Months After Transplant, Hair Became Thinner – Hair Loss Information – Balding Blog

Dear Dr Rassman
First of all i would like to thank you for the great support you have been providing.

I am 27 year male. I had my hair line done(1400 grafts) 5 Months ago in LA. Around 4 months after the surgery i had good number of hair on the left side. But with in last 1 month i have noticed that my hair have become thinner in this region. Is it possible that i have lost few newly transplanted hair. And also i do not see much hair (not even baby hair on the right side). I am a social smoker i smoke between three or five cigarettes a week. Does this has any thing to do with poor hair growth .

Thank you very much for your advise.
Regards

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Patients react differently to their newly transplanted hair. In some people, the transplanted hairs completely fall out before regrowing after a few months. In rare times, they grow and keep growing after a hair transplant. The final results of a transplant must be assessed no sooner than 8 months from the time of surgery, because you want styling length to about 1 1/2 inches to see the benefits of the new hair. Your thinning may have been part of the initial shock loss and may grow it back (I recommend that my patients use Propecia to reduce the risk of shock loss). With a good surgical technique more than 90 percent of your grafts are expected to take.

Smoking, as we discussed several times here before, is bad for your overall health and decreases blood micro-circulation in tissues, possibly contributing to poor wound healing. Proper wound healing is essential for the transplanted grafts to ‘take’. Smoking may potentially stop the growth of implanted grafts and in your case you may have lost some of the grafts as a result of that. Again, most patients who have less than targeted results from transplant are smokers. Maybe it is a good time for you to quit smoking. See the doctor who did your hair transplants and hold him accountable to give you the direct answers to your questions with you in the same room. If I were your doctor, I would want you in front of me at about the 8th month after the surgery.

Any Comments on False Research Findings? – Hair Loss Information – Balding Blog

Interesting article report!

Dear Doc, please take a look at this article and comment the content.

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This is a very interesting article. I tend to remain skeptical and I am dubious of research that is poorly executed. Unfortunately, we have a tendency to want to believe certain things, and such desires will impact our own objectivity. For example, there are many lotions and potions in the marketplace that claim the ability to reverse or treat hair loss. Many of them use poorly designed research to push a commercial agenda and many hair loss sufferers want to believe that herbal and naturopathic medications can address their hair loss agenda. The research that I have reviewed since starting this blog is overwhelming and the findings of many of these products are in fact, unsubstantiated and false. This article may be of interest to some of our readers, so I did put it into the blog as a way of sharing it with my readership.

What is Diffuse Unpatterned Alopecia (DUPA)? – Hair Loss Information – Balding Blog

Hello!
I have seen many dicussions related to Diffuse Alopecia or DUPA, but I have never understood the causes. Is it genetic hair loss expressed in a diffuse pattern, or is it a kind of disease caused from something else?

Thanks a lot for your time!

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Diffuse Unpatterned Alopecia (DUPA) is a condition where the hair has miniaturization throughout the scalp without a particular pattern to it. Women who have genetic hair loss have something that acts and looks like the male patient with DUPA. It is generally believed that in men, DUPA is genetic and hormonal. At times, it will respond to Propecia (finasteride 1mg) in slowing down its advancement and in about half of male patients it does get better (slightly) with Propecia.

Dandruff Getting Worse on Propecia – Hair Loss Information – Balding Blog

Ever since I started Propecia I noticed that my dandruff was getting worse. I have had nice results with stopping my hair loss from Propecia and I think that it may be regrowing my hair, but the increasing dandruff has become an embarrassment for me. Any suggestions?

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I have had a few people complain of increasing dandruff. There seems to be a benefit with using a mild steroid (1/2% hycrocortisone) a few times a week. I generally tell people that three applications, 12 hours apart would be ok, but not to use it heavily or too much steroid can be absorbed in your system through the skin. The use of Nizoral shampoo has worked for many of these people.

Taking Propecia with Vitamins – Hair Loss Information – Balding Blog

Hello – my question is quite simple.. I understand that taking Propecia in the morning is best (due to increase in hormones then).. But what about taking it with other pills? Have you ever heard of, or have any reason to believe that taking it with a Multi-Vitamin as well as an allergy medecine (Zyrtec-D) might affect Propecia’s effectiveness?

Thanks!

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To my knowledge, there are no negative effects of taking all those medications at once. I suggest that you consult your prescribing physician.

Vitamin A & D and Female Hair Loss – Hair Loss Information – Balding Blog

(female) regarding hair loss. I have tried it all, propecia, rogaine, the works. what i’d like to know is, I take loads of vitamins and supplements. I have hashimoto’s which I read I should take among others Vit.A and/or omega 3 fish oils. I was taking 5,000-10,000 of A and 400 iu of D. Then I thought I should get my a & d from fish oil instead. I take (2) 2500 Vit a and 250 vit.d a day.My question now becomes this. Would I need to take the same amount of Vit.a & d in the fish oil as in a regular a/d capsule which is from say carotene. I know a & d can become toxic and causes loss of hair and I’m wondering if that is my problem. What is a safe amount?? And which/ or both do you suggest.

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As a rule, a normal healthy diet should provide you with ALL the essential vitamins and minerals for a normal healthy person. Millions of dollars are spent on marketing supplements to a health conscious society and it gives a skewed perspective on our health and subliminally gives us the message that we need to take these extra supplements to make us better (lose weight, grow hair, increase our sex drive, build muscle, feel happy, get smarter, reverse aging, etc). As long as things are not done in the extreme and it seems to help, there is nothing wrong with taking supplements. But there is no hard medical science to support majority of the claims.

With respect to Propecia, it is only FDA approved for male pattern hair loss in men. It is not approved for women. For more information on the use of Propecia in women, see: Treatments Available for Female Hair Loss. With respect to Rogaine, you can try it out, but it would take about a year to notice any benefit. I do not know if you had tried it for a year before you abandoned it. With respect to vitamins and supplements, if they work for you, then I see no reason to change the regimen. With respect to your thyroid condition, you should follow up with the doctor who is overseeing your treatment and follow his recommendation. It is not something you cure with just supplements.

More Aggressive Prostate Cancer While on Finasteride? – Hair Loss Information by Dr. William Rassman

I’ve seen some studies that suggest those who *do* develop prostate cancer while on finasteride may have a greater change of seeing a more aggressive variety. There seems to be conflicting views on whether or not this is true. The general consensus I’ve gathered is that the preventative nature most men see far outweighs the risk, but its something to keep in mind nonetheless.

There seems now to be an agreement amongst the medical community that the appearance of a more aggressive cancer in those patients on finasteride may be a distortion of the way the data is collected. In addition, people on finasteride shrink their prostate when compared to people not on finasteride. If one assumes that both the control group and the treated group start out with the exact same number of cancers (or pre-cancers), then the smaller prostate (when biopsied) will show a higher rate of cancer detection than the larger, more swollen prostate. Each man in the original study was over 55 years old, and as cancer is more prevalent in men over 55. That is why the age group was selected for this study. The men who had an apparently more aggressive cancer had what appears on biopsy to be worse cancers, had the same long term result as than the control group of men. In conclusion, finasteride probably has no more negative effect on producing an aggressive cancer of the prostate than those people who were not on the drug, but the incidence of cancer was 25% less in the treated group than the control group.

For more information, please see Archives of Dermatology – Finasteride (Propecia) and the Promotion of High-grade Prostate Cancer.

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Will Propecia Only Prevent Shock Loss in Younger Men? – Hair Loss Information by Dr. William Rassman

Dr. Rassman,

You frequently mention the safeguard of taking Propecia to prevent shock loss. You also mention how shock loss is more frequent in younger men and so I’m left with the impression that Propecia will only help young men prevent shock loss. I’m 36. I seem to have stabilized my hair loss with propecia. If I’m a NW 3 and have been on propecia for 15 months, what are my chances of shock loss? Also, if I’m going for a mature hairline, how many grafts are needed for a typical NW3?

Thank you

I believe that Propecia can and does prevent shock loss in anyone having a hair transplant at any age (although nothing is 100%). The young man is most vulnerable to this complication. At your age, your chances of developing shock loss are slim.

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If I Stop Minoxidil, Will It Harm the Existing Good Hair Too? – Hair Loss Information – Balding Blog

Hi,
I’m a 23 year old who has, as of the past 2 years, been using Propecia with what I believe to be good results. Still, in the cranial areas superior to the temples, theres still some thinning taking place (the apex of the forehead is fine, no thinning). Three days ago, I decided to try Minoxidil in just those areas. When I apply it though, it clearly seeps onto my other good, thick hair nearby. Though I already know that once you stop Minoxidil the hair you’ve regrown there falls out, but my question is will one day deciding to stop the minoxidil also make the hair that the drug may have touched during application fall out as well (the hair that would normally had stayed had I not used minoxidil at all)? Thanks for reading.

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If minoxidil is applied to normal hair there will be no response to it (provided that there are no side effects of the drug, like an allergic reaction). Stopping minoxidil will not impact normal hair that was exposed to the drug.

Doctors Discouraged 19 Year Old From Using Propecia – Hair Loss Information by Dr. William Rassman

Im a 19 year old male,and for the past year and especially the past 3 months my hair has thinned and receded almost an inch. Ive always been told i just have a large forhead so i shrugged it off, now im scared because i am afraid to go out without my hat on and i dont like this. Ive started rogaine but i feel like its gonna be pointless cause of how much ive already lost, im not ready to suck it up and shave my head yet. Both my docter and dermotoligist told me its just bad genes and i got male pattern baldness and discouraged propecia and vitamins. Ive died it 5 times in the last year, and i plan on dieing it again, because the darker color makes it seem as though i hav e more hair, both docters told me this doesnt affect it. Ive always had long hair and im not ready to lose it, am i to young for a hair transplant.

If you have genetic hair loss, you should be on Propecia, so I disagree with your doctors. Without a doctor / patient relationship, I can not make a diagnosis, but 19 is not too young for Propecia treatment in genetic male patterned balding. You need to have your hair mapped out for miniaturization to determine the diagnosis. You are clearly too young to think about hair transplants, particular without getting some doctor first to take care of your hair loss with appropriate medications.

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