Necrosis after hair transplant

The arrows point to the sites where the skin or the scalp died off. The second photo shows the scalp skin has sloughed off. The cause of this is often too much epinephrine in the local anesthesia and site that are made too close for recipient area or even possibly too large a site creation. This will cause a scarred area with no hair growth in it. You need an experience surgeon and team to avoid this. In my 32 years in practice with over 17,000 surgeries done by either me or my group, there has never been such a complication as shown here.

Neckline Hair Recession

The hairline above my neck (neckline?) is thinning and receding from the middle, upwards and out slightly. I am a 24 year old male and have been on propecia and minoxidil for over a year. I have not regrown any hair nor has my hairloss stopped. I was wondering if the neckline recession has any implications for my hairloss and maybe why I have not responded well to treatments. Thanks!

You are (I suspect) talking about your neck hair. I would need to know that. The way you tell, is to find the notch at the base of your skull in the back of your head. Men have a prominent occipital notch. The neck hair is just below the notch. If this is the hair that you are losing, I would like to know and then write back to me and we will discuss it.


2007-03-15 09:33:04Neckline Hair Recession

I Had My Neck Hair Pulled Out, so I Started to Use Minoxidil, Which Seems to Be Working. Should I Continue to Use It?

If you are seeing results, keep using it. The hair, once grown, may become dependent upon the Minoxidil, or it may be the original hair returning. It could be difficult to tell the difference. Hair pulled out often returns in the first 6 months after being pulled out.


2018-05-23 08:43:03I Had My Neck Hair Pulled Out, so I Started to Use Minoxidil, Which Seems to Be Working. Should I Continue to Use It?

Neck hair on fin/min

Anybody else notice a major increase in neck hair after starting fin and min. I have never had hair like this run down the 2 sides of my neck. Going to shave it tomorrow but it’s interesting to see that the medication is possibly working right away . I only apply minoxodil to my temples and haven’t seen much change but I’ve only been on for about a month. I hope this is the medication telling me that it’s working very well!

Minoxidil, when absorbed, can increase hair elsewhere in your body. The neck hair increase may be caused by minoxidil.


2019-04-08 12:59:41Neck hair on fin/min

Is Neck Hair Genetic?

I am a 20 year old male who is worried about some hair loss at the neckline/nape of the neck region. I currently do not have any signs of balding in the crown or the hairline. But for some reason, every time I pull on the sides of the neck hairline, one or two tapered hairs fall out. My question is whether or not androgenic alopecia can affect this region or if it is determined by other genetic factors?

In some individuals, the neck hair is genetically programmed to fall out early. Rarely have I seen this in a 20 year old, but it is not uncommon in a man over 35. A few hairs may not mean that you are losing neck hair but just normally cycling hairs.


2019-02-20 08:15:14Is Neck Hair Genetic?

Naturally Low Hair Density or Am I Balding?

Hi there. I have always had a low density of hair around the top part of my scalp since my early teens however I have recently become much more conscious about it. For example after a shower my scalp is quite visible on the top part of my scalp and also when i part my hair when it is dry i can see through it under bright light. I have not undergone any considerable amounts hairloss nor have undergone any noticeable thinning of my hair but simply just feel that my scalp is quite visible on all parts of my top scalp. At a closer look its quite easy to see that my individual hairs are quite equally spaced out and is the main reason why i can see my scalp under the light. I am wondering whether this could just be my natural hair density that i have inherited from my mum (who also has a similar issue) or an early sign of male pattern baldness from my father’s side. Your reply and advice would be much appreciated. Thank you very much 🙂

If your hair is wet it will obviously look thinner as your hairs are separated from each other to expose the scalp. When you’re under a bright light it also will look thinner as the light illuminates your scalp between the hairs. This should be common sense.

If you are wondering if you are going bald you will likely see a pattern of thinning (see: https://newhair.com/resources/assessing-hair-loss/).

If you are still not certain you can see a a doctor for an exam and bulk measurement. We offer this in our practice in a free consultation with specialized instruments that measure, with good accuracy, your present hair loss status. We can often use this information to predict your future direction of hair loss.

Natural Supplements for Hair Loss

hey doc… thanks for your reply. A few weeks ago I posted a question to you: Maturing Hair Line at 18 Years Old

what I would like to add is I’m of east Indian origin and my hairline is in the form of an U curve and is thinning badly. I will try Procepia eventually but I would like to know your opinion on natural suppliments. I’m taking multivitamins + 2 capsules of saw palmeeto every day. The thing I don’t like about procepia is that its a drug and most drugs produces side-effects…and I think that there are natural remedies for every ailment.

I have answered this type of question many times. Natural remedies include every conceivable thing, some of which is safe (saw palmetto), some of which can kill (arsenic), some of which may be different by different suppliers (saw palmetto), some of which is effective (vitamins that are antioxidants), some of which are ineffective or have variable effectiveness (saw palmetto). I only picked saw palmetto, because it meets many of these opposing criteria, but it plain does not work.

There is all of this focus upon side effects. Remember, arsenic is a natural supplement and it kills; death is a side effect. Sexual side effects are known with saw palmetto, but the sexual side effects with Propecia only occur in 1 out of 100 people. Why assume that you will get the bad sexual side effect from Propecia, just because a drug company is honest and compelled by the FDA to tell you about it? The suppliers of saw palmetto do not have to disclose it; the drug company that makes Propecia does.

If you really care about your hair loss, why do you want to risk losing it or your health, when there are safe alternatives? I am afraid that I do not understand the logic here, but you are not alone with that type of thinking. Sorry if I am harsh, but I do not seem to get the message over to my readership and I really do not understand where I am failing to communicate.

Native American Indian Female with Thinning Hair

I’m a 50 year old Native American Indian lady living in Phoenix, Arizona and would like to know why my hair is already turning white and thinning out. I’m thinking that I may have an illness that I don’t know about. Because it seem like I’m sick all the time. I am also going through my menopause so I don’t know if that’s triggering it.

I have gone to see the doctors and they taken blood tests, but keep telling me there’s nothing to be alarm about. But the point is I’m so wary about this matter and I see alot of the people in my age group that still have a mopful of dark hair and not going gray/white. Not only this, it seems like my face has age about 10 years older within the last year or two. Am I thinking (stressing) about this to much? What type of herbs or shampoo will help my hair? Or, am I lacking some type of vitamin deficiency? I don’t mind the aging gracefully, but not this fast. Please, let me know. Thank you.

I would have to write a book on what may be the cause of your hair loss. The fact that you feel sick is an indication that something may be wrong with you (such as hypothyroidism, eczema, alopecia, dieting, malnutrition, autoimmune, drugs, infection). Considering that you are an American Indian, genetic hair loss is uncommon, so I would start looking for a medical condition. Also, I would suggest that you get your hair and scalp mapped out for miniaturization, as that may point to genetic hair loss in the case that you are the exceptional American Indian with a genetic cause of it. In non-American Indians, hair thinning is present in almost half of females going through menopause.


2006-02-09 10:55:20Native American Indian Female with Thinning Hair