Hair Loss InformationI Might Just Have a Mature Hairline, But I’m Thinking About Adding Extensions – Hair Loss Information – Balding Blog

I am roughly a Norwood class II, maybe a little more receded (nothing substantially more), but don’t seem to be losing any more hair to the best of my knowledge. Haven’t done any mapping, but could it possibly be my mature hairline at 20?

I was thinking of wearing clip in extensions on the sides for extra length and body, but am very wary of doing so, can traction alopecia accelerate MPB?

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I appreciate the trust most readers have in my ability and expertise as a hair transplant surgeon, but how would you expect me to know if your hair loss is from a maturation of a hairline without an examination? No one is that good!

With the above said, yes, traction alopecia is a major cause of hair loss in people who use hair extensions. Beware!

Hair Loss InformationMassive Shock Loss After a Small Transplant Procedure – Hair Loss Information – Balding Blog

Hi

I had a transplant of 500 grafts just 16 days ago in a very small area of old scar tissue. This is my second transplant to cover the area. The first transplant, two years ago went very well. Same Dr.

On day 12 after the second transplant I have experienced massive shock loss. The Dr placed grafts in between existing hairs in an area 10 square cm. ALL hair, existing and transplanted have fallen out leaving the area completely bald. Disastrous as was hoping to go back to work and nobody notice. On crown of head. What is likelihood of this hair growing back?? Cheers

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Previously transplanted hair from the donor area that is lost following a hair transplant is very rare and when it does occur, it usually comes back with the new hair that was transplanted.

Hair Loss InformationIn the News – Dr Jahoda’s 3D Cultures Might Be the Key to Hair Cloning – Hair Loss Information – Balding Blog

Snippet from the article:

We may now be a hair’s breadth away from a cure for baldness. For the first time, new human hairs have been coaxed into growing from specialised skin cells that can be multiplied in number to potentially create a full head of hair.

Hair-raising remedies for hair loss currently consist of hormonal drugs to slow the process and hair transplants – where a section of hair follicles is moved from one area of the head to another. Finding a way to grow more hair, however, has proved difficult.

Hair growth in adults occurs naturally in a process known as hair neogenesis – where cells called dermal papilla cells that span the top two layers of skin coax surrounding cells to form hair follicles. One reason hair loss occurs is when papillae stop working.

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Read the rest at New Scientist — 3D drops raise hopes of cure for baldness

I posted a few links about this research last month, but I just read this article in New Scientist about the recent work by Dr. Colin Jahoda, who presented this material at the 2013 ISHRS meeting, and wanted to write a bit more about it.

The key to his findings was his ability to produce hair by growing dermal papilla cells in a 3D manner. The process starts with the isolation of the dermal papilla cells, then let them grow and multiply so that their numbers increase. These cells are obtained from discarded hair transplant tissue and once put into a nutrient broth, some 30 hours later, each drop of solution contains about 3000 dermal papilla cells. These cells were injected into neonatal foreskin which is known to be hairless, easily available as it is taken from babies who were circumcised. The donor cells comes from between 5-7 patients. After about 6 weeks of growth in a 3D matrix solution there is growth and some hair actually can be seen.

Dr. Jahoda believes that the key to his success was the use of a 3D matrix for growing the dermal papilla. The dermal papilla cells reprogram the skin cells as they grow and these reprogrammed cells form hair follicles. He believes that this will eventually lead to “hair cloning” therapies and the end result, he hopes, will not even require a surgical procedure like hair transplantation. Now that he knows which genes need to be expressed, drugs might even be developed that can reactivate the dermal papilla precursors in the scalp of balding people. Dr. Melanie McDowell from the University of Adelaide in Australia said, “The cool thing about hair follicles is you already have the channel into them, so topical creams have a good chance of getting down into where they’re needed.

I would expect that this would take years to identify the appropriate drug and then take the process through the FDA. For our audience reading this post, please be patient and give the researchers some room to finish defining the process and finding that “magic cream” they are looking for.

Hair Loss InformationI’m 16 and Have Extremely Thin Hair, But Haven’t Noticed Any Hair Loss – Hair Loss Information – Balding Blog

Hey I’m sixteen years old (male) and I have extremely abnormally thin hair. My hairline is normal with no receding at all. The top is thin enough where I can see my scalp. The only way to describe it is that it looks more or less like skinny strips of no hair. That is not terrible but on the back of my head, it is as if I am balding because I have a gigantic strip of scalp going horizontally on my crown. I’ve been like this for about 8-9 years and I haven’t noticed any hairloss in that time because my hair has stayed the same. I had normal hair when I was a child though. My dermatologist prescribed olux-e, but it doesn’t do anything. Any help please?

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Very fine-haired individuals always have a see-through look and the scalp can be easily visualized, especially under certain lighting. That is not a disease, it is just the way you were born.

If you think that this is not normal, see a good doctor who will judge what you have and make a diagnosis if there is something wrong with you. Perhaps the dermatologist you saw didn’t fully understand the issue you were having, as I don’t know why you were prescribed Olux-E unless you had psoriasis or some other skin condition.

Hair Loss InformationI Lost a Lot of Hair – Can It Be Restored? – Hair Loss Information – Balding Blog

I have lost considerable amount of hair. Is it possible to restore it? If yes, how?

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Your question is too vague, so there’s not much I can offer. Sometimes medication can be beneficial, sometimes surgery would work, sometimes your hair loss could be due to other conditions such as stress, diet, allergy, infection, etc.

You’ll need an examination by a doctor to first pinpoint why you’re losing hair, then you can start to figure out how to treat it.

Hair Loss InformationI Don’t Understand Donor Hair Supply Limits – Hair Loss Information – Balding Blog

Sorry for my ignorance on the matter but I’m a little confused.

I have heard people mention donor hair running out. Why is this exactly? If it is immune to balding, why can’t you harvest an unlimited supply from it to transplant?

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Once hair is removed from the donor area to be placed elsewhere in the scalp, it does not regrow in the donor. So let’s look at the numbers….

If we take the most advanced balding pattern, for example, the patient having lost most of his non-permanent hair will have 25% of the original hair left. That would be 25,000 hairs, or 12,500 follicular units. If you need to keep 50% of this permanent hair, that means that you can harvest 6,250 grafts in a person with a birth hair population of 100,000 (Caucasians are good examples of this).

Taking more than 6,250 follicular units as two hair grafts might leave you donor depleted. This is especially true if you are Asian, Indian or come from the Middle-east where birth hair numbers often run 80,000 birth hairs or the hair is fine.

Hair Loss InformationWhat Is the Peer Review Process? – Hair Loss Information – Balding Blog

Please can you explain how the peer review process works? Does the fact that a clinical study has appeared in respected peer review journal mean that it has effectively passed peer review? Or can anyone publish their trials and it is upon publication that the true scrutiny really begins?

If the latter, when are the trials officially deemed to have passed peer review, given that the experts may well have differing opinions on their robustness and on whether there are any protocol errors?

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A good overview of peer review can be found at Wikipedia.

Peer review is done when an article is submitted for publication in a journal that has editors capable of reviewing the technical and clinical details of the submitted material. Differing options are often published along with the article.

Hair Loss InformationBody Temperature and Alopecia Totalis? – Hair Loss Information – Balding Blog

My daughter has alopecia totalis. We have been told that the body is hot on the inside and that is why the hair fell out. It is a Homeopathic term. Will changing the body chemistry have a positive effect? Have you heard of any homeopathic remedies that work? Do the hairs sometimes just return on their own?

Getting information on this is difficult at best. Thanks for your help

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I have never heard about the temperature issue you discussed. Alopecia totalis does go through remissions and often returns.

Hair Loss InformationHair Loss That Can Not Be Detected By The Naked Eye – Hair Loss Information – Balding Blog

At our monthly open house event this past week, a 40 year old man came in and complained about his recent onset of hair loss. He saw significant amounts of hair in his shower drain, as well as whenever he brushes and combs his hair. The open house events are almost like an AA meeting, where men can come to see hair transplant results of other patients, watch a surgery, and meet with a doctor. The other prospective patients saw him and in a friendly manner teased him, asking why he was there. His head of hair was as full as anyone would have hoped to get from a surgery with us. All of the balding men at the open house were envious.

The key to being a good doctor is to first listen to your patient, so when his turn came in to see me, I first listened to his hair loss reality. What he reported about recent hair loss was real, but the eye could not detect it, so we ran bulk measurements in 4 different parts of his scalp to see if he was actually losing hair. His hair loss was evident on the examination, which showed that he lost about 50% of his hair in the front, top and crown of the head when compared against his donor area. Contrary to what my eye showed me, his examination was absolutely confirmatory that he was in active hair loss. I placed him on finasteride with the expectations that the hair loss might stop.

I always say that a man can lose up to 50% of his hair before it becomes detectable. He has wonderful hair, medium thickness, heavy wave, black with just enough gray in it to bring great value to produce great cover. If his hair were fine, then he would probably be thin with 50% bulk loss.

Hair Loss InformationI’m Scared to Have a Baby Because My Hair Is Already Very Fine and See-Through – Hair Loss Information – Balding Blog

Hi,

I am a 26 year old female with (what I consider) very fine see- through hair on the crown and top of my head- more noticeable on the crown. The first time I noticed this was when I was 20 years of age after I changed where I part my hair. I don’t know if I had been hiding it for years prior to this with the way my hair had been parted? As far as I can tell it hasn’t gotten any worse since I noticed it 6 years ago. It makes me so so paranoid as I think everyone can see it. My hair below my crown is normal.

I am so afraid that I will lose all my hair soon. I am particularly petrified of having a baby (which I would love one day) as they say after you have a baby your hair will fall out which I just couldn’t cope with that.

I get highlights done every couple of months which definitely helps with disguising the thinning parts as when they grow out it is more visible. I don’t know what answers I am looking for by telling you all this?.. I think I just want someone to tell me that my hair will grow back one day and that I won’t loose anymore! Am I dreaming?……. I would also love to hear from someone of similar age who is/ has gone through the same thing with any advice.

Thank you for taking the tome to read my entry,
A very self conscious, thick hair envious female!

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You need a diagnosis made as to what is causing your thinning hair. Sometimes we can identify a curable situation, but unless you see an expert in the field, you will not know what it is or what can be done.

If having a baby is important to you at some point in your future, you should settle the hair issue before that time comes. More importantly, having a baby does not automatically mean you will lose hair. I realize some women may notice hair loss, but MOST women do not have any hair loss issues with pregnancy or child birth.