Why Would Shock Loss Cause Permanent Hair Loss? – Balding Blog

Why does the hair that you lose from shock loss not regrow? I asked my dermatologist about my shock loss and he said he expects that the hair will grow back and that it would be unlikely that the scalp would just stop working and stop growing hair because of the surgery.

Nobody really knows for sure. Shock loss in a man with genetic hair loss often just accelerates the hair loss process. In women, a telogen (sleep) phase occurs and the hair almost always grows back. In men, it is thought that hair lost from “shock” after a hair transplant surgery is mainly the weaker miniaturized hairs that were already predestined to fall out as part of the male pattern balding. The “shock” from the surgery would cause these hairs to fall out earlier than normal just as any stressful event (even an appendectomy). Thus Propecia (finasteride 1mg) has a protective effect on preventing some hair loss from “shock” loss in miniaturized hairs. This is the reason why younger men who are actively losing lots of hair are at an increased risk for shock loss and must use finasteride to protect themselves from the awful complication.




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Balding Forum - Hair Loss Discussion

I Want to Slow My Hair Loss Without Drugs – Hair Loss Information – Balding Blog

I am 18 year old male and im starting to notice my hair loss its not that bad but im afraid it might get worse.My dad is 50 and he’s completely bald but his dad is not as bald.Im not taking any drugs but im using this shampoo called Loreal paris thickining shampoo it helps a little. is there any thing i can do to prevent or slow down the process? whithout drugs like Propecia or Rogaine.

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No.

Male pattern hair loss is genetic. It is due to a hormone called DHT (dihydrotestosterone). Despite media hype and mass marketing promoting “DHT blockers”, there is no cure for balding. Even drugs such as Propecia and Rogaine have limitations, yet they are the most effective and proven medical regimen for androgenic alopecia (AGA), also known as male pattern balding (MPB). Another option is hair transplantation.

If you lived near the ocean and your car was rusting, you could say that you don’t want to do anything, because you want to keep your car ‘natural’ and you can watch it rust away. Get the message?

Hair Loss InformationUltra-Refined Follicular Unit Transplantation (FUT)? – Hair Loss Information – Balding Blog

Hi Doc,

What’s up with this new trendy “ultra refined” FUT? Accordingly to the clinics using this improvement of FUT, follicles are packed denser due to smaller incisions and transplants. Is this improvement really necessary and couldn’t it lead to a greater amount of lost transplants?

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Horse and buggyI have been doing this for years, so it is not all that new anymore. Many, many other doctors are late catching on, but it works well. Perhaps that is why it is “new” to some physicians.

In this follicular unit transplantation (FUT) technique, the use of smaller needles and better prepared grafts allow the placement of grafts closer together. The density of the grafts do reflect more fullness in the final results. I didn’t coin (nor do I use) the term ‘ultra-refined‘, but it sounds like a good descriptive tag. Most of the patients on our website have had this technique done.

Trendy? I guess so. I suppose it can be compared to the old days when the automobile replaced the horse/buggy, which I would call trendy in the early days.

Does Better Blood Flow on Side of the Scalp that I Sleep On Lead to Thicker Hair on that Side? – Hair Loss Information by Dr. William Rassman

After 4700 FUs one side of head is clearly thicker then the other.

Hi Doctors,

I’m curious to see if you’ve heard of this before. I had two hair transplant sessions totalling 4700 FUs in the past 2 and 1/2 years. I’ve been noticing that the hair on the right side of my head are much thicker than the ones on my left. Someone said that it is because much more blood flows to my right side, since that’s the side I sleep on. I thought this was foolish, but I’ll try anything to get the left side as thick as the right. So I started to sleep on my left side and I’m hoping this will help. Do you think it is because more hairs ont the left side are going into the rest cycle? Any suggestions?

Thank you.

I do not believe that there is any difference with respect to sleeping on one side versus the other. What I do know is that in a hair transplant, the right side often grows more hair than the left. This is related to the teams of people placing the grafts — right handed people place more efficiently on the right side of the head and the left side is often a slower process. Most technicians are right handed and prefer to work on the right side. This is an important element in the quality control of the doctor’s team.

Balding Forum - Hair Loss Discussion

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Going Through Menopause and Losing Pubic Hair – Hair Loss Information by Dr. William Rassman

I have been having thinning pubic hair for about a year, I am 59 and have gone through menopause, although I still have the hot flashes, just not as strong as they use to be. I take no horomones at all, I am just managing on my own. Could this problem be hormone related, or is alopecia as you sometime refer too? I have no other hair loss at all, I have always had very thick head hair and still do. What do you think? thank you

If the loss is just limited to your pubic area (or underarm area), then I would assume that it is hormone related. Many people feel fortunate to have thinning pubic hair in today’s culture. If it bothers you and you are healthy, hair transplants from the scalp to the pubic area is something that is available. We do a few of these each year.

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If I Get a Hair Transplant, Will the Volume of My Long Hair Be Noticably Thinner? – Hair Loss Information by Dr. William Rassman

I am a 42 y/o male,(Norwood 3)no “V” as of yet and I have long hair that reaches past the middle of my back. Should I ever require a transplant procedure will the volume of hair that flows down my back be noticibly reduced since follicles must be harvested from the back of the head? BTW, I have taken Avodart for 2 years with great success. I was getting a little thin in the crown area and now the crown has filled in very nicely, however, no such luck with the receding hairline.

Thanks

There should be a minimal reduction of hair volume from one hair transplant. I am curious to know why you are not taking Propecia (finasteride 1mg). Stronger medicine does not necessarily mean it works better. You may have had the same impact from Propecia alone.

Chemical Burn from Antifreeze Caused Hair Loss – Hair Loss Information by Dr. William Rassman

I have a patch baldness on the front left side (left side of hair line)on my head. I have gotten burned there a few years ago by antifreeze, fresh from the car radiator. The result was after a good half hour, the skin began to peel off at the spot the antifreeze touched. I was wondering, will my hair ever grow back again or do i have to take another route to solve this issue? I have another issue, I am losing hair on top of my head, I do not know why it is happening but I want to solve this issue too. It is said that it runs in the family. Do you have any suggestions in solving both problems? If so please inform me along with prices. Thank you.

It sounds like you have a couple of things going on. The chemical burn might be secondary to genetic male pattern baldness. To get the diagnosis of genetic balding, you should get your hair mapped out for miniaturization and consider taking Propecia (finasteride 1mg) if indicated by your doctor. I really can’t tell you if the hair will grow back after the chemical burn, as I haven’t seen the area you’re talking about. You may be a good candidate for hair transplantation, but again, there are some factors in play that I don’t have the answers to yet without knowing more about you.

If you are in California (or willing to travel), I have offices in Los Angeles and San Jose and can be reached at 800-NEW-HAIR if you’d like to setup a free consultation. If you are not in California, you can send me photographs here (please reference this post when sending).

Born with a Cleft Palate – My Moustache Has a Gap – Hair Loss Information – Balding Blog

I was born with a bi-lateral cleft pallet and althought I am able to grow a decnt looking mustache and goatee, I am unable to grow hair on the area directly under my nose, which causes a gap and my mustache cannot connect straight across. My whole reason for growing out my facial hair is to hide my scar from the cleft pallet and also to hide the lack of “fullness,” of my upper lip when I am seen from a profile standpoint. Is there anything that I can do to facilitate the growth of the hair in that area so that my mustache will connect? If you have any suggestions and/or ideas as to how to correct this please let me know. Thanks

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This is a great application for a hair transplant into the moustache scar. It may take two sessions to get the fullness you want. We have transplanted quite a few people born with a cleft lip and palate.

Male-to-Female Transsexuals and Hair Loss – Hair Loss Information by Dr. William Rassman

I am very happy to have found your website which clearly has much to offer for people trying to tackle hair loss. I am writing to you because my question about male pattern baldness is rather specific and perhaps more unusual in your pile of e-mails. Also, I want to obtain further expert advice.

I am a 25-year-old transgender identified person. I noticed some signs of hair loss when I was seventeen, as such, I believe that I started to go bald earlier than many men. I have been on Propecia for nearly ten years now and I have been able to keep my hair, probably because of the drug. A dermatologist examined my scalp and confirmed that I am a male pattern baldness patient (receding hairline is the only presentation at this time). He suggested I continue to take finasteride to prevent further loss of hair.

I have been thinking about a hair transplant to fix my hairline. My hair loss is still not visible without close examination, so I think I will wait and see what the situation is like a couple of years from now.

Because of my transgender identification I am looking into the possibility of receiving hormone treatments (feminising hormones and anti-androgens) and perhaps sex reassignment surgery. Do you think this treatment will have an impact on scalp hair growth? I am told many male-to-female transitioners stop losing hair along with hormone reassignment therapy. Also, please comment on your experience with creating female hairlines.

I realise that you receive a lot of questions from people, and I believe your blog is a very helpful forum for discussing hair loss. I greatly admire you for all you do to help people combating hair loss. I never thought I would respect hair loss professionals as much as I do now.

Male-to-female transsexuals who have hormone reassignment may slow down the hair loss. The chemical castration that is obtained with antiandrogens should augment your present Propecia (finasteride 1mg) intake and it may be effective enough to eventually stop Propecia altogether.

I have done hair transplants for many male-to-female transsexuals with good results and it is a reasonable solution to the receding male hairline. Creating a female hairline can be easily done with a good hair transplant when and if you find it appropriate and timely for your life’s agenda. The creation of a female hairline is common in my practice as I repair many plastic surgery disasters that have wiped out the hairlines in women (complications of traditional brow lifts).

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Resuming Rogaine After Hair Transplant – Hair Loss Information by Dr. William Rassman

Dear Dr Rassman,

Thank you for a world class question forum for balding, it is certainly one of the benchmark site for balding issues!

My question is, after a hair transplant on the frontal area/temples only, can one resume Rogaine on the vertex immediately? Since it is applied locally at the vertex and should not affect the frontal area. Also, when is a good time to resume Rogaine on the temple/frontal area after transplant in that area?

Once again, a million thanks for your insight!

Yes, you can resume using Rogaine on the crown immediately. I generally ask my patients to hold off on putting it directly on the recipient area for 5-7 days, though.