Alopecia Areata Doctor Recommendation – Hair Loss Information – Balding Blog

Dear Doctor,
About four years ago my sister’s hair started to fall out in chunks, expecially in the back. She has very large bald spots all along the back, and the top hair is very thin. At first nobody wanted to treat her, but then a doctor told her she had an auto-immune disorder – alopecia – and that there really was not any cure. She has tried steroid injections in her head, all sorts of topical solutions, and is now doing Chinese herbs. She is in her early 30’s and I know the hair loss has really taken an emoitonal toll on her. Do you recommend any doctors in the San Diego area who specialize in these types of problems, or any solutions?

Thank you very much.

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It sounds like she has Alopecia Areata. This is a difficult disease to treat. One doctor at UCLA has specialized in this, Dr. Richard Strick, and as you are in southern California, I would try to make an appointment with him. He has developed special protocols for this disease and I have sent a few patients to him who have achieved remarkable results. He is also on the National Alopecia Areata Foundation medical advisory board, where his contact information is toward the bottom of this page: NAAF Scientific Advisory Council 2005/2006.

African American Dermatologist? – Hair Loss Information – Balding Blog

Is there a way to find a national listing of African-American dermatologists? I am especially interested in those that deal with hair loss in the african-american female.

Thank you.

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I don’t believe that you need to have an ‘ethnic’ doctor to understand the nuances of African-American hair loss. It will be far more valuable for you to indentify a good dermatologist or hair doctor who has a specific interest in hair loss. Some of these can be found on the physician search at ISHRS.org, or American Academy of Dermatology. There are many causes for female hair loss, such as braiding (dreadlocks), hypothyroidism, iron deficiency, malnutrition, stress, hormone imbalance, contraception, high blood pressure medication, warfarin, eczema, psoriasis and other inflammatory disease. These diagnoses and other causes for hair loss are general people/female problems, not specifically African-American ones.

I’ve Had Alopecia for 15 Years – Hair Loss Information – Balding Blog

I suffer from hair loss for more than 15 years ( I am 36 years of age, female). I have been to a specialist here, in Uk, just to be told that I suffer of alopecia (no reason for it)and there is no treatment for it. Hence i never tried anything…But in the last 2 years the situation has worsen and I became desperate. Could you give me an advise, please?

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Rogaine (minoxidil) works in about half of the women who use it. Try it, but apply it twice a day and keep on it for at least 6 months to see if you get the benefit.

Resuming Activities After Hair Transplantation – Hair Loss Information by Dr. William Rassman

How long after surgery can you wash hair and resume activities without fear of grafts becoming dislodged?

Other than heavy lifting, you can resume all activities in a couple of days after the transplant and run a marathon in 5 days if you like. Dislodging the grafts is not a problem after the second day, unless you do something like pick or scratch the recipient area. I am assuming that the doctor uses very small needles for making the recipient site. If the doctor uses large sites, then grafts can be dislodged beyond 2 days.

Propecia and Age – Hair Loss Information by Dr. William Rassman

Dr Rassman.Iam 44 years old & thinking of going on propecia to regrow my hair which has thinned out in the crown area.My question is
1. How effective is propecia for a 44 year old ?
2. Would I be facing greater side effects due to my age?
If propecia is not the way to go can you recommend something else that will re grow my hair .
Its genetic ,but my father suffered balding in the crown area much later in life .

thanking you.

Propecia is always more effective when the hair loss is more recent. Men in their 20s get a better response in regrowing hair than men in their 40s, assuming that the hair loss started in the 20s. At 44, you will most probably see ’stop loss’ effect more than a regrow effect. But on occasion, I actually see regrowth in men into their 70s, although this is not usual.

In your second question, I will assume you are addressing the side effect of a decreased sex drive. I always clarify the difference between sex drive and the ability to get and maintain an erection. Sex drive reduction is less common than an increased sex drive in the men I have treated. Men in their 40s have a 40% chance of having some form of erectile dysfunction (ED). Most men do not admit it (even to themselves) but I always ask men to ask themselves if their penis works as well as when they were 16 so that they focus upon the change in penis physiology that occurs when men get older. When the penis does not work as well as we like, then of course, the sex drive will be reduced. Viagra solves the problem for most men and I believe that the problem is more physiology and psychology than Propecia induced. If you go on Propecia and then ‘think’ that your sex drive is off, then try Viagra (or Cialis or Levetra) and see if that solves the problem. With a good working penis, the sex drive usually gets better, unless you are the 1% of men who do get a reduced sex drive with Propecia. To answer the question, yes older men sometimes get a reduced sex drive which is tied to ED, rather than Propecia.

I Don’t Want to Lose More Hair – Hair Loss Information by Dr. William Rassman

Dear Dr. Rassman,

I am just a college student and worrying about losing my hair. I can already see that I have a receeding hair line and wondering what I can do to stop losing hair. I am fine with the amount of hair I have. I do not need any replacements or regrowth. I just dont want to lose anymore. Please give me some advice as to what I can do. Thank you very much.

Get your metrics done with mapping out your scalp for miniaturization. You need a diagnosis and a Master Plan to determine what is going to happen for you. At 21, not all young men show the impact of miniaturization. If this is the case for you, then you will have to follow it over time. When and if you develop male patterned hair loss, the mapping will show it. If you are just developing a mature hairline (the hairline normally moves up about 1/2 inch), this is not considered genetic hair loss.

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Hair Loss from Hair Tracks – Hair Loss Information by Dr. William Rassman

I am a 42 year old female and I was recently diagnosed with graves disease and i had iodine treatment to destroy the hyperthyroidism and I went into hypothyroidism. I wore tracks in my hair and noticed my scalp was itching and after taking the hair tracks out I noticed balding where the tracks were and my hair falling out. Will I get my hair back?

Traction alopecia, which appears to be the diagnosis, needs a recovery period in which you must wait up to a year or so to determine if the hair will grow back. I would not do anything but wait and do not use anything that will pull on the hair, or it will just make the situation worse. I am assuming that the hair loss reversed when you got control of your thyroid problem.

Blueberries, Free Radicals, Antioxidants and Hair Loss – Hair Loss Information by Dr. William Rassman

My brother and I have a bet; he says that the antioxidant properties of Blueberries have been shown to slow hair loss, I say he’s crazy. Who’s right?

Could a Blueberry topical be on the way?

This is probably more of a business question, than a medical one. Would people buy a blueberry topical for hair loss? I suspect with good marketing, a well done informercial, and a bit of a larcenous tendency from the promoter, it might sell and work as well as many of the potions and lotions out there on the market today.

There are many berries and other foods that have antioxidant properties, but there is no proof to my knowledge that these antioxidant properties will help solve the hair loss problem. In fact, considering that hair loss is an affliction of young men (young men are impacted proportionally worse than older men), free radicals which build up in our body as we grow older, should be less of a problem for the young man. Free radicals are atoms or groups of atoms with an odd (unpaired) number of electrons and can be formed when oxygen interacts with certain molecules. Once formed, these highly reactive radicals can start a chain reaction, like dominoes. It is believed that their chief danger comes from the damage they can do when they react with important cellular components such as DNA, or the cell membrane. Cells may function poorly or die if this occurs. To prevent free radical damage the body has an internal defense system of antioxidants that clean up our waste as it builds.

Antioxidants are molecules which are believed to ’safely’ interact with free radicals and terminate the chain reaction before vital molecules and/of cells are damaged. Although there are several enzyme systems within the body that scavenge free radicals, the principle micronutrient (vitamin) antioxidants are vitamin E, beta-carotene, and vitamin C. Additionally, selenium, a trace metal that is required for proper function of one of the body’s antioxidant enzyme systems, is sometimes included in this category. The body cannot manufacture these micronutrients so they must be supplied in the diet and good diets usually solve this problem.

Antioxidants are intimately involved in the prevention of cellular damage — the common pathway for cancer, aging, and a variety of diseases. The scientific community has begun to unveil some of the mysteries surrounding this topic, and the media has begun whetting our thirst for knowledge. Athletes have a keen interest because of health concerns and the prospect of enhanced performance and/or recovery from exercise. The 18 year old who loses his hair is not aging in the sense we think when we talk about a 90 year old. These young men are the least impacted by the toxic effect of free radicals.

Source: http://www.rice.edu/~jenky/sports/antiox.html

Folliculitis Decalvans – Hair Loss Information – Balding Blog

Hello Doctor,
I am a 22 yr old African American that has been diagnosed of folliculitis decalvans. I am losing my hair at my crown area at an ernomous pace through scarring. I have had this for several years (8yrs). I have been on several medications but they only seem to have an impact in the beginning. Please is there anyway of aggresively treating this disease as well as recovering my hair in the scarred regions. If you have any dermatologic recommendations around the Tri-state area i would be grateful. Thank you.

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This is a difficult problem and you must find a doctor with a particular interest in this disese as well as the training to deal with it. Check with the American Academy of Dermatology for a referral channel for this problem. If the dermatologist is uncomfortable with this, then he/she should refer you to an appropriate expert.

FUE for African American Hair – Hair Loss Information – Balding Blog

Question / Comments:
How effective is FUE on African-American hair? What are some of the challenges with African-American proceedures. I would like to have side-burns which I have minimum growth now. Is scarring more prevelant with darker skinned people?

Thanks for your responses.

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FUE on African-American hair is very difficult to perform, but if you are serious, we can test your hair to find out how good a candidate you are. If your hair is kinky, you might not want kinky hair on the side burns. This is a real risk. Darker skinned people usually have more scarring risk, but this is not the case in the scalp as much as other parts of the body. As I have an office in San Jose and you indicated that you are there as well, you should come by for a visit. If, after the consultation you want to take the next step, then a biopsy would be indicated to determine your candidacy for FUE. Call my office at 800-NEW-HAIR to setup a free consultation.