Author: Dr. William Rassman

Well, my dermatologist just looked at my hair and said I have androgenic alopecia. The thing which is troubling me is that she didn’t take any tests. And again, I don’t have a family history of hair loss. So I don’t know why I’m suffering from mbp.

See another doctor who specializes in hair loss. You can find them on the ISHRS.org website. I would look to find a local doctor from that site. You need a real examination and don’t need to live in fear.

This bald stop, if only 2 weeks old, should be examined by a dermatologist. The dermatologist will look for Exclamation Mark Hairs, which might point to alopecia areata as a diagnosis. Maybe it is possible that you have had this for some time and just noticed it which then could be male pattern balding’s first presentation

Scars like this are usually the result of an overly aggressive surgeon who removed a strip too wide, and the tension may have been too high when he closed the wound. Alternatively, a very elastic collagen is present in some people which can produce stretching of the wound. In this case, the wound reflects your genetic make-up with regard to the way you heal. The best treatment for this is Scalp Micropigmentation (see here:https://scalpmicropigmentation.com/scar-covering/). Sometimes, with scalp exercises, you can loosen up the scalp enough to try to get the scar removed. During that time, the surgeon would perform a trichophytic closure which will help obtain a better scar. If your scalp is not loose enough, a surgery will not work.

After a hair transplant, some people develop these yellow pustules as a reaction to the retained hair spicules in the scalp left over from the transplant. These spicules are a foreign body, so your immune system isolates them and pushes them out by draining them. If you only have a few once in a while as you said, it is best treated with warm soaks. This will cause the pustules to ‘pop’ open and drain spontaneously. This problem rarely occurs after the first 3 months following a hair transplant.

These lumps may be caused by buried grafts that were pushed under the skin of the donor area at the time the FUE was done. These, if they get infected or are painful, should be excised surgically. Here is an example of buried grafts that was removed after an FUE was incorrectly performed. If you look carefully at each lump, there are hairs and grafts inside the lumps.

The pictures show that you were probably thinning in the area that is now devoid of hair, so the cause is likely due to the progression of the hair loss into the sides. Another hair transplant into this area will solve it; however, be careful that your doctor does not over-harvest your donor area or you will have a new problem – a see-through donor area with possible donor site depletion as shown many times in the RealSelf posts. Your donor density must be close to its harvested limit with an FUE procedure (assuming that you had an average donor density prior to your FUE transplant) so a strip surgery may be safer. You should make sure that your surgeon measures your donor density prior to making the recommendation for FUE or strip surgery.

Doctor, how does DHT affect the eyebrows? Im 18, balding, and have noticed that i can pull out 4-5 eyebrow hairs in one small tug. Am I loosing my eyebrows too? Can propecia stop this as well?

Well, for starters you should stop pulling on your eyebrows!

I do not believe DHT affects eyebrows as it does scalp hair. Remember, the main reason for hair loss (male pattern baldness) in only partly about DHT. Yes, DHT is responsible… but the main reason for male pattern hair loss is your GENETICS interacting with DHT. Eyebrow hair is not part of the male balding process, and as such, Propecia will likely not do anything to help your eyebrows.