Is Triangular Alopecia from Menopause? – Hair Loss Information – Balding Blog

I saw some of your pictures of triangular alopecia and it seems to be what I’m experiencing except that it is not congenital and I am a 53 years old. Could it be menopause? Is there is anything I could do about it?

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Triangular alopecia is not related to menopause. Triangular alopecia is an entity in and of itself, which both men and women may get and could appear almost any time, but usually is congenital. It can be treated with a hair transplant surgery very successfully.

Triangular alopecia has many appearances, but the common thread is that the hair loss is on the front/side of the scalp. These pictures from Google Image Search give some good examples of the diversity of its presentation.

What Info Can Be Gathered from Fallen Hairs Found in the Bath? – Hair Loss Information – Balding Blog

Hi.

May I ask, is there anything to be gathered from the quality of hairs I find in the bath after washing my hair?

I have always noticed quite a lot of hair floating on the top of the bath. My mum has the same problem and we both have thick, coarse hair. There’s about 100 hairs after every bath, but it has been like that for as long as I can remember. Some of the hairs in the bath are thinner/finer than others. Does this support the idea that my hair is miniaturizing?

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100-150 hairs lost each day is considered normal, but if they’re all coming out in the bath at once that might be a little much. Do you wear a hat all day and trap in the hairs that would normally fall out during the hair cycling process?

If you are concerned about hair loss, please see a doctor. I cannot possibly diagnose or understand your hair loss issue from 100 thin hairs in the bath water. The only info you can gather is that hair is falling out, either from genetic loss or just normal hair cycling.

Hair Loss InformationThe Back and Sides of My Head Are Decreasing in Density – Hair Loss Information – Balding Blog

Hi guys,

I started thinning when I was 19 and this continued slowly up until I turned 25 when it became far more aggressive and has continued in that vein for 18 months now. I had tried Minoxidil over a year to seemingly no effect and I had significant side effects from using finasteride. Overall in the past 18 months I’ve gone from a Norwood II to a Norwood IV and adjusting has been extremely difficult.

The back and sides appear to be decreasing in density at a similar rate (although they have more hair than across the top, as you would expect) and for that reason I’m very concerned I would not be a good candidate for hair transplant surgery.

I guess my question is whether this is attributable to only androgenetic alopecia, or could there be an additional problem? (be it some sort of telogen effluvium etc)

Thanks 🙂

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The basis of good clinical medicine is to establish metrics (measurements) that give baselines from where we started. If you take such measurements yearly, you will be able to document the degree of thinning and this will help in the diagnosis.

Your story is not one that I hear too often, but to give you any insights I would have to examine you, take a good history from you, take bulk and miniaturization measurements of your scalp (sides and back, as well as front and crown). I can say that the back and sides of the head should not be decreasing in density, but only after you are examined can I do a better job of answering your questions.

Hair Loss InformationWould Any Product Work for Treating Traction Alopecia? – Hair Loss Information – Balding Blog

I have lost my hair at the crown due to tight braiding. Before I try a transplant if it’s even necessary, what products would be best for me as a 43yr old African American Woman? Thanks

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In general, traction alopecia is considered permanent hair loss, particularly if it has been present more than a year. Some women try Rogaine with mixed success, and some women go through hair transplant procedures, which work very well. Every case is different.

Hair Loss InformationDoes Having a Lot of Body Hair Cause Faster Balding? – Hair Loss Information – Balding Blog

Hello, i’m a 16 year old male sophomore. I’ve tried searching for the answer to my question, but no one seems to have a definite answer to it yet. Does having a lot of body hair cause baldness faster/cause baldness? I ask this because, while I may not be completely covered in hair (at least not yet…I hope not though) my legs are very very hairy.

My arms have more hair then most, but its not to out of control, and my chest is mostly clear of hair, theres nothing noticeable. But I won’t lie, I am scared to have body hair, I don’t particularly like it, and i’ve also noticed that men who have more body hair seem to have less head hair, I don’t know if this is just a coincidence, but nonetheless I am still concerned, even though I still have a full head of hair. I’m just not sure how the future will play out for my body. Though I can say that while my dads side has a lot of hairy men, no one in my family has ever truly gone bald before. However, I could be an unlucky exception.

Thanks for reading, and hopefully my question is answered!

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Body hair and head hair do not relate to each other, as they are separately genetic coded. Men with hairy bodies can have hairy heads with or without balding on the scalp. If you think that you are losing hair, then visit a good hair doctor who will determine if you are losing hair on your head or not.

Hair Loss InformationWould SMP Today Prevent a Future Hair Transplant? – Hair Loss Information – Balding Blog

Hi Dr. Rassman –

I had a question about your SMP. So if I currently have a thinning head of hair (had a HT two years ago, but need a second) and I wanted to get SMP as a form of permanent Dermatch or Toppik, would you have to shave my head to do it? Or can you do the procedure without shaving?

Would having SMP done make it more difficult/prevent me from having a second HT in the future?

Thanks!

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In some patients, we have been using Scalp MicroPigmentation (SMP) to thicken up the look of a thin transplant, thereby avoiding another transplant. This can be done without shaving the head, but it all depends on your current state of hair and your overall expectations. SMP wouldn’t prevent future surgery, though.

You should see a doctor with expertise in this area (like us) to find out if your proposed approach will work. This could be done with photo consultations with good, clear photos sent to us at the address on the Contact page.

I Hit My Head on the Sidewalk and Now There’s a Bald Spot Where it Healed – Hair Loss Information – Balding Blog

I have a scar from hitting my head on the sidewalk 3 months ago. The gash on my scalp has healed very nicely(thin red line) but there’s a bald spot to one side of where the gash has healed. How long do I wait to find out if hair will grow back there and why is it not bald on both sides of the gash?

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If the spot lasts more than 5-6 months, you can probably see someone about treating it. Sometimes a limited transplant can work nicely on scalp scars from accidents.

Testosterone Shots and Transplanted Hair – Hair Loss Information – Balding Blog

This email came from a transplant patient of mine from years back…

About eight or nine months ago, I had a low testosterone test result and began taking testosterone shots to respond to this. My urologist assured me that the shots would not cause hair loss, but I’d appreciate knowing from you your thoughts on the subject if possible. To my viewpoint, my hair seems to be thinner, but I am not objective (or rationale) on the subject.

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If you have been taking testosterone for 9 months and have not seen an impact causing hair loss, then you should be safe with regard to this potential problem. I would assume that those hairs which are genetically impacted by the balding process are all gone by now and all you are left with is hair that will not fall out with testosterone. Your transplanted hair falls into this category.

If you were a young men and still had active balding, then you would have seen hair loss by this time from the testosterone.

Transplanting Patients with Vitiligo? – Hair Loss Information – Balding Blog

As far as I know vitiligo patients are at increased risk of developing alopecia areata, alopecia totalis and alopecia universalis. Obviously if a vitiligo patient who has male pattern baldness goes on to develop alopecia totalis or universalis then they would lose all scalp hair and any scarring from a hair transplant would be visible.

I appreciate that any hair transplant candidate could go on to develop alopecia totalis or universalis but in most cases the risk seems to be too small to be a serious factor. I am however wondering whether the increased risk associated with vitiligo patients is something that should be considered particularly where young men with male pattern baldness are concerned. It would be good to have your expert opinion on this matter.

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The appearance of a secondary skin problem (alopecia areata) in patients with vitiligo, although possibly linked and possibly at increased risk, has not been a problem in my experience. The decision to transplant should not be a concern in patients with vitiligo (as we at New Hair Institute have had successful hair transplants on patients with vitiligo) .

Is Itchy Scalp a Symptom of MPB? – Hair Loss Information – Balding Blog

I have an itching scalp in the area where I experience hair thinning. Could this be a symptom of MPB, or could it be a symptom of something that is unrelated to MPB but causes hair thinning?

I also have dandruff, if that matters. Although I use Head and Shoulders, there are still flakes when I itch my head.

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Some people have reported an itchy scalp when they are balding. I often wonder if what these people are complaining about a scalp that gets more sun, more air movement, and gets exposed to more drying.

Perhaps in your case it’s just the dandruff causing the itch and the location of the loss is coincidental.