If the doctor or his staff were not using a microscope, they would have missed the extra hairs in this graft, possibly killing it by cutting it out rather than leaving it in the graft when the hair transplant was done. This is probably a new anagen hair developing.
Probably not. What I see is that you appear in the front to be transitioning into a male mature hairline as the widow’s peak is a remnant to where your hairline receded as it is moving to a mature hairline. Some men retain this widow’s peak unless they undergo genetic balding in which case they may lose the widow’s peak and the entire hairline as well. It appears that your left side is maturing faster than your right side.
2020-07-07 03:20:382020-07-07 15:44:29I am 23 male, am I balding?
I’ve had Laser treatments to remove the hair on my back and reduce the hair on my chest. I now have very little hair on my back and less on my chest.
Recently I’ve had a CATSCAN. My lymph nodes are irregular and I’m having a biopsy. I’ve been told I may have to do chemo.
I’m aware I can lose much of my hair during these treatments. I realize this is usually temporary. Will this have an effect in reversing any changes made by the Laser on my back and chest?
Thanks.
If the laser succeeded and the hair on the back and chest has been gone for more than a year or two, then the chemotherapy should not impact any regrowth of the body hair that has been removed. The reason I am saying this, is that laser hair removal (when it succeeds) kills the ‘root’ of the hair so that it will not regrow. As you probably know, the laser is about 50% effective at killing each hair, so after one treatment 50% of the hair will return within a few months of the treatment. With each successive treatment 50% of the treated hair dies, so after the second treatment 25% returns, and after the third is 12.5%, then 6%, then 3%, and so on. This assumes that modern hair lasers are used.
Your head hair (if you lose it with chemotherapy) has not been killed off, but rather a chemically induced telogen process will have been precipitated. Chemotherapeutic agents go after the faster growing cells of the body (cancers, hair, certain blood cells, sometimes intestinal cells) and that is the common thread that produces the side effects you may experience with such agents (anemia and white blood cell depletion, bleeding from depleted platelets, diarrhea and nausea from intestinal cell impact). The telogen process from chemotherapy is in the hair follicle and it usually reverses in a few months after the chemo stops. The drugs used vary and not all people lose their hair with some of the chemotherapy agents. Some of the newer chemotherapy agents are more targeted at the cancer and some of these other fast growing cells may not be impacted.
Thank you for your reply doctor! I live in Germany and the dermatologist, who prescribed me Finasteride, had many patients and is really not bad in terms of hair and so on. She said, that none of their patients experienced further loss.
My plan was to stabilize my hair loss with Finasteride 1mg and keep applying Minoxidil foam 5% on my hair line. I wanted to do a small 2k graft transplant in my hair line when I am 25 in order to make it more „even“. But it seems like I should ditch this idea because my hair loss does not stabilize.
Everyone who does a hair transplant has further progression of hair loss over time. The reason that they do a hair transplant, is that they want hair and don’t want a balding appearance! They used drugs like minoxidil and finasteride to prevent further hair loss, which can slow it down considerably. By the time you are 25, your pattern should be fully detectable, especially with a HAIR CHECK instrument, that is, if you can’t see the final pattern. A good Master Plan must be created with a very good doctor who understands planning (not just how to do a hair transplant). I like to show men this picture because it tells very nicely that hair loss is progressive and you don’t want to get surprised if this is you: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/
2020-02-18 04:00:392020-02-19 08:15:03A Hair Transplant at Age 25. Is This a Good Idea?
Dear Dr Rassman
I am a 31 year old male and around 5 years ago I realised that I had some hairline recession at the corners. I spent 2-3 years obsessing about this and worrying about whether I would be bald before I was 30 and I also worried about my crown too which looks a bit thinner than the centre of my scalp but remains covered with hair.
As I was so obsessed with this at the time, I tracked my hairloss pattern pretty closely and can safely say that it has not progressed much, if at all since then. The hairline is exactly the same (as is the crown). Maybe the corner areas which were thinning are a bit thinner but the actual area has not expanded. I do not take propecia and would prefer never to take it, for medical reasons.
Recently, for some reason, my hairline has started bothering me again, and feel like I would be more confident if I had it restored slightly so that I could spike my hair a bit rather than have the forelock fall flat over the receded areas. Actually what bothers me is not so much how it looks in the daytime, but first thing in the morning when I wake up. I guess the area which I would need transplanting is around 10-11cm squared in total…maybe 6 on one side and 4-5 on the other. This wouldn’t bring me to a straight juvenile hairline (which I don’t want anyway) but would be enough that I don’t look like I have a receded hairline.
My hair characteristics I am guessing are not great for a hair transplant. I have pretty good density in all other areas but my hair is brown and very fine. People are often surprised by how soft it is when they touch it – to give you an idea of how fine it is.
My question is, would having a small transplant (FUE) in these areas be a bad idea? Is it ever possible to perhaps transplant to these areas at a lowish density, just so that I look like I have a hairline rather than a forelock and so that if/when I lose hair elsewhere then I won’t be left with really dense temples and bald areas elsewhere. I would be happy with quite a conservative transplant which just gave the appearance of some hair in these areas, maybe just enough to style. I also think that one day, if I do lose a lot of hair elsewhere, I would shave my head down to a grade 3-4, but if I did this I would still want the appearance of a hairline to frame my face. With this in mind, maybe it wouldn’t be a terrible idea to get the corners transplanted? If it is not, roughly how many grafts might a 10-11cm squared area need?
Please let me know your thoughts. I have seen some very good FUE hair line transplant results online but I am guessing that a lot of these are very dense/’packed’ transplants.
There is a very simple answer to your question. If you are obsessed with your hair line then you need to make an appointment to see a doctor.
I am having a hysterectomy July 31st and was instructed to stop taking my birth control pills which I did as of March. In the meantime, I ruptured both of my achilles tendons and had major surgery. I started losing my hair not too long after the surgery and thought the hair loss was due to the surgery. After reading some comments online, I realized that the hair loss is probably due to having stopped taking the pill. Now I’m concerned that with this major surgery and another coming up soon, I will continue to lose more and more hair. Is there anything I can do to stop the hair loss? I am terrified of going bald!
I doubt that you will become bald. Reactive hair loss after a major surgery is often cyclical and often will return if you are one of the unlucky people to experience. There is no way to prevent this in those that have experienced it in the past.
2009-06-15 08:35:492009-06-11 15:01:51Will I Have Hair Loss After My Hysterectomy?
4 dermatologist and 1 urologist. All of them said the same thing; It is safe. They said that side effect risks are very low and most of the people who get sides are in nocebo group. Because of that, my urologist recommended me to stop reading about finasteride in web and forget about side effects before I start the medication. They are not believing in post finasteride syndrom they said it’s a coinsidence and different body, hormon issues lying behind it. So in their opinion if you get sides and quit the drug, everything should be back to normal after 30-90 days. Also they suggest three times a week 0.5mg to me (20 years old, diffuse thinning on top).
I agree with their opinions; however, I would start at half the dose of 0.5mg/day or 1mg every other day (which is 80% as effective as the full dose) The dose that they recommended may at bit too low to get the impact you need.
2020-06-03 11:05:092020-06-03 11:05:28I asked about Finasteride to 5 different doctors
If i remove testicles do i gain my hair back and where do they do such operations? Knowing that hair transplant is expensive , with average results and success rate i am trying to know my options
This was done back in the 1920s when identical twins we compared by a psychiatrist. One was a patient in the hospital who had his testicles removed and a full head of hair, the other was his identical twin brother who visited and was bald. When the psychiatrist saw the bald twin on a visit to see his brother, he gave his full headed identical twin a single shot of testosterone and the bald twin lost all of his hair. That should answer your question. Removing your testicles is not a good option and will not restore your hair.
2019-08-23 04:39:302019-08-23 10:05:49Will my hair come back if I removed my testicles?
Hi Dr. Rassman,
I am 19 years old and have been on Proscar for the last year. My hair loss has begun quite slowly but it is somewhat noticeable around the temple area. Obviously it is hard to tell just how much hair I have saved or whether it has slowed the progression at all. However, in the past few weeks I have altered my dosage and believe it has caused a slight increase in hair loss.Originally my doctor suggested a 5mg pill cut in half and taken every second day, but after reading your answers here about how long the pill lasts in the system I reassessed with the doctor and decided on a 5mg pill cut into four and taken every day. Seeing as this only changed three weeks ago, do you think it is purely coincidental?
If there is one thing I want all readers to understand it’s that you need to establish a relationship with YOUR doctor, and obtain and resolve your medical issues with them. I’m glad you talked to your doctor before changing the dosing, but if you do have issues you should contact that doctor for his/her take on it.
In general, Propecia (finasteride 1mg) taken every day is used for the treatment of androgenic alopecia (genetic male pattern hair loss). Many men cut the generic finasteride 5mg into four parts (since cutting it in 5 equal pieces is very difficult). Other doctors may have their own opinion and treatment regimen, but the recommended dose is finasteride 1mg taken every day.
Finally, it takes several months before you see any effects (benefits) from finasteride. I occasionally read emails and comments where someone notices some change in their hair (loss or gain) after several days or weeks, but that is unlikely. So what you’re seeing may just be coincidental.
