Hi, I recently got hair transplantation done. The hairline is in the wrong position. My family said this is not me anymore. What can I do?
At this time there is probably nothing you can do. After your hair has grown in, find another doctor. It is critical to find the right doctor who can understand and meet your goals.
2018-08-21 06:27:442018-08-24 06:47:54I Made the Wrong Decision About the Doctor Who Did My Hair Transplant
What is the lowest donor density a person can have in their late twenties, in order to have a successful transplant?
There is no simple answer to this question on donor density. First, I would want to make sure that the person should not have Diffuse Unpatterned Alopecia, which would reflect a depletee donor area in a young man (1-2% of the male population). Then, the size of the balding area (the area of the demand) and the eventual pattern of balding that would have to be maintained must be balanced in a well defined master plan with a worse case scenario put together. A good doctor can make a judgment on the value of the donor density.
Hi there….I am a female with diffused hair loss for almost 19 years. Eventually it will all be gone. I have been tested for all the diseases that cause hair loss. Could Lyme Disease cause hair loss? If so what kind of hair loss is seen with the disease? Hopefully you can help me, thanks!
You should be evaluated by a qualified hair transplant doctor or a dermatologist. You may have a condition known as diffuse alopecia areata , a variety of conditions (search women’s hair loss on this site) and you may have DUPA.
With respect to Lyme disease causing your hair loss, you would have many other medical problems if you had this disease for 19 years. It is conceivable that Lyme disease may cause hair loss, but it would be very non-specific, as many other disease states and stressors can affect hair loss. Therefore, I suspect your hair loss of 19 years is not related to Lyme disease.
From my nine years working with Dr. Rassman, he has taught me a simple way to approach any cause of hair loss. Hair loss can be divided in to five causes:
By Dr. Jae Pak
The average head has up to 20% of the hairs miniaturized in the donor area and even in a non-balding man; however, in the balding area, I would expect to see a lot more miniaturization in the process of your losing your hair. Please send me microscopic views of your hair mapped against your head as shown here: https://baldingblog.com/mapping-out-your-balding/
2021-02-17 02:17:102021-02-17 09:56:25M 19, How severe is my miniaturization based on dermoscopy?
I once used a product by softsheen carson “magic shaving powder” on my head as to go bald for the summer but ever since i used the product, i have a small patch in frontal area of my head that grows thin. its like v-shaped patch. please advise
Consider two possiblities:
OK, I will start at the age of 18. I took accutane and started losing hair 6 months later. I was scared so I got a hairpiece. At 30 I was talked into a HT. I then recieved 5 more over 5 years but I do not see a large portion of what was transplanted. I had great results after the fourth surgery but it seems that I am at a great loss at the moment. I am 9 weeks into the last surgery and see a “lot” of hair loss. I mean worse than I ever was. I am on everything.. propecia, minox, avacor, nizoral. I spoke with my doc and he said wait, its just a shock. I have a full head of hair except for the first 1 1/2 inch frontal. I am thinking about going back into a hairpiece after $30,000 and lots of heartache but I cannot take this roller coaster anymore. I can’t sleep, work, or think. I’m 36 and feel lost on what to do….help
Going to a hair piece to deal with a temporary problem of shock hair loss may end up making it permanent. You may have made mistakes in the past, just do not make them now. Shock hair loss is very, very, very rare after the first procedure with a person on Propecia. The few times I have seen it, the process reversed at the time the new hair came in. I would expect you to be where you want at about 8 months.
2006-02-03 13:35:202006-02-03 12:49:06Major Hair Loss After 5th Hair Transplant
Dr. Rassman,
I am 46 years old. My father and brother have extensive hairloss on top. I am blonde and have very fine hair. No hair loss on maternal side. About a year ago I noticed some thinning at the hairline after many years of very slight creeping at the temples…still a NW 1-2 with very good density and caliber. I became alarmed given the extent of loss of my younger brother whose loss started as a 20 yr. old.
After doing what I thought was sufficient research and an recommendation from my Dermatologist who had used Propecia very successfully for 7 years, I started on the drug in early March of this year. I noticed little difference in my hair other than very slow thinning in front and on top. At 6 months (Labor Day) loss of libido had become an issue and E.D. became a problem. Watery and loss of ejaculate also surfaced. I wasted no time and quit the drug cold turkey. The sexual sides resolved in a couple of weeks, but that was just the beginning. After a few weeks my hair began shedding like crazy from all parts of my scalp..front, top, back, sides, nape of neck, sideburns, eyebrows, arms and hands too! This has continued steadily and I have lost an enormous amount of hair in 4 months…probably 30-40% of total! I am very depressed, nearly paralyzed and suffering severe anxiety..can’t sleep and having trouble functioning in my professional career. My life is cascading downward rapidly.
I am afraid there has been some sort of androgen/dht backlash. My hair seems to have miniaturized all over my head in a few months. Remaining hair is very fine and wispy ..hard to manage. The falling hairs seem to be very fine and less pigmented as well. This was not nearly as evident until a couple of months ago. I feel like I have the hair of an 80 year old man all of the sudden.
I have experienced “burning scalp” symptoms where MPB would normally be evident. I am terrified by the speed in which things have occured. I have not done anything in terms of treatment for fear of more shedding. Can you please suggest a course of action. I have no one to turn to. There are no reputable hair restoration physicians up here in Oregon.
Propecia is often effective at slowing hair loss, however, once it is stopped your hair loss can appear to accelerate. Your hair loss plays ‘catch-up’ to get to the point where your balding would have been without having taken the drug in the first place. This therefore, may look like accelerated hair loss. If this happens, you may continue to lose whatever hair that had been saved by Propecia and then continue the loss at whatever rate would have been ‘programmed’ for you by your genetic code (assuming your have genetic hair loss). An important question to consider: ‘Could you have been at the beginning of a rapid hair loss period from genetic or medical causes?’ Your situation does sound more complicated than simple genetic hair loss and this means to me that you might need a full medical work-up looking for other causes of hair loss (including appropriate blood tests). Stress can add substantially to the rate of hair loss and you are clearly being heavily stressed now.
Men in their 40s often (40%) will have ED (Erection Dysfunction) and Viagra might be worth trying (you need a doctor’s prescription) for any sexual ED problems you might have. If you feel that you are the 1% of patients who get a decrease in your libido from Propecia, then you should probably not take the drug, but you need a good, caring doctor to evaluate you along the lines as I have discussed in this blog over and over again. Your strong words above say a lot to me. You are VERY concerned and you want to take charge of the process that is impacting your hair, so be smart about it and whatever you do, do it the right way, ‘partnering’ with a good doctor. We have an office in San Jose and Los Angeles and a trip to one of these offices may be in your best interest. If you see me in Los Angeles, there will be no charge for the visit.
2006-01-11 15:53:582006-01-11 20:24:10Major Hair Loss After Stopping Propecia
Dear Doctor,
I have a question about possible serious side effect of using Propecia. I am 23 years old male and I have started using Propecia one month ago. After already two pills I noticed some small defect in my vision which becomming worse in time (I was seeing crookedly by one eye). The diagnosis is macular degeneration. My ocularist thought it was caused by Propecia though there were no information about this side effect in the label. I was said that if macular degeneration appears by youth it is in most cases caused by using steroids and its interference to hormones. I have never taken steroids and so doctor thinks it is a result of Propecia’s hormones changes. I would like to ask you have you ever seen similar case of Propecia side effect? Could Propecia theoretically caused it (already after two pills)? And do you recommend me to continue with finasteride in the future? (I stopped after 15 pills and now I am much more worried about my vision than my hair).Thank you very much.
This is a question you need to ask of your ophthalmologist. A short course of Propecia should not cause any problem and macular degeneration from Propecia is not defined as a known complication of the disease that I could find. I’ve certainly not had any patient mention anything like this to me over the years.
For more about macular degeneration, see Wikipedia.
3rd Treatment of Neograft hair transplant If you are interested in seeing the results from tressless
2019-11-04 11:05:352019-11-05 13:36:01Make sure that your surgery is actually being done by a licensed MD with an active medical license (from Reddit)
Hi. I recently tried using Rogaine 5% as a hair loss prevention regiment as I noticed a mild thinning of the crown area. Let me stress that my hair thinning was just mild and that as 28 yrs old, it seemed like it was a good time to start early before it got too late years after.
However I stopped using Rogaine 5% after just 20 days! I was shedding far too many hair and did not like the texture effect it made on my hair. Most of all, I was shedding too much hair! May I add that I have never noticed any shedding of hair prior to Rogaine! However, its been over 15 days since last using Rogaine and I am still shedding like crazy!!! By just running my fingers thru my hair, I see mature hair and younger looking hair fall out.
I am extremely upset by this response. I am a healthy 28 yr old male. I talked with my doc and am now on Propecia. He was not able to decifer why I was still shedding considering everything is normal. My question is whether if you have any information why shedding of hair is still continuing after stopping use of rogaine 15 days ago?? (Also considering I have only used it for just 20 days). Also, if propecia will stop the shedding due to Rogaine. May i add again, there was no blatant shedding or any problem of hair shedding prior to Rogaine.
Thank you so much
Assuming that you have genetic hair loss, perhaps Propecia would be the better drug for you. I don’t believe Rogaine (minoxidil) was the right choice for treatment and it is known to produce hair shedding for a short while after starting it. The shedding should stop in a month or two.
2006-08-22 12:30:542006-08-22 12:39:18Major Shedding During and After Rogaine Use
