2018-11-09 06:58:292018-11-01 06:45:15African American with Donor Site Depletion
Advice for a 16 Year Old with Bald Spot?
Okay, Well I’m not quite sure how this works but I’ll try it out anyway. I’m a 16 year old male living in the state of Washington. I constantly get crude remarks on how I have a bald spot. Self confidence and the inability to function without a hat is very depressing. I the thing that gets me is how young I am. If you could provide any advice it’d be very much appreciated.
Thank You.
Without seeing you, I do not know what you mean by a bald spot. Are you balding? Did you suffer from some trauma on your head, which produced a bald spot? You need to be examined by an expert doctor. If you are balding, then you will show miniaturization of your hair in the balding area. Even at your age, when balding occurs, the drug Propecia usually works very, very well to reverse it.
2008-01-09 08:35:572008-01-09 09:26:46Advice for a 16 Year Old with Bald Spot?
African American Female Hairline Loss
Hi I am a thirty year old African American Female. From my early childhood, I have been exposed to tight ponytails, braids, weaves and chemical services applied incorrectly. Surprisingly, I still have a head full of hair with the exception of my thinning hair line. My hair is currently chemical free and has been that way for over seven years. I normally wear wigs as a protective style. My hairline is still thin. Is surgery my only option?
Unfortunately, there’s no medication that can restore a hairline and surgery might be the only option. Hair transplants for the frontal hairline work well, even in African Americans. Unfortunately, many African American women I’ve seen with traction alopecia have lost much of their frontal hair, even the hair that goes into the temple peaks on the side, creating a concave look similar to a Norwood Class 4A pattern (see image at right). The problem is that the larger the area, the more hair it takes to get a thick result.
African Americans usually are born with less hair than Caucasians (about 65% by hair count) so the supply is often more limited. In your case, if the hair loss is just in the frontal 1 1/2 inches, you may be able to get it back. A good examination is important, especially when made by someone who has considerable experience capable of giving you realistic expectations.
African American Hair Expert
I’m an African American female and want to know which is better for my hair, pressing with a hot comb or using a non lye relaxer (like Precise). Also, I have hair loss and hair is very thin. I had a hair restoration in June 2005 by Bosley. Can you please recommend things I can do to improve my hair? Do you consider yourself an expert in dealing with African American hair?
I believe that I was the first person to place follicular units into an African American and started the trend that allowed for the use of small grafts in African hair types. As you may know, hair transplantation is a ‘peg in a hole’ surgery, but African hair is curly (like a cork screw) and therefore placing it into a round hole can be a difficult challenge to the inexperienced hair transplant surgeon. I guess that would make me an expert for transplants into African American hair types.
With regard to your other question, I am not an expert in the best ways to ‘relax’ hair, but I see problems with those individuals who have this done improperly. I am an expert in the complications of such treatments. I would have to examine you to make any recommendations.
2006-01-16 10:39:372006-01-16 10:00:14African American Hair Expert
After 10 Years on Propecia, I Finally Started Shedding
Dr, I have been taking Propecia for 10 years. If the drug would indeed stop working, what exactly would happen? Would I have some form of telogen shed? Or would the loss be gradual? The reason that I ask is because I am going through a severe shedding phase that began in September of 2008 and it continues until now. I have indeed ordered the “generic” drug from overseas the past couple of years. Could the overseas drugs be bogus and this is the reason I began shedding again?
There’s two possible problems — the generic you bought overseas could be fake, or your finasteride dosage could just be starting to finally lose the fight to your genes. I often talk about a tug of war of sorts, where Propecia works on one side of the rope and your genes work against it. The genetic side appears to be slowly winning. Talk to your doctor about increasing your dosage to 2mg daily and see if that helps.
Whatever you do, do not stop the drug! You’ve taken the medication successfully for 10 years now, and it hasn’t stopped working for you… but if it’s not due to fake overseas medication, then it’s not slowing the hair loss as well as it was before. Stopping it completely will likely result in a massive catch-up hair loss situation occurring.
African American Had Fue with Great Results in One Year (Photos)
African American Female Hairline lowering transplant (photo)
2020-03-03 07:35:292020-03-03 07:36:13African American Female Hairline lowering transplant (photo)
African American Female with Bald Crown
I am an african American female 35 years old. My entire crown is bald. What do I do now? I’ve been using 2% minoxidil and it continues to fall out.
You need to be seen for close examination of your hair and scalp. A diagnosis should be made. You could have a variety of non-genetic hair conditions causing it. You might have genetic female balding limited to the crown as well. I need to know the miniaturization mapping results of your scalp and the pattern of your hair loss before making any diagnosis and treatment plan. You need a good doctor to take charge of your hair loss.
2007-03-09 10:32:142007-03-09 10:32:36African American Female with Bald Crown
After 7 Scalp Reductions, Would I Have Donor Grafts Left?
Dr. Rassman, you won’t believe this. Maybe you will. I have had I guess 7 scalp reductions. Brandy did a lateral with that Y incision, but not a scalp lift, per se. Marzola, Stough, all did a couple of procedures. I saw my scalp under bright lights (the last thing one wants as that is very unforgiving) on a big screen last night and was shocked by the 1 inch by three inch or so bald thin area in the midline. Dr. Hitzig performed two large midline graft sessions around 1999 or 2000, fixing the scar but the density leaves something to be desired. I see you mentioned Dr. Frechet of Frechet extender fame I imagine in a response to a patient. Some sort of triple flap procedure. I have some donor left but can’t get over my lack of crown density despite a large number of grafts. I know Dr. Hitzig always grafted the midline before reducing a scalp. Do grafts just not grow after reductions, especially that many reductions? I could emply better styling but I wish I had followed the late C.P. Chamber’s advice and avoided reductions altogether. He knew what he was talking about. It sounds like there is no practical fix at any price.
Your case is complex. I have no idea what densities you have or the extent of your scar and wound defect. Most people who’ve had 7 scalp reductions are left with a slot deformity. I would like to see some good pictures of your scalp from the front, top, sides, and back. I am sure that you know that scalp reduction is no longer the standard of care today, because they do not work. I have seen men who had up to 16 scalp reduction surgeries and the last ones never really accomplished anything. I wonder about your 7th procedure and what you were trying to accomplish that the prior 6 have not.
It is best to be examined carefully by an expert and then see what your needs are. Patients should make a list of priorities and then try to work down the list. Patients who have had so many procedures never really get too far down that list, so be realistic.
For more information on scalp reductions, see:
After 3 Months of Propecia Use, I Can’t See My Scalp Under Harsh Lights Anymore!
Earlier this year I noticed my hair seemed thinner and a miniaturization exam revealed diffuse loss on the top of the scalp but not the sides or back. It was modest loss, only visible under harsh lights, but my hair definitely felt less dense.
Nearly three months later after consistent Propecia use, I could swear my hair feels thicker and I can’t see as much scalp in the mirror under harsh lights. Could this be a real effect or is it probably in my head? (No pun intended!)
This type of result seems like it might be too quick after just taking Propecia for 3 months, but I suppose it’s possible that you had a really great response, which we have seen in some men from time to time. It usually takes a few more months for most men to notice that much positive change, though. I’d keep taking the medication and keeping track of the gains.
Congratulations on the good fortune and better hair!