12 Year Old Daughter Has Bald Spots Since Birth
My daughter is 12 years old now, and when she was little and her hair finally grew in, she had a bald spot right in the center of her head. Her doctors told me not to worry about it, but I awalys have. I thought as she got older her hair would get thicker, but it never has. Yesterday, my daughter show me another spot on her head which is almost bald, I called her doctor, to find out what to do. She is doing research as I write this to you. I was hoping for anything you could share with me. My daughter is so upset and I can not comfort her with any kind of reasoning. Please get back to me. Thank you.
This is a situation where face to face discussion and examination is critical. This is not an internet problem. You need a skilled doctor (dermatologist in your area) to examine her and then render an opinion. If she is upset, not taking her to a good doctor does more damage than need be.
100% Donor Scar Elimination?
Dr. Rassman,
Do you think that 100% elimination of donor scars will be possible in the future? Technology is always improving and it seems like scars could be emliminated. Are there any other possibilities other than Juvista and Acell that are being researched? Thank you for all the helpful information.
Scarring happens as a result of all surgeries. There is no such thing as 100% elimination of a scar and treatments like Juvista and Acell will not dispose of scars entirely. The key to dealing with scars is to keep them very, very small. In the case of a donor scar, it can be as small as 1mm wide naturally in good healers, or reduced to that level on occasion. For bad healers, there really is no solution. By “bad healers” I mean those people who stretch their scars after the wound has healed.
Techniques such as the trichophytic closure repair of a wound in the donor area works well in many, but not all patients. For more info on the trichophytic closure technique, see here and here.
15 Year Old Wants to Grow a Full Beard
Hey, I just have a few questions that everyone gives me different answers about, and I would really like to hear the right answer. First, I am 15 years old and am trying to grow a full beard. However, only some hairs grow and the others don’t. Will it take a few months for them to develop into a beard or should i quit and wait a few years because i hate the somewhat-beard look? Also, I have a little bit more hair than normal above my shaving line on the cheekbones. I have not shaved it off, but can I or will that make the hairs come out thicker and worsen the situation? Or should I just ignore it and it’ll get better over time? Appreciate if you could answer my questions. Thanx
The ability to grow a full beard will depend on your genes. If you are not destined to have a hairy face, then that is your fate. Look at your father, his father, your brother, and your uncles and you will get to see what you probably have in store for you. Beards take time to grow out and in boys of your age, it is not uncommon for the beard to be patchy. Mine did not fill out until I was in my early 20s and now it is much too full for me. There is no way to make your hair come out “thicker” or faster.
12 Days After Transplant And Hairs Haven’t Fallen Out Yet
First – thanks for a wonderful blog!
It’s been 12 days since the transplant procedure and while almost none of the transplanted hair have fallen out yet, much of the transplanted fat tissue (I assume) is still clinging in small beads to the hair. Is this the “crusting” that many people write about? Any suggestions as to how to remove it – or is it just a matter of time before it comes off.
Also curious is that the small hairs have not fallen out yet… assume this is normal and just be patient and wait for them to fall out? Seems like the key to this whole process is to get on with your life and check your head in 8 months!
The crusting by this time can be removed by washing and then with the hair wet for a good 10 minutes, layer conditioner on the crusts and let it sit there about 10 minutes. Then, gently with your finger tips, rub these crusts — you should see them fall out. There is little danger in losing the grafts at this stage in time as long as you are gentle. The little hairs will generally fall out between 10-25 days after the surgery.
12 months on dutasteride and oral minoxidil
12 Days After Hair Transplant (with Photos)
I wanted to show some 12 day post-operative photos of a very early Norwood Class 5 patient after one procedure of 1588 grafts. I get a lot of emails from people ask me what they can look like with good post-operative washing, and this is a good example of one such patient that kept the recipient sites clean. While there is still some slightly visible redness, he is less than 2 weeks out of surgery and this should subside soon enough.
Click the photos to enlarge.
After
Before
13 Year Old’s Crown Hair is Shorter Than the Rest of the Scalp
the hair in my crown area is short, not bald but shorter than the rest of my hair. everything else is fine. im only 13 and i dont want to be bald, especially at this age.
is there something wrong with me? and if there is how can i fix it?
I have yet to see a healthy 13 year old bald young man, but I can’t say if there’s something wrong with you. We haven’t established whether what you’re seeing is actually even hair loss. Perhaps you had a bad hair cut? Sometimes if you look at yourself in the mirror or woke up from sleep with bed-hair, your crown area can look thin. This does not mean you are balding. I’d give it some time and let the hair on your crown grow longer.
You should see a doctor for a mapping of your scalp and hopefully the examination will not show miniaturization in the crown. Get your parents involved and let them know what you’re going through. It could just be that you’re looking for something that isn’t there.
11 months minoxidil, finasteride and microneedling (photo)
12.5% Minoxidil?
Hello. I recently came across a website claiming to sell Minoxidil 12.5% solution. Do you know if this is legit? I haven’t heard of the FDA approving such a solution, and if it is available on this one particular site, why isn’t it available at major drug/retail stores? Also, same question for 5% minoxidil solution w/out propylene glycol (which irritates my scalp)also “allegedly” available at this site. I just don’t want to get scammed if I do decide to purchase either of the above products. Thanks a lot for your time and information.
Note: I can’t really answer your question, as I have not researched the FDA issues and am just pulling from my general knowledge on the laws by which I practice under. That being said, I’m willing to take a stab at it…
Doctors have the ‘power’ to mix up medications for their patients under many state laws. These do not have to be FDA approved because they are not bottled and sold to the public. The FDA does not get into protecting one patient from one doctor, just lots of people from medications. The doctor should generally use medications that are safe and effective and if one doctor is producing 12.5% minoxidil, I would suggest that this doctor has special knowledge on the safety and effectiveness of this drug. Higher and higher doses of minoxidil can drop blood pressure, so it is not without risk when and if it is used. The same applies to the use of propylene glycol in the mix.
A couple years ago, I had a reader write in with a question about 15% minoxidil he could buy from his doctor, so apparently that is also available in some places. I don’t concoct my own minoxidil mixtures, so I’m not unfortunately not the most knowledgeable about this.

