I’ve Been in Denial About My Diabetes and I Think It’s Causing My Hair Loss!

Hi Dr.
I’m a 20 year old male and a type 1 diabetic. I’ve been type 1 for 5 years since 15. Since diagnosis, I have never taken care of myself, at all! my blood sugars were terrible for 5 years (denial of diabetes) and my hair is receding also.

I was wondering if constant bad blood sugars would cause hair loss?

The most important thing here is to take care of yourself.

At 20 years old, it wouldn’t be surprising if your genes were just as responsible for your hair loss as your diabetes. In other words, you could very well have diabetes along with genetic hair loss. Diabetes is a systemic disease and it can impact all parts of your body if you leave it untreated. See a good hair doctor so that you can find out what is going to happen to your hair and what you are going to do about it.


2013-03-12 13:23:28I’ve Been in Denial About My Diabetes and I Think It’s Causing My Hair Loss!

A former patient of mine came in to see me today (photo)

He asked me if I knew how he selected me as his surgeon some 20 years ago, so when I said no, he went on to tell me the answer. The day he came to my office, he recognized two of the most famous producers in Hollywood sitting in my lobby. He knew that I would then be his surgeon, a decision he never forgot. He had two surgeries with me totally 4025 grafts. He send on his four best friends to see me as well. The hair they got from me makes them happy today, 20 years later. I tell my patients that you don’t want to take chances with results, because when happens to you everyone will see for the rest of your life. You don’t want to (1) have it failed to have it redone, (2) to have it done poorly so that others can tell you had a hair transplant, (3) have it done without a future plan so that as the genetic hair loss progresses, you don’t have enough hair left to follow the loss as you get older. His before and surgical pictures are show here as well

 


2019-10-26 11:20:23A former patient of mine came in to see me today (photo)

I’ve Had 3 Transplants to My Eyebrow Hair

Hello, I was missing the middle of my eyebrows ever since I was a child. My oldest child pictures have virtually no eyebrow hair in the middle but it wasn’t noticeable until I became a teenager and they darkened. I have no idea how I lost them or perhaps I was born that way. When I was a teenager the remaining hair started seemingly shedding. So I got 2 hair transplants with a doctor.

What I am concerned about is the remaining original eyebrow hair seems to be shedding too much and it seems from the before and after shot I have less of the original hair than I had before. Today when I put tea tree oil on the original hair to get rid of the dry skin 15 hairs from my original brows came out. I just had a third hair transplant into my eyebrows so the trauma from the surgery might be why but still it’s just an example. The transplanted hair does not seem to be effected like the original hairs but if possible I still want to protect what I have left of the original hairs in case I am loosing them. I did pluck a lot of the dry skin plaques out so I might have lost some of the hairs to traction but that doesn’t explain why the hairs shed so easily and I’m wondering if this shedding suggests that the follicles are in danger.

My dermatologist doesn’t know whats wrong. Is their any tests I could take to determine what is causing the excess shedding and possible hair loss such as a hair biopsy or skin biopsy? Could the inflammation from the dermatitis be causing telogen effluvium or something? Is there anything I could do to stop it? I feel very discouraged about finding out what the problem is.

If you have seen a good dermatologist and had a good hair transplant doctor, I can not add much here as I would have less information than they have. You could be experiencing some shock loss in your eyebrows, but I’m just not sure, as I’ve not examined you and am not familiar with your history. If your dermatologist doesn’t know what the problem could be, I’d try another dermatologist.

A Patient From 1993 Surgery

This patient came in today to ask for Scalp Micropigmentation to make his hair appear thicker. It was a pleasure seeing him today. He still remembered the upbeat environment that the surgery was performed in 22 years ago! In addition, he sent a friend after he had it done.

This patient had some old plugs prior to meeting me which I camouflaged at the time of the 1993 surgery with great success. We discussed the ‘standard of care’ for hair transplants at that time and I may have been one of the few doctor who did not perform plugs then (I never performed plugs), something that he knew and appreciated. Today, we still see patients with the old plugs and I love to help them deal with it. After he has his Scalp Micropitmentation done, I will share his ‘after’ picture with you.

I’ve Taken Propecia for a Decade and Now I Need a Higher Dose for BPH

I have been taking Propecia for over 10 years, and it has been great for slowing my hair loss. Now my doctor is recommending that I try a higher dose of finasteride for BPH. Will a 5mg daily dose of finasteride still have the effect of slowing my hair loss?

Proscar1mg strength (Propecia) is all the finasteride you need for treating androgenic alopecia (AGA). Taking a higher dose of finateride will not be of benefit with respect to treating your hair loss. I do realize that there are a minority of patients who choose to take a higher dose, but the results are equivocal at best.

Please follow up with your physician and address your BPH issues. A higher dose may give you a slightly higher risk of side effects, but it would not have a negative impact with respect to your hair loss. Essentially, taking the 5mg for BPH treatment would also give you hair loss treatment benefits.

A Week After Transplant, I See Small Hairs Falling Out With the Scabs

Hi, I had 500 grafts to the temples 12 days ago. I have been washing the recipient area almost every day, and gently dabbing the shampoo on and off but some scabs still formed. I began very gently running my fingers over them when dry (but certainly not pulling them) by about day 7 and noticed some easliy fell out but with small hairs attached. Is this my grafts coming out?

We all worry about losing hair grafts after the surgery and that is the basis of your question. It is an important question; so important that NHI did a major study on the subject and the best answer to this question is for you to read our article on this subject — Graft Anchoring in Hair Transplantation (PDF file).


2007-11-28 10:36:33A Week After Transplant, I See Small Hairs Falling Out With the Scabs

Just a Question About Inheriting Balding

So, let’s say my maternal grandfather never went bald (His hair is white and thinning at age 75+, but had good hair most of his adulthood), but my maternal uncle is bald at 40+. My dad’s side all have decent hair. His hair is a little thin now as he is just as old as my maternal grandfather, but still enough that he still needs to get a haircut sometimes. What are my chances of going bald if my maternal uncle is balding but not my maternal grandfather? I have inherited my dad’s hairy body, but I’m not sure about testosterone sensitivity on the scalp.

There is no way to determine your risks of inheriting the balding genes.


2019-07-29 11:29:55Just a Question About Inheriting Balding

Accutane for Acne, Propecia for Hair Loss

Hi Im 22 years old and my hair has been thinning really really bad for like the last year or so.

I just started on my second month of propecia and I know its too early to see any changes, but my problem is that I also have an acne problem and my dermatologist is going to put me on Accutane. I know accutane contributes to hair loss also so i just wanted to know if I could be taking both at the same time? or just any advice you can give me.

I doubt that Propecia (finasteride) will protect against possible hair loss from Accutane (isotretinoin). There aren’t known interactions between the two medications, but this subject needs to be discussed with the treating doctor, not with us over the web.


2010-07-30 08:47:29Accutane for Acne, Propecia for Hair Loss