I Tend to Form Keloids — Will FUE Give Me Problems? – Hair Loss Information by Dr. William Rassman

hello doctor,
my skin has a tendency to form keloids. i’m considering of having FUE on my frontal hairline. I know that keloid will probably grow on the donating area, but is there any possibility at all that it will form on the recepient area? Your answer is very important to whether I’ll have the procedure or not.

Thank you.

Keloids in the frontal area are extremely rare. In fact, I do not recall ever seeing a case or even hearing from the medical community about this complication. Although an unscientific study, hundreds of doctors were polled some years ago in an audience setting and the results were that not one hand was raised asking about keloids in the frontal hairline. With that said, I would do a few test grafts and wait 6 months or so before undergoing a hair transplant. Better to be safe than sorry.

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Can I Flatten a Keloid in Donor Area? – Hair Loss Information – Balding Blog

i had hair transplantation in 2001. I had only two small patches to cover them but during the surgery i shed too many hairs and now i have a large scar at the back of my head and also have kind of wounds in some of the transplanted areas where scab is formed and i keep scratching those areas(what to do to get rid of these wounds). The scar at the back is like a small Keloid, is there a war to get it removed or flatten with some steroid injection? Also tell me if i can have hair transplanted on the area from where strip was taken so that i can keep short hair and that area remains covered. If it is possible hair from which part of the body will be taken as i dont want to donate hair from the back of my scalp. Chest hair, shoulder hair etc will do the job. Thanks

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Wow, this is pretty complicated. I really can’t give a proper response without at least pictures and I may need to even see you directly to see precisely what needs to be worked with.

Keloids may respond to steroids directly placed into the keloid if it is relatively fresh (past few months). Some people are keloid formers. You can always do FUE for hair transplants. Flattening them does not usually work. In your case, using body hair is a possibility.

Can I Accelerate Male Pattern Baldness? – Balding Blog

is there any way to speed up mpb???? if mpb is caused by adrogens, would using any product that may otherwise cause some form of hairloss speed it up??? acelerate it????
also do you recomend any recomended sleep patterns for men loosing their hair?

Good question. Although the mechanism of hair loss in men is known to be hormone related, there are many other factors that can accelerate your hair loss, including:

  • emotional changes and stress
  • major medical condition
  • major surgery
  • inflammation of skin
  • nutritional imbalance
  • steroid or steroid-like drug use
  • extreme dieting
  • hair transplant surgery

Having said that, most of those conditions never cause permanent hair loss if you don’t have the genetic susceptibility for it.




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Experiencing Shock Loss Months After My Hair Transplant – Hair Loss Information by Dr. William Rassman

Ok here’s my situation, about 7 months ago I got about 1400 grafts performed. The standard strip style surgery. I’ve healed up well and I would say less than 2 months after surgery the hairs immediately started to grow. I also started propecia right before the surgery. I experienced shock loss immediately after the surgery and it ceased about 2 months after. I shaved my head completely and my hair grew in like crazy very thick and flowing. About 4 months after the surgery my hair started to fall out again and has since been falling out and progressively getting worse. I apply rogaine and copper peptide solution daily and am not doing anything any different. What can you suggest as a course of action?

Because of the protective effect against shock hair loss, you should’ve been taking Propecia (finasteride 1mg) prior to the hair transplant surgery — so the question now is whether you started it early enough (best a few weeks before the procedure). Accelerated hair loss associated with a hair transplant is most probably caused by shock loss. One must use the history and the association to point to the cause. You might be going through a hair loss cycle unrelated to what you are doing and there may not be anything you can do except to wait for your hair cycle to take its course. If there was a considerable amount of miniaturized hairs, then you would be a ’set-up’ for shock loss. Studying your hair miniaturization and distribution may point to more information in helping to make a diagnosis, but as I am not your doctor, I have no access to your patient records and can’t provide much more help than suggesting you post these questions to your doctor.

It Feels Like Something Is Moving In My Scalp – Balding Blog

Hi doc,

I am a 26 year old black female and I have been experiencing hair loss. For the past year or so, I’ve noticed that my hair has been thinnning (front of scalp), and then lately, I’ve notice
white clumps around my hair shaft. And sometimes, I would feel as though something is moving in my scalp (not lice). And its getting worse. I have set an appt. with a dermotalogist, but I
doubt it they will find out what’s wrong with me. I’ve tried everything and nothing seems to help. I wash my hair every week and I get a relaxer every 4 months. I would greatly appreciate
your advice-thank you.

You need an examination. Parasites like lice are a primary diagnosis, but your visit to your dermatologist is the right first step.




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My Hair Turns White Then Back to My Natural Color – Hair Loss Information by Dr. William Rassman

Hi, I’m 22 yr. old female, and I’ve had a few strands of white hair since I was like 15 yrs. old. The thing is the white hair doesn’t start growing in white immediately. First it grows in my natural hair color, then turns white, the afterwards it turns black again. it’s really weird, And i used to pluck it but now since only the root of its white, i don’t even bother anymore. what does this mean?

First of all, plucking of the hair is not good as it eventually kills the hair. I have heard of dark hair that lightens (sun causes bleaching of the hair), but I have never heard of hair that turns black after first turning white (other than in a person with hormonal altering brain tumors). My first reaction is wondering what are you doing to your hair to cause this phenomenon. Unfortunately, I have no advice for you as this is a new one for me.

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My Transplanted Hair Started Growing Immediately – Hair Loss Information by Dr. William Rassman

I had a hair transplant surgery 3 months ago. Immediately after my hair transplant,and im talking about the 1.5 to 2nd month, i realized my hair to grow up as now im on the 3rd month and my right hairline is covered with hair, something that does not happen on the right. My doctor also had confirmed this with me in front.My question is, is it guaranteed that my hair where the transplanted area is will continue to grow and generate new hair until the 6-8 month as expected?is there any chance to stop growing from now on?

Thanks

Some hair will grow immediately in about 5% of patients and 5% of the hairs. You might still see more over time, but not more than 100% of what was transplanted. Nobody ever gets two for one.

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What If I Try Rogaine and Propecia, Then Phase Out Rogaine Gradually? – Hair Loss Information by Dr. William Rassman

Dear Doctor Rassman:

I’m 28 and have noticed a rather rapid hair loss on top, behind the hairline. I’m scheduled for a miniaturization study next week. I’m afraid of the 6 month gamble on Propecia only-the one you recommend, particularly because hair loss seems so sudden and fast. What if I use Rogaine and Propecia simultaneously and if and when hair loss is reversed-say a year from now-gradually phase out Rogaine? Would my body be able to tell which hairs owe their existence specifically to Monoxidil and I lose the benefit I gained from it and keep only the hair supported by Propecia? Thanks.

The mechanism of action is different for finasteride and minoxidil. If you use both and receive benefits, then stop using Rogaine, you will lose any benefits from the Rogaine. It isn’t possible to tell which drug gave which benefits, which is why I recommend starting with one and then adding the other if necessary. Propecia does not keep hair grown by minoxidil and vice versa.

In other words, what you’re suggesting is not a good idea.

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Hair Loss InformationHypothetical – Hair Cloning Scar Repair – Hair Loss Information – Balding Blog

I’m definitely hoping that hair cloning will one day be a reality, but my question is, even if I opt for a hair transplant today, doesn’t mean I cannot benefit from hair cloning in the future when it is available right? the cloned hair can simply be planted back into the donor area?

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Hair cloning is still in its infancy and we do not have much information about the process of a hair transplant with cloned hair, but I believe you are right and if it becomes available we should be able to transplant cloned hair anywhere that we do with conventional hair transplants now. Currently, we can transplant hair into scalp scars of any kind, including the donor scar in patients who have an unusually widened scar. The process should not be different with cloned hair for all types of scar tissue.