Category: Uncategorized

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By 26 years old, how likely will I develop a Class 6 or 7 pattern of balding?

I don’t have the study done by Norwood and Shiell, but my memory is good that 7% of balding men (which is half of all men) will be a Class 7 by the age of 26. I suspect that the number for a Class 6 will be in the 15-25% range, but I don’t remember for sure. I did find this on the internet chart to point you to the age distribution for the Norwood Class 2-4 by age distribution to 40 years of age


2020-04-02 18:59:16By 26 years old, how likely will I develop a Class 6 or 7 pattern of balding?

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My Doctor Just Told Me to Use Rogaine If I Was Concerned

I went to my Dermatologist because i was concerned about my recent hair loss. He told me i didnt look too bad and to use rogaine if I was concerned. I have been using it for a month and I know thats too soon to tell but from everything i have read it does not work on the hairline above the temples and that is where the hairloss is visible. i may have so slight thinning at the crown but it is not visible.

i am a 27 year old male and began to notice visible hair loss above the temples about 5-6 months ago. Should I consider using propecia? Do you need pictures?

Propecia (finasteride) might be a possibility, but without seeing you I can’t make that recommendation. It’s a prescription medication and one of the two hair loss medications approved by the FDA. You’re not guaranteed to regrow your hairline with Propecia, but hopefully it could slow the loss. The earlier you start the medication into your hair loss process, the better.

Rogaine (minoxidil) is the other FDA approved hair loss medication, but regrowth at the hairline/temples isn’t a sure thing with that one either. It is available over-the-counter without a prescription, so perhaps your doctor didn’t want to prescribe you any medication (so he just told you to use Rogaine)… or maybe he just doesn’t know much about treating hair loss. In any case, if you feel that your doctor was dismissive and didn’t give you full consideration, you might consider seeing another doctor.

Hair transplant doctors are a good source for hair loss info since they specialize in the field, as opposed to general dermatologists. Just don’t get pressured into having a surgery. You can find a transplant doctor in your area using the physician search at ISHRS.org. Or if you’d like to send us photos and setup a phone consultation, our email address is on the contact page.


2010-07-30 10:07:55My Doctor Just Told Me to Use Rogaine If I Was Concerned

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Can a person have both Norwood balding + DUPA ?

Yes, both can simultaneously. That means that if you have DUPA, you should never have a hair transplant because the grafts will eventually fail sooner than later.


2020-07-21 14:24:25Can a person have both Norwood balding + DUPA ?

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My Doctor Suggested I Take Generic Propecia

Hi Dr, many thanks for the excellent blog. I just had a question regarding generic propecia. My doctor in the UK approved me as a good candidate for propecia and advised me I could now buy generic 1mg propecia online to save money. I’m currently on merck’s product and haven’t experienced any serious side effects.

The generic manufacturers on the site he suggested are Sunrise and Cipla. I can’t find much info on these companies and was wondering if you were familiar with them and if they are reputable, or furthermore if you think buying generic 1mg is a good idea in the first place, even if I have been examined by a Dr?

Any advise would be much appreciated. best

The generic should be the same as the name brand. The 1mg generic finasteride isn’t legally available due to patent restrictions in the US, but the 5mg generic is off patent and available. Things could be different in the UK. I suppose that if you get the generic from a reputable source it would be fine, but many online pharmacies are suspect since they don’t require a prescription in the first place. I’m not a fan of that.

As for the companies you asked about, I think Sunrise is US based, but I’m not too familiar with them. All I could really find was their website and an FDA warning letter from last year about the use of excessive active ingredients in some medications they made. I am more familiar with Cipla since I’ve been asked about them a few times before. Cipla is a very large pharmaceutical maker out of India and their biggest claim to fame is that they’re the world’s largest producer of HIV/AIDS fighting medications.

For more info on Cipla:

For more info on Sunrise:


2011-08-04 09:46:17My Doctor Suggested I Take Generic Propecia

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Can Botox Prevent Hair Loss?

From the press release:

Preliminary findings have shown that BOTOX® injections into the scalp may effectively delay hair loss and even prevent baldness.

No published, peer-reviewed articles back up any of their “preliminary findings” on Botox as a hair loss treatment (nor are any photos provided of their findings). I’m only posting this for those that might be interested in it. I’ll keep my opinion to myself for now, but just remember that the link doesn’t go to an actual article. It’s a press release… and it definitely reads as a big advertisement for some clinic that provides these expensive injections.

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My Eyebrows Are Partially Gray

Some of my eyebrows are gray

those eyebrows have two colours on them. they are dark at the end and then they drastically turn white towards the root. what would it mean? also, the new little eyebrows seem to be dark.

Eyebrows gray like other hair. There is little you can do about the graying other than using pencils designed for graying eyebrows or hair.

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My Hair Disappears At Night!

I have minor hair loss, but it happened and is still happening during a long period of time. Last winter, i realized there was hair loss on my hair line. I have this skin condition, but my skin doctor told me that it wouldn’t make my hair disappear. I’m 15, and I don’t know what this is. Most of my family (that know about it) say that my hair isn’t disappearing but this is MY body and i know what changes are happening. Now, i have once inch of hair missing from my hair line, more hair above my ears, and the back of my neck. When my hair disappears, it does at night and sometimes after i take a shower. My hair grew very rapidly over a short period of time, and i don’t know what this is. Please, help me.

If what you are saying is that you lose hair at night because you see it on the pillow, you should do a hair count on those hairs you find. The average person loses about 100 hairs per day and regrows that number from below the skin. If you calculate this out, you will see that in three years, the 100,000 hairs on the head (losing them 100/day) will recycle. Get a good doctor who understands hair and teenagers and go about the analysis properly.

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Am I receding? I am 24 years old and am very concerned

I have been seeing my hair go back every year since I was 17. I am scared that I will lose all of my hair. What can I do?

I would go on the drug Finasteride for a year and see if you can stop or reverse the loss. You have lost the frontal corner hairline as it is going up and the temple peaks are also gone. If this does not work, then a hair transplant would solve the problem very nicely.

can finasteride help temple and corner recession

Can Finasteride help recover my hair loss?

 


2017-06-21 15:26:39Am I receding? I am 24 years old and am very concerned

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My Hair Keeps Going Through Seasonal Sheds That Worry Me

Dear doctor,

I am a 22 years old male with very little family history of male pattern baldness. Yet a few months ago (I think last may or april) I started to experience some drastic hair loss. I was literally shedding all over my clothes, the tub, the kitchen floor… As I grew really desperate I went to visit a dermatologist who told me I was going through telogen effluvium. I actually changed my diet at the beginning of the year by becoming a vegetarian, so I figured it made sense that my hair would undergo a moment of weakness. I took various vitamins for two months or so and things seemed to get better until october.

I have always been very sensitive to the changing of season, hair-wise, so it didn’t worry me at first, but now I find it weird that this is still going on to the present day. But what confuses me the most is the nature of my sheds. I had already noticed that I would lose hair that were a lot shorter than the others (my hair is mid-long), although they seemed to have the same thickness. This could all be a result of effluvium. However, I started to find these days hairs that were thinner than what they should be… Some of them have a normal length but are just pretty thin and fuzzy. Others are also really small… I have no visible recession of my hairline (yet ?). I can tell my hair still fall from all over my head, even in the areas never affected by AGA. But I am scared to death, are those tiny sheds a definite sign of MPB ?

I hope you will answer my message. Sorry if I made a few mistakes. Regards.

You should get baseline measurements on your hair bulk to determine the significance of the shedding, and quantify just how much hair you are losing over time.

As for a seasonal shedding, I’ve had a few reports emailed to me from readers over the years about this, but there is no medical explanation that I know of for it. Humans have asynchronous hair growth, which means that we do not shed in seasons, but do so relatively uniformly over the year.