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Hair Transplant

Finasteride or Clascoterone --
Before and After Hair Transplant 2026

Dr. Arslan MusbehHairmedico Istanbul2026

Why medical treatment matters

Transplanted hair is DHT-resistant and permanent. Native hair surrounding the transplant is not. Without medical treatment, native hair continues miniaturising, leaving transplanted islands increasingly isolated. This is the most common cause of unnatural-looking results at 5-10 years. Hair Transplant Turkey | Dr. Arslan Musbeh

Hair transplant surgical procedure at Hairmedico Istanbul
Hairmedico Istanbul โ€” Hair transplant surgical procedure at Hairmedico Istanbul

Finasteride - how it works

1mg daily. Inhibits type II 5-alpha-reductase, reducing DHT conversion by 70%. Stabilises androgenetic loss in 85% of users. Must be continued indefinitely - stopping reverses benefit within 12 months. Side effects: sexual dysfunction in 1-2% (typically reversible). Contraindicated in women of childbearing potential.

Clascoterone - the topical alternative

Topical androgen receptor blocker at follicle level. No systemic DHT suppression. Indicated for Finasteride-intolerant patients and potentially women. Does not create follicles - slows miniaturisation of existing ones. Can be combined with Finasteride for additive effect. Hair Transplant Turkey

Istanbul โ€” global capital of hair transplant surgery
Hairmedico Istanbul โ€” Istanbul โ€” global capital of hair transplant surgery
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Dr. Arslan Musbeh
Dr. Arslan Musbeh
Hair Transplant Surgeon ยท Founder, Hairmedico
FUE Europe Member ยท Ministry of Health Accredited ยท 17+ Years ยท 4,500+ Personal Cases
FUE Europe โ€” Full Member 17+ Years ยท 4,500+ Cases
April 2026 Published April 17, 2026 Last updated Dr. Arslan Musbeh Medical review ~10 min Reading time
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Frequently Asked Questions

Is AI used in hair transplant surgery?

Yes. AI is used for trichoscopy donor density mapping, graft count estimation from photographs, and digital hairline design simulation. At Hairmedico, AI-assisted trichoscopy is part of the Algorithmic FUE planning process. Robotic extraction is not used โ€” Dr. Arslan's manual FUE achieves lower transection rates across all hair types.

Can AI predict hair transplant results?

AI simulation tools can show proposed hairline positions on photographs, but cannot predict actual graft survival (depends on surgeon quality), actual density (depends on hair calibre), or how the result interacts with future native hair loss. They are design communication aids, not result guarantees.

Will AI replace hair transplant surgeons?

Not in the foreseeable future. AI adds value in data analysis (density mapping, graft counting) but cannot replace the aesthetic judgment required for natural hairline design, the technical adaptation required for diverse hair types, or the long-term clinical planning that accounts for individual hair loss trajectories.

References & Sources
  1. Onda M et al. Follicular unit extraction: A systematic review of the literature. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2020. https://doi.org/10.1016/j.bjps.2019.11.006
  2. Bernstein RM, Rassman WR. Follicular unit transplantation: 2005. Dermatologic Clinics. 2005. https://doi.org/10.1016/j.det.2005.01.007
  3. Avram MR, Rogers NE. Contemporary hair transplantation. Dermatologic Surgery. 2009. https://doi.org/10.1111/j.1524-4725.2009.01338.x
  4. American Academy of Dermatology Association. Hair loss: diagnosis, treatment and outcome. AAD Guidelines. 2023. https://www.aad.org/public/diseases/hair-loss/treatment
  5. . Practice census survey โ€” global hair restoration statistics. International Society of Hair Restoration Surgery. 2022. https://www.fue-europe.com/professionals/resources/practice-census/
  6. NHS. Hair loss โ€” overview and treatment options. National Health Service (UK). 2023. https://www.nhs.uk/conditions/hair-loss/

All references are peer-reviewed medical literature or official health authority publications. No commercial sources included.