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More and more patients are experiencing over zealous surgeons who take out too many grafts from their donor area in doing FUE. I know that many patients want a lot a grafts so that they can get their hair back as quickly as possible, but pushing the envelope is a real problem as many men, who have donor densities that are not high, get this type of result and eventually may become bald in the back of their heads. If some of the hair does not recover (some of what we see is the result of shock loss), then the only option to treat this is scalp micropigmentation (https://scalpmicropigmentation.com/scar-covering/). I have discussed the limitations of FUE in previous posts here: https://baldingblog.com/2017/07/21/many-fue-grafts-many-fues-grafts-one-know-safe-limits/

This is a remarkable video of Dr. H Mohmand performing FUE at a rate of over 3000 grafts per hour at his clinic in Islamabad, Pakistan. Very commendable skills.

Taxotere is a drug for treating cancer. Cancers and hair have something in common – they are both fast growing organs. Cancer drugs attack fast-growing organs. In the body, hair is the fastest growing organ, followed by the intestine. Therefore, hair loss, nausea, vomiting, and diarrhea are often side effects. Once the medications stop, the hair will probably come back, and nausea, vomiting, and diarrhea along with it will subside.

Taxotere may lead to Permanent Hair Loss from tressless

Does miniaturized hair gradually grow shorter with each cycle or can a miniaturized hair be long, say 5-6 inches then fall and stop growing?

At the start of the year my hair was thick but after a stressful couple of months, all my hair turned super thin with bald patches. The hair turned so thin it has very wide partings. Also all my body hair thinned too. Beard, arms, legs and pubic area. It’s like every hair on my body miniaturized. I can see my scalp now with wet hair. It all happened quickly, this wasn’t a gradual thing. The hair texture feels weird. My beard hair has thinned the same. I had thick hair on arms and legs now it’s all very fine. My pubes are now thin and wispy. I started taking fin a few months ago. I was prescribed it for prostate. Will this help? I can’t find anything about this when searching the net, only TE but does hair thin during that? At the start of the year I was very stressed, hardly eating or sleeping for a couple of months which I”m sure caused this.

Let’s imagine a hair that grows out for two years and is 12 inches long. If miniaturized started into the second year, the hair closest to the scalp would be thinning then the hair at the end which was made 2 years earlier. So a miniaturized hair can be seen simply by pulling out a long hair and looking at both ends. Another aspect of these miniaturized hairs is that they will grow slower and slower over time, eventually they stop growing and just stay there, falling out with washing, brushing and just the wind.

There is another condition that I just recently defined in the literature called Age Related Thinning. In this situation, all of the scalp hairs become thinner all at once and it is uniform thinning throughout the scalp. Although this is more common in men and women over 50, it does appear in younger men and women. I have seen it in men in their 20s and they make the mistake to think that this is balding because they can see through the hair to the scalp. There is no known treatment for this and neither minoxidil nor finasteride can reverse this as I know it. This is my article about it: https://newhair.com/pdf/Kumaresan-Muthuvel-Bernstein-Rassman-Commentary.pdf

I’m getting an FUT procedure done next week. I’m excited and a little nervous. I’m 29. Still have some hair left on top of head. But my temples are completely bald. Can someone share their experience?

• Was it worth the effort and money?

• After how long did you see the results?

• Any shock loss of existing hair? Did it come back?

• Anything else I need to be aware of?

I believe that every man must develop a Master Plan when they start their hair loss, particularly when they start doing a hair transplant because hair loss is progressive and it may, depending upon your balding pattern, keep going if you inherited a Class 7 pattern (the most extreme pattern as this man did: https://baldingblog.com/norwood-class-7-pattern-patient-received-11000-grafts-plus-smp/ ). It is so important that the doctor that you bond with, cares about you and not the size of your bank account. In the example here, I donated the last half of his hair transplants at no charge in exchange for him helping me educate some of my patients, We both got a good deal and he kept his hair for his entire life. I also did his father and his brother and all of his balding friends.

I saw this photo on an internet site where the patient asked how his recipient area looked and why the cracks where there. Clearly the doctor never told the patient how to take care of the recipient area. This poor man will have to walk around for almost a month with this ‘cake’ on his head and he will not be able to go out in public without a hat on his head. Compare the patient with the caked crusts to one of our patients who had proper washing (on the right). Below is our washing process for readers who do not want to get cake on their head.

Post Operative Recipient Site Care: An FUE is treated just like a regular hair transplant with regard to the recipient area, but the donor area has open wounds which require daily washing with soap and water. There should be no crusts present even on day one if the washing routine below is followed. Within 3 days of surgery, you can resume full activities, heavy exercises if you wish. The recipient area requires daily washes as well to keep the recipient area free of crusts. I generally recommend the use of a sponge and supply my patient with a surgical sponge to fill with soapy water and press on the recipient area daily. By repeating this daily, all crusts can be washed off without any fear of losing grafts. IF any crust are present, use a Q tip and dip it into soapy water, and roll it on the crusts and that will lift them off without dislodging them, but never rub them, just roll the Q tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in 7-10 days with daily washing