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No real history of MPB in family other than normal hair loss after ~50 years old. I am 23 and was fat all of my childhood. I lost about 70-80 lbs in under a year and a half about 2-3 years ago. I basically lost it in the worst way possible… starving, keto, etc. Barely functioned during that time. Since then my hair seemed noticeably thinner on the entire hairline and crown a bit. However, it seemed to get bad and then stay the same since then. Hasn’t really gotten worse. I read that weight loss can trigger MPB somehow. Does this mean I’m basically starting now what I would start at 45/50 years old? Does it necessarily mean it’s going to keep getting worse? Or is there a chance it’ll take some time? I’d really rather get a hair transplant than take drugs daily.

Significant weight loss causes hair loss. 30 pounds in a month is very extreme. A safe number is 1 pound/week and should reflect a new lifestyle of eating, not crash dieting. Even though your family history doesn’t show balding, you have developed a Norwood Class 3 Vertex pattern of balding which was mot likely accelerated by your crash diet.

The hair is longer so the impact I believe we are seeing is due to longer hair. Hair grows about 1/2 inch per month so if the December photos has a 1/2 inch of length and the January photos (30 days later) and 1 inch of length, the hair mass will have doubled.

The swirl area is always difficult because the hairs do not layer but rather draw one’s eye to the center of the vortex. The impacts of 4000 grafts depend upon the thickness of your hair shafts (fine, medium or coarse). The thicker the hair shafts, the better the coverage. I suspect that, looking at your result, your hair has a medium or medium-fine hair thickness. Please let me know if I am correct. The transplant was largely done in front of the swirl, but half of the upper swirl was included in the transplant. Note how difficult it is to get a tight swirl unless you put in more hair or have coarser hair. This is a nice result. Rarely does new hair appear from a hair transplant beyond 9 months. Congrats!

As an aside, look at my crown hair transplant, which was fine when it was done; however, when my hair thinned out with age, a see-through appearance showed my scalp. I had SMP done and the change was dramatic, see here; https://baldingblog.com/i-just-finished-my-smp-on-my-crown-area-today-see-before-and-after-photos/

Hello doctor,

can a cytostatic agent applied to the face in order to relieve effects of seborrheic dermatitis cause damage to eyebrow hairs? As far as I know, it slows down cell multiplication rate of the skin so I am wondering if it affects eyebrows and how?

Thank you

I think this question is better asked to a dermatologist. I have no experience with cytostatic agents as they are used for the treatment of seborrheic dermatitis.

Many of my friends are asking me what I did to my head?

Unfortunately, SMP is an art form that takes a long time to learn, I have seen many such examples of SMP done by people who should not be doing it at all (sake a look at our website to see what it should look like here: https://scalpmicropigmentation.com. You can go to a dermatologist who has a Q-Switch laser and have these removed to get you back to normal. Then if you are willing to get it done right, visit us.

D

Two examples, one done wrong (above), done correctly (below – before and after example – click to enlarge)

Yes, some people can recede without balding. This means that their frontal hairline may work its way back to blatant frontal balding without loss of hair elsewhere. However, sooner or later, many men will develop balding elsewhere on their scalp. If it bothers you a great deal, then a hair transplant (an FUE) can solve the problem.

Is it possible to bald without shedding? from tressless

The surgical team placed all of these grafts to marvel on the job that they did; however, they shouldn’t have been proud of it as many of these grafts will never grow. Note that the hairs within the grafts are cut in portions (transected). See the zoomed in section identified

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Zoomed in area on the left