One would presume the topical application of finasteride will have fewer systemic side effects. However, we don't know that for sure. Side effects could be similar. We just don't know that for sure. What we now know it that topical finasteride with a liposomal delivery system does work. We do know that this young man is thrilled with his results and we are too. They manufacture this product in Italy. Italy is a hotbed for cell based therapy and cutting-edge topical treatments. Sadly, Italy has very few great hair transplant surgeons. I am happy to be affiliated with one, Dr. Chiara Insalaco from Sicily. Her office is in Rome, Italy and soon in Milan, I suspect.
I'm not a big fan of medications in general because we don't know the long term effects on the body. For example, I had a patient on finasteride, who developed depression that lasted two years after stopping finasteride. He finally returned to normal. I've seen marriages break up over sexual dysfunction with finasteride. I do suspect that topical finasteride is a step in the right direction.
This is a wonderful result that I am pleased to report.