Finasteride works by decreasing the formation of DHT, a hormone responsible in large part for male pattern hair loss, while not affecting testosterone, the overall male hormone responsible for masculinity. Minoxidil works best in the early stages of male pattern hair loss to stop or retard further hair loss and is more effective on the top and back of the scalp than at the frontal hairline. Both Finasteride and Minoxidil must be used on a continual basis in order to sustain results, and if discontinued, the process of balding resumes. These medications may not work for everyone, but they have a proven track record that shows a significant benefit to many people. A minigraft can be used behind the hairline for added density.
Patients are often awake but feel relaxed as they are given a mild sedative.
There is usually little or no pain during the surgical procedure. If a turban-type bandage is placed on the scalp at the end of the procedure in order to keep the grafts snug and secure overnight, it will be removed the next day. Many surgeons use no dressings. The donor area, where the permanent grafts are taken from, is closed with either sutures or surgical staples that are removed in 7-12 days. Dissolvable sutures may be used in order to eliminate the need for you to return for suture removal.