Dutasteride Injections for Hair Loss

Last year I covered an interesting new study regarding mesotherapy with Dutasteride for treating hair loss. This treatment involves injecting Dutasteride into the scalp at regular intervals. One of the co-authors of the study was a Dr. Sergio Vañó-Galván from Spain.

A few days ago, Dr. Vañó posted a superb before and after photo (pasted below) on Twitter of a patient who took the following for 6 months: 1) Oral Dutasteride; 2) Oral Minoxidil; and 3) Dutasteride injection sessions.

Dutasteride Injections to Scalp

On Twitter, I asked Dr. Sergio Vañó why he needs to give his patients both oral Dutasteride and Dutasteride injections? If injection delivery of Dutasteride is working, why not stop taking oral Dutasteride that has higher chances of side effects? Dr. Vañó’s response was that the combined oral + injection treatment was working best, and after 1-2 years, the patient is given the option to pick one or the other. Dr. Vañó also explained to me that the injections’ effect is a bit like microneedling.

Note that the above exceptional result does not even include the addition of antiandrogens such as Spironolactone and RU-58841 and more into the mix. If you truly do not care about side effects and want to go all out and add more hormone altering drugs, the above impressive before and after photo does not even represent the best case possible outcome!

However, I would not recommend such a comprehensive kitchen sink hair loss treatment regimen. Such a strategy is best left for male-to-female transsexuals who have limited other options.

Stephen Miller’s Hair Paint

For those of you who are not in the US, Stephen Miller is officially a senior advisor to President Donald Trump. In reality, Mr. Miller is among the 5-10 most influential people in the Trump administration.

Stephen Miller Balding HairA few days ago, Stephen Miller made a much talked about TV appearance on “Face the Nation”. Lo and behold, it looked like he grew new hair. Or, more accurately, he grew a shadow-like semblance of new hair.

Stephen Miller Spray-On Hair Paint
Stephen Miller Spray-On Hair Paint.

Many online newspapers and TV shows in the US made fun of his new look and suggested it was spray-on hair or painted on hair. Among the comedians who panned Mr. Miller included Stephen Colbert and Trevor Noah.

Mr. Miller knows that he is always in the public eye. He is also not strapped for cash by any means. So I do not understand why he could not find anything better (e.g., scalp micropigmentation) than this paint job. I liked this quote from the Washington Post:

“Here was a man who apparently craved more hair. And in his pursuit of it, he went on national television and did the one thing that would draw blatant attention to his baldness.”

Update: Mr. Miller ditched the spray-on hair in an appearance on CNN yesterday.