Hair Growth After Transplanting Hair Into Scar Tissue

Dr. Rassman I want to first thank you for maintaining such a top notch site. I have a question for you regarding transplanting hair into scarred tissue. I recently (4 months ago) had hair transplanted into a 1 and 1/2 inch long scar running front to back. I am seeing very little growth…if any. What seems to be present are a few graft which never fell out and have continued to grow. I am aware that growth in scar tissue may take a little longer than if it was to be transplanted into virgin scalp, however, to put my mind at ease I was wondering in your expert opinion, what is a reasonable timeline to expect growth in the scar? Thank you very much in advance for your reply.

It’s only been 4 months, so seeing a little growth is completely normal. I tell all patients to wait for a full 8 months before judging the hair transplant results. You just have to be patient.

Hair Loss After Adult Chicken Pox

When i was i think 19 i had chicken pox. i had a fever for about two weeks. after i recovered, one day when i woke up i saw my pillow had many hairs on it and when i combed my hair, many hairs fell out. before i had chicken pox my hair was very thick and long, but now is not so much bald but the thickness is gone. my hair in front of my head is in the shape of an M. and my hair in the top is not very thick now. im 22 now.

What you describe is very common. Significant illness or stress to your body can precipitate a “telogen effluvium”, also known as a “shedding phase” which is transient – it grows back. Now, several years later, the “M” shaped hairline you describe is consistent with male pattern balding – another common condition. These two conditions are likely unrelated. Hope that helps!


2006-04-14 08:31:15Hair Loss After Adult Chicken Pox

Traction Alopecia in Teenager

Hi,
I am 15 and I have traction alopecia. I got it because I am of Sikh decent and I recently cut off my tightly tyed hair. I have bald spots in the back of my head, on my forhead, and the front of my sides by my forehead. I am desperate for help as Im just 15 and I want to do things with my hair. Right now I just have long hair to cover things up. Please tell me any medicines like rogaine or something that will help. Thanks

Traction alopecia in many young Sikhs may be permanent, even at your age. If you have not worn the turban for more than a year and no hair has grown back, chances are that only a hair transplant will solve the problem. Many Sikhs have this problem. You may consider seeing a hair restoration doctor (with your mother/father) to consider surgical options.

Hair Loss and Autoimmune Diseases

I am 42 years old and have had progressive thinning of my hair for about 12 years. Thinning is mostly on the top of my head. I have been to Rheumatology who has referred me to Dermatology. I am a University of Michigan patient. I have had every lab possible (I think) drawn. Only thing that is positive is my ANA. My nuclear antibody titer is >=1:2560 NAB pattern is HOMO. ADNA is negative. Do you think I should ask to have my androgen levels tested? Should I be asking to be referred to Endocrine? I’m at a loss. I’m ready to visit a hair loss center but before that I want everything else ruled out. I NEED YOUR HELP!

If you have an elevated ANA titer, one might worry about autoimmune diseases that can cause hair loss. Please see Lupus.org – My ANA Is Positive… What Does That Mean?

First, I would get your hair mapped out for miniaturization and see if your pattern shows one that is typical for male patterned loss (I am assuming that you are male, if not then there are many other things that can play in the causes of hair loss). Working with a good rheumatologist should shed light on any autoimmune component. Keep with the good doctors you seem to have and pump them for information, adding to it what you might learn from a miniaturization analysis of your hair shafts.


2007-05-15 14:32:17Hair Loss and Autoimmune Diseases

A Transplant Done Almost 200 Years Ago

https://medium.com/@ufuk_86483/the-history-of-196-year-old-hair-transplantation-6db71ff186e1

This is remarkable history worth reading for the history buffs.


2019-02-14 06:17:59A Transplant Done Almost 200 Years Ago

Most of the Transplanted hair was lost 10 years after the hair transplant (photo)

This is a condition called Lichen Planopilaris (LPP) which is a form of a scarring alopecia that destroys the hair follicle and then replaces it with scarring, resulting in permanent hair loss. The skin is shiny and mottled (this does not show well in the photo), and the hair ostea have some plaques around them. All this is typical of this disease. This man is 62 years old and had two hair transplants (1994 and 2006 totaling 2300 grafts in the frontal hairline). Three years ago, he had a nice frame to his face and a good hairline, but that hairline slowly disappeared. I am concerned than another hair transplant will likely fail. I recommended that he see his dermatologist and get an appropriate biopsy which will likely confirm the diagnosis. These biopsies require a skilled dermatopathologist in the microscopic evaluation of the biopsy.

If the patient has LPP, then any hair transplant would fail.


2019-12-02 13:28:30Most of the Transplanted hair was lost 10 years after the hair transplant (photo)

Hair Loss from Cancer Drugs

Dr. I am currently in the Star study and taking either tamoxofin or reloxofin and a placebo. I am having ample hair loss every time I brush or wash my hair. One of the questions on the form that I am to answer every year (this is my second in the program) is regarding hair loss. Within the past few months I have also started taking Glucosamine and Condroitin. I think the hair loss has increased in this time. Is this a conincidence or which drug, if any is causing the hair loss and is there anything I can do about it other then stopping the meds?

Many drugs that attack potential cancer cells because of their high metabolism, will also impact other cells with a high metabolism such as hair (one of the highest metabolic organs in the body) and the lining of the intestine (these cells have a high turn-over) with symptoms of loose stools and general ‘stomach’ troubles. Also, some of the other sensitive cells to anti-cancer drugs are the blood cells in our body, some of which live only a short time, even under normal circumstances. That is why many cancer patients have frequent blood tests and are monitored for side effects so closely. Hair loss is not one of the points that have become the focus of anti-cancer drug treatment by doctors, yet hair loss is often the most worrysome side effect from the patient’s perspective.

Unfortunately, there have been no effective medications that have been shown to protect against hair loss. That is the bad news. The good news, however, is that the hair in women that falls out from the impact of these anti-cancer drugs, always comes back within a year or so in most women, that is, unless they have genetic hair loss. Those with female genetic hair loss and hair loss from anti-cancer drugs in combination, find that although the hair usually returns, it does not come back as strong hair. Show patience, and the hair will probably return to its pre-treatment quality, again as long there was not genetic hair loss prior to the commencement of treatment.

Transplanting Hair Between Fraternal Twins?

I’m worried that the combination of continued balding and my very fine hair will make it difficult to naturally and densely cover my scalp via transplant. In the case of having a fraternal twin, female family members, or maybe even friends with hair to spare, is it ever possible to retrieve grafts from a donor that is not the patient? Would grafts from a female donor be viable on a male MPB scalp? Thanks!

Unfortunately, transplanting hair from any person other than an identical twin will fail and get rejected. Hair is like any other organ transplant, which would require anti-rejection medication that could lead to further health complications. I’ve written about this process and the medication required before.