Author: Dr. William Rassman

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Fear of Hair Transplant Surgery Two Weeks Away (from Reddit)

Most of my patients actually enjoy the surgical experience. We use drugs to bring the patient into a light sleep and then perform the local anesthesia, so they don’t feel it. I always tell the patient to think about taking a trip to Hawaii. Last week, a patient told me he preferred Cancun, and when I was doing the surgery he was moving like he was dancing. It made the surgery a bit more difficult, but at the end of the surgery, I asked about his trip to Cancun and if remembered dancing at the beach. He said he somehow went to Hawaii but did remember that he was dancing with beautiful women at the beach in Hawaii. We all laughed. Don’t worry, the surgery will be a great experience.

 


2018-07-19 05:33:09Fear of Hair Transplant Surgery Two Weeks Away (from Reddit)

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Female Eyebrow Restoration After Cancer Surgery (with Photos)

This woman lost her eyebrows after multiple skin cancer surgeries. She had one procedure of 95 grafts into the eyebrow area. She told me that she cuts her new brows short every other day, and absolutely loves the results.

Click the photos below to enlarge.

Before on left / After on right:

 

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Female and I Developed a Spot on My Hairline

I’m a 47 year old female. About 7 months ago, I noticed a thin spot on right side hairline, then a few months later, the left side seemed thinner too. It is the area underneath, temple up to the sides of my widow’s peak. It seemed to occur rapidly because last summer I had full hair there. I’m so upset. I don’t know if it’s from my father or hormones. I have had no prior hair loss. I don’t know when it will stop or if I need Mixoxidil. I’m taking stinging nettle and pumpkin seed oil. My thyroid seems ok but I have not checked my iron levels because it resembles male pattern hair loss. I wonder if it’s too much DHT. Please help.

Don’t assume anything. I would see a dermatologist or a hair expert like me. You must rule out diseases that cause spotty hair loss. Doctors with expertise can make this diagnosis when examining you.

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Female Hair Loss After Hysterectomy

I am 54 years old and had a total hysterectomy 1.5 years ago. I started HRT right away (premarin), but it gave me migraines. Three months ago my Dr ran blood work and started me on HRT natural cream, by prescription, which contains triest, testosterone and progesterone. I noticed within the last 2 months that my hair has gone from VERY thick to very thin. Now I am noticing that the top front of my head is looking even thinner, perhaps balding. I also take 1 mg of Adavant daily since my hysterectomy, and 300 mg of neurontin for night
sweats/heat flashes. Can any of this be causing my hair loss?

Many of the things you mention, including the surgery and the medications, can be the cause of your hair loss. You need to meet in-person with an expert on the subject to (1) stop what is happening to you, and (2) try to reverse it.


2006-11-29 15:26:17Female Hair Loss After Hysterectomy

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Female Hair Loss After Knee Surgery

I am a 26 year old female, just had knee surgery last year june 2005. I have been experiencing a tremendous amount of hair loss since then. I’ve read that it could be because of the anethesia, so, my question is how long after will this continue.

One of the manifestations (or presentations) of female genetic hair loss is that some women have hair that sheds easily with stress and then comes back. You will have to wait this out.


2006-02-01 11:09:14Female Hair Loss After Knee Surgery

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Female Genetic Hair Loss

Hello,

I am a 25 year old woman and I have been losing my hair since the age of 12. All of the women in my family have been affected, but I am the first to lose it as such a young age and actually have it the worst. I am generally bald in the front and have thin hair everywhere else, but it’s not bald. I currently am using a weave, but I’ve noticed that is has actually become worse and I’d really like to lose the weave and have a natural hair line. Is New Hair catered for men only, and if not, can I be helped?

Desperate in Brooklyn

First of all, you should see a good doctor who knows about hair loss in women. Since you are in New York, I would recommend you set up an appointment with Dr. Robert Bernstein at (201) 585-1115. He has offices in Manhattan and New Jersey and can address your unique problem. It sounds like you do have genetic female hair loss, but first let’s get an expert to determine it. You must have a full check-up to determine if you have any metabolic diseases as well. For more questions and answers about female hair loss, please click here for previous blog entries.

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Female Going Through Menopause and Getting Hair Loss

My hair loss started 3.5 years ago as I turned 50. Now I have half my density. Labs show subclinical hypothyroidism, elevated antibodies, a high estradiol to progesterone ratio of 170 to 0.2, and free testosterone high at 5.6. Zinc level (AP) always low. My doctor blames all symptoms, including hair loss, weight gain, loss of skin elasticity and muscle tone, etc. on menopause. She suggests HRT.

Your doctor is probably correct; your hair loss is related to the appearance of menopause. The estrogen you made had protected you from your genetics, but, now with a lower estrogen, your genetics can be expressing itself. As for Hormone Replacement Therapy, I don’t believe it works for this condition.

We have been performing Scalp Micropigmentation as a cosmetic treatment for the visual effects of thinning hair with great success. Here are some examples of women we have treated: https://scalpmicropigmentation.com/smp-for-women/

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Female Hair Loss After Appendectomy?

Dear sir,

about 3 months ago, my girlfriend (33 years old) was submitted to a surgery in order to remove a benign uterine myoma, treat an inguinal hernia and remove the appendix. Now she is having some hair loss localized at the top of her head where we can see about 3 cm of her scalp (there is no hair loss at the sides or front). she went to a dermatologist and he asked for a blood test to see if she is anaemic (the test is ok, she isn’t anaemic) and says that this situation is temporary due to the surgery, but I’m a little sceptical after what I have read in this blog and in other web sites as well.

Her mother, father and sister don’t have hair loss, but on the other hand a few years ago she started to have a few hairs in her chin.

So my questions are: what kind of tests do you suggest her to do , and is this a case for a dermatologist or an endocrinologist?

thank you

I would start with a primary care doctor who can do some basic tests to rule out anemia and thyroid causes. You said she’s been tested for anemia though and was OK there… but the primary care doctor will then be able to refer your girlfriend to the appropriate specialist if other basic tests are done. In other words, my advice is to start with the primary care doctor and take it one step at a time.

Generally, major surgeries or general anesthesia can sometimes precipitate hair loss (called telogen effluvium) in some men and women, but some of the autoimmune alopecias can be stimulated from the stress of a surgery as well. The hair loss is generally temporary and can take as long as a year to normalize. It is thought that such surgery or general anesthesia is a “triggering” factor in a genetic predisposition to hair loss. If this is the case, you won’t know for a year or so.


2009-06-12 15:08:32Female Hair Loss After Appendectomy?

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Female Hair Loss After Haircut — Should I Stop Blowdrying Every Day?

I am seriously and desperately begging for a solution to my hair problems at the moment. I am only 19.

About 7 months ago, (in Decemeber), i had a haircut where the hairdresser trimmed by hair by thinning it as she felt it was “too thick” where in reality it wasn’t even thick. She thinned it
alot and this occured in Singapore (where i am from and was visiting for three months) and in singapore even after she thinned it, it didnt look too bad. But after i came back to america…
It looks horribly thin! I never had such thin hair in my life.

It currently looks so thin and with no volume. I do blowdry my hair from the roots everyday. DO you think i should stop doing that?

Please get back to me. I am sure i can get my hair back. Please…
Thank You.

I do not know what is exactly involved with a hair dresser “thinning” your hair other than cutting your hair in layers. If this is the case, then your hair will naturally grow back. Blow drying your hair should not make your hair fall out or damage your hair unless you have it at an unusually high temperature setting. Use your judgment.


2007-08-02 11:33:04Female Hair Loss After Haircut — Should I Stop Blowdrying Every Day?

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Female Hair Loss After Hormone Replacement Therapy?

I have lost more then 40% of my hair. My dermatologist said I am still actively shedding. I had hormone replacement. I was told in October of 2011 that my level was a 4. I have had a hysterectomy and am menopausal.

A pellet of testosterone was inserted sub-subcutaneously I February. I developed severe cystic acne, shortly after. My testosterone levels were three times the norm from my age (in the high 200s almost 300) and sex. My dermatologist advised me to not get implanted again- then three months later my hair began to fall out. My dermatologist said this also was a result of the drastic swing in my testosterone levels- they are still quite high.

The men in my family start to experience hair loss around age 20. I’ve never seen a female in my family lose hair,- they have it in their 90s. Shouldn’t women be warned that Hormone replacement therapy can cause hair loss? I have no other health issues, had no disease or took other medications that cause hair loss.

I realize you are experiencing hair loss, but I cannot say if hormone replacement itself is the cause or if there should be a mandatory warning label associated with the therapy. Menopause itself could be the cause or there may be other medical issues, as well. I believe you are under the care of a physician and communications between patient and doctor is the most important element. My point is, before you start any medical treatment, side effects and treatment issues should always be explored.