Patient Had FUE Well Beyond the Donor Area (Photo)

The problem I see in this patient is not only what appears to be excessive FUE depletion of the donor area, but that FUE extractions went well beyond the donor area into the crown and even the upper neck. Much of the hair extracted was too high in this man’s head or too low near the neck, which will not be permanent hair.


2018-06-22 11:56:57Patient Had FUE Well Beyond the Donor Area (Photo)

Could I Ruin My Hair By Sleeping On It?

I had a hair transplant about 14 months ago now and the transplant was successful. I would of liked more density, however i am happy with it. My question is, when i sleep and wake up the transplanted sections-which is both temple areas are always messy and ruffled up because i lean on them on my pillow. Its hard to explain however i feel i am putting pressure on the hairs and pulling them because the hairs are getting trapped between the pillow and my head if you can understand. not terribly but my temple areas which were transplanted are always messed up as though i was lying on it and putting a certain amount of pressure as my head was lying on the hair and the pillow-its really hard to explain. Do you think this will cause damage. And if so how long will it take before i see? will it go gradually?

thank you

There’s no problem sleeping on your transplanted hair. On occasion, transplanted hair will become more curly and even wiry, so look carefully at the transplants and see if the character is the same as the non-transplanted hair.

Patients who respond to finasteride (many photos)

Dr. Robert Bernstein has put together a terrific group of before and after photos from people who used medications such as finasteride, without surgery. Look at this link: https://www.bernsteinmedical.com/medical-treatment/patient-photos/


2017-07-20 05:19:06Patients who respond to finasteride (many photos)

Could SMP Be Used for Beards?

Thanks for the great website and all the effort you and the rest of the team put to answer questions on a regular basis.

My question is regarding SMP. Could the same method be used to artificially create a stubble for men with patchy facial hair? I understand that it is a permanent look, but could the technique (or something similar) be used on the face?

Thanks again for your time.

I guess it sounds like a reasonable thing to do when small bald spots exist in a beard and the patient does not want hair transplants. But you’re going to limit yourself to always having the same facial hair length forever, or you’ll have tattooed spots on your face. Having said that we have done a small size spot (1cm) for a former patient.


2012-06-20 15:29:03Could SMP Be Used for Beards?

Could You Tell If I’m Going Bald Based on Hairline Photos?

I was just wondering if I sent you a few pics of my hairline do you think you could give me an answer to if I’m going bald or not?

We do not diagnose people on BaldingBlog, as that would be a poor practice of medicine. If you want to send in your pictures for me to post and comment on, feel free. If you want a virtual consultation, you can send good photos, I will look at them, and then established a dialogue with you over the phone.

In general, hairline pictures do not tell me much with respect to predicting the balding process. It’s kind of like sending a picture of your hand and asking me if you will have arthritis later on in life. I am not a fortune teller (or misfortune teller).

Peyronie’s Disease and Propecia

Dr.,

I have been on propecia for a around 2 years now. Recently I have developed Peyronie’s disease, which is utterly demoralizing and far worse than any hair issue I could imagine. Immediately I began searching for possible links between DHT deficiency and structural abnormalities that can dispose a person to penile fibrosis. I didn’t have to search long or hard:

Effect of androgen deprivation on penile ultrastructure

Recent insights into androgen action on the anatomical and physiological substrate of penile erection (human study)
^^^ more proof that androgens are necessary for proper sexual function in men

The Effects of Transdermal Dihydrotestosterone in the Aging Male: A Prospective, Randomized, Double Blind Study (human study)
^^^ take away DHT, you lose sexual function/libido — restore it, you recover function

Dihydrotestosterone is the active androgen in the maintenance of nitric oxide-mediated penile erection in the rat
^^^ DHT is necessary for NOS production so you can get an erection

My penis is hardly functional and I am quite upset that nobody showed me these studies before I took the drug. I acknowledge that it is not definite propecia is the cause. But does this research not certainly point in that direction? I feel betrayed by the FDA. This is not on any warning label, and I must live with this for the rest of my life.

Thank you

p.s. I am 20 years old

I am sorry for the problem that you are going through. As a physician all I can do is to follow the evidence based medication before convincing myself to prescribe a medication and that is pretty much true about every medication. As of yet, there is no evidence to show any ‘stastical’ association between finasteride use and Peyronie’s disease. The data that you found during your search points out different aspects of the effects of male hormone on sex function. Based on all available literature, there is really no evidence that can associate Peyronie’s disease to the use of DHT blockers.

The sexual side effect of finasteride is well documented and the question for us is whether we should include this type of disclaimer for all patients considering the use of finasteride. I personally spend a long time explaining the potential side effects of the medication to my patients, as well as discussing the commonly known and published potential complications. I make sure that patients can make an informed decision before starting the medication. I also offer methods for my patients to minimize or treat side effects should they occur. I appreciate your symptoms and belief that there is a connection in your case. I will send this blog posting to Merck, maker of Propecia, for any comments that they may have and will post a follow-up if/when I receive a response.

For more on Peyronie’s disease, see University of Virgina – Urology.

Phytocyane

I am 23, female, and have been losing quite a bit of hair the past few months likely due to stress. My middle part became noticeably wider and my scalp pretty visible. I began using Phytocyane treatment for the hair loss (it is for hair loss due to stress, hormones, pregnancy, fatigue), which consists of shampoo, and 12 serum ampules to be applied to the scalp 3 times a week.

Once I began a week ago I noticed over 2x as much hair loss than before treatment, so about 100 strands in and after the shower compared to about 40 before treatment I asked Phyto if this was normal and of course they replied that it’s normal to lose more hair in the beginning of the treatment as it is cleaning out the pores and any dead hair caught in the scalp will be released. I feel they are supposed to say this to encourage you to continue to use their products, but I want to know whether this is likely true. I’ve read a lot of reviews and most people had experienced an immediate decrease in hair loss. It’s scaring me to lose this much hair. What is your opinion?

Thank you so much.

Phytocyane’s main ingredient appears to be grapeseed extract, which is presently being pushed for a variety of medical problems. In my opinion, you are wasting your money and hopes on a product that cannot deliver. It is in a nice packaging and they have a nice website to look credible, but in the end it is just an expensive lotion (among the other products in their line).

It’s probably good for your hair, but certainly will not regrow it. I see nothing listed in the ingredients that is a proven hair loss treatment. There are no regulatory agencies to police and validate these claims and since it is a free economy, someone is getting rich!

Sometimes you just need to go with your gut, and if you’re losing even more hair since starting these products and the online reviews don’t seem credible anymore, your answer should be obvious. It sounds like you’re asking me to vouch for this product line, which is something I won’t do. For women, there’s unfortunately only one FDA approved hair loss treatment (minoxidil), and if you see hair loss following pregnancy and a bout of stress, your hair could even regrow on its own in time.


2010-09-23 09:46:13Phytocyane