Infant with Ringworm = 12 Year Old With Bald Spot

My 12 y/o son had a ringworm in his head when he was an infant. The doctors prescribed medicine to be taken orally, and the ringworm went away, however his hair will not grow in that spot anymore. Is there anything you can recommend to promote hair growth in this area? This is affecting his self-esteem.

Ringworm is usually successfully treated with medication and does not generally cause hair loss. Maybe there is some deep scarring that had caused hair loss around the area of infection, as I have seen some cases where this has happened in childhood and then the patient comes to see me as a young adult with that history.

My best advice is to see a physician or a surgeon who specializes in hair transplants. Hair transplantation may be an answer, but your son definitely needs a good diagnosis first. A 12 year spread indicates that the hair will not return, but I would generally not treat it with transplants at that age unless it bothers him, though that may occur further into his teens.

Injecting Fat into the Scalp in Early Genetic Hair Loss May Help Grow Hair (from Reddit)

This article is the science behind the claims, and the article does show potential value despite the humorous cartoon to express the process (see: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5506773/). Neither doctors nor patients are rushing to do this.

Injecting stomach fat into the scalp could cure baldness in just six months from tressless


2018-09-14 09:33:40Injecting Fat into the Scalp in Early Genetic Hair Loss May Help Grow Hair (from Reddit)

I am a 30 year old male and a doctor told me that I needed a balloon expander to move my hairline down (photo)

Men should rarely get a hairline advancement surgery because of the risk of genetic balding that can appear at almost any age and show the scar when that happens. There is no need for a balloon expander in your situation as a hair transplant is more than adequate to address your hairline issue and less intrusive and less disruptive on your life style and certainly far less costly? We do these every day with hair transplantation.


2018-02-07 12:17:27I am a 30 year old male and a doctor told me that I needed a balloon expander to move my hairline down (photo)

Why Would a Balding 19 Year Old Want Scalp Micropigmentation (SMP) And Not Want Propecia

This young man is enrolled in University of California in San Diego and has a career in Physics in front of him. He is very bright and he is balding already, now only in the crown, but he has early thinning evident in the frontal corners which may follow his father’s pattern of a Class 6 balding pattern.

He said, point blank, that he did not want to go through the four hair transplant surgeries that I did on his dad, even though, he admitted, his dad looked ‘good’. He was dead set against Propecia, for sound, rational reasons and understood clearly, that the decision not to take this drug would inevitably lead him to continue with the progressive balding process he is presently experiencing. He came to this decision having thought hard and long, and after doing considerable research on the subject. “My body has its own clock and my unique genetics and I have known this since I turned puberty. I fully realize that I am ready to go bald, if I must, but I don’t want to keep worrying about it, day in and day out. Now, I live under a base ball hat and I want to go out not worrying about my hair and my visible aging, balding head”

So he came to see me because he decided to have Scalp Micropigmentation. We discussed his changing natural hairline that may disappear with time, and he fully realize that the hairline that we will create with SMP will be permanent and that he was willing to accept the normal recession and adjust his styling, possibly locking in a short hair style (almost shaved look) for the rest of his life. He wanted for us to create a natural shape and configuration of a youthful hairline that he saw on our website on some of our hair transplant patients and on some men who shaved their head and never went bald. I told him that for a while, he will be able to let his hair grow out, until the frontal hairline recedes. He didn’t mind and liked the idea that once he had the SMP done, he would be finished with his hair problem and go on with his career as a physicist and focus on the rest of his life.

3500 graft hair transplant (photo)

You were very fortunate to have a good strong forelock prior to your surgery which will give you a strong frontal hairline. These forelocks are great and if they last until the age of 35, they usually last your lifetime. Some of these forelocks have a different genetic code than the hair around them.

Is Acne Caused by DHT?

You said before that Propecia/finasteride has no effect on sebum. And some people have complained that Propecia has increased their acne. I was on Propecia for 58 days and I didn’t notice my acne getting any better or worse. This being said, is it safe to say that acne is not caused by DHT? Sure, DHT might be present but maybe it’s caused by something on the surface of the skin, such as skin cells not being sloughed off fast enough.

According to Wikipedia, “[acne] is a common skin condition, caused by changes in the pilosebaceous units, skin structures consisting of a hair follicle and its associated sebaceous gland via androgen stimulation.

The pilosebaceous unit (hair, gland, and follicle) become infected as they are colonized by bacteria that destroy some of the microscopic anatomy. The output of sebum just feeds the areas which become infected and the circulating androgens. The list of causes are listed here, as well as descriptions of the social impact of the process in its teenage victims. DHT is just one of the androgens that contribute to acne so the use of drugs like Propecia usually fail to solve the acne problems.