Category: Uncategorized

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Transgender MtoF wants female hairline

Always had a massive forehead and started receding at the front around age 17. MTF trans and the hairline is a big source of grief for me, this sub has given me hope. I have no loss on the crown but it is the thinnest part of my hair, although I am more confident of hair thickening there than I am about recovering it on my temples where it’s gone completely.

Construction of a concave female hairline with hair transplants will solve the look and is standard treatment for many MTF trans people. You need to continue to protect your hair with the appropriate hormones to maintain a female hormone balance removing the androgen effect thus preventing further hair loss

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Hair Loss and Replacement for Dummies in Stores Now!

I am very happy to announce that my new book is in stores now!

Yes, I wrote an official “for Dummies” book with Dr. Jae Pak, Dr. Robert Bernstein, and Dr. Eric Schweiger… and not only does it cover a wide variety of hair loss topics, but its also a great addendum to the BaldingBlog!

You can buy it online at Amazon or at all major book stores.

Buy - Hair Loss and Replacement for Dummies

 Hair Loss and Replacement for Dummies
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Transplant with shock loss?

I’m a 26 yr old male, had a HT about 1.5 months ago here in the states. 2500grafts (500 in crown, rest into hairline). I wasn’t on fin at the time however started immediately after the surgery (1mg daily).

I’m experiencing major shedding on the top of my head, like my pillow is covered in hair when I wake up. I know shock loss can happen after surgery but know fin can also cause shedding. Is there any way to differentiate between the two? Not sure if that’s possible but I’m worried about my hair.

Shock loss occurs after a hair transplant. The only prevention for this is the drug finasteride which should be started at least 2 weeks prior to the surgery. The problem is that after the fact, it is not the best solution, but it is better than nothing. I believe that shock loss is largely the loss of miniaturized hairs. The miniaturization doesn’t have to be great (meaning that the shaft thickness could be off by as little as 10-20%) so hairs that can be lost are not easily identified.

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Comment from Reddit: He told me that I can use finasteride but I stopped them because of side effects.

Response: You were in a difficult place and I appreciate the problem. The price of shock loss vs the price of loss of your sex life. It is clear how one choses between them.

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Hair Loss from Alcohol Abuse?

I’m 43 years of age. I just quit drinking 6 months ago, my liver was in bad shape to the point my doctor didn’t think I was going to make it. Since then I changed my diet, abstained from using alcohol and anything else that might be hard on my liver. Blood tests that I’ve got recently show my liver to be functioning normal. My health according to my doctor is good. All symptoms like extreme bloating, sight loss due to water leakage from blood vessels, and anxiety attacks, which was the reason why I started to drink in the first place, have gone. The problem I have is that I’m losing hair in large amounts. I NEVER had any noticeable hair loss before and this started 3 months after all my symptoms of alcohol abuse were gone. I still smoke (trying to quit). I take vitamin supplements. my diet is good. what can cause this? Stress?

Diet and an adequate daily intake of vitamins are often a problem with alcoholics, and as you appear to have started to address these issues, it will hopefully become better in the long term. This is a complex problem in that you may have genetic factors in addition to what has impacted your general nutritional issues in the past.

A good examination by a competent hair doctor will show the degree of miniaturization and balding you may have, the status of your donor hair as compared with the areas of loss, and the presence or absence of a telogen effluvium can be evaluated. The long term impact of your past drinking history may still have ramifications for you. I can not help you more directly without examining you.

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Transplanting a Patient with VP Shunts?

I have 2 VP Shunts one on either side of the back of my head. Would this be prohibitive to having a hair restoration procedure? Also, does Dr. Rassman have any experience working on patients that have shunts? Any information you could provide would be greatly appreciated.

For those that aren’t familiar with the term, a ventriculoperitoneal (VP) shunt is a tube that takes brain fluid and connects it to the abdomen where it drains for the treatment of hydrocephalus (or water on the brain). And yes, I have done hair transplants on patients who have had VP shunts (see here).

As you indicated that you are from out-of-town, I would have requirements for you if you wanted me to do your hair transplant. First, send me detailed pictures of your hair loss and then I would want to get specific X-rays to locate the shunts. I must know the course of the shunt and how far under the skin it is. With the shunt located, the hair transplant can be done safely. You can call my office at 310-553-9113 and arrange to have a phone consultation with me.


2009-04-24 07:45:51Transplanting a Patient with VP Shunts?

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Hair Loss from Pony Tail?

Does wearing your hair pulled back in a pony tail cause your hair line above forehead to recede???

Wearing your hair pulled back in a pony tail rarely causes your frontal hair line to recede, unless you pull tightly on the hair most (or all) of the time. Traction alopecia is a common form of hair loss in the African-American community as the ‘pig-tails’ that are created by tightly braiding hair grows out, causing continuous pulling pressure to eventually produce loss of hair in the frontal and temple areas. Men who wear turbans all of the time suffer from the same type of hair loss as the African-American women, because the turbans pull on the entire frontal area creating permanent hair loss in the areas where the constant pull is.


2006-02-01 09:25:27Hair Loss from Pony Tail?

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Transplanting Into a Neurosurgical Scar (with Photos)

This patient had an extensive neurosurgical procedure with a corresponding scar. Even when his hair was longer, the scar showed because he had frontal recession from genetic balding. We performed a hair transplant (one session of 1433 follicular units) and successfully treated both the scar and the frontal genetic recession. The “after” photos were taken just over 4 months after his procedure.

I have done this type of corrective surgery on many people. It is a life changing experience for these people, not having to face their deformities every day. Unfortunately, few neurosurgeons understand what modern hair transplants can do, not only for their patients, but for their own balding sons.

Click the photos to enlarge.

Before:

 

After (only 4.5 months):

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Hair Loss from Wigs

Hi,

I am a 52 year old African American female, who has had the struggle of being bald most of my life. When I was 12 I had a severe case of chicken pox, and left me scarred all over. Fortunately, I recoved with the skin, but the disease left large bald spots all over my scalp. I have worn wigs .. seems like forever.

The problem is no one has ever been able to help me through the years, and the wigs that I always wore, are taking out the remaining hair I have left on my head.

Is there someone I can see, to help me with this problem. I have used medications, hair weaves, etc to no avail.

Thanks

Wearing a wig for many years can cause further hair loss as a result of the traction caused by the wigs. Traction Alopecia is common in wig wearers, those who wear turbins, and even in those women who pulled their hair into tight pony tails. Send your photos or if you are planning a trip to Los Angeles, visit my office so that I could better evaluate your situation. There are a few questions I need to answer, but can’t do so until I can see your hair loss. These questions include: What is your donor supply like? Is there enough hair for redistribution with hair transplants?


2006-01-18 07:08:44Hair Loss from Wigs

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Transplants in the Baldest Men

I am very, very bald and 60 years old. I am having a hard time believing that you can really help me. Please let me know why I should believe that this enormous bald area on my head can really be covered with hair.

Some people with advanced balding, low hair densities and high contrast (black hair and white skin), can not get great coverage with a hair transplant. On the other hand, if you have lower contrast between your hair and skin color, higher densities, good character hair, and a loose scalp, you might be surprised at what you could achieve by the artful distribution of hair in the hands of a good hair transplant surgeon (see below for an example). There is real art in making less hair look like more hair and that is just one of the reasons why you need to shop around. Come to one of our open house events and you will be able to examine these patients yourself and make your own judgments. If you have a wife, female relative or friend whose judgment you trust, bring them too, as women have more discriminating views on what they see than men.

This patient is in his mid 60’s and had multiple procedures, totalling 6,036 follicular unit grafts transplanted. “Before” is on the left, “after” is on the right.



More photos of the above patient on the NHI site: Patient ZU


2005-09-02 16:17:31Transplants in the Baldest Men

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hair loss with male testosterone enhancement

I am 68 yrs old, very fit, weight lifter, and runner. I have been taking Cialis 60mg usually about 3 to 4 times a week. I also take male enhancement pills.Since I got serious about my sex drive and enjoy it almost daily, I have noticed my hair getting thinner.Could it be the Cialis, or male testosterone enhancements?

male testosterone enhancements of all kinds are known to cause hair loss