What Happens If You Stop Finasteride or Minoxidil?

Published Jan 14, 2023

Dr. John WattsDoctor-led education
Video + articleNon-Surgical Treatment
BaldnessHair FallPost-Transplant ConcernsFinasteride
Open on YouTube

It is one of the most anxiety-provoking questions in hair loss treatment: if I stop taking Finasteride or Minoxidil, will I lose all my hair right away? In this article based on his educational video, Dr. John Watts -- dermatologist, trichologist and hair transplant surgeon in Hyderabad -- answers with clarity and practical guidance.

What happens when you stop Finasteride?

"Nothing happens in nature instantly, including the baldness process, which happens gradually. Once you stop using either Finasteride or Minoxidil, the regained hair will lose gradually. It may take one month, two months, or three months," explains Dr. John Watts.

"If one uses Finasteride at the early stage of baldness, one can see thick hair growth. If it is used at a later stage, one can manage to get a dark scalp with baby hair growth," informs Dr. John Watts. His recommendation: do not stop Finasteride unless you have a medical reason to do so.

"We can transplant non-DHT influenced hair grafts from the back of your scalp onto the bald region. This way you can confidently face the world again," says Dr. John Watts.

What happens when you stop Minoxidil after a hair transplant?

Transplanted hair is not affected if Minoxidil is stopped -- transplanted grafts come from DHT-resistant donor zones and will remain. Only the baby hair grown with Minoxidil's help may gradually fall.

"In case there is a fall of transplanted hair, it may be coincidental or due to the normal hair cycle. Even if they fall, new hair will grow again in their place. There is no need to worry," explains Dr. John Watts.

This article is for educational purposes only and is not a substitute for professional medical advice. Consult a qualified dermatologist for diagnosis and treatment.

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Frequently asked questions

Will I go bald immediately if I stop Finasteride?

No. Dr. John Watts explains that hair loss after stopping Finasteride is gradual -- it may take one, two, or three months to notice a change as DHT slowly resumes its effect.

What happens to transplanted hair if I stop Minoxidil?

Transplanted hair is not affected by stopping Minoxidil. Only the baby hair that grew with Minoxidil's help may gradually fall. Transplanted grafts come from DHT-resistant zones and remain permanent.

What is the alternative if I have to stop Finasteride permanently?

A hair transplant. Dr. Watts explains that DHT-resistant grafts from the back of the scalp can be transplanted to bald regions, giving lasting results independent of Finasteride.

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