Month: January 2023

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Female Reader Likes Men with a NW3 Hairline

Doc,
Odd question,
I’ve noticed that some men tend to actually look good when their hairline recede to a NW3. Hollywood has a few examples with Christian Slater, Thomas Jane, Josh Lucas, and Patrick Wilson. I’m just curious is there any way of telling who will be good looking with a balding pattern prior to the baldness? BTW, I’m a woman, so I do think those men are good looking!

Your opinion has been noted. If you have a fella and want to find out what he would look like with a NW3, then you can ask him to shave his hair to conform to that look. Or use Photoshop.

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Female Patterned Hair Loss (FPHL) Diagnosis Made by Biopsy but No Solution to Hair Loss as I Am Losing over 200 Hairs/Day.

A biopsy rules out specific autoimmune diseases in women that causes hair loss but the diagnosis of FPHL is not helpful.

The first step in evaluating hair loss in women, after a detailed history and physical exam, is to rule out any underlying medical causes of hair loss which can be treated. If clinically appropriate, the following disease processes should be considered: anemia, thyroid disease, connective tissue disease, gynecological conditions and emotional stress. Furthermore, over 50% of women going through a change of life hormone fluctuations (menopause) experience significant hair loss. It is also important to review the use of medications that may cause hair loss, such as (but not limited to) oral contraceptives, beta-blockers, Vitamin A, thyroid drugs, coumadin, and prednisone. The following laboratory tests have been recommended to rule out the aforementioned medical conditions.

Some common blood tests for female hair loss:

  • Sex Hormone tests
  • SHBG (Sex Hormone Binding Globulin) used to test status of male hormones
  • Estradiol is a sex hormone
  • FSH (Follicle Stimulating Hormone) *not hair follicle but follicle in the ovary*
  • LH (Luteinizing Hormone) is a sex hormone
  • Free Testosterone
  • Total Testosterone
  • ANA (Anti Nuclear Antibody) used to test for Lupus or other autoimmune diseases
  • TSH (Thyroid Stimulating Hormone) used to test for hyper or hypo-thyroid disease
  • Test Iron status
  • TIBC (Total Iron Binding Capacity)
  • Ferritin
  • Iron

This patient supplied photos. I would want to know more about the tests that I listed above before going forward with any recommendations as problems with some of these tests will not show up on biopsy.


2018-11-01 06:34:12Female Patterned Hair Loss (FPHL) Diagnosis Made by Biopsy but No Solution to Hair Loss as I Am Losing over 200 Hairs/Day.

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Female pattern hair loss vs Chronic Telogen Effluvium

I am in my mid-30s and I have had three hair transplants to address the thinning but they did not work and I am no better. I also had PRP and that also did not give me any benefit. My doctor told me that he wanted to use drugs like spirinolactone and told me about them, but he also said these drugs did not work well. What else can I do?

I never treat women like you with hair transplants when there is diffuse thinning present because it does not produce value for you. The diagnosis sounds like typical female genetic balding and if I am correct, your donor area will show significant miniaturization, which always makes the diagnosis for me. The only treatment is a cosmetic one, the use of scalp micropigmentation (SMP), See these links which show many women who have been treated with SMP and now have a fuller look. https://scalpmicropigmentation.com/smp-for-women/

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Female Mature Hairline?

Is there such a thing a female mature hairline ? It seems quite common for a woman in her mid-twenties/thirties to have a larger forehead than she did in her teens, like Britney Spears or Cameron Diaz seem to have for instance. Or is this just the effect of using hair extensions, harsh treatments and the like over a long period of time ?

I do not believe that there is a maturing hairline for women, but some form of reshaping of the hairline may be seen.

In women who have had considerable plastic surgery, the corners of the frontal hairline often thin so significantly that I perform fill-in procedures for that area. Another possibility is as you suggested — traction alopecia can develop from the tight pulling caused by hair extensions, wigs, weaves, and similar.

Finally, some women are also just born with a higher hairline, and it’s possible that wearing wigs or professionally styled hair made it hard to notice in these celebrities’ younger years.


2010-08-23 14:17:39Female Mature Hairline?

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Female with massive hair loss

I am a 28 year old single female. 3 years ago I started losing a lot of hair, my my estimate almost 70% of my hair. Now I have started multivitamin for the past 3 months and the hair stopped falling out and some regrowth has happened. Shall I get PRP added to what I am doing?

If you have seen value from taking multivitamins, then you may have a Vitamin deficiency and you should get the various blood tests to document which type of problem you have rather than treat it blindly. Doing PRP is just grasping for straws and does not make sense in the absence of a diagnosis and you may be wasting your money or worse, losing hair while you fail to get the right treatment for your ‘unknown’ condition.

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Female: Is finasteride safe for me?

Women who may become pregnant by intent or accident will put their baby at great risk if they take finasteride and then get pregnant


2021-10-12 09:50:03Female: Is finasteride safe for me?

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Female Hormones and Hair Loss

I was prescribed topical estradiol shampoo .05% for hair loss (Bout with TE spring 2004, Hair wasn’t growing back in very well in some areas). Within 3mos. of using this hair is now falling out. Do you have any information on this. My Dr. says that it does not cause hair loss suppose to maintain growing phase longer. Came across a study that says that it can induce hair into telogen. Who’s right? Any help would be greatly appreciated!!!!

Yes, hormones can cause hair loss. Female hair loss is a strange ‘beast’ because our understanding of it is very poor. The best indication of the hair loss impact of your estradiol is the observation that it caused hair loss in your situation. I would suggest stopping it and seeing if it returns. You might have to wait 6 months for reversal.

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Female Hairline Restoration After Brow Lift (with Photos)

I have had a higher hairline since I was a teenager. I always hated it. When I had a face and brow lift at the age of 49, the high hairline became even higher. Is there a simple way of lowering it? Is transplanting the only solution?

The photos below are of a 45 year old woman who, like you, had a high hairline compounded by a brow lift as well.

These first 3 photos are surgical pictures because they show what was missing, the deformities that were there and the problem that was tackled before (the middle and right photos were from immediately after surgery):

This next set of photos were taken after this lady’s 2nd procedure had grown in. The black hair and light skin are the most challenging contrast for hair transplant surgeons, explaining why it took two procedures to get the results you see here. She had a total of 3,508 grafts (in two procedures). Note that the side hair and temples were brought forward. In normal female hairlines the temple prominences often extend closer to the eyes than in men, narrowing the amount of forehead shown. Women’s hairlines, because they are rounded, not recessed, and the temples are important for accentuating femininity, make the work more difficult from an artistic vantage point.

The high hairline bothered her greatly after the brow lift and became unacceptable. The brow lift produced a wide scar behind the hairline (compounding the problem). In this situation, a hair transplant is the correct decision because lowering the hairline and filling in the scar behind the hairline can be accomplished with a single procedure in a person with blonde or white hair, and two procedures with someone with dark hair and light skin. The hairline was lowered by 3/4 inch and filling in the brow lift scar was also accomplished in the same procedure. A brow lift usually takes away the possibility of a hairline lowering procedure.