Finasteride

Hair Transplant in Turkey & Package Offers

TOP 3 Things You Need to Know about Hair Transplant Package Offers in Turkey!

written by Matt Dominance

If you are new to my website, make sure you read Medical Disclaimer before you continue reading this article.

     In this post you’ll find out:

  • Normal FUE vs Sapphire FUE vs DHI – which one to choose?
  • Why you should always go with Packages with Doctor Performed Incisions!
  • Why technicians are going to do 80%-100% of the job by most of the Turkish clinics offering package deals!

You can also Fill out the Contact Form below this Article for Finding out the best Clinic in Turkey for your Budget!

1. Normal FUE vs Sapphire FUE vs DHI - which one to choose?

Hair transplant clinics like to ”confuse” patients by offering different all-inclusive packages (hotel, airport transfers, PRP sessions, surgery, etc.) for a fixed price. 

Often times, however patients have trouble choosing the right type of package because of different implantation method being offered.

Sapphire FUE, normal FUE, DHI, etc.

FUE VS DHI VS SAPPHIRE FUE

One of the most frequently asked questions I get form guys who are interested in a hair transplant in Turkey is: Which method should I choose Matt?

Turkish hair transplant clinics are unfortunately the most influential factor which is responsible for recent confusion around the hair transplant techniques over the last 5 years.

ISHRS (the International Society of Hair Restoration Surgery) differentiates only between 2 main techniques: FUE and FUT.

This distinction is originates in different ways of harvesting the hair follicles from the donor area.

Follicular Unit Extraction (on the left) vs Follicular Unit Transplantation (on the right)

Is there a best Implantation Technique to minimize scarring, maximize transplanted hair density and healing?

After multiple years of researching hair transplants, seeing thousands of hair transplant results and talking to multiple doctors who use different implantation methods incl. DHI, sapphire FUE, normal FUE utilizing blades vs needles vs stick&place method), I realized that the skill of the doctor ultimately trumps the implantation method used.

Look at the skill of the doctor with this or that implantation method before deciding to get a hair transplant.

“‘Techniques” like FUE Sapphire, Perkutan FUE, DHI (dull vs sharp implanter), stick and place FUE are just different ways of placing the harvested hair follicles onto patient’s recipient area.

In theory, each implantation method can have its advantages against the other method, but ultimately it always comes down to how many years a doctor has spent learning and mastering a particular implantation method. 

If the doctor is experienced, only then patients can benefit from the full utility of a particular implantation method.

The implantation technique will always matter less as long as the doctor performing the incision-making/implantation is able to:

 
  1. Properly control the depth and direction of the incision
  2. Control excessive bleeding during the surgery which enables faster heeling
  3. Is accustomed to one particular implantation technique which enables him to be efficient and precise, and place follicular units in higher densities 

 

Some of the TOP FUE doctors who use DHI as an implantation method:

Dr. Couto, Dr. Lorenzo, or Dr. de Freitas, Eugenix.

Another great FUE doctors who don’t use DHI:

Dr. Bisanga, Dr. Feriduni, Dr. Heitmann, Dr. Devroye, Dr. Mwamba, Dr. Lam.

This only confirms that it is all about devoting years of practice to one or the other implantation method rather than about the method itself.

By looking at the results of these doctors you will find out that all of them are able to produce consistent results of high naturalness, and high density.

DHI and Sapphire FUE - Marketing or Not?

Many clinics in Turkey actually use DHI as a Marketing Tactic to make patients spend more money but is there an additional benefit for you as a patient?

This clinic in Turkey uses DHI as the ”most popular” option. Is it really true? Who knows! But for some reason, they want patients to select this option. Is it only to make more money or to help the patient get a better result?

DHI cost are higher than normal FUE

Utilizing DHI as a hair transplant clinic means additional cost for implanter needles (which are disposable and thus can’t be re-used by another patient) as well as cost for additional 1 or 2 assistants for loading the implanter pens with grafts. 

More staff and higher material cost make DHI more expensive compared to normal FUE utilizing needles or blades for recipient sites creation.

 

But why not stick to the normal FUE?

It is true that with normal FUE implantation (using needles or blades), the incisions (recipient sites) need to be done a little bit wider initially, because the hair follicles won’t be placed inside of them until all of the recipient sites had been created. Incision making can take from 30-60 minutes based on how many graft/hair follicles will be implanted.

The incisions start to shrink over time and that’s why their openings need to be made wider initially. This can in theory mean more trauma and more scarring to the recipient area unlike with DHI or stick&place.

With DHI or stick&place implantation methods, incision and graft placement occurs simultaneously. This enables the incisions (openings into the recipient area skin) to be made at the ideal size (just wide enough to accommodate the placed graft/hair follicle).

 

Sapphire FUE - What does the study say?

In this study on Sapphire FUE they tried to mathematically check the tissue trauma (injury) caused by different shapes of the blades at varying angles during recipient sites creation. Check the study here.

 

Study on Sapphire FUE and potential injury to the recipient area during hair restoration

The results of the study on Sapphire FUE speak for itself. It is not about the blade material e.g sapphire, but rather about the angle of insertion. 

 

2. Always go with Packages with Doctor Performed Incisions!

Doctor who performs the incisions himself is more likely to:

  • Care about the end result than a technician whose name is not representing the clinic. Technicians can come and leave the clinic whenever they want but it’s the doctor’s name, which is tied to the clinic’s website and marketing.
  • Properly estimate the blade/needle/implanter size before starting the incision making process and thus avoids unnecessary scarring, graft popping as a result of recipient sites being done too tight, etc.
  • Create an artistic and natural hairline design instead of mechanically going through the motions from patient to patient
  • Properly execute the angles of the incisions in order to minimize wounding to the skin as well as achieving the most natural result possible

In this example it would be probably the safest to choose the VIP DHI SAPPHIRE package where the doctor is likely to perform the incisions himself. But please, don’t see this as a direct recommendation either!!

 

 

3. Technicians are going to do 80%-100% of the job!

If you’re about to book a hair transplant package offer in Turkey, be sure that the technician involvement will be higher compared to a boutique type of clinic where doctor performs one surgery a day with his team on a regular basis.

Clinics who are able to perform multiple surgeries per day are known for outsourcing and building systems. One one hand, it makes them better business men, but on the other hand extreme outsourcing can lead to poor quality.

You want to make sure that the clinic employs experienced technicians, as they are likely going to be responsible for 80% and more of your whole surgery!

How to make sure that the technicians are skilled enough to perform an excellent surgery?

  • The clinic should have one main or more than one doctors who have medical license and have extensive training and experience in hair restoration. This generally sets higher demands on technicians who apply for the job at the particular clinic, because hair transplant doctors have higher requirements for a quality technician workers.
  •  Ask the clinic about how many years have their technicians been working for the clinic?
  • Who are their most recent technicians they have accepted to work for their clinic and what is their experience, how many years?

At the end of the day guys who go to hair transplant clinics offering packages and performing 5,10 or even more surgeries per day, need to accept a slight risk of not being able to know it all – especially by clinics that employ more than 15-20 technicians. 

In such a case, the clinic itself may not be even able to correctly answer your questions about the experience of each of their workers. And even if they tell you a number, it is more likely to be incorrect compared to a clinic which employs one doctor who has only 1 team that has been working with him ever since. 

That’s the risk, one needs to accept for getting a better hair transplant deal in Turkey.

How much risk you are willing to accept for a better price is up to you, but make sure you do a proper research, measure twice but cut only once! 

 

Now you can also get in touch with me!

  • Not sure about a particular clinic?
  • Indecisive between several clinics?
  • Not sure if you are a good hair transplant candidate?

Fill out the Form below if you are interested in a hair transplant!

Contact Form
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the big 3 of hair loss

The Big 3 of Hair Loss Prevention

The Big 3 of Hair Loss Prevention

written by Matt Dominance

If you are new to my website, make sure you read Medical Disclaimer before you continue reading this article.

3 Simple Steps to Prevent Early Balding

In this short post you will find out what are the 3 best anti hair loss treatments you can start using once you notice the first signs of male pattern baldness!

These treatments have been selected based on:

  • Their proven effectiveness in multiple clinical studies 
  • Friendly cost of a monthly supply 
  • Treatments are easy to stick to

1. Ketoconazole Shampoo

Ketoconazole shampoo is known for providing extra protection against dandruff, which could be responsible for scalp inflammation and additional hair loss. Ketoconazole could benefit not only to kill dandruff but potentially block DHT topically and thus slow down the hair miniaturization. 

The shampoo with Ketoconazole I use is the Revita Shampoo with 1% Ketoconazole in it. I’ve been using it successfully for more than 2 years by now. 

I have been noticing reduced hair loss several days after shampooing. My daily shedding tends to increase a little, if I don´t apply Ketoconazole shampoo for more than 5 days.

Ketoconazole seems to improve the proportion of anagen hair folliclesfights seborrheic dermatitis and promotes hair thickening.

2. Minoxidil 5% and Derma Roller

Minoxidil is a hair stimulant which supposedly works by opening potassium channels via topical application on the scalp. This treatment is FDA approved and for it to be successful, patients have to apply it consistently at least once a day on a dry scalp. 

This medication also prolongs the anagen (growing) phase of the hair follicle and delays the hair shedding. It also comes with initial shedding stage (first 1-3 month of using Minoxidil).

Minoxidil – induced shedding is completely normal and it is a sign that this medication is working.

In case you want to try another hair stimulant which comes without the initial hair shedding, you can check out my article about Stemoxydine and how it compares to Minoxidil.

Derma-rolling is another great tool to have in your hair loss prevention toolkit. Regular use of the derma roller or derma pen has been shown to boost the absorption of Minoxidil 5% and thus increase the hair regrowth potential of Minoxidil treatment.

If you decide to combine these two together, make sure you don’t apply Minoxidil product on the scalp earlier than 24 hours after your derma rolling session.

In this article I explain how I practice derma rolling as well as its additional benefits compared to using Minoxidil alone.

3. Finasteride

Please consult your doctor before taking Finasteride/Propecia as it requires prescription!

Finasteride is the 2nd FDA approved medication next to Minoxidil with only one difference – it requires a prescription from a doctor (dermatologist, or a hair transplant doctor). Side effects from Finasteride incl. decreased libido, erectile dysfunction or depression are linked to inhibition of 5 – alpha – reductase.

Inhibition of 5AR enzyme is the main mechanism of action by Finasteride. It’s the reason why this drug can successfully prevent hair loss. 5 AR converts Testosterone into more potent Dihydrotestosterone DHT and thus acts as a precursor of male pattern hair loss by genetically predisposed individuals.

This drug has to be taken orally once per day. Usually 1mg is the standardized dose prescribed by doctors. 

However you can also take anywhere from 0.25mg to 1mg to successfully block the DHT on the scalp.

Taking 1mg is recommended to achieve a faster Finasteride accumulation in the scalp tissue and thus faster hair loss prevention.

Here you can check out my experience with Finasteride and results after 1 year of use!

Are you interested in a hair transplant but don´t know where to start?

finasteride before and after

My Finasteride Results After 1 Year

My Finasteride Results After 1 Year

written by Matt Dominance

If you are new to my website, make sure you read Medical Disclaimer before you continue reading this article.

In this post you will find out:

  • How was my 12 month experience with Finasteride?
  • Before and after results and photos.
  • Side effects I experienced during my 1 year treatment with Finasteride?
  • Will I continue using Finasteride to prevent further hair loss?

How I started with Finasteride

I started using Finasteride in September 2019 (before my 2nd hair transplant). My goal was to stabilize my hair loss as well as strengthen my hair before my 2nd hair transplant to prevent shock loss.

Dosing and frequency

For the first 5.5 months I have been using topical Finasteride liposomal gel and after that I switched to oral Finasteride only. My dosing was 0.5-0.6mg of Finasteride per day. The standardized dose of Finasteride for male pattern hair loss condition is 1mg though. I took less, because I was more side-effect concerned back then. 

Effectiveness

I started experiencing less hair loss already after the first month of using topical Finasteride. 

I didn´t have any shock loss/increased hair shedding as a result of starting with Finasteride(this is only a temporary shedding though, which some people can experience).

In my experience, the hair thickening effects of Finasteride came between 4th and 12th month. Before that, I have been only able to notice way less shedding than before.

 

How does Finasteride work?

Hair thickening effect of Finasteride happens as a result of Finasteride partially inhibiting the activity of 5 – alpha – reductase enzyme (which converts Testosterone into Dihydrotestosterone).

Dihydrotestosterone (DHT) is known for being more androgenic (more potent). Such increased potency compared to Testosterone makes it a more potent agent for transcribing its androgenic effects on the androgen receptors in selective tissues like beard, body hair, prostate, hair follicles etc. 

DHT is known for disrupting the proper hair follicle growth cycle as well as the progressive miniaturization of the hair follicle.

By accumulation of Finasteride in the scalp tissue over time, there will be much lower 5 – alpha – reductase activity, and this less DHT formation. This will lead to slower hair miniaturization process.

Side effects

Some of the side effects are sexual dysfunction, decrease in libido, weaker erections, breast enlargement or depression. Personally I haven´t experienced any of these. It´s also known, that about 2% of all patients are likely to experience them to a degree. 

My hair in September 2019

before Finasteride treatment
My hair in September 2019 (before Finasteride treatment)

Hair Situation before starting with Finasteride

  • Diffuse hair thinning inside of the white circle
  • More severe baldness inside of the red circle
  • Frontal hairline has been already restored (during my 1st FUE hair transplant)
  • NW 4-5 transition pattern if I hadn´t done my 1st hair transplant

Combining Finasteride with my 2nd FUE Hair Transplant

2nd FUE hair transplant on the area where the red circle (mid-scalp region) | 1.5 months on topical Finasteride

940 grafts transplanted on the mid-scalp region

  • I started with topical Finasteride 1.5 months prior to my 2nd hair transplant to strengthen my native hair and help avoid shock loss (after the surgery)
  • During this time I was applying my topical Finasteride on the rest of the mid-scalp and crown
  • After 1 month post-op I started applying topical Finasteride on the transplanted area as well (because there was also some native hair in it)
  • Here you can check out my FUE progress after the 2nd Hair Transplant!

8 Months after using Finasteride

My Finasteride Results - 14 months after using finasteride + hair transplant
8 Months on Finasteride | 6 Months after my 2nd FUE hair transplant

Results of 8 Months on Finasteride and 6 Months after my 2nd FUE

  • The hair in the vertex region and mid-scalp thickened
  • Better hair coverage in the red circle due to hair regrowth after hair transplant
  • Reduced hair loss on the whole vertex and mid-scalp as a result of taking Finasteride

14 Months after using Finasteride

14 months after using finasteride + hair transplant
14 Months on Finasteride | 1 Year after my 2nd FUE hair transplant

Am I staying on Finasteride or not?

  • I am definitely staying on Finasteride since my response has been very good so far
  • Over the course of the next year I don´t expect any huge improvements in terms of hair thickening but rather maintenance of the current hair thickness
  • I need to further take Finasteride in order to maintain my current hair thickness (especially mid-scalp and vertex region) and thus avoid further hair transplants in these regions

Finasteride requires prescription. You should always consult your doctor or GP before considering this medication. If you are new to my website, make sure you read Medical Disclaimer!

post-finasteride syndeome - Matt Dominance

Post-Finasteride Syndrome: Real or Fiction? Summary of 12 PFS – Studies

An objective view on the post-finasteride syndrome based on 12 studies!

written by Matt Dominance

In this post I´m going to share my thoughts on the likelihood of any Finasteride user experiencing  post-finasteride syndrome or any sexual – /psychological – related side effects during or after discontinuing Finasteride treatment.

This post also gives you some useful suggestions on how to minimize the potential side effects of Finasteride while using it for successful hair loss management long – term.

Out of all 14 studies I was able to find on this topic, there are 4 studies which are suggesting the the occurrence of PFS is real and 8 studies suggesting safety of finasteride with no or minimal side effects of any kind. 

Here is a brief summary I especially liked on this topic coming from the International Journal of Trichology

Post-finasteride syndrome is obviously a problem that has to be dealt with. Low quality studies neither confirm nor refute the condition as a valid entity. 

Therefore, it would be only as inappropriate to dismiss the PFS as nonsensical, as it is to demonize finasteride for the treatment of male pattern hair loss.

The authors found that persistent sexual side effects were only documented in low-quality studies with strong bias selection, while a significant nocebo effect has been documented among patients informed about the possible side effects of finasteride. 

Let´s talk about statistics!

The higher the sample size of observed subjects in any study, the higher the statistical significance the study will have.

Statistical significance is the likelihood that a relationship between two or more variables is caused by something other than chance

Two variables in our case are: 1. Taking oral Finasteride, 2. Experiencing sexual side effects/post-Finasteride syndrome

A statistically significant experiment means that you can be almost sure that the results you observed are reliable and not distorted by selection bias for example.

The smaller the sample size, the less reliable the results are being considered from statistical point of view.

post - Finasteride syndrome probability

Statistical significance can be only present by studies which were done on large enough samples sizes. Sample sizes of 10, 20, 50 or even 100 are still considered to be very insignificant when it comes to statistical evaluation.

 

What is PFS Foundation?

 PFS foundation website focuses on documentation of individual post-finasteride syndrome cases all over the globe. It has been active since 2012 and documents 16,125 cases of post-finasteride syndrome to this day (28.1.2020). 

Furthermore, they also register 63 known suicides – which supposedly happened as a result of using finasteride.

 Their ultimate goal is to have Finasteride removed from the market completely. 

Are men becoming suicidal as a result of PFS? The truth…

Based on PFS foundation website there have been over 16,000 detected cases of post – finasteride syndrome and 63 known suicides between 2012 and 2020 so far.

Which makes it around 2000 adverse reactions per year and 8 suicides per year.

Finasteride has been approved for hair loss in 1997, which makes it the most frequently prescribed drug for treating hair loss with over 70.000.000 prescriptions between 2007 – 2017 (just in the USA) based on clincalc.com

Don´t you think that if you randomly select 70.000.000 Americans and observe them for 10 years, you will realize that 63 of them may easily try to kill or actually kill themselves anyways because statistically, the occurrence of such event by a sample size of 70.000.000 million is very likely regardless of whether the whole sample have been on Finasteride or not.

Actually, according to CDC´s National Center for Health Statistics the male suicides in the USA have been averaging from approx. 25.000 – 35.000 during 1997 – 2016.

 

Temporary and persistent sexual side effects. How likely are they to occur?

1-6 Studies suggesting the existence of post-finasteride syndrome. How reliable are they?

Study 1 (2015) 
472 men between 47 and 68 years of age on 5 mg oral finasteride per day for 45 months

Conclusion:

Testosterone levels in men treating with Finasteride for BPH (benign prostatic hyperplasia) decreased after taking Finasteride. Erectile dysfunction symptoms were also observed as a result of taking Finasteride. 

Limitations: (selection bias)

Sample size consists of middle-aged and older man with naturally lover testosterone production and thus more prone to erectile dysfunction

Study 2 (2011) 
 71 otherwise healthy men aged 21-46 years experienced sexual-related side effects 3 months after discontinuing the finasteride treatment

Conclusion:

Persistent sexual dysfunction associated with the use of finasteride:

Low libido: 94%

Erectile dysfunction: 92% Decreased arousal: 92%

Problems with orgasm: 69%

Limitations:

Very low sample size: 72 men

Study 3 (2012) 
54 men experienced persistent sexual side effects as a result of using Finasteride

Conclusion:

Persistent sexual side effects continued longer than 6 years after discontinuing the treatment (by 20% of men in the sample) and by the rest 80% side effects resolved after 14 months after stopping Finasteride on average.

Limitations:

Very low sample size: 54 men, no age information, no previous data about the lifestyle and health condition of the selected sample which could have contributed to sexual side effects

Study 4 (2014) 

8 men (aged 29-43 years) reporting sexual side effects including loss of penis sensitivity over 6 months after discontinuation of finasteride who were interviewed and clinically visited.

Conclusion:

Side effects persisted for more than 6 months after discontinuing the treatment

Limitations:

Very low sample size: 8 men

Report 1 (online survey from 2015)

131 generally healthy men participated in an email survey 

Conclusion:

Side effects like exual libido, ejaculatory disorders, disorders of the penis and testes, cognitive symptoms, and psychological symptoms were present even 6 months after discontinuing the treatment 

Limitations:

Online survey – not a real clinical study with a proper pre-examination of the observed sample

Study 2 (online reports from 1998-2013)

4910 reports on Finasteride-related adverse event reports for men aged 18-45 were submitted between 1998 – 2013. These men were taking the standardized dose of Finasteride – 1mg per day.

Conclusion:

11.8% of the reports (577) experiencing persistent sexual side effects even after discontinuing Fiansteride. 

Limitations:

 –

7-14 Studies suggesting safety of finasteride. How reliable are they?

Study 7 (2012)

3177 Japanese men with androgenetic alopecia participated in this study in order to observe the safety and efficacy of finasteride 1 mg tablet daily from 2006 – 2009

Conclusion:

23 out of 3177 men experienced adverse reaction (study doesn´t specify whether these side effects were of sexual nature or not)

Limitations:

No follow-up examination of many patients in this study. 

Study 8 (1998)

In two 1-year trials, 1553 men (18 to 41 years of age) with male pattern hair loss received oral finasteride 1 mg/d or placebo, and 1215 men continued in blinded extension studies for a second year. 

Conclusion:

No mentioning of any sexual-related side effects in this study.

Limitations:

No information about the safety of finasteride in this study neither about the potential side effects. Study focused on observing the efficacy of finasteride instead of its safety. 

Study 9 (2000)

212 men, age 18-40 years received finasteride 1 mg daily or placebo for 48 weeks. Study measured anagen hair count at baseline, 24 weeks and 28 weeks.

Conclusion:

Study focused on observing the improvements in hair count before and after 48 weeks of finasteride treatment. The treatment was efficacious. 

Limitations:

No information about the safety profile of finasteride use by subjects during these 48 weeks.

Study 10 (2002)

1553 men with MPHL randomly received either finasteride 1 mg/day or placebo for 5 years.

Conclusion:

Study wasn´t able to identify new safety concerns during the long.term use of finasteride. Tolerance of finasteride: well.

Limitations:

Study 11 (2004)

414 Japanese men with male pattern hair loss received finasteride 1 mg (n = 139), finasteride 0.2 mg (n = 137), or placebo (n = 38) once daily for 48 weeks.

Conclusion:

General tolerance of finasteride treatment was well and study doesn´t report about any adverse effects.

Limitations:

Study 12 (2006)

Men with AGA randomly received finasteride (1 mg/d) or placebo for 192 weeks. 

Conclusion:

Study wasn´t able to identify new safety concerns during the long.term use of finasteride. Tolerance of finasteride: well.

Limitations:

The sample size available for analysis decreased with time.

Study 13 (2007)

120 patients, sexually active, randomly received finasteride 5 mg concealed as an “X” compound of proven efficacy for the treatment of BPH” for 1 year

Group 1 (n=52) didn´t receive any information about potential sexual side effects related to this drug.

Group 2 (n=55) received information about potential sexual side effects related to this drug ( erectile dysfunction, decreased libido, problems of ejaculation).

Conclusion:

Petients, who received the information about the potential side effects prior to the start of the treatment were more likely to experience sexual side effects (43.6%) as opposed to the group 2 (15.3%) – not knowing about the potential side effects.

Limitations:

Small sample size of each group (52 and 55 subjects respectively).

Study 14 (2003)

During 24 month period  424 men aged 41-60 years received finasteride 1 mg on hair growth/loss 

Conclusion:

General tolerance of finasteride treatment was well and study doesn´t report about any adverse effects.

Limitations:

Topical Finasteride Before and After Results

Topical Finasteride Liposomal Gel 2.5% before and after results!

written by Matt Dominance

If you are new to my website, make sure you read Medical Disclaimer before you continue reading this article.

I have been using topical finasteride gel 2.5% – (non FDA approved hair loss treatment), and applying daily (1ml) on my crown area and mid-scalp for almost 6 months from September 2019 – February 2020.

Before I share with you my results, let me list out some pros and cons of using the Liposomal Topical Finasteride:

Pros 

 
  • Liposomal delivery allows a high ability to penetrate the first skin layer and keep the active ingredients in the desired areas (depot effect with a slower and more sustained release of finasteride into the scalp)
  • I have experienced significant decrease in rate of hair loss after 6 months
  • No smearing or greasing the hair because it gets absorbed very quickly
  • It doesn´t contain any Propylene Glycol or Alcohol which might cause skin irritations by some individuals or dry scalp

Cons 

 
  • High dosage of Finasteride active ingredient per 1ml. 25mg of Fiansteride active ingredient per 1 ml of liposomal gel can be considered rather high. 2.5% solution = equivalent of 25 mg of Finasteride active ingredient per 1ml (prescribed dose)
  • Systemic absorption is not entirely excluded and there is no study which could confirm 0% plasma permeation of this liposomal finasteride gel either
  • Some individuals on forums using this gel have mentioned side effects + long term accumulation of Finasteride in the system is likely even by very low systemic permeation of this liposomal gel
  • High price. Monthly supply costs 45-50 Euro excl. shipping cost
  • Short shelf life – 6 months

My Topical Finasteride Results: Month 0 – Month 5.5

Before starting with Topical Finasteride

  • Thinning hair on my crown area and portion of my mid-scalp. 
  • I have never used Finasteride before (oral/topical), only Minoxidil
Hair Loss Before starting Topical Finasteride
topical finasteride 1 month update
topical finasteride before and after 2 months
topical finasteride before and after 3 months
topical finasteride before and after 4 months

5.5 Months after using topical Finasteride (liposomal gel)

  • Hair loss stabilization on my mid-scalp and crown
  • Less hair fall on a daily basis
  • Only slight hair thickening so far
  • Some of my hairs started to look slightly darker on the crown area as a result of hair thickening
Hair situation after using Topical Finasteride for 5.5 months

Does Topical Finasteride work?

Shortly, yes. It worked for me right from the start. During the first month of using it I already noticed reduced shedding compared to my usual shedding rate.

However, if you are a diffuse thinner like me and you need to apply topical finasteride on a large surface of your scalp, I recommend you to use a more liquid version of finasteride.