Transplanting to Increase Fullness

My girlfriends and I don’t think that they have hair loss problems (at least not yet), but we would LOVE to have fuller hair so that we wouldn’t need to use hair extensions (which I assume all the celebs use because no one has hair like that!). Could transplants do this for us too?

It is important to understand that many of the accoutrements that adorn our bodies arose from our more primitive, less sophisticated past. The use of wigs date back to the Egyptians in the years between 4000-300 BC. They were used extensively by men and women. The Greeks were the first to popularize wigs and braids and they began the long torturous route to hair styles that cycled in popularity for the next few thousand years. In the middle ages (1200-1400 AD), single women showed their health and vitality by demonstrating full heads of hair, much of it coming from animals. Once married, only the husband could see the head uncovered, so it was the young single, female that had to appear healthy and capable of producing healthy children. As the populations started to concentrate more and more, the disease tuberculosis, took its course on the malnourished females whose heads were uncovered, so advertising ones health required hiding (1) a thinning head of hair with a wig or with braids and (2) the absence of significant body fat with clothing. Sexual attractiveness and a healthy appearance were inextricably linked. Paintings since the late renaissance, show women with much abundant body fat and full heads of hair. As tuberculosis is blind to socioeconomic conditions, the successful artisans were engaged by wealthier clients to create the illusion of health with abundant hair and lots of braids. As the hair became thicker, it hid elements of the face that may have reflected the signs of illness or malnutrition. Braids became common place and the use of wigs and other hair extensions remain part of our cultural heritage.

Now to directly answer your question, no, hair transplantation should not be used to increase the fullness of a normal head of hair, but the use of hair extensions and other such devices come with a price. That cost can be hair loss caused by the continuous pulling that these devices produce on the hair as they are attached. Hair loss from such attachments (Traction Alopecia) can be permanent. My advice to you is to respect your hair and watch carefully for any signs of Traction Alopecia.

Hair loss is now very rapid at 34, will dutasteride fix it?

I’ve seen a lot of your messages on reddit being very helpful for people combating baldness. If you have a moment I hope you could help me with a small question. In my mid 20’s I noticed my hairline begin to recede and went on Finastride. It seemed to work great. My hair recession slowed down significantly. However, when I turned 34. I began to notice my hair line was receding again. I’m aware that drugs like Finasride, more or less, just slow the process down. But I was alarmed at how quickly my hair seemed to be receding all of a sudden. It was like the drug simply stopped working. I panicked and with some research I found that Dutasteride was an alternative that’s been shown to be slightly more affective. So I switched, from 5MG of Fin(quartered) to 0.5 of Dutasteride. That was approximately 10 months ago and my hair continues to recede and thin, at what feels like an alarming pace. So here is my question. Have I made a huge mistake in switching? Will I lose all the hair that I kept on Finastride even though I’ve switched to Dutasteride? I thought that if Dutasteride worked it would keep the hair that Fin was holding back. Or perhaps there was no slowing these effects any longer, whether it was Dut or Fin? I don’t know what to do. Thank you for your time.

A hair transplant is a better option. Dutasteride will probably not reverse this problem at your age and with your history with finasteride.


2021-06-09 09:33:29Hair loss is now very rapid at 34, will dutasteride fix it?

Treating DUPA with Dutasteride?

has there ever been a case in which somebody with DUPA (Diffuse Unpatterned Alopecia) has responded to dutasteride after trying propecia (finasteride)?

I have very little experience with Avodart (dutasteride), but I have seen some patients with Diffuse Unpatterned Alopecia (DUPA) respond somewhat to finasteride. In theory, dutasteride should be better than finasteride, but clearly the side effects are substantial with dutasteride (decreased sperm count, impotence, decreased libido). Unfortunately, we do not know a great deal about DUPA and what causes it.


2008-05-29 09:41:24Treating DUPA with Dutasteride?

Do All Hair Loss Progress to Complete Baldness in MPB?

Your final pattern of balding is what shows on the Norwood Classification Chart. That means that one of these patterns will be your final pattern. The older you are, the more certain you can be about your final pattern. If I am your doctor, I will perform yearly HAIRCHECK tests which will tell me well in advance what your final pattern might look like. For reasons I am not sure, other doctors don’t offer this service.

Trichotellomania (pulling disorder of the hair from the scalp) Photos

Taken from Wikipedia:

Trichotillomania (TTM), also known as hair pulling disorder, is a mental disorder characterised by a long term urge that results in the pulling out of one’s hair.[2][4] This occurs to such a degree that hair losscan be seen.[2] Efforts to stop pulling hair typically fail.[1] Hair removal may occur anywhere; however, the head and around the eyes are most common.[1] The hair pulling is to such a degree that it results in distress.[1]

The disorder may run in families.[1] It occurs more commonly in those with obsessive compulsive disorder.[1] Episodes of pulling may be triggered by anxiety.[1] People usually acknowledge that they pull their hair.[1] On examination broken hairs may be seen.[1] Other conditions that may present similarly include body dysmorphic disorder, however in that condition people remove hair to try to improve what they see as a problem in how they look.[1]

Hair makes the world of difference in bringing out the ‘Younger You’ (photos)

What a difference a single hair transplant makes. Now the man in the mirror is young looking because he has a frame to his face with a natural looking hairline from the single hair transplant procedure. He had a bit more than half of his head covered from his first procedure of 2800 grafts. A second hair transplant will fill up the crown which he has now scheduled to have done very shortly.


2019-09-25 08:36:53Hair makes the world of difference in bringing out the ‘Younger You’ (photos)

Trying to lose weight and losing hair

I started noticing this like a month ago. I think I’m starting to lose my hair. I’ve been working out heavily and cutting my calories since Jan. That’s the biggest change in my lifestyle. My goal is to go from 245 -> 175-185. I’m doing like a 1000 cal deficit but honestly my eating hasn’t been on point sometimes I do a meal a day or a bunch at once.

A 1000 calorie diet can cause hair loss if you have the genes for hair loss


2019-05-10 12:25:00Trying to lose weight and losing hair

Hair Pull Test

Dr. Rassman,

If propecia has been successful treating my Diffused Patterned Alopecia, should I still have a positive result from the Hair Pull Test (i.e., still find hairs after conducting the Test in the balding areas)?

Thanks.

The hair pull test should be done by the physician, and not by the patient, as it is more complex than the name makes it out to be. Just pulling on some hairs and seeing clumps of hair fall out does not mean you have a positive hair pull test. The hair pull test is performed by taking a few strands of hair between the thumb and forefinger and pulling on them gently. Hairs in anagen (growing) should remain rooted in place while hairs in telogen should come out easily. You then figure out what percent of the hair is in the telogen stage. For more information on the cycles of hair growth, see Hair Follicle Cells Growth Stages.

Shedding of hair can be variable from day to day and is greater in certain seasons (spring and autumn). Washing you hair prior to having a hair pull test can also affect the results. Genetic hair loss does not cause a positive hair pull test. And it should go without saying, but the image to the right is NOT the actual hair pull test, and you shouldn’t have to worry about your doctor doing this to your head when conducting the test.

Two months on minoxidil (photos)

There is a suggestion of early results on the photos as they are, I assume, taken from the same place with a comb-over on the 2 month photo. It is always best to style the hair the same to see the differences clearly.

Hair systems for thinning hair

Hair system for someone who still has hair but diffused thinning like me, will they work well?

Hair systems work well, but they almost always accelerate the hair loss because of the various attachments that are used. Men who use hair systems find that they get balder by the number of years they use them.