Month: October 2006

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22 Year Old Just Had a Hair Transplant – Hair Loss Information by Dr. William Rassman

I am 22 years old male and i have nearly lost all my hair keeping in mind its genetic in my family but i think it happened too quick to me. I started experiencing hairloss at about 17. now i have had a hair transplant done (at age 22). what will be the best thing i can do to prevent losing anymore hair?

One more thing is my transplant Dr told me that my transplanted hair will fall in 1 2 months and then regrow again, but the transplanted hair have already fallen (14 days after the surgery) with the dried out skin. please advise me on this thanks

You should be relating to your hair transplant surgeon face to face, not to an internet source like this for your reasonable and unanswered questions. The fallout you experienced is normal. Hair from the transplants should grow in 3-5 months.

To prevent hair loss, any 22 year old should be on Propecia. If your doctor did not put you on that drug (generic name is finasteride) then I might consider that to be malpractice (in the United States), as hair loss in a young man is progressive and often rapid after a hair transplant in someone of your age. For the man in his 20s who has a hair transplant and are not on that drug, the hair loss will almost always accelerate as you suggested that you have already experienced.

I am concerned about hair transplants at the age of 22. Did you seek out second opinion? What is the Master Plan for the long term? You and your doctor need to lock that plan into place, or you may feel abandoned if your hair loss progresses. Peace of mind is in proper planning and good communication between you and your doctor is as important as good surgery. Please arrange to meet with your doctor and get a long term plan from him/her that you can use as you get older. Find out what he expects will happen to you. You need to know that information, for it is critical to your future.

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Hair Loss InformationDo Apples Help Hair Growth? Quite Possibly, Yes. – Hair Loss Information – Balding Blog

Hello Dr!

I hope I don’t disturb you, I only e-mail you when I believe my content is of value to you/the community.

Please comment this article about apples and hairloss:
Natural Hair Loss Remedy Discovered in Apples

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AppleI appreciate that you brought this to my attention. Very interesting stuff. I decided to research this a little further and found Procyanidin B-2, extracted from apples, promotes hair growth: a laboratory study, originally published in the British Journal of Dermatology in 2002.

The articles speak to the relationship between apples and Procyanidin B-2, extracted from apples. I am impressed with the published article in the British Journal (Br J Dermatol. 2002 Jan;146(1):41-51), which is a credible scientific source. Rather than rephrase what these articles said, I suggest that you read them and draw your own conclusion. I like apples and perhaps the old adage an apple a day keeps the doctor away may change to an apple a day keeps the hair transplant surgeon away.

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Hair Loss InformationLow Hairlines of Celebrities – Hair Loss Information – Balding Blog

Why do movie star’s like Ben Affleck have such low, obtrusive hairlines? I found this site all about balding movie stars. Moviestar.nu

I think that some of these celebrities wore wigs for certain movie roles (probably the makeup artists did them for the character they had to play), and the site is confusing hairpieces in movies and hairpieces in real life. Your thoughts?

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What you see is often an illusion that is created by the actor (or even their stylists) through hair pieces, make up, or even good hair transplants. Taking what I had said about John Travolta or Matthew McConaughey in the past, it is evident that these men would not be the sex idols that they have become if their hairlines rode high on their face. Actually, I don’t know if Mr. Travolta is still a sex idol, but he certainly was considered one in the past.

There are actors that transcend this low hairline sexy paradigm, such as Paul Newman (see photo at right), but they developed their careers and their sexy images when their hairlines were low and they were able to establish their sexy image without fighting hairline recession. Unfortunately, our society is superficial and it is easier to project the correct first impression from the frontal look. So sexy is the childhood frontal hairline in a man with a lean face and body. It takes just a second for most people to know if a man looks sexy, and that look is always associated with a youthful childlike hairline in a young maturing body.

Many times, I have had the opportunity to put back the youthful hairlines on male models or soap opera stars who started to lose their youthful hairline and develop a mature (non-balding) hairline. For them, the youthful hairline is job security. They do not want, nor can they tolerate the normal mature hairline, which still looks good. However, our society tells us that the sexy man image is the young man’s look. I am sorry to say that these young men with their youthful hairlines are like young meat for the females who fantasize on their ability to lure such men into their bedrooms.

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Hair Loss InformationScars from FUE – Hair Loss Information – Balding Blog

I may have heredity loss or loss as the result of medication. I just wanted to confirm that the Fox procedure does leave tiny scars at the donor area (where the hair is taken from)? Also, does the fox procedure also leave tiny scars where the hair is implanted. Please review and let me know of your thoughts.
Thanks in advance

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1 Year After FUE – Parted
1 Year After FUE – Shaved

 

At the point where the follicular units are removed, there may be small punctate scars, but not at the recipient site, as the skin is trimmed once the grafts are outside the body. The skin disc that was removed in the FUE from the above photo were created by a 1mm punch, today the punch size measures 0.9mm. Trimming of the excised FUE grafts are critical to minimizing the transplantation of skin for the recipient area, which is clearly not the objective. When these FUE grafts are trimmed, the skin disc is reduced to 0.1-0.2mm in size, thereby minimizing scars at the recipient site.

For more on FUE / FOX Procedure, please see:

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Minocycline and Hair Loss – Hair Loss Information – Balding Blog

hello. I was taking minocycline for about 3 months due to acne. 10mg total a day. I stopped the treatment and through out I noticed that my hair was falling out, but not too much to cause concern. during this past 2 weeks my hair is falling out in big patches and i don’t know what to do? what do you recommend? thank you!

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As I’ve said before, many drugs can cause hair loss, but if you are losing big patches of hair, then you need to be evaluated by a doctor (dermatologist) and can not assume that this is caused from the drug you had taken. You need to get a complete physical exam and history reviewed by this doctor. With all of that being said, I do not know of a direct link between minocycline and hair loss.

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Stem Cell Treatments to Regrow Hair? – Hair Loss Information – Balding Blog

I’ve heard stem cell treatments can regrow hair. Is this correct. And can you give details please.

“In fact, many of the experiments that are successful in producing some hair, also produce other organ tissues like bone and muscle.” This quote came from an article you published. It says many experiments are successful in producing hair. Where and when can we get this treatment? Thank you.

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Cloning, new drugs and stem cells are no where near for the treatment of hair loss. This article from 2004, despite the misleading title, does summarize where we might be down the road — Hair Cloning Nears Reality as Baldness Cure.

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I Lost Hair After Using Hair Dye – Hair Loss Information by Dr. William Rassman

I used hair dye a few time to much in a one month period and i ran my hands through my hair and it came out in clumps. I was wondering if it would come back. Its been about a year since i last used hair dye and i dont see more hair loss or notice any more falling out. But its hard to notice if its getting better. I’ve been to so many doctors and they never tell me anything helpful. Is there anything i can do? I tried rogaine but didnt notice any difference with it. what should i do? help please. thank you

If you have been evaluated by many doctors and have come to a dead end, I doubt I can be much help either. Hair loss from hair dyes are a difficult problem, because it is difficult to treat or even understand why it happens. You may have induced genetic hair loss with the use of chemicals, but the chemicals themselves may have worked their way down the hair shafts into the growth center of the hair and killed or damaged it. As long as you have ruled out any medically related causes of hair loss, there are no proven treatments available (many products claim to reverse hair loss, but it is a buyer beware market and it targets the desperate consumers in a society obsessed with personal appearance and image). Minoxidil may help and is worth a try. With respect to hair loss after using a hair coloring dye, your hair should have grown back after a year.

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5 Days After Transplant, the Wound Still Bleeds While I Sleep – Hair Loss Information by Dr. William Rassman

Hi Doc. I recently had a strip procedure (1400 grafts) to my front hairline area. Its now 5 days post op, but I have soreness in the back of my head (donor scar area). There is a good amount of dried blood and when I sleep, im guessing its pressing on my head, re-aggreviating that area. Anything I can do to get rid of the dried blood without injuring the scar any? I’ve read somewhere that I can soak my head in warm water for 20 minutes (the back of my head), will that help?

Thank You

You should be able to wash your donor area easily and you can gently rub the dried blood off. It should clean up easily. If not, see your doctor for wound care instructions and inspection of the donor area for fresh bleeding, which should not be present after the first day post surgery.

Balding Forum - Hair Loss Discussion

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Hair Loss InformationPersistent Juvenile Hairline (with Photos) – Hair Loss Information – Balding Blog

This 27 year old man came to see me with this interesting hair loss pattern worthy of sharing with the BaldingBlog readers. Note that the first 3/4 inch of the frontal hairline is normal, but the thinning picks up just behind it and goes all the way back. If he let his hair grow longer, he might have been able to cover it with his hair combed back. Sooner or later he would lose more of it. Of particular interest, that frontal hairline may last his lifetime, while he could be completely bald behind that hairline if he does not treat it with finasteride. In taking the drug, he may actually return the thinning hair behind the frontal hairline, and if successful, no surgery would be required to accomplish this goal.



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Hair Loss from MRI Scan? – Hair Loss Information – Balding Blog

Hello Dr. Im a 20 yr old, white male. Over the past few months my hairline has begun to recede. I’ve also noticed large amounts of hairloss in the shower(150 hairs everytime i wash it). The hairloss began in June and has continued without showing any signs of stopping. I still have a full head of hair and it’s still growing at the same rate, but it’s become thinner, especially on the sides. I’ve also observed that i can pull out some hair easily from any part of my scalp. It doesn’t come out in clumps ,just individual hairs. My scalp has also become alot more itchy and scratching it just causes more hair to fall out. My worry is I had an MRI scan a few years ago – could radiation from that cause my hairloss now or does this sound like male pattern baldness to you? Thank you for help.

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One WayThe MRI does not use radiation, it uses magnetic fields. There is no connection between magnetic fields and hair loss. You are at the right age for the appearance of genetic hair loss. If you are losing 150 hairs/day, it does sound like you need to have your hair mapped out for miniaturization to get a diagnosis firmly in hand. If you are genetically balding, then drugs like Propecia work to slow, stop, or reverse hair loss. Now is the time in your life that if you take charge, you are best able to manage it. The more hair you lose, the further down the ‘one way street’ you will go to becoming bald.