A Couple Months After My Transplant, My Scalp Was Exposed to the Sun

A week ago my grafts were exposed to the sun for approximately 10 mins. I didn’t burn but I did go slightly pink most noticeably on my right temple. To be honest I didn’t worry about it at all at first as from what I gathered from researching previous posts here your pretty much safe up to a first degree burn.

Over the last couple of days however I’ve lost a few newly sprouted transplanted hairs where the discolouration is on my scalp. In fact they emerged just before I was exposed to the sun so only 1 week old. I’m slightly concerned as I assume the only reason this would happen is if the follicles were going back into a resting phase or if they have died.

Is it possible sun exposure can cause follicles to shed but then regrow? I’m 9 weeks post op and had just experienced some early growth about week 7/8. Your opinion would be greatly valued.

I wouldn’t think you have anything to worry about regarding your sun exposure. I don’t know why your newly emerged grafts disappeared, but 10 minutes in the sun will not harm the follicles and I doubt it will affect your scar. The ultraviolet light is what you want to avoid, so in the future I’d recommend applying sunscreen to your scalp (SPF 45 or higher).

If you are still worried, follow up with your doctor.

96 Percent of Men on Propecia Have Persistent Side Effects?!

Hello Doc,

Please go through this ridiculous article in Yahoo.

Link: For Some Men, Propecia’s Sexual Side Effects May Be Long-lasting

Please tell me what you think.

Thanks

There are a great deal of claims that may accurately reflect the patient example, however, the documentation and balance of the presentation is poor and heavily biased. Read it accordingly.

It’s worth pointing out that this recent hysteria is just based on interviews with 54 men, where the participants reported their own issues after stopping the medication. Even more important is to note that these men were recruited from PropeciaHelp.com, an anonymous web forum where men post about problems (real or otherwise) they have from the medication.

The surprising 96% figure gives the media a good, scary headline to get people interested in watching or reading their report. For example, I just saw a quick 20 second segment on my local morning news that said “96% of men have persistent side effects”, but provided nothing else beyond that. It’s very alarmist and misleading.


2012-07-13 10:13:1596 Percent of Men on Propecia Have Persistent Side Effects?!

A bad experience with a hair transplant consultation

A brief rundown of my first ever consultation. The whole thing lasted less than 30 minutes. I filled out a couple questionnaires and then met with a “counselor.” They estimated I was a great candidate due to limited loss and strong donor hair and I would need 1500 or less grafts with FUT.

I asked about aftercare, and was told about a laser cap I should wear 6 minutes a day. I asked about Fin and was told not worry about side effects. I asked whether my thick back hair would blend with my finer front hair, was told that all transplants are the same way and not to worry.

I was told 1500 grafts would cost me around 7500, as long as I picked a date in the next two months while they had a promotion. They needed a $1000 deposit which I’d lose if I cancelled more than 2 weeks before the surgery date.

I was told that less than 5% of patients need a touch up afterwards.

I paid the deposit and left. Quickly I felt that I had been had, the whole thing was super high pressure sales, and though she said otherwise I’m pretty sure this “counselor” worked on commission.

I did not meet with an actual doctor, and the counselor did not get up from her desk so never got a close look at my scalp. I was told I would have the doctor consultation on the day of surgery, and I realized that does not leave me any time to consider the decision after being given actual medical advice.

The counselor didn’t advise me whether I should be starting fin or anything else before the surgery.

I was told FUT was better than FUE/ARTAS because the robotic method is not as “artistically sensitive” to the angle of the root and you get less hair per graft.

I was told the doctor they use is normally in Beverly Hills and is one of the top 3 in the country. But when I searched for reviews I couldn’t find anything.

I feel a little depressed because I guess I was thinking by the end of this year I’d be sporting a full head of hair and got excited. Now I feel like a bit of a fool.

In my practice, you never meet with a salesman, only either myself of my partner Dr. Pak. Since we do the surgery and all of the consultations, we understand the process from the beginning to the end. We spend close to an hour with each new patient, perform an extensive examination and build a Master Plan for the patient’s short and long term future. We try to predict the final pattern of hair loss using the HAIRCHECK instrument which then allows us to understand the donor supply and the eventual balding pattern. You should demand nothing less than what we offer, regardless if which doctor you end up seeing. We offer monthly Open House Events where you can meet former patients, see a surgery and get a free consultation with either me of my partner. That is just being a good doctor. Our reviews can be found on Realself, and Yelp for everyone to see.


2019-02-25 07:35:30A bad experience with a hair transplant consultation

A Bargain Hair Transplant? Not Quite! (with Photos)

The following comes from Dr Paul Cotterill in Toronto, Ontario, Canada:

Here is an example of why proper training and regional workshops are a pretty good idea:

I saw this patient in my office yesterday that was referred to me for assessment. This 38 year old fellow ( Class IV-V ), had a transplant 4 weeks ago in Ludhiana, India. He felt that the procedure didn’t go very well.

On examination the crown had been transplanted with 60 – 65 punch grafts that were 2-3 mm in diameter and the distance between grafts was 1 – 1.75 cm, very irregularly, across the crown. Peri-folliculitis was evident and residual crusting on some of the grafts. There was up to 7 hairs in some of the grafts. The grafts were removed via FUE from the occipital area. The procedure took 1 hour and he was told to return next month for a second session of the same. The cost – $500.00 for both sessions.

I have swabbed for C&S what I could, cleansed the scalp, started an antibiotic and suggested Propecia, with follow up in 1 week. He would like further sessions to the crown. He needed a proper consultation as to planning and the consequences of starting the crown in a 38 year old with certainly further thinning in the future. Further sessions at this point are unwise. I will be following up with him closely.

Dr. Cotterill has given me permission to repost these photos. It is unfortunate that people treat a hair transplant procedure as if they’re just getting a haircut. This is surgery! You want to do your research and know what you’re getting into. How could anyone recently get the old, ugly plugs of decades past? It’s disturbing on many levels. So he only spent $500 on 2 sessions to get this look. Now how much time and money will he have to spend to try to undo this foolish mistake? A bargain indeed.

Click the photos below to enlarge.

 

A Few Years Ago a Bald Spot Appeared at My Hairline…

A few years back I lost hair in a small area on the front of my scalp. My hair has not thinned anymore or anywhere else. Just this one spot on the front on my scalp, almost like a receding hairline but only one one side? What could it be?

You need to get a good doctor to look at it. There are many things that can cause a single spot of hair loss and a good dermatologist should be able to make that diagnosis for you.

A Chemical May Help Cure Alzheimer’s Disease

Resveratrol, found in wine, actually in the grape skin, might help in the fight against Alzheimer’s Disease The skin of the grape is a potential treatment for a variety of age related disorders, reported from the Georgetown University Medical Center in Washington DC. In the disease, amyloid-beta protein is deposited in the brain and is associated with this disease, but in a study of 119 people with mild to moderate disease, taking 1 gm of resveratrol twice a day for a year, researchers did not see a significant accumulation of these amyloid-beta deposits. The study is small, so few conclusions can be drawn from this, but there seems to be no harm in taking this drug in these doses, so maybe it is worth a try in those who think that it might help their brain function, particularly if they or a member of their family may have this awful disease.

A Few Weeks After Switching from Finasteride to Avodart, I Saw Major Shedding

Hello Doctor,

My question is: Ive been taking proscar 2.5 mg for a while with good results, after some time i felt that it wasnt working that good anymore. Regardless, one day i visited a local hair surgeon and after a brief talk about surgery the discussion moved on to hair medications, which he told me that i should switch to avodart (which he’s taking as well) so i did.

The first few weeks was awesome, after that i am experiencing major shedding which continued for the past 2 months (i’ve been on it for 2 1/2 months) so i dont know whether to switch back to finasteride or wait to see what happens with the avodart?

Honestly, you need to ask your doctor. This is a prescription medication that I did not prescribe to you. I can’t tell you whether you should switch between medications. Sorry.

avodart, dutasteride, finasteride, propecia, hairloss, hair loss

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A doctor gave me finasteride but I am not sure I want to take it

I have a good amount of hair, but I noticed my temples receded just a little bit. I’d consider myself maybe a NW 1.5. I went to a dermatologist last Friday and he agreed that my temples had receded and offered Finasteride. I agreed. Now that I have the medication in front of me, I’m having second thoughts. Am I really losing my hair or no? I wish I had a magic way of knowing if I am going to go bald or if my hair will never recede past this point. I’m afraid if I take Fin, it will create a problem. Like if I stop taking it, I will go bald. Even though I may not have if I never took it in the first place. My dad’s side of the family all have hair. My mom’s side is iffy. Grandfather on my mom’s side had hair before he passed. My grandmother on my mom’s side has some bald/balding brothers. My uncle on my mom’s side has hair but it has receded. Last few days people have been telling me “you don’t need fin, you have nice thick hair”. So I’m just conflicted on what to do.

Before committing a lifetime on finasteride, get a HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) to get a metric on your balding process. You must know where you are starting and where you are going on the treatment plan.


2021-02-05 09:39:20A doctor gave me finasteride but I am not sure I want to take it

A former patient of mine came in to see me today (photo)

He asked me if I knew how he selected me as his surgeon some 20 years ago, so when I said no, he went on to tell me the answer. The day he came to my office, he recognized two of the most famous producers in Hollywood sitting in my lobby. He knew that I would then be his surgeon, a decision he never forgot. He had two surgeries with me totally 4025 grafts. He send on his four best friends to see me as well. The hair they got from me makes them happy today, 20 years later. I tell my patients that you don’t want to take chances with results, because when happens to you everyone will see for the rest of your life. You don’t want to (1) have it failed to have it redone, (2) to have it done poorly so that others can tell you had a hair transplant, (3) have it done without a future plan so that as the genetic hair loss progresses, you don’t have enough hair left to follow the loss as you get older. His before and surgical pictures are show here as well

 


2019-10-26 11:20:23A former patient of mine came in to see me today (photo)