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I Am Losing a Lot of Hair After My Transplant — The Doctor Didn’t Tell Me About This

Hello Dr.

I recently(two weeks ago) had a hair transplant and am experiencing a lot of hairfall right now. My Dr. told me that i would lose the transplanted hair after the procedure, but i am also losing a lot of my own hair. Is it normal after the procedure? Would be greatful to you if you could please answer my question.

It sounds like you are experience a phenomenon called “shock loss”. It occurs more in younger patients and patients with pre-existing miniaturized hairs. Thus, you often see me reiterate on here about the importance of a miniaturization study. It is a risk associated with a hair transplant procedure and it should have been outlined for you in your informed consent paper work before the surgery. You should have been put on Propecia prior to the surgery to minimize the risks, particularly if you are under the age of 35 or if you have had recent hair loss.


2007-07-25 12:33:30I Am Losing a Lot of Hair After My Transplant — The Doctor Didn’t Tell Me About This

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I am trying to find out if I have enough hair to be a good candidate for a hair transplant. How many grafts do I have total?

Close to making a decision about a transplant, just unsure about whether my donor area might be too thin. I have always had messy/forward hair and would like to keep this style, is this possible with a HT? In most results I’ve seen, the hair seems to be placed facing upwards.

See the photo below. Left Box has 33 hairs and 16 hair groups = 2.1 hairs per Follicular Unit. The Right box has 38 hairs and 18 groups = 2.1 hairs per Follicular Unit. Both of these man have an average hair count reflecting about 110,000 total head hairs and a donor supply equal to about 6-7000 grafts in their lifetime. I purchased this from Amazon to do this photography: Xenvo Pro Lens Kit for iPhone, Samsung……….

 


2019-11-01 16:49:46I am trying to find out if I have enough hair to be a good candidate for a hair transplant. How many grafts do I have total?

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Will miniaturized hairs moved to the donor area become normal?

Just out of curiosity, has some experiment been done to move a few miniaturizing grafts over from the top of the head, to the safe zone? To prove that the hair is the issue, not the scalp. I know that hairs from the safe zone can survive on the balding area, so technically the scalp should not be the issue. But who knows, maybe those miniaturizing hairs will survive just fine in the safe zone.

Imagine moving miniaturizing hairs down to the side and moving hair in the safe zone up. Don’t think it would be too difficult test.Just out of curiosity, has some experiment been done to move a few miniaturizing grafts over from the top of the head, to the safe zone? To prove that the hair is the issue, not the scalp. I know that hairs from the safe zone can survive on the balding area, so technically the scalp should not be the issue. But who knows, maybe those miniaturizing hairs will survive just fine in the safe zone.

Imagine moving miniaturizing hairs down to the side and moving hair in the safe zone up. Don’t think it would be too difficult test.

I don’t think that you understand that it is the hair follicles that carry the genetics, not the area where they are placed. I often tell my patients that if you put a donor hair on the end of your nose, it would grow to pony tail length. So using your example, take a miniaturized hair and place it either on the end of the nose or in the donor area, it will still die out according to its genetic clock.


2020-01-21 10:09:50Will miniaturized hairs moved to the donor area become normal?

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Ran out of Dutasteride for 5 days. What Is My Risk For Not Taking It?

Dutasteride has a long tissue fixation period lasting a good month, so missing a dose for 5 days is not an issue. Also note that the blood half life for dutasteride is 6 days, which means that half of it was in your blood when you stopped taking it. For the few men when I prescribed dutasteride, I advise taking it just twice a week because the half life is so long.

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Will Propecia Thicken the Hairline?, Follow-Up

I sent you the question which you titled “Will Propecia Thicken the Hairline“.

I don’t have a good digital camera so I’m unable to take reliable pictures for you but I think I can help color the situation with more detail. As I mentioned earlier I’m 25 years old and have a Norwood 1.5 – 2 hairline with thinning in the area around the hairline of 2 -3 cm. The worst area is due north of my temples and isn’t a usually area to lose if your hairline is just maturing. My father is a Norwood 5 and has been since his mid 30’s. The thinning the crown area and diffuse thinning in the hairline indicate to me that I will progress like my father considering my age. I’ve been on propecia for 7 months and it has stopped my hairloss in the vertex and possible slowed the thinning in the front, although as you know it’s difficult to assess even if you are going to a doctor regularly. Taken that propecia is effective in me is it reasonable to think that I will keep the hair behind my hairline given that it hasn’t been significantly effected my MPB? I don’t expect propecia will help thicken the hair in the hairline as it hasn’t done so yet but would it be acceptable to expect I will keep most of the hair that hasn’t been effected my MPB yet? I hope there is more clarity here.

There are no guarantees that Propecia will stop the progression of hair loss. In fact, the studies on the medication show that the loss continues, starting possibly at a higher level of growth on the curves accounting for hair gains seen. Please refer to this graph (click it to see full size), which was made available by Propecia’s manufacturer, Merck. Note that the green curve (those on Propecia) has a less significant downward slope than the gray curve (the control group). This suggests to me that beyond the 5th year that the hair counts will not be droping as fast in the treated group (I wish the actual data had been made available to me).




2006-04-06 17:10:46Will Propecia Thicken the Hairline?, Follow-Up

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Will weight lifting accelerate my hair loss?

I don’t know if I am just super conscious but I started to lift again about 6 weeks ago and it seems like there is much more hair in the shower falling out than before, isn’t it true that lifting will release more DHT or something? or am I just panicking

Wight lifting without taking any medications or supplements, will not cause an increase in hair loss. In fact, it may reduce enough of your stress to take the stress off of the hair loss.


2021-01-18 10:44:16Will weight lifting accelerate my hair loss?

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I don’t trust my doctor actually took out 3000 grafts (photo)

If you have doubt about the grafts you received, go back and speak with your doctor and ask him for a copy of the count sheet which is part of the surgical record. Something must have happened that you lost trust with your doctor, so I would suggest that you speak directly with him to get to the root of the mistrust. The photos look about right for 3000 FUE grafts


2020-09-01 12:33:52I don’t trust my doctor actually took out 3000 grafts (photo)

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Woman Suing Procter & Gamble Over Hair Loss

Many people seem to find a way to make a bundle in our litigious society. There is no doubt that hair dyes can cause problems such as skin allergy in some people, burns from improper applications of the dyes, etc. Television has many soap opera presentations of such litigations. A good company like P&G should have adequate disclosures on the products to cover the individual risks of particular patients. $12 million is a lot of money. The legal costs to pursuing such a case is high and for P&G, the cost is higher just to build and present a defense. Many times, companies like P&G will pay off the pursuers just to avoid the legal costs and internal management costs for nuisance cases. The lawyers that take on such battles know that, so this is like a game of Russian Roulette with money as the bullet in the chamber. As clearly stated in the article, “Once Ross’ firm determined the extent of Mack’s injuries, more formal negotiations began.”


2006-10-26 10:18:31Woman Suing Procter & Gamble Over Hair Loss