Why dont more patients show their face after a Hair Transplant? – Balding Blog

In your before and after pictures, few patients show their face. Why is that? If I could afford a hair transplant and had a great result, I would show my face and feel proud of it.

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First, with regard to costs, the costs have dropped significantly over the past decade because of better techniques and more competition. Second, cost is a relative term. What may seem “expensive” to one person may be “priceless” to another. In absolute terms hair transplants can typically cost under $10,000 and it depends on the number of grafts you need.

With respect to patients showing their face, this is a private matter for each individual. Some patients have no issue with letting the world know of their transformation. Some rather remain anonymous. We respect the wishes of each individual. In fact most patients rather not have photos published (even when it does not show the face). Some of our best work at New Hair Institute will never be published and go unnoticed to the public. There were a few of our patients on stage and in the audience during the recent Oscars for the world to see but their results will never be published on our site. Each patient has to sign a written consent form giving us permission to publish any photos (even if it doesn’t show their face).

Before hair transplant

After 2400 grafts

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Hair Loss InformationScalp Micropigmentation (SMP) Before and after review – Balding Blog

Some people just want to keep their hair short. Some realize the comb over is not fooling anyone. They think about a hair transplant procedure but they realize they may not end up with a full head of hair with just one surgery (especially when they want to keep their hair short and they are completely bald Norwood 6). This corporate businessman in his late 30’s didn’t want to look like he was in his 50’s. He chose SMP.

NHI Scalp MicroPigmentation Before After

NHI Scalp MicroPigmentation Before After

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Hair Loss InformationMy scalp got rubbed could this damage my hair follicles – Balding Blog

I have been taking finasteride for 15 years, and though I still have most of my hair, I have fairly brittle hair, at least on the hairline. Today, my friend began celebrating like a madman and, without warning, aggressively rubbed the top of my vertex/crown area with his palm. Could this have permanently damaged some of the follicles in that area?

I then went to the gym, took a shower, and dried off in the sauna for about a minute. Someone must’ve turned the heat in the sauna way up because I dried off all over within the seconds and started to feel like I was on hot coals. Even my hair went from being soaked to being damp. Could the heat have damaged my follicles?

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Was your friend’s name George?

Seriously, rubbing one’s scalp should not damage your hair follicles in that one incident. Even if the rubbing pulled out hair, that hair would return. No matter what type of hair you have, it is rather very difficult to permanently damage a hair follicle. I always discuss that people who are balding, should be gentle with their hair brushing as those hairs which are miniaturized, can be pulled out with repeated rough brushing.

For that matter, taking a shower or going in to a sauna should not damage hair follicles either. The most common cause of hair loss in men is androgenic alopecia which is genetic and genetically impacted hair often become miniaturized before they die off. If you were already going bald (fact you are taking finasteride) and there was vigorous rubbing or trauma enough to bring you to a hospital, maybe (far fetched maybe) you can have hair loss akin to shock hair loss which sometimes happens after a hair transplant surgery. (Shock hair loss usually impacts miniaturized hair and when it happens, it is often permanent.)

SMP Scalp MicroPigmentation and Hair Transplant with Long Hair ? (Photos with Before and After) – Hair Loss Information – Balding Blog

Can I have a Scalp Micropigmentation (SMP) and later a hair transplant surgery? What if I want to grow out my hair as well? I don’t want to always keep my hair shaved.

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You ask a great question! We have been combining SMP with hair transplant surgeries using FUE or Strip FUT. After all we are a medical practice that specialize in all aspect of hair restoration!

This patient came to us with a old hair transplant surgery scar. He had a strip FUT surgery which didn’t really give him a full head of hair and he just gave up with the idea of having a full head of hair. But he had the strip scar which he couldn’t hide when he decided to cut his hair short. So he went to local doctor for FUE to the strip scar. As we tell all our patients, FUE to the strip scar doesn’t really give perfect results when you are looking to shave your head. So he ended up with MORE SCAR, many ‘punctate scars’ from the FUE surgery. Needless to say he was angry and was very skeptical when he came to see us. We didn’t blame him. He didn’t trust any doctors at this point. Although Dr. Pak thought he would be a great candidate for the SMP procedure, he actually turned him down because the patient’s expectations seemed unrealistic with a bad attitude.

Eventually, the patient came back for another consultation and even saw other SMP patients in person at our monthly Open House Seminars (where prospective patients can meet with former patients and see an actual SMP or Hair Transplant surgery taking place).

This patient eventually had SMP to the entire scalp and covered his FUE scar and strip scar with great results. In the process he came to know and befriend Dr. Pak to trust his work. So after about a year he came back to Dr. Pak for a FUE procedure (about 1500 graft) to add density to the top and soften (corrective surgery) his front hair line from the old transplant work.

While the FUE transplant didn’t give him the full density, the SMP provided a cosmetic benefit to provide a look of fullness. Now he has the option to shave or grow his hair out long.

Old FUE and FUT Strip Scar addressed with SMP Scalp Micropigmenation

Old FUE and FUT Strip Scar addressed with SMP Scalp Micropigmenation

SMP Scalp Micropigment for a shaved look

SMP Scalp Micropigment for a shaved look

SMP Scalp Micropigment with FUE Hair Transplant for Fullness for Long Hair

SMP Scalp Micropigment with FUE Hair Transplant for Fullness for Long Hair

Hair Loss InformationNot Hair Loss News – I Don’t Feel Well So Please Prescribe Me an Antibiotic – Hair Loss Information – Balding Blog

Ever since I became a doctor, friends and family have asked me to prescribe antibiotics for them as a favor when they don’t feel quite right and think that they are coming down with something. They don’t want to go to a doctor’s office when they have the flu-like or upper respiratory complaints such as a cough, a runny nose, sinus pain, and many other such miladies. When I have refused to prescribe the requested antibiotic, my routine, they make me feel as if I have betrayed them, after all, it is so simple for me to do it.

“The Centers for Disease Control and Prevention (CDC) reports that each year in the United States, at least 2 million people become infected with bacteria resistant to antibiotics, and at least 23,000 people die as a direct result of antibiotic-resistant infections.

Tom Frieden, MD, MPH, CDC Director, points out, “It’s clear that we’re approaching a cliff with antibiotic resistance. But it’s not too late. Clinicians and healthcare systems need to improve prescribing practices. And patients need to recognize that there are both risks and benefits to antibiotics — more medicine isn’t best; the right medicine at the right time is best.”

The above quote was taken from Medscape General Surgery website July 7, 2014 and after reading it, I felt better about turning down my friends and family when they don’t feel well and ask me to prescribe an antibiotic for them. There clearly is some misconception in our society that antibiotics cures the common cold, flu, coughs and sinusitis. FYI, none of my family or friends died or became hospitalized as a result of my turning them down for their requests.

Can Norlevo (Morning After Pill) Cause Hair Loss? – Hair Loss Information – Balding Blog

Hello.

I took Norlevo (morning after pill) 15 days ago and now I have noticed that my hair is falling out. How long will this last? Is there anyway to stop it?

Thank you.

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The morning after pill is a hormone similar to what you find in a birth control pill. Birth control pills could possibly cause hair loss in rare instances. I can not tell you if that if your hair loss is related to the pill (Norlevo). It may be due to stress in general as well. You need to follow up with your doctor for an exam.

Pulling Out A Hair With No Bulb At The End – Hair Loss Information – Balding Blog

Hi there. I recently pulled my hair, in the front part of my scalp, just to see how bald I am going and noticed that the hair I pulled didn’t have a bulb at the end. Does this mean that I have permanently lost this hair?

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You probably pulled a hair that was about to be shed, like the hairs you see in the shower. We lose 100-150 hairs per day. If you want to know if you are balding, see a specialist.

Hair Loss InformationA Memoir of a Courageous Young Woman – Hair Loss Information – Balding Blog

In 1967, I was an intern with the cardiac service of CW Lillehei at the University of Minnesota. Dr Lillehei had just performed a surgery on a 16 year old girl with a Tetralogy of Fallot (a congenital heart defect). Being 16, Maria was unusually old for this type of surgery as most children with this condition who are left untreated typically would die from the disease before reaching adolescence.

Maria had severe heart failure when she came to us for treatment. It was a very risky surgery for her, which at 16 and extremely ill, had very low chances of survival. I was the intern on the case and followed her into the coronary care unit after the surgery. She suffered 260 cardiac arrests over the first week (I believe a record). For this reason, I stayed with her day and night, addressing each and every cardiac arrest episode as quickly and as efficiently as possible. She was fearful if I ever left her room, even for a bathroom break. I ate my meals beside her and slept in the adjacent bed next to her if it was not occupied, or on the floor, or in a chair.

After the multiple cardiac arrests, her chest wound incision (the mediastinum incision from the base of her neck to the bottom of her breast bone), could not tolerate the repeated cardiac compression episodes and electric shocks for defibrillation, and the chest wound eventually opened up, exposing her heart. When she would sit up, her heart came out of her chest. Eventually, the heart became infected and I was assigned the job of washing out the chest cavity, putting my gloved hand into the chest and breaking up pockets of pus that formed around the heart and great vessels. The process of clearing up the infection went on for many months and eventually another intern took over that responsibility.

I always dropped by to see her, to talk to her, to tell her jokes as her English improved, and to hold her hand. Her English was quite poor in the early days of her hospital stay, but we communicated nonetheless. I don’t remember precisely how long she was in the hospital, 7 to 9 months is my best guess, but I do remember receiving my first letter from her about a year later. It was a letter of thanks and gratitude. She eventually returned to Greece, a frail and skinny girl with tremendous fortitude, to live and love life.

MariaI found out that she put on some weight and eventually entered the Miss Universe pageant, where she was one of the finalists. She went to college, formed her own school after college, taught English, married, and gave birth to a daughter in 1978. She wrote to me every Christmas in the earlier years and I looked forward to her letters. As the years passed by, life got busier and the letters became infrequent until eventually they stopped altogether. Going through a pile of old family photographs I came across a picture of her with a note on the back dated 1978. It was a picture of her smiling as she held her baby girl. She radiated with beauty inside and out.

I tried to reach out to her after finding this photo and was fortunate to locate her sister, who now lives in northern Minnesota. I was informed of the details of her hard won life, her becoming a finalist in the Miss Universe Pageant, her love for her students and of teaching, and the unfortunate details of her death in 1985 from complications of pneumonia.

The memories of my time with Maria in that hospital room and her struggle compelled me to share this with you. Maria gave back so much and touched the lives of countess people in the 18 years she lived since her surgery. Life is truly a gift that is worth fighting for and one should never give up despite the odds. If you ever feel overwhelmed at life and the tide is against you, just remember this story.

Hair Loss InformationMeeting Patients Again for the First Time – Hair Loss Information – Balding Blog

BagelsBear with me here while I delve into a story…

It is always good to see past patients. I’ve met them in airports, at shopping malls, or just around Los Angeles. For as big as a city it is, sometimes L.A. can feel really small. I’ve had so many patients over the years that I’m not surprised to run into them at various places around town. Most patients are discreet, but just last week I ran into a past surgical patient in a local bagel shop. He immediately told me his name (I am terrible about remembering names, but better with faces) and we talked generally about the economic recession and its impact on both of our businesses. Pleasant morning chit chat, really.

Then, right in the middle of the bagel shop, he bent down to have me look at his head and asked me what I thought about his hair. I didn’t remember where I had transplanted him and from the quick look I had of his scalp right there amongst the cases of baked goods, I honestly couldn’t tell his transplanted hair from his original remaining hair. I wasn’t going to break out a camera to start snapping photos right there, but he told me that so many people mentioned how good he looked and I’d have to agree with that. It was a nice start for my day.

Finasteride, FDA, and Prostate Cancer Prevention – Hair Loss Information – Balding Blog

One of my favorite BaldingBlog contributors (who shall remain nameless) sent in some great insights about FDA advisory committees. We’ve previously posted his thoughts on the LaserComb, clinical trials, and FDA trials. This post will be used in the future as a point of reference:

    Dr Rassman,
    Given the many questions related to consideration of FDA expansion of the finasteride label for prevention of prostate cancer, your readers may wish to access the data themselves and better understand the process (which becomes more transparent and less “conspiratorial”).

     
    The recent finasteride and dutasteride opinions noted in the Dec 3 Balding Blog posting are not from the FDA, but are from an independent group termed the Oncologic Drugs Advisory Committee. The committee is composed of 18 voting members (and several non-voting members) – mainly oncologists, with some statisticians, epidemiologists, and a patient representative, the former mainly from academic institutions.

    The FDA eventually considers the committees opinion in approval or withdrawal of drugs (or “expansion” of a drug label for a new indication). The FDA usually follows the recommendations of advisory committees, as the committees’ recommendations are presumably “data-driven” and the FDA typically comes to similar conclusions. However, as in the case of many decisions that are split or where significant differences in interpretation of risk-benefit exist, the FDA has occasionally approved or rejected a drug against the recommendation of an advisory panel. Examples of split Advisory decisions (where a majority vote did occur) are the opinions this year related to several weight loss drugs.

    The Oncologic Drugs Advisory Committee voted 17-0 against expanding the label for finasteride to include prevention of prostate cancer. A unanimous vote by FDA Advisory Committees is rare. I have no special knowledge of the meeting. This decision was based in part on data from the 19,000 patient Prostate Cancer Prevention Trial and the belief that the data did not support the risk benefit profile (i.e. possibility of increased aggressiveness of tumor did not outweigh reduced risk of low-grade tumors). As with all such committee meetings, which are open to the public (including listening via live webcasts), the transcript will be published and available within a few weeks at the FDA’s web site.

    However, interested readers can go to the FDA web site now and access the Briefing Document and presentations given to Committee members from the drug company seeking approval. This information is public and typically posted several days before the meeting. The meeting was held on Dec 1, but the date of posting was Nov 26 (see under Oncologic Drugs Advisory Committee). The info can be found at the following links [note – all are PDF files]:

  1. Draft Agenda for the December 1, 2010 Meeting of the Oncologic Drugs Advisory Committee
  2. Briefing Information for the December 1, 2010 Meeting of the Oncologic Drugs Advisory Committee
  3. Draft Questions for the November 30, 2010 Meeting of the Pediatric Oncology Subcommittee of the Oncologic Drugs Advisory Committee
  4. Merck Briefing Information for the December 01, 2010 Meeting of the Oncologic Drugs Advisory Committee
  5. FDA Briefing Information for the December 01, 2010 Meeting of the Oncologic Drugs Advisory Committee
  6. GlaxoSmithKline Briefing Information for the December 01, 2010 Meeting of the Oncologic Drugs Advisory Committee
  7. Draft Questions for the December 1, 2010 Meeting of the Oncologic Drugs Advisory Committee
  8. Draft Meeting Roster for the December 1, 2010 Meeting of the Oncologic Drugs Advisory Committee
  9. Webcast Information for the December 1, 2010 Meeting of the Oncologic Drugs Advisory Committee