Category Archives: Minoxidil

Do Finasteride and Minoxidil work?

On this blog, I have purposely limited discussion about the two main approved existing medications (Finasteride and Minoxidil) for treating hair loss. I consider those treatments to be subpar in the modern world considering the tremendous progress that has been made in science and technology over the past several decades.

Although this post may seem anti-hair-loss-medication thus far, it is also important for readers to take a look at the best case scenarios. For that, I leave you with a collection of before and after patient photos showing success with Finasteride and/or Minoxidil.

Do Propecia and Rogaine Work to Grow Hair?

The problems with Finasteride (brand name Propecia) and Minoxidil (brand name Rogaine) can be summed up as follows:

  1. Neither of the two medications work on everyone.
  2. Even when they work, they tend to rarely ever grow lengthy robust hair strands. And they almost never grow decent quality hair on totally bald regions of the scalp.
  3. They can both cause side effects, with Finasteride being the more dangerous of the two in that regard.
  4. It seems that for most people, the medications stop working after a number of years.
  5. You have to keep buying and using these medications permanently, or else any gains go away. Besides the significant expense involved, this is a nuisance since you have to regularly replenish supplies. If you travel away from home, you have to remember to take an appropriate quantity of these medications with you.
  6. In the case of Finasteride you need a doctor’s prescription, which is yet one more expense and hassle. I used to get my prescription from a hair transplant doctor. The last time I had to renew it, he charged me $50 for the visit plus wasted one hour of my time trying to convince me to get a small hair transplant. Luckily, I only take one pill every two days, and won’t need another prescription for a while.

Moreover, even I have seen some success in hair growth with Finasteride and Minoxidil. This despite only taking a quarter tab of 5mg Finasteride (Proscar) every two days, and not using Minoxidil every day as recommended.

However, I think that these medications are only giving me some short hair and an appearance of coverage in certain lighting. Overall, almost none of my hair can grow more than 2 inches anymore, and I am sure neither of these two medications will give me back most of the hair that I have already lost for more than a few years.

Microneedling via a Dermaroller and Minoxidil

Update: June 2020 — A new study found the microneedling (via a dermaroller) and Minoxidil combination to be very effective in treating a 70-year old man’s hair loss. Also make sure to read my post on at-home microneedling for hair loss.

There is increasing evidence that dermarolling benefits hair growth. Microneedling via the use of a dermaroller is often being conducted to enhance the absorption of topical hair loss products such as Minoxidil (Rogaine).

Creative and intelligent hair loss forum members are also experimenting with the addition of prostaglandin D2 (PGD2) inhibitors and prostaglandin E2 (PGE2) to this mix. The logic behind these experiments is related to the wounding and resulting hair regrowth that a company named Follica is attempting.

Microneedling via Dermaroller Enhances Effectiveness of Minoxidil

Moreover, a recent study concluded an enhanced positive effect of Minoxidil when used in combination with microneedling. The wounding was conducted via the use of a dermaroller device.

Microneedling and Minoxidil Hair Growth Before After.
Microneedling (via Dermaroller) and Minoxidil Hair Growth Before and After.

The dermaroller had 1.5 mm sized needles and was rolled over scalps. Before and after microneedling photos are shown on the right and below.

This study provides further impetus towards the excitement surrounding this unique concept of wounding and hair growth.

I myself have seen decent results from applying Minoxidil to my scalp for a number of years. I may try dermarolling in the future, although I will have to conduct significant research regarding needle depth and equipment recommendations.

Dermarolling for Hair Growth Experiments

Dermaroller 1.5 mm for Hair Growth.
Dermaroller 1.5 mm for Hair Growth.

A number of blog readers are experimenting with dermarolling their scalps for hair growth. I will elaborate on this subject in more detail in future posts.

Dermarolling and Minoxidil Threads

For now, I encourage readers to go through the following massive threads on some of the main hair loss forums out there in order to gauge the excitement around this issue.

Wounding and Hair Regeneration

Over the years, wounding has garnered a solid reputation in both medical and cosmetic fields. Research on wounding and hair regeneration is progressing rapidly.

For example, a 2018 study found wounding induced hair follicle neogenesis in an elderly patient. Hopefully this can be replicated on a larger scale across balding scalps.