2018-06-12 06:59:522018-06-19 09:27:16Another Depleted Donor Area (Photo)
Male to Female (MTF) Male Wants to Take Estrogen to Reverse Hair Loss (From Reddit)
Estrogen usually slows down balding and can stop it if you address your testosterone chemically or otherwise. I do hair transplants for MTF patients frequently to create a truly feminine hairline.
I am mtf trans, and I am currently taking min and fin. Soon to be starting estrogen, can anyone chime in? It’s regarding the new evidence that E can regrow hair… from tressless
2018-09-21 04:55:472018-09-24 06:26:26Male to Female (MTF) Male Wants to Take Estrogen to Reverse Hair Loss (From Reddit)
Antioxidants and Free Radicals
Although this post isn’t hair loss related and it is about an article that is nearly 2 years old, this is an important read for those who buy into the antioxidant solution to anti-aging, heart disease, stroke, cancer, and the like. The question raised here is whether you can get these antioxidants from pills or do you have to get them from fresh fruits and vegetables?
Snippet from the article:
Cranberry capsules. Green tea extract. Effervescent vitamin C. Pomegranate concentrate. Beta carotene. Selenium. Grape seed extract. High-dose vitamin E. Pine bark extract. Bee spit.
You name it, if it’s an antioxidant, we’ll swallow it by the bucket-load. According to some estimates around half the adults in the US take antioxidant pills daily in the belief they promote good health and stave off disease. We have become antioxidant devotees. But are they doing us any good? Evidence gathered over the past few years shows that at best, antioxidant supplements do little or nothing to benefit our health. At worst, they may even have the opposite effect, promoting the very problems they are supposed to stamp out.
Full text at NewScientist — The antioxidant myth: a medical fairy tale
Man killed himself after failed hair transplant
Unfortunately, deforming or failed transplants take a big impact on people so such a story doesn’t sound outrageous. I am aware of three men who committed suicide because of hair loss, so the emotional impact of hair loss can be very severe for many men. Most men who get very emotional about their hair loss, get depression. In the days when the large plugs were put into bald men’s head, their hair transplants were deforming. Prior to the early 1990s, these large deforming plugs had no cure short of a hair system, a common solution for the time period between 1960-1990. Hair systems is something that doesn’t work for everyone but if the deformities were soo bad, a few men were driven to suicide?
Today, with the hair transplant technology commonly available, hair transplants that go wrong can be treated with a success rate of 100%. Men who find themselves in this situation, should seek a modern hair transplant doctor to help manage the deformities and a good family doctor to manage the depression. The good news is that almost 100% of men with hair loss today can get their hair back. Hair transplants are today’s miracle.
See: https://www.hulldailymail.co.uk/news/uk-world-news/man-47-killed-himself-after-7724486
Any Solutions for Severe Dandruff?
Dr. Rassman,
For the past 3 to 4 years, i am suffering from severe dandruff. I have also been diagnosed with PCOS last year which is now under control. Mine is long hair and this dandruff is also cyclic. Some times it is perfectly clean and sometimes at its worse. I have used topical products like diprovate with minimal improvement and the shampoos are also not giving the desired result. The dandruff is primarily flaky which is very embarrassing to me. Please suggest me if there is any solution to it. My hair is thinning day by day.
Dandruff may be the sign of a skin disorder like seborrhea, psoriasis, etc. You need to see a good dermatologist and find out if you have some scalp disorder causing what you are seeing and calling dandruff.
How many hairs are in an FUE graft (with photo)
Clearly, there are two factors that are critical to determining the value of an FUE graft. (1) the thickness of the hair shaft itself is important as that reflects to weight of each hair shaft as it is viewed. A fine hair is less weight and less value than a coarse hair as shown in the patient’s magnified view of his donor area as he has coarse hair. I tell my patients that two fine hairs is equal to one medium weight hair and two medium weight hairs is equal to one coarse hair. (2) the numbers of hairs per graft is also critical. This is a racial thing, Caucasians average 2.2 hairs in each follicular unit, while all Asians average 1.6 hairs per follicular unit as do many people from the middle east. The patient’s donor area here measures about 1.6 hairs/follicular unit. He is of Arab decent so that makes him average. In this magnified photo, I tried to circle the number of hairs per follicular unit and put a number on many of them. This is what the surgeon sees when he is doing an FUE under magnification. An FUE removes the follicular unit and each FUE itself is created with a punch and has a wound associated with it.
If you ever read about the number of FUE grafts done in Turkey in the 5000 graft/session range, think about it and then look at the patient below. This patient has less hair density than a Caucasian and the number of grafts per FUE will have less hairs. That means that there will be more wounds created for the FUE with a less hair yield. In this man, if he had 5000 FUE grafts in the back of the head and did not develop necrosis of the wound, he would almost certainly develop a see through donor area (balding in the donor area) something that we are now fixing with Scalp Micropigmentation.
2017-07-14 11:59:052017-07-14 11:59:05How many hairs are in an FUE graft (with photo)
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Massive shed on Minoxidil for 7 months
I am 21 years old and have been on minoxidil for 7 months and my hair is falling out more than before I started it.
7 months of shed is probably not a shed from the minoxidil but rather an acceleration of your natural genetic hair loss. Are you unusually stressed or undergoing rapid weight loss? I am looking for accelerants.
2020-11-23 02:10:382020-11-19 11:13:04Massive shed on Minoxidil for 7 months
Are Korean Transplant Centers Better for Asian Hair?
A good hair transplant surgeon will transplant all ethnic hair types. Only the African hair type requires special skills because it is not straight below the skin as the hair on top of the head is curly. For African men, we use special tools for FUE or STRIP surgeries; whichever they decide is appropriate for them.
2020-01-30 04:00:402019-12-05 13:11:17Are Korean Transplant Centers Better for Asian Hair?
Maturing hairline in 22 year old male – an interesting analysis (with photos)
I have always assumed that a male will not recede from genetic balding without some hair loss somewhere on the scalp. This patient has challenged me as I hold this concept. I believe that both the frontal forelock (in some people) and the juvenile hairline in all men, have a different genetic makeup with regard holding on to their hair. I have seen men who have kept a fully intact juvenile hairline and become a full Class 7 pattern of balding, and to me that proves this concept. The concept that a persistent frontal forelock remains as the corners recede is common and all of us have seen this. This 22 year old male is different because I have been following him before the juvenile hairline disappeared. I believe the corners of this line are now receding. Here is the letter I sent to him as well as a series of experts in the field of hair restoration for opinions on my question.
Good to see you today. We repeated your HAIRCHECK measurements today which we have performed on numerous times over the past couple of years. This instrument continue to report no balding evident which means that there is no detectable hair loss behind the frontal hairline. Despite this, you have now what appears to be some mild recession, but considering that you have a persistent frontal forelock, this may be an illusion and you could be developing a maturing hairline in the corners as there is no hair loss in the mid-line where the persistent frontal forelock is present. Notice the faint line I drew at the leading edge of your hairline, which takes into account the persistent frontal forelock and a location where I think a mature hairline belongs. This is where your hairline actually belongs. It does appear that you have some early erosion of this leading edge of the hairline.
The question we discussed is: What is the timing of finasteride? If you take it now, you will be locked into it for the rest of your life. IF you do have balding, then at some point decide to stop the drug which may have been holding the hair on your head, then you will develop catch-up hair loss. If you hold off starting the drug and come back in a year, it may become more apparent what you diagnosis is. We both decided to wait another year, repeat the HAIRCHECK test at that time, reassess your frontal hairline when compared to the photos we took today, and then take another assessment if finasteride is appropriate for you.
Question: Can frontal recession occur without any evidence of miniaturization or hair loss elsewhere on the head of a male.
Answer: Yes, recession in some men can be independent of miniaturization and hair loss behind the hairline.
2020-07-03 03:00:002020-07-02 08:01:44Maturing hairline in 22 year old male – an interesting analysis (with photos)