Risks and Pain in Transplanting a 50 Year Old – Hair Loss Information – Balding Blog

I am considering a hair transplant of 2200 grafts and am 50 years old. I am in good health and I have plenty of donor hair. I feel that this would make a tremendous difference in my hairline and appearance. What are the risks and pain involved for a man my age and with that amount of micrografts? How long would it take to heal? thank you

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2200 grafts is a moderate-sized surgery that would likely take about a week to heal in the donor area. The risks for someone of your age if you are in good health are roughly the same as those for most other ages – to be more precise, there are surprisingly few. As with any surgery you risk the possibility of scar formation, infection, and possible adverse reaction to anesthesia or other drugs are very, very rare. These are the big ones we worry about and incidences are very uncommon in a proper surgery center and with a trained and experienced doctor and team. There is also no excuse for this elective surgery to be any more painful than a mild dental visit. Good pain medicines and effective techniques are available, well known, and should be used.

To be completely honest, your biggest risk is in the choice of your surgeon and the team they use. Choose a surgeon with a good reputation whose hairlines you like, and make sure they are willing to let you meet their patients and evaluate their results for yourself. Check the facility and ask the surgeon who is on the surgery team. An experienced staff makes all the difference in the world both in your experience that day and in your final result because of the way the staff members treat the grafts. Lastly, choose someone with whom you feel comfortable. Many of my patients who come in for corrective work had a less than good feeling when they went to their doc or they chose them solely on price. Remember, you are the one who gets to live with the permanent results after all, so be a little picky.

17 Year Old with White Hairs – Hair Loss Information – Balding Blog

I am a 17 year old male. I started noticing that I was losing just a little bit of hair when I use shampoo. I know its normal to lose a little bit of hair. I also started using a hair dryer to style my hair. I noticed that I was starting to grow white hair. I have only a few white hair right now. Is this normal? Does this mean I will be losing hair??

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White hair has nothing to do with hair loss or the shampoo you select unless there is a bleaching component in the shampoo, which could bleach your hair. Some people genetically grow gray/white hair earlier than others. It is normal to lose up to 100 hairs per day. Excessive blow drying may affect your scalp and hair by making it more brittle, thereby leading to hair loss.

Hair Loss InformationAdvised To Not Take Propecia? – Hair Loss Information – Balding Blog

HI Doc,

Im a 20yr old male and have just noticed that my hair is thinning out and im losing it. My hairline has been reduced and in the middle and back ive lost a significant amount of hair too. I can see through my scalp now in many parts. Also, in the front you can see through my scalp and actually count the hairs that are in front! I look at my pictures from last year and even this summer and im seeing a huge difference! im really getting scared.

Im using rogaine now, started a week ago. I want to take propecia but been advised not to. i ve also looked in getting FUE or FUT! Please let me know what you think? And also do the hairs extacted from the donor area grwo back or not?

Thank you very much for this amaizng service!

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Propecia is only for male patients treating male pattern baldness and it is the ideal drug to prevent or possibly reverse your hair loss.

I would say that you are too young to consider any type of hair transplant. At the very least, you should try the medications and then develop a Master Plan for your future with a good doctor. You need to be evaluated for miniaturization. I am the physician who helped shape the Follicular Unit Extraction (FUE) procedure, which extracts 1 follicular unit at a time using special instruments leaving very minimal scarring. The hairs are moved from the donor area — so no, they can not grow back into the donor area.

More information can be found at the links below:

18 Year Old With Hair Falling Out in Clumps – Hair Loss Information – Balding Blog

I’m only 18 years of age and have started to lose a lot of hair within the last 6 months. I’ve never really had a high hairline or anything. I’ve always had thick bushy hair at the front. I don’t think it can be androgenetic because everybody in my whole entire family, whether it be my parents parents or just my parents, all of them have a full head of hair. My brothers all have a full head of hair too and no sign of receding.

I was reading on the internet about hair loss and how it can be linked with cancer. I have found a lump and I was wondering if this could be anything to do with it. I have seen the doctor and he’s also bald (doesnt give me much hope) and had a blood test. It’s really depressing to find clumps of hair faling out each day and not growing back. If there are any solutions for regrowth please could you let me know. Thankyou!

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If you are concerned that you have some disease, then first address this as your highest priority with a good doctor. Assuming that you have no medical problem, then you need to be managed by a doctor who can make the proper diagnosis (assuming that you have genetic hair loss) and then mapping out your head for miniaturization.

White or Gray Hair at 23 – Hair Loss Information by Dr. William Rassman

I have male pattern baldness and choose not to take medicines for it because im comfortable with my balding. But, my beard hair and some hair on my head is turning white /gray. i’m 23. what to do?

Dye your hair, as that is the only possible solution to color change and it is an art that has been around for years. Get a hand on how to do it for yourself, once you get it done by a professional if you are cost conscious. I have seen young men with black hair and white beards, so they keep their beards closely shaven, successfully hiding it from everyone.

Balding Forum - Hair Loss Discussion

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Would I Hate Myself If I Had a Transplant at Age 26? – Hair Loss Information – Balding Blog

I’m a 25 yr. old guy. I visited [a well known doctor] and he told me that if I had a hair transplant procedure, I’d “hate myself for the rest of my life.” Pretty harsh. I appreciate his honesty, but am disappointed that this is not an option for me. I’m confused! I would be more than pleased with the results that I have seen on various good physician web-sites. I’ll be 26 shortly, and am wondering what my options really are if the best results are so bad that I’d hate myself for the rest of my life.

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You can always get a second opinion. If the doctor is well respected, there are a number of questions I first would want to know about you, so seeing a photo/meeting with you and speaking with you would be invaluable. Things that may make the doctor have hesitatations with transplanting a man of your age would be:

  1. Unrealistic expectations (which is why we don’t do computer imaging)
  2. Body Dysmorphic Disorder (see BBC News: Health)
  3. Poor donor supply (possibly from DUPA)
  4. Too early
  5. Unable to face the consequences of progressive balding
  6. Psychiatric problems
  7. Financial problems

Many times when I want to point a patient to a psychiatrist, they resist. After all, I am a hair transplant doctor and not a ‘shrink’, so it is not often that I give a special speech on this subject, and certainly not like the one the doctor you discussed gave to you. If you do not communicate with your chosen doctor, that would be one way for him to get your attention. Remember, you do have options, and if you are not comfortable with what you were told by one doctor, you are free to see another.

Hair Loss at 19 from Vitamin Imbalance? – Hair Loss Information by Dr. William Rassman

Hi, i first noticed that my hair was thinning when i was 17. Around the same time, i got this weird rash on the back of my head due to poorly cleaned clippers at a barber shop. Now i’m 19 and it’s really noticable that i am going bald. I can now see my scalp and my hair line has receded at least an inch and a half. I am very young. I believe it has to be a vitamin inbalance. Right now i’m taking ULTRA HAIR, which is filled with Biotin. I’m too scared to take rogaine or propecia, becuase i read that propecia can stop a man’s erection. What should i do? Who should i talk to? And do you think the rash has something to do with all this? The rash is still there. Thank you

If you review the Age category of this blog, you will learn that 17 year olds can get male pattern genetic hair loss. Assuming that you are male and receding, that is the most probable diagnosis. You need to get a diagnosis; you should have your head mapped out for miniaturization and attempt to get proper control of the hair loss with a drug like Propecia. If you have lost the first 1 1/2 inches of hair line, then you will go bald if you do not take a real proper action and get control of your hair loss. Playing with vitamins when you are losing your hair like you described, is like looking for fleas when a herd of elephants are chasing you. You should be running for you ‘life’ (and by that, I mean ‘hair’).

Propecia side effects have been covered on this site before: here, here, here, and here.

Hair Loss InformationTests to Run for 13 Year Old Girl Losing Hair – Hair Loss Information – Balding Blog

Dr. Rassman, my 13-year-old daughter (caucasian) has been experiencing thinning hair these past few months. Her dark wavy hair in the past had always been pretty thick. Her pediatrician ran anemia and thyroid tests which came back normal. We then saw a dermatologist who ran free testosterone and DHEAS-these too came back normal. The next step we are doing is seeing a endocrinologist (appt. not available until February). Are there some other tests that ought to be run in the interim, or should we see a hair specialist (do you know of any in the Metro Detroit area with a female (teenage) hair loss specialty?)

Her diet is fairly balanced, she has not experienced any stressful episodes, and she feels fine physically. I have recently been giving her Women’s 1-A Day vitamins since this problem has occurred. In the Spring of 2005, she began taking Cephalexin (Keflex) for acne. The dermatologist gradually reduced her intake, and she has recently stopped taking it entirely. Another note is we visit the Islands every February (during the past 7 years) whereby she has her hair braided. She would generally keep the braids in for a week, which looking back must have caused a lot of stress on her hair, but again, that would be 8 monts after the fact that the problem began. Thank you for any insight you may be able to provide.

-Very concerned parent

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You daughter can go through periods of shedding hair and then reverse and regrow the hair. It is normal to lose up to 100 hairs per day. Now, if she continues to lose more than 100 hairs and she begins to show bald spots or more scalp, then it is a concern. There are many causes for hair loss in women as you outlined she is or has been evaluated for. The list includes: hypothyroidism, alopecia areata, telogen effluvium, androgenic alopecia, repeatedly over plucking, surgery, trichotillomania, stress, chemotherapy, radiation, cancer, eczema, seborrhea, scleroderma, lupus, hormonal imbalance, psoriasis, parasites, fungal, autoimmnune disorders, poor diet, poor nutrient, burn, trauma, leprosy and drugs. The common medications which may cause hair loss are beta-blocker, coumadin, oral contraceptive pill, antibiotics and chemo-medications. Braiding hair could cause permanent hair loss if it is kept for a long period of time and especially when a person has sensitive/weak hairs. I believe visiting a hair doctor in your area is a got start. A full analysis for miniaturization with a good microscopic evaluation of the scalp hair is critical in understanding the process. Continue with your present course and get the scalp mapped out as well.

18 Year Old Female with Thinning Hair – Hair Loss Information by Dr. William Rassman

I am an 18 year old female college student and I have been noticing for about 3 months that right at my bang area, my hair is thinning and I can see my scalp. It not real bad, I mean you cant look at me and say your going bald.I am the only on that notices it. So yeah its not in horrible condition to where it is noticable. I just see it because of cousre I am a girl and look for things like that. What could it be: stress, diet, dying my hair? How can I help my problem? Please help me it bothers me so much even though its hardly noticable except by me when im staring at it…HELP!!

There is a typical female pattern of hair loss just behind the first 1/3 inch of hairline, in the area of the forelock. Whatever you have, you need to see a doctor who can evaluate you in person for miniaturization and determine if you do have female genetic balding. For your peace of mind, you should know that there are things that can be done for it. Overall testing of women for a variety of conditions are well discussed in this blog (see Female Hair Loss category).

Balding Forum - Hair Loss Discussion

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I’m 21 and Balding – What To Do? – Hair Loss Information – Balding Blog

Dear Sir:
I’m 21 years old , i’m suffering from hair loss , its not that much till now but i have a feeling that if i just ignored it , it will be very bad later , & i realy care sooooooooooo much about my Look. So please tell me what can i do , Do you prefer surgery for me , or Drugs ( if yes mention one ) i used to use REGAIN EXTRA STRAINGTH . but i stopped. because i wanted a faster solution . please reply as soon as possible . thanks so much

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It is very difficult to evaluate hair loss without at least pictures, and an in personal consultation is better. I don’t recommend hair transplantation as the first option to solve your balding problem. First, you would have to be evaluated to map out your hair loss as it progresses by determining the degree of miniaturization that is in every part of your scalp. Then, providing you are a male, I would likely have you on Propecia for a year or so, then reassess the miniaturization and your observable pattern of hair loss (if any) or reversal of hair loss. From there, transplantation might be right for you, but only an in-person evaluation will be able to determine this. If you’d like to email photos to me, please use the email address on the contact page.