Hairline Lowering Questions – Balding Blog

hi, i’m a female with a high forehead. I want to do a lower forehead surgery. I have some questions about the surgery.

  1. will it be local anesthesia or will i be put into sleep.
  2. how long will it take to look normal after the surgery.
  3. will the scar be obviou during the recovery period?
  4. will people notice that i did a surgery if i go out one week after the surgery?
  5. do you have any recommendation for doctors in toronto area?

Thank you very much for your time.

I will answer your questions as if you mean the hairline lowering procedure through excisional surgery, and not hair transplantation.

  1. This procedure is usually done under local anesthesia with some sedation.
  2. The effects are immediate, although there is swelling for up to a week. There is a scar at the hairline, so if you have bangs you should use them to cover the hairline scar. These scars are usually detectable for a few weeks. A small number of people will develop a white scar at the surgical site which can easily be treated with a limited hair transplant.
  3. Yes, the scar may be obvious while healing, but most patients can cover it pretty well with their existing hair.
  4. It depends on your art of styling that you use to cover the incision area and the lower hairline. As I said above, the use of bangs is a good idea because the new lower hairline should be introduced slowly so that the change will be more transparent. In a hair transplant, the change is so slow that no one usually notices it, but with this more radical surgery the final results of the new hairline is instantaneous. If you want to pull the hair back, the incision could be seen.
  5. No, unfortunately I do not have a recommendation in Toronto. Check with a good plastic surgeon in your area. Look for recommendations online, I suppose.




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Balding Forum - Hair Loss Discussion

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Hair Loss from Depo-Provera in Just Weeks! – Hair Loss Information by Dr. William Rassman

i have been on the depo shot for only like 5weeks and my hair has already thinned alot. I had thick hair and some of my length is even gone.What is a way to get rid of the effects ? Can i try a cleanser or something because i dnt want to be bald head!!!!

Depo-Provera (medroxyprogesterone acetate injectable suspension) is a birth control medication used as one injection every 3 months. Interruption of hair growth or hair loss is among its reported side effects. You need to see your doctor to consider stopping this medication and discuss other methods of birth control. If you lost hair only as a result of this medication, you should expect to regrow your lost hair within 6 to 9 months after your last injection of Depo-Provera.

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Going Bald While on Propecia – Hair Loss Information by Dr. William Rassman

Do you know of anyone who has been on propecia and still proceeded to go bald?

There is an assumption in the question that Propecia will prevent balding. That is not the case. Propecia slows down the balding process over time, but it will still continue, albeit at a slower rate. If you are (for example) 22 years old and you already are fairly bald, Propecia will not do much for you other then postpone the final balding process. Likewise, if you are 30 and starting to go bald in the front and crown, Propecia will slow it down, but it is possible that you will reach your final balding pattern at 50 rather than 40 (maybe a Class 4 or Class 5 pattern), when you may have been destined to have arrived at your final balding pattern. Only about 7% of the population will develop the most extreme balding pattern (Class 7) and most of these men have most of their balding complete before their 30th birthday.

Norwood Classifications:
Norwood Chart

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Sterile Folliculitis – Hair Loss Information – Balding Blog

For the past six or seven years, I’ve been getting folliculitis on the back of my scalp only during the winter. My new dermatologist claims that I have ‘sterile folliculitis.” Apparently, when I get haircuts, the hairs regrow skew and my immune system attacks them as if they were foreign. I have two questions 1) why does this only happen in the winter and 2) why is there a time lag between the emergence of the hair from my skin and the onset of inflammation (my hair is already 1-2 inches long when pus starts to form around the follicle…I would expect the pus to form just as it was emerging, not a couple of inches later). Thanks for your help.

P.S. I’m a medical student and would love technical details about the inflammatory response against my hair because I find the whole thing sort of mystifying, assuming the diagnosis is correct.

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A good friend of mine has the same problem that you mentioned whenever he gets a haircut, and I have a similar problem around the winter months (when I am in colder weather).

As a medical student you should know that this is the “practice” of medicine… and not the “science” of medicine. There is no solid scientific explanation, but doctors are keen to ‘describe’ what they see and give it fancy names (sterile folliculitis sounds good, and I am supposed to be an expert in the field).

My personal theory is that in the winter months, your skin is more dry; dry skin promotes irritation to the skin. I suspect your neck/back of scalp is more sensitive to dry skin.

With respect to haircuts and folliculitis, I suspect that the short haircuts irritate your skin (the same way dry air/weather does).

You must remember it is not all about the diagnosis, but what you do with it and how you treat it. We can all try to be intellectual and talk about the immune system and the mediators such as IL2, IL4, TGF, B cells, T cells, etc, etc (immunology), but in the end it seems cold weather and short haircuts just don’t agree with you. Avoid short haircuts and try moisturizing cream.

Body Hair Transplant Results – Hair Loss Information – Balding Blog

Hello doctor, long time no talk. I recently found this on the internet regarding a hair transplant where the patient took hair from his leg and arm. The results look good.

Caution: Some pictures might be a bit bloody for some readers

http://hairsite.com/serendipity/authors/27-sofarsogood

Also, I notice that a lot of patients who have HT’s seem to grow their hair longer after the transplant and keep it that way. Is it because they want to cover up the other balding areas with the long hair? Can you get a HT and keep your hair short and still have that “full look?”

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I am having difficulty with the first picture on the referenced site. This is not a hair transplant, but someone with a thick, natural head of hair. From a legal point of view, the inference that this representation of a transplant is fraudulent and violates consumer laws in most states. It may have just been an example of what the patient wanted, but to have it presented in the same reference with before and after photos is poor form.

Many hair transplant patients elect to comb their hair back or to the sides and keep it long. Longer hair covers better, but with good densities transplanted, short hair is not unreasonable. I tell patients that when they get a hair transplant, they create the illusion of hair, not the reality of it. Long hair with good grooming goes a long way to do this. The illusion I am talking about is basic to the math in hair demand/supply hair economics (see Patient’s Guide — How Many Grafts Will I Need?). If a person loses 60,000 hairs and gets a transplant that makes him look good with 10,000 hairs, then this is clearly an illusion, not reality. I have found that in people with good hair characteristics, low contrast hair to skin color, wavy, and coarse hair can get great results with as little as 20% of their hair returned through transplants. That, of course, requires an artistic surgeon and the budget to afford the process.

With regard to your situation with 15 hair transplant procedures, you may be running out of hair. Body hair may be a solution, but there really is not good data on it so you would have to be a guinea pig for human experimentation. This is not standard care. I would give you a one on one consultation if you are in the California area.

Minoxidil and Propecia Have Worked for Me! – Hair Loss Information – Balding Blog

I wanted to say that alot of people seem to get discouraged with propecia and minoxidil but I am a 35 yr old male who stated Minoxidil 2 years ago and Proscar (quatered) 4 month’s ago and before I started I had very thin hair a small bald patch up top and receeding hairline. Since then my hair has gotten back thick the bald patch is no longer visible and even got some of the hairline back. These products work but just take time. Hang in there guys and Dr. thank you for being out there for us.

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Good for you!

Many doctors recommend BOTH finasteride (Propecia) and minoxidil (Rogaine) for the treatment of male pattern hair loss. Many believe that BOTH of these medications when used together will provide a synergistic benefit. I tend to believe in the “try-one-at-a-time” method so that if you do see results, you will have a good idea which of the two are giving you the benefits. Otherwise, you’ll be using both for life when you could possibly just use the one.

What is a Flowbee? – Hair Loss Information – Balding Blog

what is a flowbee? Does it help keep the hair healthy?

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FlowbeeAccording to Wikipedia:

The Flowbee is a vacuum-powered device made for cutting hair invented by San Diego carpenter Rick Hunt in the late 1980s. The product was touted as being capable of performing “hundreds of precision layered haircuts” and was frequently displayed on late-night television infomercials.

It does nothing for hair health — it is simply a way of cutting your hair evenly at home. Their official site is at Flowbee.com.

Anemic Teen Girl Losing Hair – Hair Loss Information – Balding Blog

i am an 18 year old girl and for about 6 months my hair has been falling out-particularly in the shower. it used to be fairly thick and now has become so much thinner. The doctors have said i am anemic- with very low ferritin in my blood. i am on iron pills and have been for two months. how long should it take to restore these levels and thus stop my hair loss? i have no problems with thyroid and no genetic history of premature balding if balding at all. what else could you suggest and is it worth buying any hair loss products? please help!

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Iron deficiency in one of the medical conditions that could lead to hair loss or could accelerate hair loss due to other causes. Its treatment is not always easy and it may take a few months. You need to be checked with blood work periodically to assure that you are heading in the right direction with your treatment. When the iron deficiency is treated, your lost hair may re-grow within a few months.

Bacteria on My Scalp – Hair Loss Information – Balding Blog

Dear Dr. Rassman:

I have been suffering for approx. six months with a bacteria in my scalp. I have been to a dermatologist and he gave me antibiotics for two months. It gets better then it comes back. My scalp breaks out and I am losing my hair a lot and it is very thinned out. The scalp is very itchy. I have been also using Scalpisin. It only gives me temporary relief (one to two hours only. My hair has been thinning and I have to have my hair up all of the time. I feel a crawling sensation too. Since my scalp is so itchy, I sometimes have to scratch. I wash my hands to avoid a rash of breaking out on my face.
Please help me.

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I would need to examine you to put the pictures together. We all have bacteria on the scalp and that is normal. What is not normal is what you are telling me about. Recurrent infections could be caused by aggressive pathologic bacteria and this can be cultured and with a good culture, it can be better understood.

Prolactin and Hair Loss – Hair Loss Information – Balding Blog

I’ve recently read that prolactin can potentially cause hair loss. Do levels have to be exceptionally high for this to occur, or can even moderately high levels contribute to thinning hair?

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An abnormally high level of prolactin (hyperprolactinemia) is a condition characterized by elevated serum levels of the hormone prolactin in non-pregnant individuals. Hyperprolactinemia may cause progressive pattern hair loss due to an indirect effect on increasing free testosterone level.