DR. I have noticed a bald spot on left side of my head, it is size of bottle cap. What can I do. rest of my hair is fine. I’m 28 yrs old and also have noticed gray and white hair by side burn area. The bald spot is just above my left ear. Please help. I talked to my doctor he didn’t tell me anything.
I would see a dermatologist, as there are many types of diseases that can do this. The possible causes are all listed in one of the chapters of my new book, Hair Loss and Replacement for Dummies. ***shameless plug***
This patient received 250 grafts just a few years ago (not from me, obviously). He knew things were going wrong when the doctor put wooden toothpicks (which could leave behind splinters) into the recipient sites which were made on his head. He overheard the staff chuckling at how he looked. He told me that before selecting his original doctor, he researched the field over the internet and had a few doctor consultations. He selected the original doctor because he was promised a great result and he believed that promise. As the hair started to grow, he became very self conscious and progressively depressed. Going out into social situations made him uncomfortable, even just going out of his house (something he rarely did once the grafts started to grow). 
Our practice is not a typical hair restoration practice in that a good number of our patients do travel a long way to see us, though more than half of our patients are local to California or surrounding states. For those patients who are not local to one of our offices, you can set up a “virtual consultation” with us to get an initial opinion. Some things can be managed without a face to face meeting, but we often direct those potential patients to at least have a phone call. We encourage the use of photographs to help us understand the problems at hand. Hair is very important to our audience and many of those we do a virtual consultation with over the phone have developed questions from reading this blog. If you’d like to request additional info or setup a consultation, check 
How would you classify Josh Duhamel’s hairline on the norwood scale? It has a receding look to it but could it be just his mature hairline?
There have been various reviews by different doctors on the use of platelet-rich plasma (PRP) and few of those that used it are convinced that they have seen benefit. This technology has been used for bone grafts, especially by dentists. It drives up the costs of the procedure and proof of safety and effectiveness with regard to hair transplantation is not at hand. Any claims of safety or effectiveness do fall under the purview of the FDA, although the FDA is too busy managing its other problems to become involved in what individual doctors offer and claim with regard to this process. It is a complex process with many variables depending upon the doctor’s style. A patient’s blood must be harvested, separated from the cell portion (red and white cells) and then used in some manner to get it to the transplant.
I had a patient tell me about his trick with Rogaine Foam — if you keep your hands cold (put them under running cold water for a moment) when applying the foam it doesn’t melt as easily… but I’ve not heard about using the cold as an indicator. I think it is a clever idea, but I do not know the answer.
