This image below might give you an idea to your questions.
View attachment 111514
@yayapapaya this image is a part of why i beleive calification fibrosis is the cause of male pattern baldness
also,
you probably lost your gains for those 2 reasons
reason#1. because your scalp enviroment/circulation/skin wasnt strong enough without main treatment ( i assume it was minoxidil).
Micro needling could potentially solve that problem longterm high frequency to start...... and then 1-2 years down the line you can go very low frequency to maintain your healthy scalp enviroment/circulation/skin and gains.
reason#2. you can lose your gains because your the new gains/hairs were still in telogen phase/very weak ( yes even if they look strong).
the key is wait to have strong mature follicles and a healthy scalp without any fibrosis, only time and consistency with microneedling+minoxidil can make you acheive that.
I beleive its very likely that you can acheive/solve both of those things with minoxidil and microneedling if done consistently correctly safely and longterm.
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ABOUT QUITTING MINOXIDIL AFTER MICRONEEDLING LONGTERM ( male pattern baldness)----------
Eventually i even beleive people can drop minoxidil after 12-18 months and maintain with low frequency microneedling and massages.
The only problem with that.....
is that, if people can do minoxidil + micro needling and then reach nw1 or strong gains....they might think they are reading to drop minoxidil to only maintain with micro needling.
But if they
drop minoxidil too early, they can lose their hair because of
reason#1 and #2 i listed up here.
-thats why people need to
make sure of 2 things before dropping minoxidil to maintain with micro needling
1- their scalp is fibrosis free and is able to have proper circulation to feed follicles
2- and that their new gains are mature and strong.
When they meet those requirements, its very likely that they can maintain with microneedling with a proper frequency,
(considering the person scalp is fibrosis free and completely healthy because of microneedling longterm......
the only case where they could never drop minoxidil and maintain their gains with microneedling alone is ----> if their scalp/follicles become completely dependent on minoxidil for circulation...... despite their new scalp health. ...i doubt this can even happen)