Category: Uncategorized

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5 Year Old Daughter Has a Scalp Scar — Too Young for Transplant?

My five-year-old recently had something fall on her head, and it cut her and left a scar. It is on the front of her head, so it is fairly nodicible. I could part her hair differently, but I know this will probably bother her when she gets a little older. I was wondering if there is anything you can do to help. Is there any was of restoring hair where the scar is? Is my daughter to young for a small hair restoration procedure? Please help, I know I should have been watching her closer to prevent it.

Hair transplants are great at covering up scalp scars from accidents. It would be a fairly easy procedure depending on the size and the location of the scar. However, at 5 years old, your daughter may not tolerate the discomfort of the anesthesia and comply with the healing process. As it is a cosmetic procedure, it is my opinion that she should wait until she has a better appreciation of what is involved in such a procedure and drives the process herself.

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Is My Hair Loss Normal?

Hi, i been taking propecia for a month and 1 week, this last 2 week i notice that i lose over 150 a day ( Each morring i lose around 50 hair on my pillow and around 80 in the shower). It been going on over 2 week.
Will this stop and Is this normal for taking propecia? if yes how long will this hair lost last? Do propecia cause initial hair lost?

thanks

A typical person does lose 100-150 hairs per day. If what you see more recently reflects a change in your norm, you may be experiencing an acceleration of your hair loss. The relationship with your taking Propecia may be circumstantial and I would believe that the two are not related, but you can stop taking the drug and see what happens. The drug is out of your system usually in a day or two. If it stops the loss, then maybe there is a connection, but I have never seen that connection in others. If the loss continues, then I would go right back on the Propecia because that is the best hope for you.

There are some doctors who believe that some shedding after starting Propecia or Avodart is due to an acceleration of the hair cycling. See my previous posting on this subject here.

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Age 22, and worried about balding

I know it isn’t a super bad case of MPB yet but I really don’t like these temporal recessions. They make me look old and I want them to go away. I’ve traced where my hairline used to be and I’m wondering: can it be restored with just fin + min or will I need to buy a hair transplant at some point?

I am not 100% sure that this is balding. To be sure, I need to see a frontal view with your eyebrows lifted high so that you forehead creases. That will tell me exactly where your hairline belongs, if it is receded, and by how much.

This may be an early Class 3 pattern of balding. If you are under 22, it will likely respond to minoxidil and finasteride. If you are over 26, if it doesn’t respond to the above medications, then try microneedling for 6 months, which should regrow your hair. If not, you can get a hair transplant if you have tried it all and are over 25, which will work well if this is balding. The design of your hairline you sent to me is clearly feminine. You need a good doctor to design it properly if you get a hair transplant, and it should be a mature MALE hairline.

 

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Is Propecia Causing Kidney Issues?

I’ve been taking Propecia for over a year now and had a blood test recently done. It shows that my serum creatinine is in the slightly above normal zone which is an indication of possible kidney dysfunction.

Can propecia cause kidney damage? If not, can I still continue taking it?

As I’ve written before, there is no documented adverse effect of Propecia on the kidneys.

Elevated creatinine is something that you should understand. I’ve written about that before as well, here. What I generally do is first repeat the test in the case that the lab test is in error. Then your doctor will dive into it more deeply. Ask your prescribing doctor if you should continue taking the medication, as I cannot give personal medical recommendations.

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Is Taking Propecia to Prevent Shock Loss an Indefinite Necessity?

Hi Dr Rassman,

Fantastic site, and I’m really enjoying your cautious matter-of-fact coverage of the new A-Cell technology!

I’m a 28 year old male, slowly but surely experiencing diffused patterned alopecia. So far it’s not visible except when wet, but miniaturisation mapping shows I’m probably headed for a NW7.

I’m interested in whether you think it’s possible in theory for a surgeon to insert A-Cell treated hairs into the balding areas, thus gradually replacing the DHT-affected hair with permanent hair, and ensuring coverage “continuity”. Obviously this will depend on whether the A-Cell hair is in fact permanent.

Also, I believe you indicated in a previous post that finasteride is recommended to prevent shock loss. Do you believe this will be an ongoing necessity? i.e. assuming the new hairs take root and are unaffected by DHT, would a patient need to remain on finasteride indefinitely or only for the months following surgery?

Perhaps you need a good diagnosis of what you have. Do you have diffuse patterned alopecia (DPA) or androgenic alopecia (AGA)? I suppose you can have both, but that would be rare. It’s important to determine the proper diagnosis, because diffuse patterned or unpatterned alopecia is generally a contra-indication to a hair transplant surgery. The donor hair area is questionable in its permanence in those cases.

Thus, even ACell technology would fall into the same uncertainty. In other words, the hairs transplanted with ACell may not be permanent if the donor hair is not permanent. The technology is so new that I do not have an answer for you.

Finally, Propecia (finasteride 1mg) is recommended for men with androgenic alopecia (AGA). Patients who take Propecia need to take it indefinitely if they wish to slow down or keep the hairs that are at risk from falling out. Many doctors (including us) recommend Propecia to decrease the risk of shock loss. For practical reasons, patients who do not want to be taking Propecia indefinitely (but wish to decrease the risk of shock loss), usually take the medication for about one year. Once they stop taking the Propecia they risk the same ‘catch-up’ hair loss phenomenon. The main thing one needs to understand is that Propecia is an OPTIONAL medication and the only thing that we (doctors) can do is to recommend it.

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6 Months on Finasteride (Photo)

The before picture is below and some benefit can be seen in the upper photo on the left corner of his hairline


2020-04-19 10:39:586 Months on Finasteride (Photo)

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Is There a Good Way to Stop Taking Finasteride?

What is the best way to stop finasteride ? all of a sudden or gradually ? , can sudden withdrawal cause rebound effect and more worsening (speaking of side effects not hairloss) ? and if gradual withdrawal is the best then how can i do so ?

thanks

The half-life of the drug in your body is somewhere between 4-6 hours. That means essentially that most of the drug that you take today will be gone tomorrow. Once the drug levels drop below a certain level, you will lose the effectiveness of the drug and it may take 1-3 months for the impact of the loss to be seen in your hair falling out. Tissue levels may maintain the effect of the drug for a couple of weeks or so.

The answer to your question — there’s no “best” way to stop the medication.

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64 Year Old Female and Just Got Well After Severe Sickness and Lost Easily 50% of My Hair.

Telogen Effluvium is the medical term for acute hair loss that sometimes returns. The return reflects the hair cycle for most women of your age, which is relatively shorter than when you were younger. 50% of postmenopausal women have genetic hair loss from the mother’s side of their family. If it does not reverse in a year, consider a cosmetic solution that is often performed in postmenopausal women who have hair loss called Scalp Micropigmentation. Stress can induce genetic hair loss in women of your age which may not be reversible. (see: https://scalpmicropigmentation.com/smp-for-women/)


2018-06-22 08:51:5864 Year Old Female and Just Got Well After Severe Sickness and Lost Easily 50% of My Hair.

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Is There More DUPA Today or Are People Just More Aware of It?

Is there an influx in people with diffuse unpatterned alopecia nowadays or is the internet just making people more aware of this sort of hair loss?

I’ve been using the internet for the past 7 years and initially information about DUPA was scarce, in fact your website was the first place I ever saw a mention of it. and now you can find hundreds of topics from all over the web talking about DUPA.

when did you personally start noticing this type of hair loss?

When we wrote about DUPA in the medical literature back in 1995 (PDF here), the diagnosis required that the physician look at the donor area with high power magnification.

With my invention of the hair densitometer with patent issued in 1994 (U.S. Patent 5,331,472 – Method and Apparatus for Measuring Hair Density July, 1994) the ability to look at the donor area was made feasible. It took quite a few years and constant physician education by myself and Dr. Bernstein to show the importance of this diagnosis. Doctors who had hair transplant failures discovered DUPA and then began to be a big fan of doing the high powered examination to avoid tackling such patients with surgical procedures.

To answer your question, education takes time and the doctors slowly began including the diagnosis in the range of possibilities in patients. As a result, more and more emphasis of this technology was brought to the public. The internet and this site also probably helped get the word out.


2012-10-15 09:55:33Is There More DUPA Today or Are People Just More Aware of It?