Category: Uncategorized

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My Earliest Dermatology Appointment Is Months Away

hi doctor
I took steroids and now its been over 3 months since I stopped and my hair still keeps on falling out. I am trying to make an appointment with dermatologist and I cant get an earlier day than january 10th. In my opinion if I will wait that long my hair will be totaly gone by that time. I wonder is my DHT will ever get normal on its own. I dont know what to do. its very sad that I just turned 23 and I am going to be bald.

Try to see a good family doctor then. If you are a young man and have stopped the offending steroids, then a good doctor can easily prescribe Propecia for you. If you are in California, the wait for seeing either Dr. Pak or myself is not more than a couple of weeks.


2006-10-23 08:39:33My Earliest Dermatology Appointment Is Months Away

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My Grandfather, Father, and I All Have the Same Mature Hairline

Hi Dr,
I have a mature hairline (since 15) , and my dad and his dad both have the same hairline. No one on my mom’s side has/had a mature hairline. Is this an indication that I will take after my father?(he still has lots of hair)

Sounds like it. Is there balding in the family on either side? That could impact what will happen to you if there is.


2006-12-19 14:38:37My Grandfather, Father, and I All Have the Same Mature Hairline

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My Hair Is Now Growing Slowly All Over My Head and Body (with Photos)

Hello Dr.
I would like to know what class do I fall in the Norwood scale? My hair started growing slowly and thinning at 19 and not only on my head, but also my hair all over my body – arms, legs, eyebrows, etc. Is this normal? I am now 21.

please post your answer on your site or email thank you

Thanks for allowing us to post your photos. Click them to enlarge.

 

Norwood 6You probably do not need a medical degree to look at the Norwood scale and see what your hairline looks like. You can see that your thinning seems to parallel the Norwood class 6 pattern. That suggests that if you continue to let it go, you could lose all of the hair in the thinning area… which would be a shame, as it may be treatable with medication. My opinion is just based on looking at a few photos (and not knowing anything about your medical history or family history), so you’ll want to have it double checked by a physician in person.

The analytical part comes from looking at your hair under a microscope to see if there are patterns of miniaturization or difference in bulk (which I cannot do with photos). At 21 years old, you should be concerned enough to see a good doctor and not look for a quick answer over the internet.

As for your body hair loss, this is not normally related to scalp hair loss, but it is something that you should have looked at if you’re concerned.

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Can genetic hair loss start and stop?

You say it stops ” when you achieve your genetic hair loss pattern”. It is possible for the hair loss to happen in quantum jumps. Where a person reaches lets say 50% of their genetic pattern in one year and then the hair loss all of sudden pauses then starts up again after 5 years? I have had a NW4 for 5 years and my dad is at NW5/6. I haven’t had much balding since…

Genetec hair loss can go in phases, some phases with no hair loss and some phases with accelerated hair loss. Usually, genetic hair loss is slowly progressive. Looking to your family and identifying someone who you might be taking after, will help knowing where your hair loss is going


2021-05-13 10:40:48Can genetic hair loss start and stop?

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My Hair Loss Starts When I’m Stressed and Reverses When My Stress is Controlled

I saw Dr. Bessam Farjo in the UK, and I was told i had stress related hair loss. A test was done and lactic acid damage identified. The hair loss reversed completely when my situation improved, and started again when the stress/paranoia got worse. No med helps long term. I have chronic tinnitus, and associated problems as a result.. so thats the reason for it all.

BTW took finasteride 5 mg/day, and now I have penile fibrosis/curvature. Any Ideas? hair on last legs. Thanks.

I’m not sure what you’re asking me, exactly. You saw a good doctor in your area that told you how your loss was related to stress. So you’ve already identified that stress causes your hair loss, and controlling the stress causes the hair to regrow.

As for you taking 5mg of finasteride per day, I don’t know why you’d be taking that much unless you have prostate issues. That’s 5 times the dose for treating hair loss — and if your loss is indeed from stress, you probably didn’t need finasteride at all. Did you talk to your prescribing doctor about this? Did you diagnose this penile fibrosis yourself?

There’s so much I don’t know about your case. For example, I don’t know how long you took the medication, why you took the medication, your age, your medical history, any possible disease (example – Peyronie’s disease), etc, etc. So no… unfortunately, I don’t have any ideas I can offer.


2012-11-27 07:49:37My Hair Loss Starts When I’m Stressed and Reverses When My Stress is Controlled

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Can I Have Hair Transplant Surgery If I Have Atrial Fibrillation Or Take Warfarin?

Hi,I m 46 years old and a norwood class 6/7.I have atrial fibrillation and take a beta blocker and warfarin,is it possible to have a hair transplant(if a good candidate)with this condition or is it not an option?many thanks.

It depends on the individual patient as well as the the individual doctor who may or may not consider surgery. You would likely need clearance from your cardiologist as well. In other words each patient and case is different. We have performed surgery on patients with atrial fibrillation that is controlled as well as patients who are on warfarin.

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Can I Do Microneedling or Even a Hair Transplant Preferably an Fue with My Psoriasis?

I have psoriasis on my scalp. Do you think it is safe to microneedle? I don’t have psoriasis on my hairline, where i would do most of the microneedling (NW3 now). I’m very inclined to start microneedling, but afraid it might result in new psoriasis spots. Also, how about FUE? I read it might be problematic for psoriasis. Currently torn between the 2 options.

I wouldn’t recommend that you do it, considering the Psoriasis, because of the risks associated with repeated trauma for you can make your psoriasis worse. I have done hair transplant (FUE included) on people with psoriasis and provided that it was not in the recipient area- it was not a problem.


2020-04-19 15:48:15Can I Do Microneedling or Even a Hair Transplant Preferably an Fue with My Psoriasis?