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I have had 3 consultations and each one told me that I needed a different number of grafts. One doctor quoted 4000 grafts, another 3500 grafts and a third 3000 grafts. It is very confusing. My hair is a medium weight hair (I know you always ask) so I am asking you what you think I need for grafts.

Too many doctors or clinics push up the number of grafts well beyond what you need. With a medium weight hair, I doubt that you will need more than 2000 grafts to lower the hairline and bring the corners down. The reason that the numbers you heard were high is because too many doctor think about grafts as $$ in their pocket, more grafts more $$ for them. For the patient like you, too many grafts deplete your permanent hair supply and if you found yourself balding as you got older and did 4000 grafts for the front now, you might find yourself without any hair reserves for future balding.

I am 29 yr old female and I am losing some eyelashes on the middle part of my upper eyelid. Is it do to a lack of some kind of vitamin or could it be because I had an eyelash perm? But I was losing a couple before I had that done.What do you think?
Thanks for your time

Eyelash loss is often due to blepharitis, which is an inflammatory condition of the eyelids. Any mechanical manipulation may cause eyelash loss. It may happen with false eyelashes or eyelash perm. The other possible causes include hormonal problems, such as a thyroid problem (hypothyroid), and pulling eyelashes due to psychological conditions (trichotillomania). Your eyelash loss may be part of a condition called alopecia areata, which is an immunologic disorder that may cause patchy hair loss in different areas. I recommend that you see a dermatologist for this problem.

The number of grafts depends upon (1) the thickness of your hair (fine, medium or coarse), (2) the donor density which tells the doctor how many hairs are present per follicular unit and (3) where the center hairline belongs (I don’t see the highest crease of the furrowed brow to measure the appropriate distances). Based upon these three factors and assuming that the center hairline is now in its final position, I would guess that the number of grafts (assuming that the grafts average 2.2 hairs/graft), that it would take 1700-2700 grafts (more if the hair is fine and less if the hair is coarse).

I weighed around 85-86kg before this, and now, two weeks and two days later from the initial depression episode starting, ended two days ago, I weigh around 80-81kg apparently according to the scales. I am concerned, thats alot of weight to lose in such a short time.

It is different with different people, but 15 pounds per months could trigger hair loss with the genes for balding on board. When the genes kick in, it rarely reverses.

Hair is the highest metabolic organ in the body so when, for example, starvation occurs, the first thing the body does is shut down the hairs so that the person loses hair to conserve energy.

Experience shows that early hair loss responds better to finasteride than people who have waited for years before starting it.

What is the % of white men that eventually go completely bald, and partly the worry about the male baldness is my son’s best friend is almost completely bald with very thin follicles on top at age 27, how young does one start to experience MPB to have this stage of loss by age 27, he’s literally NW 6 1/2 if that’s on the Norwood scale

The statistics are that about 45% of men will have some clinical balding by the time they are 45. I have seen the process start at 16 years old and some reports have placed it as early as 12 years old. Most of the really bald men see some sign of balding by the time they are 21 (clearly evident on high magnification views with miniaturized hairs with thin shafts). The real question still unanswered is can this all be stopped when the advanced balding young men start Propecia early enough. At the age of 27, the pattern in the man you are talking about will probably be a Norwood Class 7 balding pattern. Class 7 on the Norwood scale.