Adderall or Ritalin — Which Is More Likely to Cause Hair Loss?

Between Adderall and Ritalin, which of the two would be most likely to cause alopecia? I know this is a loaded question. Thanks drs

There’s no way for me to know that. Adderall’s safety label was updated last year to include alopecia, and there are some reports of hair loss associated with Ritalin as well… but these are likely rare. I don’t generally prescribe either medication, so perhaps your doctor might be more familiar with them.

For men, the most common cause of hair loss is due to genetics (not medication).

Lack of randomness in a hair transplant with photo

This is a picture of two patients with a hair transplant. Please note the alignment of the grafts, like soldiers in a field. It should look like a random pattern and not a series of circular lines as hair grows in random patterns. In these patients, when the hair grows out, you will see a similar circular pattern and know that it was a hair transplant. I have seen this problem in too many doctors who have this ‘orderly mind’ and do not have the artistic flair needed to do this right,

Lasers Used in Hair Transplantation?

Do you know if Laser Hair Surgery requires you to go under anesthetic? I have a real phobia of anesthesia, so would prefer not to get knocked out during surgery!

Laser hair transplantation was used in the 1990s, which had a laser cut into the skin, then the grafts were placed into these laser-created wounds. The wounds produced a surface that would not allow the grafts to be held into place, so they just slipped out. Also, the laser burned the skin at the wound edge, creating a great deal of damage and producing wound healing problems. It was largely abandoned by every doctor who promoted it at the time.

As for sedation in hair transplant surgery, we’ve written about that here. Different clinics may offer different sedation options. You don’t need to be completely knocked out during a hair transplant.


2012-08-13 10:41:03Lasers Used in Hair Transplantation?

After a Stressful Situation, My Hairline Has Receded

Dear Balding Blog,
I recently went through a very stressful experience and now 1 month later, I noticed that my hairline has matured or possibly receded around the temple areas. There are many factors I have considered (stress, wearing my hair in a side part, maturation of the hairline), do you think I should begin to take action and see a doctor?

Without knowing how old you are or any of your medical or family history, it would be impossible for me to say what you might be experiencing. So yes, if you’re concerned you should see a doctor for an in-person examination to help determine what is causing you recent loss. At the very least, you should get your stress under control.


2011-08-01 08:17:14After a Stressful Situation, My Hairline Has Receded

Less Than 3% Transection Rate from FUE, What About the Artas® Robot and Other Doctors?

I’ve checked out Dr x’s website, and he claims that he can perform an FUE surgery with a transection rate of under 3 percent. I’ve read your article on FUE which was written near the end of 2007. In that article you mentions that “the transection rate by our NHI surgeons are still well within the 10% range for FUE and we make no pretenses that it is better than that routinely.” With Dr x’s experience and latest tools, has he overcome a major flaw within the FUE procedure?

Also Dr x is marketing a new device which he created to improve the FUE procedure.

Some doctors have big egos. Some claim to have a better mousetrap. I can not and will not comment on another doctor’s claims. There are now robots doing FUE with good success and low transection rates that are evaluated by independent third parties and trusted researchers. There are no independent judges or observer who can verify claims. You are stuck to doing your own research and then trusting that the doctor you selected was honest with you.

The transection rate with FUE depends upon the skills and experience of the doctor, the instruments used and in many cases, the tissue make-up of the patient’s collagen. where the doctor (or robot) has no control. In the later case, it is individual PATIENT dependent.

I would guess that normal transection rates still vary in the hands of good, experienced and honest surgeons, number less than 10 percent transection rates. The transection rate is not the critical element in an FUE procedure, rather it is the experience of the team in managing the grafts. Even with the Artas® robot, other than the coring of the grafts, the rest of the process is manual, so manual quality control processes determines the success or failure of graft growth. I have recently seen a patient who had FUE with the Artas® robot, and the procedure largely failed. Even if the transection rate was very low, the detail in the manual management of the grafts may have been an issue. Did you know, for example, that if a graft is left open to the hair for as little as 10 seconds, it will die. That death, will not be seen until 8 months after the transplant surgery is finished.

I’ve seen Dr. Pak’s FUE surgery and his transection rate is not infrequently less than 3%, however, on the rare patient who has ’tissue’ differences in their collagen, the transection rate may go up to as high as 10%. We could ignore this singular result and report transection rate of under 3%, but that would not be honest. Our efficiency with FUE using our own internally developed tool is higher than most doctors in the world. It is not unusual for us to extract FUE grafts at the rate of 1,000-1,500 grafts/hour. We run an ‘open shop’ (open door policy) here which means that we hold open house events every month where our patients, happy or unhappy, can come to meet with people like you. Few doctors are that open with their patient population.

I realize for marketing purposes and advertising to the public these numbers and stats would seem important, but I would rather that your ask to meet some of his patients and get the doctor’s results from the patient’s own mouth as well as see the results with your own eyes.

Age Limit for Hair Transplants?

My wife passed away early last year and I just started to date on the internet. There are a lot of ladies out there, but my bald head makes me look too old, more like someone’s great grandfather. I want to be a lover and to be that, I got to look like that. Is there an age limit to get a transplant? I am essentially totally bald (except for my sides and back and scattered hairs in the front that seem to be holding on for dear life). Can hair transplants work for me at 84 years old?

Your question brought a smile to my face. I have done hair transplants on many men in their 80s and they were driven to have a hair transplant after either divorce or the death of their spouse. Men of all ages want to look young and looking young makes you feel young, so why not get your hair back and get your youth back? I have done surgery on many people with the most advanced hair loss pattern. Clearly, we are not all equal and some balding men just don’t have the supply, while others do. I always start by suggesting that you come in to the office to be evaluated. Rather than overwhelm you with lots of text, I thought I would point you to two patients who allow me to use their photographs. The first is a very bald man in his late 60s (happily married), before and after a hair transplant and the second is a man now in his 80s, that had one transplant procedure and started dating in his late 70s. The photos show his hair loss progression since the 1940s.

Is there a link between prostate cancer, balding and finasteride or dutasteride?

According to the attached article from Harvard Health (thanks for the reference) and a group of Australian doctors who studied two groups of about 1400 men, they found that men with bald spots at the top of their heads (vertex baldness) were one and a half times more likely to have prostate cancer than those without bald spots. As an aside, we have also known from other studied that men who have vertex (crown balding) have a higher risk of heart disease and chances of dying of a heart attack. So what does this tell us? If you have Crown balding, be careful to check your heart and your prostate.

https://www.health.harvard.edu/mens-health/testosterone-prostate-cancer-and-balding-is-there-a-link-thefamilyhealth-guide


2019-03-05 07:48:01Is there a link between prostate cancer, balding and finasteride or dutasteride?

All of the hair on this man’s head is transplanted (about 7000 grafts)

Not only did he have hair transplants, but to make up the difference between what he needed from a donor area that would not support his hair transplant needs, we balanced it against Scalp Micropigmentation which, when combined with proper styling, gave him this look. He is a swimmer and would generally swim a mile or more each and every day. At one time, going in the water was a nightmare for him, because his balding showed. Now, he can be at the beach and freely swim whenever he wants. He just pulls his head back when he exits the water and his hair falls back just as shown in the first styling photo below

How long does it take a new hair to grow?

How long after a hair falls out does it usually take for another hair to appear on the surface of the skin?! Is it really immediately? Does it take a month?

If you are talking about a transplanted hair immediately after the surgery, it takes between 1-5 months for it to come back and grow. If you are talking about your regular hair that sheds and goes into a sleep cycle, the cycles usually take between 2-6 months as the growth cycles vary between male and female and the age of the person. The younger you are, the more infrequent are the hair cycles and the longer is the growth phase of the cycle.


2019-02-01 15:23:24How long does it take a new hair to grow?