Hair Loss InformationIn the News – Cold Caps to Help Cancer Patients Keep Their Hair? – Hair Loss Information – Balding Blog

Snippet from the article:

A handful of San Francisco breast cancer patients are donning frigid skullcaps to test a device designed to keep hair tightly rooted during chemotherapy. Researchers hope the study, run by UC San Francisco and Wake Forest University in Winston-Salem, N.C., will eventually lead to Food and Drug Administration approval for the chilly caps.

There is now no way to hang on to one’s tresses during chemo for any kind of cancer, says study leader Hope Rugo, an oncologist at UCSF. The prospect of baldness is distressing to many patients, particularly women. Some choose a less-drastic drug regimen more likely to leave hair follicles alone, potentially at the cost of getting the best possible treatment. It’s a fact that women frequently make treatment decisions based on risk to their locks, says Rugo’s colleague Michelle Melisko, another oncologist investigating scalp-cooling systems.

The caps’ low temperature, 41 degrees Fahrenheit, keeps poisonous chemotherapy drugs out of the hair follicles. But some doctors worry that in so doing, it makes it more likely that cancer will take root in the scalp.

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Read the full story at the LA Times — Cooling caps tested to help cancer patients keep hair

Freezing the scalp to prevent chemo-related hair loss has been around for 30 or more years, though it doesn’t work for everyone and most people will still see some loss.

On the bright side, the article points out that “the results from 53 studies using various devices and methods were mostly positive“.

Hair Loss InformationCan Stress Cause a Child’s Hair to Stop Growing? – Hair Loss Information – Balding Blog

My 4 year old has blonde hair and in the last year I have noticed that the hair on her left side has seemed to stop growing. It appears to have a different texture and feel to it and i often notice in the morning after she sleeps that it is pushed forward, but it doesn’t seem to go back easily. On that side of her head she seems to have more broken ends and shorter pieces. Is this a concern? In the last year and half we have moved and she had a brother born with a Congenital heart defect with a lot of needs in the beginning of his life, could it be stress?

Thanks

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I would not look at stress as the cause of your daughter’s hair loss/abnormal hair growth. See a good doctor, possibly a pediatric dermatologist if you are in a big city where such a specialty may be found.

Hair Loss InformationHair Transplant Pricing, Wigs and Hairlines, Time Between Surgeries – Hair Loss Information – Balding Blog

I am sorry to ask so many questions and I did try and search for the ones I have. If they are redundant, I apologize. Also, if you could keep my info as anonymous, I would appreciate it.

  1. For pricing is the $6 for 2,500 and $2.50 per session or per patient. As in: If you do 2,800 one session and 2,900 another. Would I still be paying $6 for 5,000 over 2 sessions or is it $6 for the first 2,500 and $2.50 for the rest, no matter how many grafts or session I have after?
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  3. Second, I know you can’t technically answer this without a master plan. But I am going to be 23 in a couple months and my hairline is shot/receding pretty bad. I’m quickly starting to realize I may become a Norwood 3 to a 6. I’m still not sure yet. Anyways, no matter the Norwood I still want to start building a strong hairline. I’m impressed with the wig technology now, except for one thing…the hairline. If I would get an amazing hairline back and then wear a piece to hide the rest until something logical comes by, I think that would be the best option right now. If I saw you and you said I was a good candidate for this would you say this is a decent plan?
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  5. Theoretically speaking, if I got one surgery with 2,800. Do I have to wait for the 2,800 to completely grow in the 12 to 18 month span to get another or could I schedule another session closer to the other a couple months later.

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TaxiI believe there is confusion with respect to the NHI surgical fees. That pricing applies to traditional strip surgeries performed by us in our Los Angeles office. The standard fee is $6 per graft up to 2500 grafts. Anything beyond 2500 grafts would be charged at $2.50 starting with the 2501st graft. So graft #1-2500 are one price, #2501+ are lower. Like a taxi ride, the meter starts all over again on the next trip.

Some men (who are completely bald) choose to have hair transplants in the frontal hairline so that they can wear a wig on the top and still keep a natural looking hairline. It could be a decent plan for you.

Generally, patients need to wait about one full year before they can have another hair transplant surgery. This is because we need to assess how the new transplanted hair has grown and also to make sure the donor scalp has returned back to its flexible/elastic state. Some people can accelerate that timeline to 8 months.

Hair Loss InformationPropecia Halted My Hair Loss, But My Doctor Said Avodart Has Better Results – Hair Loss Information – Balding Blog

I’m a 24 years old been on Propecia for 2 1/2 years. Dr. Bernstein told me back then I have early frontal loss. I’m a NW2 but the corners & center of my hairline and my mid anterior are thinning. Ever since being on Propecia my hair loss remained exactly the same as then. So it halted it completely at least to my eyes.

I’m thinking of getting on Avodart since it has usually better results my dermatologist said, but I’m worried if I were to get side effects and get off and go back to Propecia, will my hair return to the way it was on Propecia (if I gain more hair on Avodart that is) and will the side effects go away or will I need to stop a DHT blocker completely? I have zero side effects on Propecia except I remember the first week I had a super high sex drive which passed!

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In my practice, I rarely recommend Avodart (dutasteride). It’s not FDA approved for treating hair loss, and there is the potentially higher risk of negative side effects, such as libido loss and erectile dysfunction, than that of finasteride. Plus, we are still unclear about sterility issues with Avodart, as there are suggestions that this may be a problem in a small number of patients. If you’ve seen good results with no side effects from Propecia, why push it by taking a much stronger medication like Avodart?

I don’t know for sure what would happen if you switch from Propecia to Avodart and then back to Propecia (or vice versa). I’ve received emails about it over the years, but each person is different.

Hair Loss InformationReader Says All Effective Hair Loss Treatments Are Potential Carcinogens – Hair Loss Information – Balding Blog

I hypothesise that ALL effective hair loss treatments are potentially carcinogenic in vulnerable individuals. Literally ALL of the factors which are being upregulated to result in HAIR GROWTH, are also factors which are all upregulated in CANCER.

Think about it, Chemotherapy often results in hair loss. Why is this? It is because it is doing the exact opposite to what Hair growth treatments are doing. For hair growth to occur there has to be complex release of various substances, and cell proliferation. On a simplistic level (and there is sooo much more to it), cell proliferation is going to increase the chance of carcinogenic cells developing. Chemotherapy causes CELL SENESCENCE (cell death) which is why the hair falls out. To cause cell senescence various substances, growth factors, etc have to be DOWN REGULATED. These are the very same substances which are UPREGULATED in hair treatments.

eg. Minoxidil: Minoxidil is a potassium (K+) channel opener. The opening of K+ channels causes cell proliferation. Role of Voltage-gated Potassium Channels in Cancer

Laser Helmet – works by opening K+ channels. Spiro is especially lethal – Oestrogen agonist in breast. Tumours in rats. Upregulation of ALL the factors linked with cancer and what helps it proliferate, eg VEGF, EGF, FGF, MMP, and on and on.

Activation of SRC Tyrosine Kinase — From wiki: Tyrosine kinases add phosphate groups to the amino acid tyrosine in the target protein. They can cause cancer by turning the receptor permanently on (constitutively), even without signals from outside the cell. And specifically SRC Tyrosine Kinase.

What are your thoughts on the cancer – artificially induced hair growth link?

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Life has its risks. Do you know how much radiation you get when you fly across the country in a commercial aircraft (see here)? Regular flights may increase the risks of a variety of cancers, but if your quality of life means that to bond with your family you must fly to the other coast, would you rather stay safe and lock yourself in the basement where the radiation levels are much safer?

We all have decisions in life, and with regard to hair, the various treatments available to prevent or reverse hair loss have not been shown to be carcinogenic. It’s your choice!

Hair Loss InformationIn the News – Female Hair Loss Causes – Hair Loss Information – Balding Blog

Snippet from the article:

In most cases, the cause is a genetic condition called androgenic alopecia, which is when hair follicles shrink because of a loss of estrogen and/or increased sensitivity to testosterone. Unlike men, who tend to experience androgenic alopecia as receding hairlines, women generally get thinning at the temples and the tops of their heads.

Once it starts, it usually gets worse, so it’s best to seek treatment earlier on when there’s more hair to save, Redmond said. Androgenic alopecia strikes some 25 percent of women in their 20s and 30s, and more than half of women over 45, when estrogen levels fall, he said.

Other possible, though rarer, causes of hair loss include alopecia areata, an autoimmune disorder in which the body attacks the hair follicles, causing patchy round bald spots. It affects less than 1 percent of the population and typically appears in the teen or young adult years.

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Read the full text at Chicago Tribune — Why do women sometimes lose their hair?

These types of articles get published by a major newspaper every other month or so, and while they’re good reminders about the causes of female hair loss, they don’t offer any new solutions. There are so many possible causes of hair loss in women that it’s difficult to determine why you’re thinning at first glance (unlike men, which have genetics to thank in the great majority of cases). There’s a partial list of those possible causes here.

Hair Loss InformationIn the News – Claims of Severe Side Effects from Propecia – Hair Loss Information – Balding Blog

Snippet from the article:

Young men could be risking their sexual health by taking a commonly used anti-baldness drug, claim some doctors. They say finasteride, sold in the UK as Propecia, can cause serious side effects and isn’t adequately labelled.

A quarter of men in their 20s show signs of male pattern baldness, with six and a half million males in the UK affected. Propecia manufacturer Merck says it continually monitors the drug’s safety and has updated the label.

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Read the full story at BBC — Baldness drug Propecia ‘risking men’s sexual health’

PropeciaI always worry when a single case is put forth as a typical example of a problem. I do not doubt this young man could’ve seen some side effects, but I would think that this is a very rare example if it is true. I do doubt the long term impotence reported, however. Propecia has a half life of 4-5 hours, which means it is out of the blood stream in a day. Tissue fixation of the drug may last for up to a week, but by then, all of the effects of the drug should be gone. Unfortunately, the report gives us little insights into objective evidence for the ED that doctors would explore, such as nocturnal penile tumescence studies, to substantiate if the problem is real or psychological.

I’ve received a lot of emails about this article already, so I know it’s making the rounds. The problem for all those interested in finasteride is that these stories become viral on the internet, resulting in waves of panic for those considering the decision to take it. We each have choices in our lives, and the risks vs the value of such a drug is a decision each of us should make.

For what it’s worth, the young man in the article did say that the drug reduced his hair loss. I am not suggesting that it is worth losing your sexuality to keep your hair, but there may be more to this story than the article seems to want to point out. As I’ve mentioned before, one of my sons is on Propecia and his hair loss stopped (and even reversed a little) since he started to take it.

Hair Loss InformationLaser Hair Therapy Study from ISHRS Meeting – Hair Loss Information – Balding Blog

ISHRSI was flipping through the current Nov/Dec issue of the Hair Transplant Forum International (a print newsletter for the hair transplant industry) and wanted to share something I read. Dr. Paco Jimenez, the co-editor of the Forum, reviewed three oral presentations from the International Society of Hair Restoration Surgery (ISHRS) meeting in Boston a couple months back. His brief review of Dr. Hugh Rushton’s presentation on the efficacy of the laser hair comb therapy caught my attention.

Dr. Jimenez writes, “In this study Dr. Rushton found no differences between the laser treated side and the control side regarding length, density, and diameter of the hairs. The interesting aspect of this study is that I believe it to be the first well-designed blinded study I have come across in which the methods used for hair analysis and the hair counting could not be called into question.

It is important to call a spade a spade and with good science behind it, that is the best we can do.

Hair Loss InformationHair Quality and Density – Hair Loss Information – Balding Blog

Hi. Enjoy reading your blog here.

29 year old male that is noticing what appears to be thinning in the crown area. I have very long hair, shoulder length. (not cut in a few years) Not really bad thinning yet, or necessarily noticeable to others than me… but certainly seem to have less hair there than on the sides of my head. Not crazy.

What I’m trying to figure out is hair quality. From the thinning area I have plenty of hairs that are every bit as thick as the stuff on the side of my head. In fact, some of them are thicker. A few thinner, but not many.

Would it make sense that hair quality could be similar… yet one area has much more coverage? I should think that I would find more evidence of miniaturized hairs in my thinner area. Maybe I’m just missing them?

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I’m a little confused by your question, but if you are searching for a diagnosis you should see a doctor who can examine you and even conduct a miniaturization study at various locations on your scalp, as well as a hair bulk measurement if your doctor has the tool available.

But you even state that your thinning is “not really bad” and not “necessarily noticeable to others”, so anything is a possibility. Some areas of the scalp may have less hair density and more miniaturization. That in itself may be what you are seeing.