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Hair Transplantation

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Dr. Karalexis answers himself as an expert on questions related to hair transplantation or other treatments.

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Hair Loss Treatment With Finasteride

What is finasteride?

Finasteride is a medication that is given orally for the treatment of Androgenetic Alopecia (AA). It is an approved treatment by the US Food and Drug Administration and is prescribed by qualified dermatologists worldwide.

For several years now, finasteride has been used by a large percentage of patients and has been shown to be safe. It has excellent  results in the treatment of AA in men of all ages and ethnicities.

Finasteride was originally developed for the treatment of benign prostatic hypertrophy for which it is still administered today with good results. After observing the success of finasteride in the treatment of benign prostatic hypertrophy, scientists then studied its use in the treatment of alopecia, after observing that patients receiving finasteride had increased head hair growth.

Is finasteride suitable for both sexes?

Finasteride is not recommended for use by women when they are of childbearing age.

What effect can finasteride have?

In both early and intermediate stages of androgenetic alopecia hair loss, finasteride has been shown to be effective in combating it. However, for men who have fairly extensive alopecia, no new hair growth will occur if finasteride is taken. In specific cases in which the patient wishes to stimulate new hair growth, Hair Transplantation is recommended. Hair Transplant specialists can prescribe finasteride to the patient in order to prevent further hair loss in the back of the head. In addition, they perform Hair Transplantation to fill in the gaps in the front line of the scalp, the areas where finasteride is not as effective.

Where on the scalp is finasteride most effective?

According to a large number of studies and scientific publications, finasteride is most effective in stimulating new hair growth at the top of the scalp. It is less active in the front of the head (hair line), where hair loss is usually called “temple hair loss”.

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What are the effects of finasteride’s action?

The first effects of finasteride appear about 3 months after starting the medication. Initially, the patient reports inhibition of hair loss. Then he/she notices the development of weak hair, and within 6 months an increase in the rate of hair growth and an increase in hair thickness begins to occur. At 1 year, improved coverage of thinning areas is evident, and by 2.5-3 years, the results are stabilized and then maintained.

What do you need to know?

Finasteride, as an anti hair loss medication, is prescribed only after examination by a qualified dermatologist specializing in hair loss and Hair Transplantation. Finasteride is not used by women and especially by women who are in the period of pregnancy. The reason why it is particularly contraindicated in pregnancy is because it can cause abnormalities in the genetic organs of the male fetus. In addition, this drug is not recommended for the treatment of premenopausal women, and it is not yet entirely clear whether it benefits post-menopausal women. As for men using finasteride, they are not allowed to donate blood, for the entire time they are taking the medication.

What is the success rate of finasteride?

2/3 of people taking finasteride to treat hair loss will have hair  regrowth.

Are there any possible side effects?

The most common side effects have occurred in patients who received 5 times the dose that should be taken to treat alopecia. These side effects are associated with sexual dysfunctions which subsides after stopping the drug .

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