Month: January 2023

To all of our baldingblog readers, may this season bring you good health and happiness

 

 

 

 

 

 

 

 

 

Courtesy of Dr. Tony Rustin, Brazil

What about dutasteride? Going by that logic and considering its half life, shouldn’t we gap duasteridet dosage to like once a week or once every 4 days or something? Thanks.

I agree that with a 5 week half life for dutasteride, a once a week dose should work.

This questions was actually asked of a patient. Would I Put Hair On My Tattoo Of A Horse So That IT Has a Real Hairy Tail?

This came in through an email as many of our patients do to get access to us. After considerable thought, I thought through the process and I would be happy to meet with this patient and then make that judgment. Doing something like this is easy for me; however, I would not want to do it if the patient was mentally unstable and did not fully comprehend the significance of what they were asking for. This would not be irreversible if he eventually changed his mind as he could have it removed in one or more laser hair removal sessions.

Cosmetic surgery is purely elective surgery. It happens when a patient and a surgeon agree on goals and realistically under the risks that all surgery impose, not matter how simple. People have died from allergic reactions to Xylocaine or have had spontaneous heart attacks having nothing to do with the surgery, but things happen. So an interview is critical to making a decision to go forward from my perspective. I even thought, why not create a hairy mane as well.

If you are interested in reading about a horses mane, click here: https://en.wikipedia.org/wiki/Mane_%28horse%29

If and when Piloscopy becomes a thing, will you adopt it too?

I’m asking this because you are a very skillful surgeon and it would be a great thing if big surgeons such as you adopt it..

First, what is Piloscopy. A presentation of an endoscopic approach to follicular unit extraction was presented at the ISHRS conference last October by Wesley. The idea was to use an endoscope to enter the scalp from a 2 cm incision and extract follicular units from below the scalp near the skull side with a 1.2 mm punch under suction. At this point in time, it would compete against a well established FUE procedure which is well understood and used by surgeons world-wide. There is no evidence that his technique (which is mostly theoretical) can work efficiently used, if in fact, at all. There are clearly wounds that would be made at different parts of the scalp which would have to be sutured and these wounds would scar. Anyone who claims a ‘wound-less’ surgery is wrong. If the grafts were taken out from an approach below the scalp, there would be a small wound at every folliclar unit where the connection to the epidermis must be cut to get the follicular unit free of the epidermis. This write-up is based upon my memory of his talk before the hair society in October.

See the Consumer Alert in ISHRS website.

I don’t know if I am just super conscious but I started to lift again about 6 weeks ago and it seems like there is much more hair in the shower falling out than before, isn’t it true that lifting will release more DHT or something? or am I just panicking

Wight lifting without taking any medications or supplements, will not cause an increase in hair loss. In fact, it may reduce enough of your stress to take the stress off of the hair loss.

If the hair grafts are taken exclusively from the donor area (permanent zone), they will ?have hair that is resistant to males hormones. The wreath of hair around the side and back of the head, is permanent on 99+% of men no matter what they have inherited from the ancestors, these hair will last their lifetime. Although this is the written rule, occasionally we see some patients that may lose their transplanted hair and if they do it may result from: (1) miniaturized hairs in the donor area (often called DUPA or Unpatterned Alopecia), aging of the donor area (seen in men over 50-70 years old a condition that unfortunately bares the name ‘senile’ alopecia, in many women whose hair around the side and back of the head is susceptible to female genetic balding and for other unknown causes we doctors call the ‘X’ face, which means we don’t know.

When strip surgery is performed and it strip incision is placed in the lower border of this permanent zone, these hairs will be lifetime hairs. If however, a doctor pushes the number of harvested grafts and extends outside of the permanent zone to push up revenue as they charge per grafts which are worth more to the doctor, these hairs may not be permanent.

Toppik is a known and popular Hair Fiber/ Hair concealer. When used, it will not harm your native hair.

Once the hair has been removed with FUE, the hair never grows back. Your donor area looks over-harvested