Author: Dr. William Rassman

This is a great result from finasteride. This is the type of results we see, not uncommonly, when finasteride is used for crown hair loss.

I have been noticing my hair has been thinner around my crown for about 8 months. When I tell my parents they say they don’t notice until I point it out and no one else has pointed it out. However, when I take pictures, I can clearly see the area where my hair is thinner than the rest. My hairline is not receding, but I was wondering if there is anything I can do to reverse the thinning before it’s to late. I have been using nizoral for about a month now.

The crown is often the place where genetic balding starts and it starts with thinning. You might want to see a doctor, get a diagnosis, and build a Master Plan for what your future hair loss will be. A HAIRCHECK test is a good idea as well to get a baseline to compare hairloss. Nizoral will not help you.

I’m Male, 22 and had been using creatine for 3 months. I noticed my hair shedding and have been off it for around a month. However the hairfall has not stopped and my scalp still scratches. Any idea how I can reverse this damage? How long till my hair stops shedding? Any help will be greatly appreciated.

If there were steroids in it, you may have just accelerated your genetic hair loss but it is well known that Creatine causes hair loss on its own ( https://baldingblog.com/can-creatine-powder-cause-hair-loss/ )

In the US, this type of surgery would be considered malpractice. You have almost certainly used more than half of your donor hair for the recipient area that was transplanted, so if you lose more hair behind this, you may not have enough hair left to follow the hair loss behind the transplanted area. You must recognize that hair loss is generally a progressive process and you need to have a Master Plan to account for the progressive nature of your hairloss. I hope that you don’t bald further but if you do, find an honorable doctor who understands such situations and will work with you with a high standard of care and management. Most young men are limited to between 5000-7000 FUE grafts during their lifetime unless their donor density is very high.

 

Yes, I am concerned. 2000 grafts is about 25% (possibly more) of your entire donor supply used for just the frontal ½ inch of hairline. The doctor should have known better, so yes I am critical of the decision the two of you made. What is your Personalized Master Plan if you should develop advanced balding as this man did: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/. Note that he wasn’t very bald at 22 but evolved into a bald man. I don’t want to panic you, but you need to think this through as you would be this man shown as he aged. Balding is progressive in 100% of men.

This patient came today at the age of 44. He start to lose hair just 3 years ago, an came because he wanted a hair transplant. His hair is black, medium weight and it has a good wave to it. He is of Italian heritage which gives him a terrific hair character. I measured his hair bulk with the HAIRCHECK instrument and found that he lost 66% of the hair in the front and 55% of his hair in the crown. Considering that is hair is black and his skin is light, he still have good coverage in the front of his head which shows something very important, that you really only need 33% of your hair when the quality is there to have a reasonably full look. This is the type of look to generally achieve in a single hair transplant in a bald man.

 

 

Guest Article addressing addiction

Seniors in Addiction Recovery: Making Amends and Reclaiming Your Life this Holiday Season

Photo Credit: Jessica Monte, Stock Snap

With the holidays approaching, we enter a time of the year when emotions can run high. The holiday season is meant to be festive and fun, but it is not always joyous. Sometimes parents do something that ruins the relationship with their children, and the holiday season is a painful reminder of the relationship that they lost. If you are one of these individuals, follow some tips to turn this year into the year that you make amends and reclaim your life and your relationship.

“Children, by their nature, want to love their parents. That longing never leaves,” says Huffington Post. There are many reasons why parent-child relationships become estranged, but reunion is always at least a possibility. However, it is typically not going to just happen. If you have made a mistake, you will need to make a solid effort to try to rebuild those bonds. For example, if you’re a senior who has struggled with addiction in the past, it’s not too late to make amends, even if your past substance abuse created a rift.

Making amends is a process, and you start by apologizing. Own up to your mistakes and shortcomings. Say that you are sorry and ask what you can do, if anything, to set right the wrong you did. Once you have apologized, you have to hold out hope that your child will forgive you and accept your apology. The timetable for that acceptance and forgiveness is not up to you, but is solely up to your child.

Let go of your expectations. Even if you apologize, there is no guarantee that you will be forgiven, and even if you are forgiven, your child may still not want you in his or her life. Remember that you are not apologizing so that the relationship will improve; you are apologizing because you are genuinely sorry and wish to portray that remorse. However, you should also remember that your sobriety and happiness do not depend on anyone else but yourself, so do not let your disappointment result in a relapse.

Try to understand how your child wants to receive love. People express and receive love in different ways, and if you want to work on mending the relationship, you have to “speak your child’s love language.” If your child equates quality time to love, then showering him or her with gifts will not show your love and may make your child feel as though you are not listening to or thinking of his or her wants and needs.

If your child is struggling to forgive you or welcome you back into his or her life, acknowledge that your child’s perspective is valid. You may wonder whether or not your child can see that you are really trying. While your child may recognize your efforts, that does not make his or her pain disappear. Accept this as a fact, and let your child speak openly about the ways in which he or she was hurt or is hurting.

If you want the relationship to prosper, then you must put in the effort to mend the fences. Even if your child is open to your apology and building a relationship with you, the work is still yours to do. If the relationship is truly important to you, keep working on yourself and reaching out in healthy ways. If you are doing the work, there is always a chance, and eventually, your child may respond positively if you’re consistent. While making amends isn’t easy, reclaiming your life, sobriety, and relationship will be well worth the effort.

It is very difficult to tell from this photo if you are receding or developing a maturing hairline. The best way to determine this is to lift your eyebrows so that your forehead wrinkles and the hairline should be no higher than one finger breath above the highest wrinkle. If this is the case, maybe your hairline is maturing.

Past three months my hair loss has been really bad. I’ve checked my blood for problems with my thyriod, iron and hormones with a doctor and my blood work turned out ok. It is all okay, so I’m assuming it might be genetic since it is in my family on my father’s side. My mother and sister don’t have this problem.

Female genetic hair loss can usually be seen on the female side of the family (mother, aunt, grandmother, sister) but not always and your male connections with balding really don’t count. When the diagnosis is not clear, the problem of thinning impacts the social life of the woman. We have been using Scalp Micropigmentation (SMP) for many of these women with great results and although the hair loss may not have been diagnosed, the fullness comes as a result of the SMP process (https://scalpmicropigmentation.com/smp-for-women/)