I've used derma-rollers for 3 and a half years now. My balding stopped and my hair slowly grew and still grows back to this day. The hair regrowth is very slow but I'll take it. Even if it takes 10 years to get back to 75% of the hair I had before balding it is still worth it.
@@Idle_Koala I've been microneedle-ing my hair for about 3 years now. The intervals differ a lot because I do it whenever my scalp starts to feel "itchy". You may know this weird kind of itchy that's probably caused by inflammation. So there have been times I've done it only every 3 months but also times where I've done it every week. It depends on how you and your scalp feel. The length is 0,5mm but it could be longer (1mm) because I sometimes put quite the pressure on it. I microneedle the parts of my head where the male pattern baldness is most prevalent and in addition also my eyebrows (which have grown as well). After every microneedle session I treat my scalp with eucalyptus oil, apple cider vinegar, french brandy and another kind of oil like coconut or avocado oil, so that my scalp stays hydrated and doesn't get infected. I disinfect my scalp everyday for about 5 to 7 days after the treatment until my scalp starts to get dandruff because it renews itself. After the dandruff I wait for at least about a week before the next treatment because your scalp has to HEAL in order to get healthier. In addition to that I also massage my scalp the way this channel "Perfect Hair Health" suggests (but I only started with that a week or so ago). The results of my microneedle-ing (and almost only rye flour as shampoo, no unnatural hair products and a healthy diet with lots of exercise) are that my balding stopped and my hair grew and still grows back to this day. I'll probably never have a juvenile hairline again withoout surgery but I will lose my "going bald at the temples" in approximately 2 to 4 years from now. Growing my hair back takes a considerable amount of time! But it's an investment I'll happily work for because I love (my) hair! I can't guarantee that this routine will work for you but you can at least give it a try. If it worked for me it may also work for other people. Use my experience and knowledge at your own discretion.
@@jumpander Wow thanks so much for the write up! I think we fall in the same boat in terms of preferring a natural approach when possible for hair loss. So it’s really encouraging to hear of your progress. I have a needling device which I used for 10 weeks and saw progress, just been lazy with my application as of late. I also started scalp massages recently too. Hopefully the combination will help. I’m not noticeably balding to others as of right now, but my hair is so much thinner than it was 3 years ago when I noticed increased shedding and the temples and crown are starting to go which I why I want to be proactive. Do you apply the ACV right after needling? I bet that hurts. Also, how do you apply the oils to your scalp. Do you massage them in and let it sit over night then rise out? Every time I’ve tried scalp oils my hair looks so greasy. Thanks again!
@@Idle_Koala Proactivity is way better than reactivity. Because if you care for your hair reactively you'll lose some hair that you'll never be able to get back. If I would have cared for my hair the way I do now only 5 years earlier I would still have a juvenile hairline today, no exaggeration. (I envy my children in the future who'll I nurture and educate with this knowledge.) To your apple cider vinegar question. I do apply it right after. But the burn is a good kind of burn. Just like microneedle-ing does hurt but it's also a very intense and good scalp massage at the same time. The pain from ACV is a relieving one. The oils I just massage onto my scalp. The places where my balding is most prevalent I focus on, the other parts of the scalp I'll more lightly oil and massage as they do not need as much care. I let the oils sink in over a night or two, depending whether I have an urgent appointment the next day where my hair needs to look good. But I preferably only use as much oil as it won't let my hair look that greasy. However, I do have to wash my hair after every treatment and more often in the following days after this treatment than I would do normally. But that's a low price to pay in my opinion. (Things to know: I am a 24 year old male, with relatively long hair. My hair goes down to my chin. My hair thickness and density is below average by birth. My balding started probably when I was 15 to 17, but I first really noticed when I was 18 to 20 and I first took action when I was 20 to 21 years old. The balding affect-ed/-s my temples and generally only my forehead region (from juvenile to mature hairline in the front). The backside and top of my head wasn't noticably affected by balding yet, thank goodness.)
Rob, you and your team's content is the absolute best anywhere on the internet. I really appreciate the level-headed and open-minded perspectives and assessments you give. Hair loss research and treatment is surprisingly dogmatic for being such an incomplete and changing field, but it's honestly comforting to know there are people with the means and drive to dig through all these unanswered problems and questions for the benefit of everyone.
I like how you give some scientific background regarding the information you are sharing. Other sources just say stuff like "studies show..." or "studies suggest..." without even quoting which studies. Misinformation is rampant today so this is really appreciated.
The video presentation on micro-needling and its impact on hair growth, particularly when combined with topical treatments, was nothing short of compelling! The caliber of the content was so exceptional that it compelled me to subscribe immediately 😊 As an educator in AP Statistics, I found the numerical data and statistical analysis presented in the studies to be both comprehensive and accessible. The depth of the statistical analysis was truly remarkable, and it was a delight to observe such a thorough application of statistical principles to real-world scenarios. The way you highlighted the potential biases that often infiltrate clinical trials was a masterstroke. These are the very same biases I caution my students against, and to see them so eloquently pointed out was a sight to behold 🙏🏾. But beyond the statistical analysis, the video was a revelation in terms of my understanding of micro-needling. The efficacy of this technique was illuminated in a way that has significantly enhanced my comprehension. In essence, this video was not only a testament to the beauty of rigorous scientific analysis, but also a valuable resource in understanding the practical applications of micro-needling. I do wonder if any of these trials were based on different hair types since I have very coarse hair: C4. Anyway, thank you so much 😊
Thanks a ton! I appreciate the kind words. If you liked this video, you might also like our latest video about evidence quality and clinical trial manipulation: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-Or2ca-UEuDc.htmlsi=FJi4mfVxmL7OByRn
Yes and yes and yes, it works. I started scratching my almost fully balded scalp with a metalic brush(ofcourse gently)it was painful and i bled, but was so worth it. So a tool designed for the cause to cover ground evenly must work and am getting one. Thanks bud, u did me a favors and saved me from looking like my dad at different age differences PS. Am not paid to write here but felt obliged to support this guys content
I’ve been using a derma roller once a week and minoxidil twice a day for about three months. I’ve had excellent results. My hair went from almost nonexistent on my crown to nearly thick enough to cover my scalp. I can tell the improvement just by touching it. I would highly recommend it, especially considering how affordable it is.
Been doing microneedling on and of for over a year just not to get any more receding hairline without any noticeable changes, but it might have helped in stopping progression for sure. Then about two weeks ago I watched pretty cool video about lack of oxygenation of the scalp and it's consequent release of DHT into the area, arguing that pretty much basic scalp massage can prevent you from deployment of DHT into the area in general. I also suffer with psoriatic condition in the area of my hairline, where it gets red and I get scaly and scabby skin flakes there especially after more strenuous workouts. So I've done some soft tissue work in my forehead area of the scalp every other day and I have to say that those psoriatic symptoms pretty much disappeared and my hair already looks healthier and feels stronger. I pretty much did techniques similar to fascia release and scar tissue massages and I was surprised that that scalp was pretty hard to move with at first but now it feels elastic and loose. It the video they spoke about this as a main cause of balding and in the same time consequence of straining mimic muscles which make the scalp skin less elastic, oxygenated etc., resulting in deployment of DHT into the area, it is also supported by some studies, for example with one by using botulotoxin into mimic muscles of subjects so they stop overworking those muscles and on majority their hair got significantly thicker. So I think that it might eventually be just as simple as massaging your hairline every other day for most people..
@@sindrestokke79 Just a couple of minutes at a time when I have nothing to do, I'm still figuring out how to go about it, wouldn't be too bad to focus on relaxation techniques of frontalis muscle as well perhaps.. Still I think I will keep doing microneedling with that at least once a month to boost the effect.
This channel is a godsend for anyone wanting to cut through all the misinformation and marketing claims coming from the hair-loss industry and from chiropractors masquerading as MDs on RU-vid.
Just watched the video, I have to say that your transparency and thoroughness regarding the scientifoc method in order to shed some light on this muddy study field is something I am not used to within my bubble. Kudos!
@@BadRussian77 no, not really. Microneedling along with diet, and topical oils such as castor oil, almond oil, olive oil, rosemary oil etc. Just two or even less times a week will probably have incredible results and without continuing minoxidil
I tried Microneedling about a year ago for 4 months, I did not use a combination of Min or Fin though. Unfortunately it didn't do anything. This video gave me hope to give it another try, this time I will do it with Derma Pen and be very consistent. I will update in couple of months.
@@EriPages Hahahahah! I promise, I won't be like others who disappear. In couple of months I will give an update. I also suffer from retrograde alopecia (I am heading to aggressive norwood 6-7). So I am needling my nape area as well, currently doing 1.5mm\week. Will give an update! Wish you all the best.
Psychological conditions can indeed lead to hormonal imbalances, which can in turn contribute to hair loss in men. Stress, anxiety, and depression can disrupt the normal functioning of the endocrine system, affecting the production of hormones involved in hair growth, such as DHT. The bidirectional relationship between psychological conditions and hormonal imbalances highlights the complex interplay of factors in the development and progression of male pattern baldness. Therefore, when exploring the causes of hair loss in men, it is important to consider both psychological and hormonal factors and their potential interactions.
Andrew huberman did an excellent breakdown of combatting hair loss and highlighted caffeine onto the scalp as effective as 5% minoxidil You need to make a home made ointment with fresh coffee and apply … I’d also use rosemary oils and castor oil
The visual significance is another issue to address. Going from 1 hair per sq. cm. to 2 hairs per sq. cm is a 100% increase. So initial density needs to be taken into account in the statistics. Pictures definitely help. Would be good to know when to apply 5% minoxidil as well.
Microneedling over the top of thinning hair needs a deeper needle length because of the buffer that existing hair puts between the scalp and the needling device.
Thank you very much for doing this research, explaining the research and the scientific method so well, sticking to the scientific method, and making such a high production quality video. Superb job!
Avoiding the placebo effect for microneedling would be a tricky one. I guess maybe a device that buzzes but doesn't penetrate the scalp. But then perhaps the vibration might impact things...
Scalp massage is a thing and apparently it works. And also patients will know if their scalp is not being poked with needles unless the scalp is under local anesthesia.
they're not that good at stimulating hair growth but they are good for anti-microbial properties that can help prevent hairloss due to microbes, and create a healthy scalp to assist in hair growth. make sure you dilute them in a carrier oil, emu and ostrich oil has the best absorbent properties as they have a similar acidity profile to that of humans.
I'm here because I was whining to Adam Fields about my genetic hair loss. He suggested I find you, so here I am to learn something new and hopefully NOT go bald like my mother did at this age.
0:00: 📚 A new peer-reviewed study on microneedling for hair loss has been published, providing up-to-date information and addressing key questions about its effectiveness and safety. 4:11: 🔬 Microneedling has shown positive signals for hair follicle proliferation and health. 8:48: 🔍 A systematic review of 17 studies on microneedling for hair loss reveals key findings and recommendations for future research. 12:58: 😕 The video discusses the importance of having an untreated control group in hair growth studies and highlights the issue of short study durations and seasonality effects. 17:30: 📚 Microneedling is found to be just as effective as platelet-rich plasma therapy (PRP) in regrowing hair. 21:31: 🔬 Microneedling shows promise in improving hair count and enhancing the effectiveness of other hair loss treatments. 25:26: 📌 The optimal needle depth for microneedling to promote hair growth is between 0.6 and 0.8 millimeters. Recap by Tammy AI
I wish they included a study of this + removing processed foods. I eat Whole foods only for the past months and starting microneedle tomorrow. The food alone removed alot of issues already
The food we eat and shampoos we use accelerate genetic hairloss by at least a decade. Nobody in my either side of family ever had hair issues before 35, whereas I am NW3 diffuse at 25
Hi Rob! Thanks a lot for sharing your team's study with us. I appreciate how you do not look at these studies as gospels like most RU-vidrs do. I have started massaging my scalp using the technique you detailed in one of your videos and I think you are on to something there with scalp's tightness being a big contributor to hair loss. I do microneedling with and without minoxidil and I am a believer in its efficacy not just on hair count but hair diameter. For future videos, can you please share your opinion on stem cells therapy. It is very popular in Asia and the Middle East and known sometimes by the name of Regenera Activa or Regenera. It is a very expensive treatment and wondering if it is worth it.
Fantastic analysis and video! It is so hard to find good and concise information about microneedling for hair growth especially information more grounded in science, thanks!
Thanks for the effort, both regarding the academic work behind this and regarding the work on the video itself (to make it pedagogical). I learned a few things about needle length here, that was precisely why I watched this video to begin with.
I like your style it is very professional, I am happy that there is someone who takes this so seriously. Keep up the good work. Please make one overall review of all techniques/tools/medicine and if these work better together.
The fact that in northern hemisphere the hair shedding starts in summer blew my mind.. it's been happening all my life and I did not know it has anything to do with the time of the year.. i chalked it to humidity.. I live in Delhi, India and it gets pretty humid here in July and August.
@@ZzzZzz-gk4bo Yes in some spots because it is hard to keep the same amount of pressure as you are doing it. I would say done right it should look a little like a sunburn spot after you are done
@@ZzzZzz-gk4bo I use a 1.0 the first week and switch to 1.5 since than. I did that because I heard another person said they had better results using it. After using it I think it may be better because it requires less pressure. I found myself pressing harder with the 1.0. There hasn't been any thing I watched that said a .5 works. I bought all 3 and use the .5 for on my face as some say it help with wrinkles. I figure if I am doing one I might as well to the other. I also started taking Stinging Nettles for it's ability to stop Testosterone into dihydrotestosterone. Along with using a Hairmax laser band. 4 weeks in the only thing I see is less hair in the sink, no growth yet
I've read that microneedling can enhance your peppermint oil usage based on a study done with Rogaine. My question is should you do the microneedling right before using the peppermint oil or it doesn't matter if you do it before after or even at days distance?
Thanks Rob, very detailed and precise analysis of the studies! I would like to know your opinion and/or researched data on microneedling together with topical oils like rosemary oil etc.? I dont want to use Minoxidil or Finasteride so I wonder if oils might work just as well as these known medical treatments. I do microneedle with a pen but it feels like it doesnt have much of an effect..
Thank you! There's no clinical data comparing microneedling with natural topicals, but hypothetically, microneedling should help to improve transdermal absorption for any topical you're applying. It also works through mechanisms separately than what most topicals can evoke. Based on what we know, I think there's potential upside to the combination approach.
Thank you for this video. I may have finally found a source of information that isn't providing predetermined results paid for by their sponsor, like the studies that showed that nicotene is not addictive nor bad for human health, paid for by RJ Reynolds, the manufacturer of Camel, Newport and Winston cigarettes.
Hi Rob! I bought your ebook some years ago but I concentrated on other things in my life and now my balding exceeds so I came back to hair loss subject and found your RU-vid channel:) I am starting minoxidil + micro needling regiment but my question is do you still recommend resigning from all shampoos and conditioners while doing the regiment? Does your take on that have changed through last years? Greetings from Poland 🇵🇱
Strict to the point really , great video. I just have one question regarding Derma roller as some videos i watched it says that it might scar the sculp due to its angle of penetration, while derma pens are better , can you give me an insight to this claim , as i bought a 1mm derma roller used it once a week for 4 weeks and then stopped as i thought it would damage my sculp more than fixing my hair loss progression.
Thanks! We haven't seen clinical evidence of scarring from microneedling rollers or pens when done within the parameters discussed in this video. In fact, we've seen the opposite! One study showed reductions to facial scars following recurring microneedling sessions using a 3.0mm needle length. I think if you keep the needle lengths under 2.0mm and adhere to proper usage frequencies, the data so far suggest you should be okay.
*This is the most in-depth video i have seen on this topic. Lots of great information here. I have been using a .25 needle but i think after seeing this i might go for a bigger needle. Thanks for this video. Its great information on the topic!*
*I currently use a 1.5 roller. Every hair type, hair thickness and balding situation will be different. my thinning was very minor and after 1.5 years of rolling i have zero thinning. i only roll twice a week. I would maybe buy a kit that has various sizes. The .25 needle i started when wont do much if you have very think hair. I hope this helps!*
Which brand or type of roller should we get? I know there is a lot of controversy about disc shaped needles and Stainless Steel vs. Titanium. They say certain brands can actually cause skin damage and do the opposite. Could you please research on these requirements and let us know. I've been looking online and searching for a medical grade needles and good quality brand and it's taking me down a rabbit hole. :(
How long can you use the derma roller before replacing it with new one? Some say after 1 month while the others say you can use it as long as the needles are not bent or rusty. Your thoughts?
It depends on how hard you press, depends on that needle material. Generally I would recommend changing after 3-4 uses (using once a week) But really, If you disinfect and dry properly and the needles are in good health I would say use as long as possible.
I shaved my head (when I still had a full head of hair) for over 10yrs...I have decided to grow it back recently, and it isn't as full as I remember...It has receded quite a bit and much thinner, wispy at the front. I was wondering about either natural shampoo to clean the scalp properly or a medicated shampoo? I tend to get dandruff easily, as well as a sebum build-up. I would like to clean the scalp regularly without this sort of build up. Thanks for all this great info - you change lives.
I've been using a microneedling pen that I got off Amazon and have been using for a couple months not 1x a week and have already seen way better hair growth than before, but I Also mixed it with topical finasteride/minoxidil, but I'm slowly edging away from using finasteride/minoxidil and only using the pen. And I've seen no side effects when using these. But just do your research on finasteride before using it because a small portion of people will see some side effects
Great input. Thank you for this video. I was actually on of the first ones doing dermarolling. Started at 2011 lmfao, could've never known it would become this big.
@@uunz4435 lol yes, however, I used it more on my face than scalp/to regrow hair. And today people get surprised that I'm as old as I'am. And that's after drinking heavily and smoking for years.
Have you heard the benefits of saw palmetto oil or pumpkin seed oil? My son is only 17 and losing his hair, just like my Father and brothers did. I am desperate to help him find something. Finasteride is not the direction we want to go, and nervous about 'shedding' from minoxidil. He bought a microneedling device and he is using saw palmetto oil, but how often should he microneedle?
1. Iodine and selenium supplementation 2. Foods with zinc and copper. 3. Foods with iron. 4. TONS of vitamin C (helps iron absorption and collagen synthesis). Pure Synergy is the best. Pop them like candy all day, and drink plenty of water. 5. Silica supplementation (horsetail) or foods with silica. 6. Foods with vitamin A (carrot juice, sweet potatoes, etc.) 7. B-vitamins (consider supplementation, or use nutritional yeast) 8. Pumpkin-seed oil morning and night. 9. Scalp massage morning and night. 10. Meditation to reduce stress; exercise, water with Himalayan crystal salt in it.
I know how your son feels. Mine started at 15. I can only imagine what it’s like for him going to school. I got to wear a hat most of the time. But it was incredibly embarrassing, and insanely depressing. I hope his hair grows back cause man with how shallow women are now a days……… it can easily become a lonely life.
This is by far the most comprehensive list of research I’ve seen on hair growth. I have a question, could you please lemme know what’s the right order of using micro needling, rogaine & rosemary oil?
Keep in mind, just because something isn’t scientifically proven doesn’t mean it’s ineffective. While anecdotal evidence is not as nearly as reliable there is some weight to it. For example, it isn’t scientifically proven that drinking pickle juice stops muscle cramps, but after suffering from them constantly during sports I was cramp free after taking 2 shots of pickle juice every day. Try microneedling and if it works good for u.
Rob, I use a derminator 2 automated pen that doesn't have the ability to set depths of 0.6 - 0.8mm but rather jumps from 0.5 - 1.0mm I've been using it on 1.5mm once per week in combination with minoxidil & finasteride. I know you mentioned that the differences in hair outcomes are minuscule, but would you recommend I switch to 1.0mm since that is closer to the best needle depth penetration these studies show?
There were several studies showing that 1.5mm automated pens also worked, so I would stick with whatever you’re comfortable doing / whatever is getting results. I don’t think switching down to 1.0mm would make that big of a difference since that is still slightly over the threshold depth for the bulge.
Not sure which one you have, my Derminator 2 can go to .75mm. It clearly says it on the website. "Depth setting. From 0 to 2.5 mm in steps of 0.25 mm. The position of the upwards-pointing white triangle corresponds with the set depth. With a "trick", the single needle can also be made to go up to 3.5 mm."
I heard somewhere that you can use smaller needle lengths inbetween sessions. So if my target is 1.5 mm every 2 weeks, I can do a session first day of week 2 at 0,75mm to increase frequency of stimulation without damaging deeper, unhealed parts of the scalp. Anyone knows if there's any science behind this?
Hi Rob, Thanks a lot for your video. It made me start microneedling. I'm on month two, doing it once a week. Currently I'm doing it as monotherapy because I don't want to use any drugs or topicals at the moment. To not keep it as monotherapy I'm thinking of also doing 15 minute massages daily. I would use a motorised massager that I have that doesn't vibrate, it rather has four heads that go in circles. Do you think this is okay? I'm concerned that by massaging I might not let the microwounds fully heal. So I was thinking of doing the massages on the third (or two days?) day prior to the microneedling session. I would really appreciate your advice. Thanks!
I was on finasteride for around 6-8 months. Started out at 1mg a day for the first 3 months but saw side effects I didn’t want so brought it down to .5 a day and still saw the side effects. Towards the end of the finasteride I started on Minoxadil for about a month and a half and I was dermarolling the whole time once a week at 1mm and I was seeing some good results, but the side effects I saw from both the Minoxadil and Finasteride ultimately had me stop. The effects on my hormones and whatnot are just not worth it for me. With that being said, I’m going to start just a dermarolling routine and document my progress to see if that will do anything for me. I might experiment with peptides topicals in the future because those seem really promising
Hey Rob, I have a full set of hair, but started receiding at the the temples and thinning a little bit at the crown. I always hear its important to prevent before it gets worst. So I was just wondering if a derma stamp from Dr. Pen and a couple months minoxidil 5 % sounds like a good idea to you ? Its really just to prevent, because my hair still looks really good, but I can see its starting to lose a little bit of thickness at the temples and crown. Also, I was wondering if it was dangerous for the existing hair bulbs to be microneedling around them ? Could it make it worst ? Thanks for all your work man, we appreciate it !!
Stay away from minoxidil, you’ll be on it for life or lose your hair when you stop using it. The Dr Pen works, I’ve seen several different vids from people who experienced results. Personally I used .25 and .5 derma rollers and increased overall thickness and around my front hairline. That’s without any topicals. When inexperienced hair shedding, I diluted my organic shampoo with a little water, I add some strong brewed green tea and a few drops of rosemary and peppermint oils and let it sit for 5 mins when I shampoo. Hope this helps!
Start taking minoxidil foam once every day 2 caps/ ml, you will get your hair back in 6 months up to a year, but you need to keep applying it if you want to keep the gains, or lose hair.
Full disclosure: we're not affiliated with any physical products. We used to recommend the Derminator 2.0 to our community members, but the company apparently made many of them sign non-disparaging agreements during their purchase such that if they left a negative review, they would publicly post their information on some sort of page meant to act as a wall-of-shame. This made a lot of members super uncomfortable. Dr. Pen's most recent models (A6, A7, M8) are less expensive, they're getting great feedback in our community, and they ship through Amazon so you get fast delivery of needle cartridge replacements. I'd love to recommend the Derminator 2.0 to more people - because the product quality is excellent - but those are my reservations.
@@PerfectHairHealth That is not entirely accurate. We make everyone click a checkbox for a non-fraud agreement though. More generally, a "not to commit an offense agreement". But nowhere a non-disparagement agreement. I would agree that that would be totally unfair. And I would imagine that we'd sell very little if we'd ask people to agree to such a thing. However, telling lies about our company in order to take revenge for a blacklisting for credit card fraud is the offense of libel. And fraudulent chargebacks are felony theft. We publish the offender's details online in a hall of shame. If they pay us what they owe, they will be removed. It's unorthodox to do so because companies fear revenge actions, but we do not. Of 20,000 customers, approx. 100 defrauded us. We publicly blacklisted most of them, as per our T&C they explicitly agreed to, with this clause prominently displayed next to the "I agree" checkbox. About 30 of them said they would do everything in their power to destroy our company by telling everyone online how terrible we are. The problem is, we're not terrible so they had to invent something that would be terrible if it were true.
@@owndoc Thanks Sarah! I understand where you're coming from. Perhaps a change in messaging might help ease concerns from prospective customers? We've had several people bring up this topic within our community, and while it's possible they independently drew the same incorrect conclusion, I also wonder if a change in the language of the agreement might allow for your company to still keep the policy while also not dissuading well-intentioned customers who read the policy and worry that if their packages do get lost or stolen, that they might face the wall of shame.
I’ve had finasteride treatments for about 6 months, I have seen fair results but I’ve had severe reactions like mood swings so I stopped. Now I’m relying on minoxidil and soon micro needling.
I am using micro needeling for 7 years. 90% of my hair grew back, thick and long. Now I am able to tie a pigtail. Some people wonder and asking me why I have pigtail sticking out of my butt cheeks but I am proud of it!