(female)
I recently (5 weeks ago) had back surgery. Now I find that I am losing hair. How long does this last?
It could be a few weeks, perhaps even a few months. It may have nothing to do with the surgery, or it could be related to the stress your body experienced from the procedure. Have you talked with your physician about the hair loss?
It generally takes one year to see if you regain some hair.
Snippet from the article:
Although past research has suggested a correlation between iron deficiency (ID) and female pattern hair loss (FPHL) or chronic telogen effluvium (CTE), a recent population-based study published in the December issue of the Journal of the American Academy of Dermatology finds no such association.
Elise A. Olsen, M.D., of the Duke University Medical Center in Durham, N.C., and colleagues assessed 381 women with FPHL or CTE and 76 controls to see what, if any, role ID plays in the two conditions.
Read the rest of the story — Iron Deficiency Not Likely Culprit in Female Hair Loss.
The study shows that while iron deficiency is commonly found in women, it doesn’t appear to be increased in those women with hair loss or telogen effluvium. This goes against what we previously believed to be one of the many possible causes of female hair loss.
I’m sure there will be more research to come, and I’ll post more about this as I find it. Read the abstract in the Journal of the American Academy of Dermatology.
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(female) I have a couple scars on my head from a car accident when I was around 4 years old, and I am now 21 and was wondering if there are any ways to get rid of these scars? One is about three inches in length and the other is about one inch. The hair has never grown back, and I would love to wear my hair down but cannot because the scars are then very visible.
About how much would a procedure cost to fix this problem? Thank you so much for your help, you have no idea how much I appreciate it!
Hair transplantation works well for scars. I would imagine that a transplant would be in the $3000 range. We would, of course, need to evaluate you first and then a quote can be offered.
Removing the scar may not work well if the scar falls outside of the directions seen in Langer’s lines, which are lines that “correspond to the natural orientation of collagen fibers in the dermis and epidermis” (source).
See if your scalp scars are in line with Langer’s lines. If so, this would imply that they might be removable. The image at right is a quick view, and you can see the larger version here.
Snippet from the article:
Toss the Rogaine and Viagra? Not just yet.
But Harvard scientists have found that some effects of aging, such as hair loss, infertility and decreased brain function, can be stopped. And not just stopped: the scientists’ research, published today in the journal Nature, showed that it’s possible even to reverse the signs of aging.
“Basically, what this study teaches us is that there’s a point of return in aging,” senior author Dr. Ronald A. DePinho, professor of medicine at Harvard Medical School, told CBS News.
Read the full story at CBS News — Aging Reversed in Mice: Have Scientists Found Key to Immortality?
Not all research on mice can be applied to humans, but regardless of that, the published research sounds quite intriguing.
Hmm… mice living forever? Probably good for the pest control industry, but that would be a whole lot of rodents in this world. What’s next — flying, muscular mice?
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Hi doctor,
Great site. My question is about ACell and all the other in development treatments like it. Will this in theory work for those who have dupa or fpb? I mean I understand the are years away and a big ? If they will even work. But if they do will the help those individuals as well. Eventhough there us miniaturization in the donor, or is there no hope for us?Please answer… Thanks again.
Clearly, ACell will not impact DUPA (diffuse unpatterned alopecia) or female pattern hair loss unless it was used in conjunction with an auto-cloning procedure. We need to take one step at a time. We still need to see how well ACell works when used in an auto-cloning fashion. We do not know if you pluck a hair from the permanent zone that is not miniaturized in a person with DUPA or female balding, if that hair will grow at all. How it would be compared with a plucked hair in a non-DUPA patient is yet unknown.
Would wearing a ‘head buff’, like they do on Survivor cause more hairloss?
as in suffocating the scalp etc. my whole head would not be covered I would wear it like a thickish headband. I am thinning all over/crown, and desperately need to cover up. They are microfibre with no seams. They are very light fabric, I would just wear it as a wide headband sort of thing.
regards
I do not believe wearing a “head buff” or any form of head gear, bandana, helmet, or hat would cause hair loss. You cannot suffocate your scalp. If you want to go to the extreme and wear a very tight head gear everyday for hours at a time, you would (over the course of several weeks or months) cause traction hair loss.
I am a female who had a hair transplant last week with the FUE method. I have FPB and a very thin donor area. I was told that on the day of operation and too far into the procedure i dont have thick donor hair so the coverage wont be very good. I am concerned now as i wonder will i get shock loss too as i have weak hair then and will i be balder then before.
- When will the hair fall out now it is placed and how can i look after what i have to look like a normal lady?
- Can i use Regaine as that did work when i used it last time but it irritated my scalp?
- Should i take extra vitamins?
- Shall i just say a wig and be done with it?
- Does FUE not work for FPB then?
First off, if you are female with a poor donor area, why would you even consider follicular unit extraction (FUE)? That surgical technique is mainly for people who want to cut their hair very short (like a crew cut) and not see any scar or just might want to shave their head, not likely for a female. If you are a woman, a scar (large or small) on the back of your head should be inconsequential and will never be noticeable with long hair covering it. I generally try to convince my females patients against FUE.
I am outraged and you should be furious. How can one have surgery and not understand what to expect?! It seems that you got conned into doing a surgery by an unethical doctor. The doctor should have told you about this before you underwent the surgery. Now the problem you face is waiting for complications of the transplant such as shock loss, accelerated cyclical loss, failure to grow, and on and on. If you were told that the surgery you are having won’t give you good coverage while the surgery was being done, then you might have a malpractice claim against that doctor if you are worse for doing it!
Vitamins will not help with your surgery. The wig is up to you, but it could ultimately make your loss worse from any traction alopecia that could develop. I would not use Rogaine (minoxidil) if it irritates your scalp. Let us hope you have no or minimal shock loss from the surgery itself and you can at least achieve some coverage. Only time will tell.
For the rest of the readers out there — beware of unethical doctors and do your research. Use this guide to help select your hair transplant doctor. We generally believe that 80% of female patients do not make good hair transplant candidates, especially if their donor hair shows diffuse thinning.
Hi,
Love the site and the calm measured manner you guys take to things. I’m finding the Acell stuff really fascinating for a lot of reasons beyond my own hair concerns. I had a couple questions and was hoping you might be able to shed some light on them.
From what I understand, one of the many unanswered questions in the auto-cloning process is whether or not a plucked hair from the balding-immune donor zone, implanted into the bald area will continue to be fully immune to balding because of the mixed biological source nature of the hair/implant zone/newly generated follicle. Theortically couldn’t this issue be circumvented thusly :
1) Use standard FUE/implant techniques from donor areas
2) Depending on scalp availability, reseed these areas with acell plucked hairs
3) Harvest established acell hairs for further implanting
4) repeat until desired resultsNot to get into totally wacky territory here, but is there any investigatory efforts to see if Acell plucked hairs can be implanted in other areas of the body and harvested in that manner if scalp tightness is an issue? For instance, growing a crop of donor hair via auto-cloning on the arm/back/leg, and taking them for standard implant from there?
Perhaps you are misunderstanding what the auto-cloning technique with the ACell product is all about. The research we’re conducting is basically plucking out hair from a donor scalp area (where hairs are considered immune to genetic balding), applying the ACell products, and transplanting to an area of scalp where there is balding. We are not harvesting hairs to be multiplied in a lab. Growing a crop of donor hair is not what this is all about.
Finally, we still do not know if the transplanted ACell plucked hairs will continue to survive years down the line as if they are immune to genetic balding like standard transplanted hair follicles. We are all assuming that it will be just like transplanted hair follicles, but this has yet to be proven. That proof will come many years from now where we can follow those transplanted patients.
i have a 1 inch scar on my head just above temple. my hair surrounding the scar is thinner than the corresponding hair on the otherside.
i was wondering is it normal for hair to be thinner around a scar.
It may be just a perception of thinning hair, because you have less hair on the scarred area. I doubt that each individual hair strand diameter is thinner. In other words, when you got your scar you may have lost some surrounding hair contributing to less ‘bulk’ of hair in the region.
Dear Dr. Rassman,
I’ve been reading your blog for about two years now since I started dealing with hair loss, thanks so much for donating your time to the public in this way. I have a question that I haven’t really seen addressed in past postings: Just how accessible are you to the average working guy who wants a procedure with you? You seem to be at the forefront of your field, I imagine you’re services are quite in demand and I’m not a pro athlete, movie star or CEO.
What are my chances of being able to get through and have a consultation with you? I/m 31, I’ve been maintaining an almost full head of hair with propecia, which grew back a lot of my crown where I was thinning. But I imagine somewhere down the line I will want a procedure, particularly if things like A-Cell pan out to make transplants less invasive.
Thank you
Contrary to what you may think, I am available to anybody who wants to see me for a consultation. In fact, many of my patients are just the “average Joe”. Anyone can call 800-NEW-HAIR to setup an appointment.
Since you indicated you’re in the Bay Area, you can also see my associate Dr. Jae Pak, as he flies up to our NHI office in San Jose every Wednesday. While I usually spend my time at our Los Angeles office, I am also available in San Jose on occasion when Dr. Pak takes a break from his schedule.
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