Month: January 2023

That would not make sense to me. One or the other is the way to go. If the oral is working for you, don’t switch as the expense is considerably different.

Further FUE grafts harvested from the area shown where the previous grafts were removed will eventually make that area bald. The sides are reasonable additional donor source for FUE if this area was not harvested before. Strip surgery may also be possible for additional grafts. A careful discussion with an expert surgeons is critical to evaluate your residual donor hair supply and your Hair Mass Index.

I have psoriasis on my scalp. Do you think it is safe to microneedle? I don’t have psoriasis on my hairline, where i would do most of the microneedling (NW3 now). I’m very inclined to start microneedling, but afraid it might result in new psoriasis spots. Also, how about FUE? I read it might be problematic for psoriasis. Currently torn between the 2 options.

I wouldn’t recommend that you do it, considering the Psoriasis, because of the risks associated with repeated trauma for you can make your psoriasis worse. I have done hair transplant (FUE included) on people with psoriasis and provided that it was not in the recipient area- it was not a problem.

Your donor supply looks pushed. If you harvest more grafts in this areas where it was harvested before, you may deplete the donor area and become bald there. There is a limit to how many hairs can be supplied by the donor area. The safe area for harvesting I defined by the lines I drew (the safe area is between the lines) on the photo but as you can see, some of the grafts were taken from the non-permanent zone. I would not rush to get another hair transplant as the donor area will become more of a problem than the area where you are moving the grafts to fix. You might want to find a doctor who can do a strip surgery for more grafts as the depletion will be less in the areas shown.

first of all i want to thank the doctor for a such great site, and also taking the time to answer some questions.My first question how is easy can a hair follicle be damaged, for example I cut my self shaving my head does that mean that the follicle is damaged? second question is that if you get slapped in the head is that gone make hair to fall out?

Unless it is very deep, cutting your skin while shaving will not cause hair damage. And no, slapping your head will not cause hair loss.

Can frequent, obssesive pulling back of the hair cause traction alopecia at the hairline? I’m a 20 year old male who cannot go past a mirror without pulling my hair up to look at my hairline. If there is a comb available, I use that as well. I do this to the point where the left side of my hairline in particular feels sore. Would you have any pictures to illustrate this sort of traction alopecia?

If you have an obsessive compulsive disorder to constantly pull on your hair, that may cause permanent hair loss to the area (depending on the severity and length of the offending habit)… but just looking at yourself in the mirror and combing your hair back will likely not cause traction alopecia.

It may seem like a chicken/egg conundrum (which came first…), but most men who have frontal recession are likely experiencing male pattern baldness. Particularly men around your age, which is when it wouldn’t be uncommon for genetic hair loss to begin.

If you are indeed worried about your possible hair loss or an obsessive compulsive disorder, you would establish a diagnosis with your doctor.

If my balding is due to one of these: (braiding (dreadlocks), hypothyroidism, iron deficiency, malnutrition, stress, hormone imbalance) can I really be helped without having a hair transplant?

In your case, probably not — but you should correct the medical conditions. You seem to have a lot going on. See a doctor, because an in-person, face-to-face meeting would be miles ahead of internet advice.