Author: Dr. William Rassman

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I Have DUPA and Need a Specialist in Toronto

Dear Dr Rassman,

I just wanted to thank you for all the inspirational information you have provided for men and women that suffer from hair loss. I currently suffer from DUPA and I’m very concerned that I will not have the necessary donor hair in order to do a hair transplant.

I was wondering if you could let me know which doctors in the Toronto, Ontario Canada area provide miniaturization testing.

I have seen several dermatoloigists and transplant surgeons. However, my diagnosis from all of them have been a mixed bag: some say I suffer from telogen effluvium others say I have MPB. My blood work is normal. My hair loss is not just limited to the crown area but I am thinning from the sides and back of my hair severly at a tremendous pace!

Any help and/or suggestions would be greatly appreciated! I just need a straight answer in order to make an informative decision in regards to the necessary treatment options for hair loss.

Thank you again for your exceptional work and in keeping members advised of hair loss treatment options.

The straight answer is that there is no cure for diffuse unpatterned alopecia (DUPA), assuming that this is your correct diagnosis. I would recommend that you obtain a solid diagnosis of DUPA first (as it seems you may be self diagnosing this).

For a list of doctors in your area, you can try the physician search at ISHRS.org. I don’t have any personal recommendations in that area. Ask these doctors if they perform bulk analysis with the HairCheck instrument and miniaturization testing before you go and visit them.

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I have had 2 hair transplant (photo)

This will be my 3rd attempt at hair transplant. How many grafts will I need and how many can my donor still provide? I would also like to blend my next HT with SMP. Please find the pictures attached. Thank you for your suggestions. Thanks.

The original donor density has to be known. It may still be possible to estimate that number but I would have to examine you and measure it myself. In addition, you did not state how many grafts you had so far and there is a suggestion of over-harvesting on the photos, but I would still have to see you to understand what your remaining supply is. SMP is the final step and should not be done until a Master Plan has been built!


2020-09-15 15:53:53I have had 2 hair transplant (photo)

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I have diffuse thinning

I’m a diffuse thinner, and while my hair is paper thin, I technically don’t have a completely bald spot on my whole head. Does a thin hair mean there’s a chance it can be revitalized?

No. Thinning is not an easy diagnosis to make and it requires a trichoscope and an expert doctor to understand the cause and if there is an effective treatment for which a hair transplant is often not appropriate.


2020-06-04 11:03:19I have diffuse thinning

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I have DUPA, but went to Turkey for a hair transplant anyway

If you really have DUPA, the chance that your hair transplant will fall far short of your expectation is close to 100% and the chance that you might lose it all is high. Any good doctor, who doesn’t care about the money and cares about you, will not do a hair transplant on any man with DUPA. In my opinion, it is malpractice.


2020-02-09 11:18:19I have DUPA, but went to Turkey for a hair transplant anyway

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I Have Found That A Doctor Is Offering 50 Cent per Graft for FUE. What Do You Think?

Hi Doc, I read on a website that a doctor is offering FUE surgery at $0.50 that is 50 cents a graft in Pakistan. What do you think?

 

Your guess is as good as mine. I really can’t validate this claim.

There was a sarcastic remark made about the Taliban and how it may relate to prices. Apparently it offended a few readers. We apologize for the insensitivity to those who were sensitive to the comments.

 

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I Have Female Hair Loss and Was Told to Wash My Hair Every 3 Days

Hi,

Recently at age 31 I have been diagnosed with female pattern baldness, although both of my parents have a lot of hair. I was told to wash my hair every 3 days because i lose a lot in the shower and then brushing it. My scalps starts to get really itchy after 2 days and then i shed a lot of hair, why is that so? I do not have psorasis and scalp seems to be in good condition. Is it cause I have too much dht? Also have you heard of any good results with laser hair treatments?

I have not heard of or seen any good results with laser hair treatments. In my opinion laser hair treatments do not work.

Washing your hair less will not cause you to lose less hair unless you are rough in the wash. There is no relationship between washing hair and hair loss. You can wash your hair as you like. Your itchy scalp might be looked at by a local dermatologist.

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I Have DUPA That Hasn’t Changed for 8 Years

Hello there Dr.Rassman

I’m a long time reader. basically since the age of 17 i have suffered from diffuse unpatterned alopecia (DUPA) which I’m guessing i inherited from my mother basing on what her hair loss looks like. anyway I am now a 25 year old man and 8 years have passed since i initially noticed the entire scalp thinning including the permanent zone. i feel my DUPA has not been too aggressive as i still have pretty good coverage overall with slight recession. my question is will my hair loss be very gradual or will it speed up soon?

If it has been stable for the last 8 years, I do not see why it would not continue to be stable a lot longer. But I can not predict the future and the clinical course of patients with DUPA has been poorly documented.

As a professional who may be more aware of this condition than most doctors, I recognize my limitations in both treating it and predicting its course, as we know very little about DUPA. I have tried using finasteride on most of the men with DUPA, but the results are inclusive. Sorry, I wish I could be of more help.


2012-03-15 09:41:31I Have DUPA That Hasn’t Changed for 8 Years

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I have had Gynecomastia since I was 14

Am I more likely to get a worsening of my problem if I go on finasteride?

Men who have gynecomastia are not more likely to get breast enlargements or breast lumps than men who don’t have it when then go on Finasteride


2020-02-04 13:09:27I have had Gynecomastia since I was 14

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I have Hashimoto Disease, Can I have a hair transplant?

If you disease is under control and you understand the risks associated with having a hair transplant, then the answer is yes. There could be an increased risk of hair rejection if the autoimmune disease impacts the skin which can happen anytime after the surgery, even years out


2020-12-04 11:29:53I have Hashimoto Disease, Can I have a hair transplant?