolling? And what frequency if so? or just stick with my current regiment?
Doesn't this contradict a study that shows that dermarolling alone was better than minoxidil, and that dermarolling + minoxidil combined was better than both?
Shedding: how can one tell if fallen out hair is due to normal shedding VS follicle miniaturisation? Can it be determined based on the fallen hair length/thickness etc? Appreciate your work!
Can Finasteride help with Alopecia Areata? One day I woke up with a significant bald spot near the crown. I've been taking Finasteride for almost 2 years (with good results) before the sudden appearance of AA. It's been over 6 months and the spot is barely regrowing hair. Thanks for your channel. It is really informative and I really appreciate it.
Hey.... First of all this is great channel . U both are fab .... I have a question hopefully I may get my answer.... Question is I am an 19 year old boy . And I have hair fall . My father and grandfather also has hairfall means that is genetically inherited . I am taking 1 mg finestraide per day from last 1 month just wanna know should I take 3 mg per week ??? For max results and min. Side effects ???
is derma-rolling ok for those with very lax skin (prone to scarring)? Can you also do it on old strip scars which you plan to FUE into? Thanks a lot for sharing your thoughts
Hello. I have question. I want try first time used dermaroller, what size is best for me?0.3mm, 0.5mm? Or 1mm?? And how i can use dermaroller with minoxidil? First rolling and after 1 hour give minoxidil? And how many times per week i must rolling? Sorry if you tell my answer in your video, but my english is not much good. Can you answrr me here? Thank you so much fot help.
Hello Dr How can I tell if I'm shedding hair or the hair is lost due to miniaturizing? Can it be determined based on the fallen hair length/thickness etc? Thanks
Only use the 192 needle rollers don't use the 540 they don't use actual needles they are sawtooth shaped stamp cut from a titanium disc and will shred your scalp.
I’ve been diagnosed with DUPA and I have recently started taking finasteride. Can I use derma-rolling on my temporal and parietal areas? Will it affect in any way the process of strengthening the hair due to finasteride or will it help?
@@c.1211 I’ve been using finasteride for a year now but I haven’t seen any hair regrowth yet. My hair however is stronger and I’m losing less hair. I stopped derma rolling about 4 months ago (I was doing once every week to 10 days) but honestly I haven’t seen any improvement after 8 months of doing it so I stopped it completely.
It’s bullshit I’ve tried it Start with Finasteride 1 mg daily for 6 months and see Remember- most side effects are due to Nocebo effect Good luck mate!
TALK ABOUT FINESTERIDE AND BODYBUILDING. WILL IT AFFECT HYPERTROPHY OR MUSCLE MAINTENANCE. WILL IT CAUSE MUSCLE ATROPHY. LOADS OF GUYS THAT GO GYM WANT TO KNOW THIS!!!!! WILL IT AFFECT MUSCLE STRENGTH/SIZE/GROWTH. I.e. on your recommended 1mg 3x weekly
@@redcoloured85 i took creatine for 5yrs straight. My hairline has gone back abit but i think that potentially was goin to happen anyway at 30. But i have stopped it just incase. Im using derma roller 1mm once a week and using jamaican castor oil daily
Hello Dr, It's a bit of a followup on the question of finasteride VS dermarolling. I am doing that + PRP and recently started micro-needling. My objective is to continue finasteride for the next few months. I got my last PRP treatment this week and I'm trying to stop PRP and finas for more natural means (Derma rolling only and perhaps better shampoos, scalp massages and biotin). PRP is pretty expensive so that is why I wish to stop it. Finas is not as much but I would require a doctor to provide me with the prescription + I don't like the idea of taking a drug changing something inside of me for so long. My hairloss is pretty slow. I'm 32 and only at norwood 2. That is why I'm hoping that only derma rolling (with Dr pen) and other natural means would help me keep what I have right now. Do you think that considering I have a very slow process, it would be fine? Also for the skin thickness, is there any way to know for sure? I've been doing it at 1.5mm but I'm not sure if it's optimal. My skin becomes bright red and no bleeding happen. I read that some people keep that redness for days, is that meant to happen? Because mine is all disappeared on the next morning (I do it before sleeping). Thank you!
Sorry i know this isnt related to the topic at hand. Ive been on fin/min for over a month now. I was curious if adding biotin would help the cause? I have read that biotin can increase the diameter of the hair along with growing hair faster. Is this true? Will biotin aid in hairloss?
Doctor, Please answer... I just stopped using minoxidil after a month using it because my scalp was itching, so my question, can i regrow my hair that has been falling of because sheding phase of minoxidil and also regrow a new hair with others option tonic serum? I also still consume finasteride, 0.8 mg daily, i only stopped the Minoxidil, not the dht blocker. Thanks
Hope this helps; I just posted this to another poster's question: LIQUID minoxidil contains an ingredient which can make the scalp itch. When I realized this, I switched to the FOAM which doesn't. To me the liquid form is easier to apply-with the dropper directly to the scalp-as opposed to the foam which might sit atop the hair, preventing product from reaching the scalp where hair "bulbs" are. So I squirt foam into the cap, and immerse it in some hot water in a shallow cup. (Don't let water get into the cap.)The foam will quickly turn into liquid which can then be applied with dropper. Side note, I'm female and use 5% generic minoxidil (way cheaper since it needs to be applied "forever") working up from 2% when I started 11 years ago. It WORKS for me, preventing further hair thinning I'd noticed at the "corner" of top & side hairlines. And the "baby hair" keeps coming in still. Best wishes to all!
Do you think derma rolling at 1.5 mm could have any possibilities of creating scar tissue which would make you unable to get a hair transplant down the road?
Thanks for efforts Dr. Vikram. I have a question related to Minoxidil. Is it safe to use Minoxidil 5% once a day after I have been using it twice a day ? Thanks again.
Gabe Landy Thanks for the reply. I have been using Minoxidil for a month. I have got a my hair shedded. And I know it is normal. Shall I keep using it twice till the third or forth month so I will make things worse, or using it once will maintain the same progress. Thanks again
Hey guys quick question - I have been on oral fin for about 5 days now, taking it everyday at .5mg a day. I just half a propecia tablet - do you think I should instead be taking the full milligram tablet a day or is .5mg enough? Also, about how long in your opinion until the shedding slows or stops? Thanks so much
Im using a 0.75 roller,how often can i use and is it better to apply minoxidal 1st then dermaroll or the other way round.ive heard you should wait up to 24hours to apply after rolling,thank you.
Hi Dr. a quick question, how can I differentiate between alopecia areata incognito and androgenetic alopecia? I have hair thinning all over my scalp, it’s not patterned. It’s not cause of any sort of deficiency, thyroid problem or hormonal problem. How can I know if I have AGA or AAI? Thank you! (I’m female, 22)
Hello Dr. If someone is on finesteride, is it necessary to abstain from alcohol ? And also while u r on finesteride is it not advisable to donate blood
Will saw Palmetto ever become FDA approved ? Or is there any other drug which can potentially become FDA approved for male pattern hairloss besides finasteride ?
@@jamesokeefe6358 I shed for about 2 months and my hair got worse. Literally hair everywhere. All of a sudden slowed down drastically for the last 3 days. My scalp even feels better. I'm on a very low dose of finasteride though. I use about 0.25mg every 3 days.. So twice a week. It's made a big difference regarding side. They are manageable now
Hi Sir, after how long can you stop dermarolling, (once you get vessel hair), for the vessel hair to turn into terminal and thicker hair? Can you get terminal hair from dermarolling?
Hi! Thanks for the video. I had an FUE procedure and started microneedling 1.5mm 3 months after. I was told by my surgeon that it was no problem. However I am seeing comments on forums that one should wait 6 months or even up to a year. What would be the correct protocol? Thank you :
Hello Dr. I need your help I'm facing alopecia areata since 1 year I have taken steroid injection which made my patches worst and created reddish dents on my scalp. Right now I'm using minixodil sprays, taking biotin 100000mcg capsules and also taking 308nm excimer laser treatment sessions, but no development. I would be grateful if you guide me what should I do?
Do you have to use minoxidil or any kind of hair solution or can you just use the derma roller and not put any kind of solution on your scalp? In other words will the derma roller itself bring forth the hair growth naturally without any solutions of any kind on your scalp?
If I use finastride to stop the dht and minoxidil to stimulant my hair can I eventually get off minoxidil once i've reached the desire results whilst still continuing finastride? Or will my hair fall out again? Thank you and waiting for a response
*Is it true that stoping the Minoxidil for a week or 10 days helps the improve the consequent effect of Minoxidil on the hair growth?* pls reply sir...
I used 1.0 needles and didn’t see any redness at all anywhere where I microneedled. Why is this? Should I increase the length to 1.5? Should I apply more pressure when using 1.0 needles? Thanks!!
I know this was 10 months ago but it’s to help anyone that reads this. 24 hours is a good wait time. If you do it too soon the minoxidil will enter your blood stream and you’ll receive side effects such as: irregular heart beat, chest pain, headaches, stomach pain and a few others. So I’d say derma roll in the morning, and apply minoxidil the next morning.
So my questions: 1. If u want to have childeren in the future and u want to play it safe how long do u need to be off finasteride before trying for a child? And can u go back on Finasteride straight after trying my concerns are the sperm count loss. 2. I saw in one of ur videos that u advice to start with 3 mg per week when doing Finasteride so how long would u prefer to use this method if u dont see side effects would u go over to the 7 mg per week or would u stay on it? And if staying on it will u definitely have the same results as 7 mg? 3. I dont have male pattern baldness and I dont have receding hairline however I have some spots which are tiny and there is no growth there anymore for the past 4 years because of lots of usage of heat without protection spray. Do u think this can regrow? Aswell as I used to have really thick hair but now its thin almost to the point that u can sometimes look through it in the front middle part because of sunlight. 4. I have seen a friend going being on Finasteride safely for 12 years and now hes having low to no sperm count plus hes having a very low sexual desire however he is 51? Is it possible to create side effects after 12 years???? Thanks in advance for answering my questions🙂
A few days or weeks ago you asked us to send questions through email. Are you going to cover them in a combined video. Or will you cover each topic/question in a separate video?
I am still going through the questions, there were over 200! The two of us will probably cover some of the questions in a video. We will be doing this in a couple of weeks' time. Thank you for your patience... Yes, Souli. I did see your questions.
