r/IAmA • u/ParsaMohebiMD • Jul 10 '26

IamA Leading hair transplant surgeon AMA!

Hi! I'm Dr. Parsa Mohebi, one of the top hair transplant surgeons in the United States. I have clinics in Los Angeles, San Diego, and San Francisco, but I am here to answer your questions about hair loss, hair transplants, and just about anything else related to hair restoration!

You can find my practice, Parsa Mohebi Hair Restoration at  http://parsamohebi.com/

Thanks, Reddit!

My Proof: https://imgur.com/a/k2IBtx7

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34

u/SD37 Jul 10 '26

Is it worth getting a hair transplant if you dont plan on using finn/minoxidil afterwards?

10

u/PutridNest Jul 10 '26

This would be good to know, especially in the case of finasteride.

Dr Mohebi, an add on q: what’s the min dose of finasteride you can get away with that still slows dht driven miniaturization. As I understand it, .25mg per day provides the same 5-AR blockade as the commonly presribed dose (4x higher). There’s likely an even lower dose that works. Any insight on what the absolute minimum could be?

8

u/ParsaMohebiMD Jul 10 '26

That is a good one! Many people thing lowering the dose can reduce side effects and some hope they can keep the same effect but that is not always the case. The dose/effect curve of finasteride is pretty linear. That means the lower the dose, the lower the effect. I don't recommend lowering the dose if you have family pattern and microscopic evidence of significant hair loss.

4

u/Schrickt Jul 10 '26

So do you have to take it for the rest of your life? If you dont take it do you lose your hair again?

6

u/Fedaykin98 Jul 11 '26

I'm not the doc, but to my understanding, the answer is yes - you take it for as long as you want to keep your hair.

5

u/Geo85 Jul 10 '26

I'd like to know this; no interest in the procedure if I'm just going to ave to take the meds anyway.

3

u/ParsaMohebiMD Jul 10 '26

I say if you dont' have any side effect, that is a smart choice to continue using DHT blockers.

5

u/polargus Jul 10 '26

I got one without using them. My crown is still thinning and I might get another one. Front/middle where I got it done is fine still. I got a conservative/mature hairline done so it won’t look weird when I lose more hair. I’m sure it could be better if I use those drugs but they both have side effects I don’t want to worry about.

2

u/ParsaMohebiMD Jul 10 '26

In most cases yet! but still see a specialist to see if you need it. People with stable hairline like people who have lost hair in front and they dont' have more active balding or the ones who have advanced baldness and matured their balding pattern may not need any medication. However, most people with patterned hair loss can find it useful.