This 22-yr-old had been on Propecia for over 8 months with no effect on his hair loss. He did, however, report a general decrease in energy level after starting the medication and was encouraged to discontinue its use. A 2265-micrograft session to the midscalp established the coverage that he desired. The pattern involved a slight convexity near his crown in order to maximize coverage. This design can be viewed in an accompanying "pattern" image or simply by locating the persistent freckle atop his crown.

While Propecia is generally considered a safe medication, a small percentage of patients may experience adverse reactions that may affect their sex drive and energy level. It is important to consult with a physician prior to initiating this therapy. In this instance, the patient's energy level returned to normal after discontinuing the medication.