Microneedling for Hair Loss

[@Johnslist]

it's nice to see you address this as I've only seen a couple by folks who had stuff to sell. I've done it about weekly for a few months and don't think it's doing anything yet.

[@f.austin]

great episode-thank you for an analytical and educational approach on an important topic.

[@cdyanand]

I started finasteride when I noticed thinning on the crown. I was able to stabilize loss and gain enough coverage to get by without really noticing the thin area after combing the hair and growing out the surrounding healthy areas. My question, the thin area has numerous micronized hairs that do not get much longer than an inch. Do you think micro needling could reverse the micronized hairs in this area? I've been on finasteride for about 2 years.

[@Asiansxsymbol]

Yes

[@dlibby4979]

I had this same problem. I found, the hair only grew so much. I was using the roller, taking the pills, applying the foam and using the caffeine shampoo. After a year, I knew that was as much as I was going to get--and it really was not enough. So I got the transplant. It will take about a year to reallly see how good it was.

[@romeokii2236]

@@cdyanand no , will cause damage and shedding on its own ,

[@HairPelet]

Please, make a vídeo on OTFs! It sounds very interesting to avoid seondary effects. Is there any pharma brand offering Finasteride or Dutasteride in this format?

[@eddiepires3998]

It seems that since alopecia and hairloss has been studied for several decades now , that the causes are reasonably well understood, eg in males, the action of the 5 alpha reductase 2 enzyme on testosterone, conversion to DHT etc. So in my opinion the focus seems to be on prevention of loss. I have often heard mature gents commenting (almost comically) that as their hair is falling out of the scalp, it appears to be growing thicker on the ears , eyebrows and noses ! Frustrating I'm sure. So it set me thinking that an avenue of research could be to understand what mechanism is stimulating the sprouting of thicker hair where previously none existed, ( or at least was thinner) if this stimulus is understood, could it not result in a treatment that harnesses this process to redirect it onto follicles that are thinning ? Just a thought and possibly this is already being explored by medical researchers ? Would welcome your comments and thoughts on that.

[@jxcn]

Considering your advice around how microneedling can cause micro-scarring, does this mean microneedling could negatively impact the potential results that someone could achieve from a transplant further down the line due to damage to the scalp? Or can the surgeon generally work around that pretty easily?

[@HairPelet]

I was about to make the same question! In Spain, Dr. Oscar Muñoz says microneedling can cause microscaring and make more difficult a transplant to work in the area treated. Do you think that 0,5 mm (wihch I read is enough to start having benefits from microneediling based on studies) on a weekly basis can cause scaring?. Pelase answer us! 🙏🏻 And a million thanks for your channel wich is amazingly helpfull to al of us.

[@zahidshah128]

Welcome n Keep educating

[@Jim-oc3sp]

Can you expand on that alternative method of taking a pill bypassing the gut?

[@shubhapaul2258]

Please make a detailed video on diffuse thinning that happens all over the head and how to prevent it

[@mrm8422]

Great video folks! Question to you: when you switch from finasteride to dutasteride , do you do that cold Turkey ? Also would introduction of dutasteride to the system cause a shed? Thanks!

[@cameronatkinson56]

Is there any research on whether ashwaganda use (it's an adaptogen) can cause hair loss?

[@devonmartinbasson]

So wait, i first apply minoxidil and then microneedle right after? I always heard you need to wait a day after microneedling.

[@Optimus-Prime-Rib]

Yeah im more confused now

[@somefavabeans]

I do it immediately after and found better results

[@devonmartinbasson]

@@somefavabeans thanks man, i guess it wont hurt to try.

[@somefavabeans]

@@devonmartinbasson no problem! And I also meant that I add min after microneedling. Some people advise not to do it as it's more likely to go systemic which might produce more side effects. Anecdotally I have had no issues whatsoever

[@devonmartinbasson]

@somefavabeans yeah I heard it goes systemic and you have to wait a day after microneedling, but ok awesome, I'll give your method a try and just stop if there's issues. Thanks again.

[@Optimus-Prime-Rib]

So do i use microneedling immediately before applying a minoxadil spray once a week (needling that is once a week. Daily for the spray) Whats the recommended procedure?

[@thomastoikka8322]

From what I’ve read, you shouldn’t apply minoxidil topically on the day that you microneedle, atleast not after you’ve done the microneedling.

[@TheCeiteach]

​@@thomastoikka8322 I've been applying minoxidil post dermarolling for the past 4 months and haven't noticed any negative side effects so far

[@dlibby4979]

I tried putting the mixodile foam before the roller- and stings just the same as immediately after. I had a transplant and my clinic says I can use my roller after a few months, but your saying no. Im confused.

[@tonyteh]

I've done microneedling once a week for more than a year with minoxidil. It did absolutely nothing.

[@user-el8fj5lu7d]

Once a week is not recommended. Micro needling works by damaging the skin and inducing repair. If you do it once a week you're not giving the body enough time to regenerate. Once every two weeks at minimum. Also needle size matters. If you're using the easily bought 0.5mm it's a waste of time. You need to work up to 1.5mm to stimulate more deeply.

[@francisantony1358]

Is it ok to take tropical minoxidil 5% at morning and 1.25mg minoxidil tablet at night?

[@Asiansxsymbol]

Yes

[@Asiansxsymbol]

Although 1.25 mg is a little weak.

[@vinceslapchopper]

how about you take 2.5mg tablet and save yourself the time, trouble and money of topicals?

[@mrmister9860]

tropical minoxidil seems like a pretty interesting medication, where you get dat?

[@mrmister9860]

I take a 5mg once a week on the days when I can't use minoxidil topically (Sundays when I microneedle). Other days (Monday through Saturday) i use topical only. I suggest you do so too, to prevent some heart issues that could come up

[@gauravmhaske4690]

Two weeks before I had hair transplant,doctor suggested me to take 1mg of finasteride daily,should i follow it or take 1mg thrice a week?

[@youssefsaid8532]

is 1.25mg 6 days a week of finastride good dose?

[@gass3764]

Yes that’s more then enough

[@zannatul23]

1mg 3x is sufficient

[@TheCeiteach]

3-5mg per week is enough

[@hmdwn]

@@TheCeiteach ... where did you get that info???

[@hmdwn]

@@zannatul23 ... who says that?

[@Peleski]

Very tricky to use those rollers without damaging hair. It would be good if these guys demo'd visually rather than just talking about it.

[@gass3764]

Use a dermastamp not a roller

[@Brahbrahbrah]

Micro-needling does damage in the long term. Not worth it

[@hmdwn]

I've read over doing it can absolutely cause permanent scar tissue.

[@saadk8905]

There is no hair loss cure. These are all remedies for regrowth and halt. Microneedling once a week is fine, if you want to quit needling then do once every 2 weeks, then once a month then stop and add another remedy as replacement.

[@rics1883]

Try between 0.5-0.8mm on weekly basis equally effective as 1.5mm and less damaging.