Hair Loss InformationCan Parting Your Hair Lead to Damage? – Hair Loss Information – Balding Blog

Hello Dr. Rassman,
Couple of questions for you.

1. whats the average length of a horizontal hair line above the temples. I know everyone is different, but just an average length for someone in their late 20s to mid 30s.

2. can parting your hair to one side for years with hairspray or gel cause any permanent damage to that specific side.

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The length of the hairline where the hair point forward in the front is about 5 inches. The hair normally parts a certain direction in most people and creating or forcing it to part in a different direction will not damage the hair.

Hair Loss InformationIs Propecia Causing My Gastritis? – Hair Loss Information – Balding Blog

Hello Dr.Rassman,
Thanks for your wonderful service. I have a question on one of the side effects (not sure). I am 32 and started taking Propecia a month ago. I started to experience abdominal pain especially around the chest. When I searched for similar symptoms in your blog, I found that in one similar case you had advised that it may be because of ‘Gastritis’. I also compared the symptoms provided in the internet with mine and found it to be exactly the same. Any way I am planning to consult a doctor soon.

My question is that does Propecia cause ‘gastritis’? It is mentioned that gastritis may be caused due to ‘nonsteroidal anti-inflammatory drugs (also known as NSAIDs)’. Does Propecia belong to this category of drug?

I have seen good results with propecia even less than 1 month of using. Now in case the doctor tells me that Propecia caused the ‘gastritis’ do I have to stop taking that? Because i do not want to stop Propecia. Please advise. Thanks once again for your great work!

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Propecia is not a NSAID drug and it most likely does not cause gastritis. Aspirin and ibuprofen (Advil, Motrin) are NSAID class drugs. Poor diet, spicy foods, alcohol, and obesity are generally the culprits of gastritis. This site (which polls people on the web, is not scientific, and I do not endorse) indicates that gastritis is seen in 0.1% (one in a thousand) Propecia takers, so I wouldn’t believe the medication is related to gastritis.

Finally, as I have had said numerous times, the Internet is not an ideal place to seek personal medical diagnosis or answers. It will confuse and distort the issue. If you have a medical problem, see a doctor for an examination and receive a diagnosis by a medical professional. You can then look up your diagnosis on the Internet for a better understanding.

Hair Loss InformationI Might Just Have a Mature Hairline, But I’m Thinking About Adding Extensions – Hair Loss Information – Balding Blog

I am roughly a Norwood class II, maybe a little more receded (nothing substantially more), but don’t seem to be losing any more hair to the best of my knowledge. Haven’t done any mapping, but could it possibly be my mature hairline at 20?

I was thinking of wearing clip in extensions on the sides for extra length and body, but am very wary of doing so, can traction alopecia accelerate MPB?

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I appreciate the trust most readers have in my ability and expertise as a hair transplant surgeon, but how would you expect me to know if your hair loss is from a maturation of a hairline without an examination? No one is that good!

With the above said, yes, traction alopecia is a major cause of hair loss in people who use hair extensions. Beware!

Hair Loss InformationMassive Shock Loss After a Small Transplant Procedure – Hair Loss Information – Balding Blog

Hi

I had a transplant of 500 grafts just 16 days ago in a very small area of old scar tissue. This is my second transplant to cover the area. The first transplant, two years ago went very well. Same Dr.

On day 12 after the second transplant I have experienced massive shock loss. The Dr placed grafts in between existing hairs in an area 10 square cm. ALL hair, existing and transplanted have fallen out leaving the area completely bald. Disastrous as was hoping to go back to work and nobody notice. On crown of head. What is likelihood of this hair growing back?? Cheers

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Previously transplanted hair from the donor area that is lost following a hair transplant is very rare and when it does occur, it usually comes back with the new hair that was transplanted.

Hair Loss InformationIn the News – Dr Jahoda’s 3D Cultures Might Be the Key to Hair Cloning – Hair Loss Information – Balding Blog

Snippet from the article:

We may now be a hair’s breadth away from a cure for baldness. For the first time, new human hairs have been coaxed into growing from specialised skin cells that can be multiplied in number to potentially create a full head of hair.

Hair-raising remedies for hair loss currently consist of hormonal drugs to slow the process and hair transplants – where a section of hair follicles is moved from one area of the head to another. Finding a way to grow more hair, however, has proved difficult.

Hair growth in adults occurs naturally in a process known as hair neogenesis – where cells called dermal papilla cells that span the top two layers of skin coax surrounding cells to form hair follicles. One reason hair loss occurs is when papillae stop working.

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Read the rest at New Scientist — 3D drops raise hopes of cure for baldness

I posted a few links about this research last month, but I just read this article in New Scientist about the recent work by Dr. Colin Jahoda, who presented this material at the 2013 ISHRS meeting, and wanted to write a bit more about it.

The key to his findings was his ability to produce hair by growing dermal papilla cells in a 3D manner. The process starts with the isolation of the dermal papilla cells, then let them grow and multiply so that their numbers increase. These cells are obtained from discarded hair transplant tissue and once put into a nutrient broth, some 30 hours later, each drop of solution contains about 3000 dermal papilla cells. These cells were injected into neonatal foreskin which is known to be hairless, easily available as it is taken from babies who were circumcised. The donor cells comes from between 5-7 patients. After about 6 weeks of growth in a 3D matrix solution there is growth and some hair actually can be seen.

Dr. Jahoda believes that the key to his success was the use of a 3D matrix for growing the dermal papilla. The dermal papilla cells reprogram the skin cells as they grow and these reprogrammed cells form hair follicles. He believes that this will eventually lead to “hair cloning” therapies and the end result, he hopes, will not even require a surgical procedure like hair transplantation. Now that he knows which genes need to be expressed, drugs might even be developed that can reactivate the dermal papilla precursors in the scalp of balding people. Dr. Melanie McDowell from the University of Adelaide in Australia said, “The cool thing about hair follicles is you already have the channel into them, so topical creams have a good chance of getting down into where they’re needed.”

I would expect that this would take years to identify the appropriate drug and then take the process through the FDA. For our audience reading this post, please be patient and give the researchers some room to finish defining the process and finding that “magic cream” they are looking for.

Hair Loss InformationI’m 16 and Have Extremely Thin Hair, But Haven’t Noticed Any Hair Loss – Hair Loss Information – Balding Blog

Hey I’m sixteen years old (male) and I have extremely abnormally thin hair. My hairline is normal with no receding at all. The top is thin enough where I can see my scalp. The only way to describe it is that it looks more or less like skinny strips of no hair. That is not terrible but on the back of my head, it is as if I am balding because I have a gigantic strip of scalp going horizontally on my crown. I’ve been like this for about 8-9 years and I haven’t noticed any hairloss in that time because my hair has stayed the same. I had normal hair when I was a child though. My dermatologist prescribed olux-e, but it doesn’t do anything. Any help please?

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Very fine-haired individuals always have a see-through look and the scalp can be easily visualized, especially under certain lighting. That is not a disease, it is just the way you were born.

If you think that this is not normal, see a good doctor who will judge what you have and make a diagnosis if there is something wrong with you. Perhaps the dermatologist you saw didn’t fully understand the issue you were having, as I don’t know why you were prescribed Olux-E unless you had psoriasis or some other skin condition.

Hair Loss InformationI Lost a Lot of Hair – Can It Be Restored? – Hair Loss Information – Balding Blog

I have lost considerable amount of hair. Is it possible to restore it? If yes, how?

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Your question is too vague, so there’s not much I can offer. Sometimes medication can be beneficial, sometimes surgery would work, sometimes your hair loss could be due to other conditions such as stress, diet, allergy, infection, etc.

You’ll need an examination by a doctor to first pinpoint why you’re losing hair, then you can start to figure out how to treat it.

Hair Loss InformationI Don’t Understand Donor Hair Supply Limits – Hair Loss Information – Balding Blog

Sorry for my ignorance on the matter but I’m a little confused.

I have heard people mention donor hair running out. Why is this exactly? If it is immune to balding, why can’t you harvest an unlimited supply from it to transplant?

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Once hair is removed from the donor area to be placed elsewhere in the scalp, it does not regrow in the donor. So let’s look at the numbers….

If we take the most advanced balding pattern, for example, the patient having lost most of his non-permanent hair will have 25% of the original hair left. That would be 25,000 hairs, or 12,500 follicular units. If you need to keep 50% of this permanent hair, that means that you can harvest 6,250 grafts in a person with a birth hair population of 100,000 (Caucasians are good examples of this).

Taking more than 6,250 follicular units as two hair grafts might leave you donor depleted. This is especially true if you are Asian, Indian or come from the Middle-east where birth hair numbers often run 80,000 birth hairs or the hair is fine.

Hair Loss InformationWhat Is the Peer Review Process? – Hair Loss Information – Balding Blog

Please can you explain how the peer review process works? Does the fact that a clinical study has appeared in respected peer review journal mean that it has effectively passed peer review? Or can anyone publish their trials and it is upon publication that the true scrutiny really begins?

If the latter, when are the trials officially deemed to have passed peer review, given that the experts may well have differing opinions on their robustness and on whether there are any protocol errors?

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A good overview of peer review can be found at Wikipedia.

Peer review is done when an article is submitted for publication in a journal that has editors capable of reviewing the technical and clinical details of the submitted material. Differing options are often published along with the article.

Hair Loss InformationBody Temperature and Alopecia Totalis? – Hair Loss Information – Balding Blog

My daughter has alopecia totalis. We have been told that the body is hot on the inside and that is why the hair fell out. It is a Homeopathic term. Will changing the body chemistry have a positive effect? Have you heard of any homeopathic remedies that work? Do the hairs sometimes just return on their own?

Getting information on this is difficult at best. Thanks for your help

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I have never heard about the temperature issue you discussed. Alopecia totalis does go through remissions and often returns.