Is Dupa caused by classic genetic balding?

Maybe. There is no obvious genetic link to the Classic DUPA (Diffuse Unpatterned Alopecia) we originally reported in the Journals. I have, in some patients, seen genetic balding also present (not that common) and when I do, I warn these patient never to have a hair transplant because it will fail.


2020-04-19 09:23:35Is Dupa caused by classic genetic balding?

Putting Birth Control Pills in Shampoo to Thicken Hair?!

Just received this email from a man asking a question I’ve never been asked before….

I was told to get a birth control, grind it and put it in a bottle of shampoo, and it would make my hair thicker. Would that work?

I have a few questions…

  1. Who told you this?
  2. What do you think? Take an educated guess…
  3. How would you (being male) get a hold of birth control pills? You’d need a doctor’s prescription, unless you take the pills from your girlfriend/wife. In that case, instead of hair you would probably end up with a baby.

No — birth control pills used topically will not thicken hair. There may be a misconception that since hair loss is related to the male hormone DHT that a female hormone agent such as birth control pills may work. This is NOT true.


2007-02-26 09:48:49Putting Birth Control Pills in Shampoo to Thicken Hair?!

A Doctor Offered Me 8,000 Grafts in One Session (About 12 Hours of Surgery)

A doctor offered me 8,000 FUE grafts in one session, about 12 hours of surgery. Is this reasonable and safe?

There are many problems with that large number of grafts for a hair transplant, including:

  1. The length of the surgery
  2. The amount of time the grafts are out of the body and
  3. The access to your head with the team placing the grafts.
  4. Can the donor area support 8,000 FUE grafts without becoming bald?

I don’t believe that I ever met a patient who can support 8,000 FUE grafts. If you choose that route, you will have a see-through, possibly bald back of the head as most of the hair would have been removed there. You should ask to meet other patients who had the same number of grafts done in one session and to see the results, not only in the donor area but also in the recipient area as well. You might find that unless your density is more than twice the density of the average Caucasian, this will not be a safe or a productive procedure in terms of a complication-free hair transplant after the surgery.


2018-09-14 08:59:35A Doctor Offered Me 8,000 Grafts in One Session (About 12 Hours of Surgery)

Questions about a small hair transplant

Considering getting a H.T to fill in the front corners of my hairline better. This isn’t a question of if I should get it I just want some info on the healing side of things.

Say I get a H.T in late December, I’ll have enough vacation time to go away until February and not see anyone from my real life during that time. Once I am back in February, will I be able to wear a hat freely? Will the transplant be obvious if I am not wearing a hat or will it just look like it did before the transplant? Right now very few would see me as losing hair but I’ve lost enough in the corners to make it difficult to style it the way I like and would like to have a true nw1 I am just concerned with others noticing I had something done. Thanks

A well done hair transplant can be done so that you don’t see it at anytime. You might have to take a few days off if you have FUE or if you are very bald. If it is just the corners, keep your hair long and use the long hair to cover anything that you think is detectable

Doctors confuse dosing of finasteride

I am a 21 year old male from India and I have been using the generic Finasteride 1mg for the last 1 year. I have had good results and almost no thinning in the past year. I have been to 3 dermatologists and they want me to discontinue Finasteride even though I have zero side effects. Upon asking the need to discontinue the drug, one said Finasteride should not be taken long term. Another doctor said once hair grows back on should stop taking it. Another doctor said, Fin has to be used 6 months ON and OFF. I am really worried about this sort of treatment protocol. They say side effects occur later if not now. How many doctors can I visit? Will it not be considered doctor shopping? It will be rude to ask a doctor to prescribe certain medication. On the other hand I definitely want to continue taking this medication since I am too afraid of losing my hair after such good results. Help me! Should I switch doctor?

Finasteride, when taken, should be taken every day and an on and off routine makes no sense to me. I think you are correct and if you feel it is working without side effects, stay on it.


2020-04-28 16:35:38Doctors confuse dosing of finasteride

Does a Low Calorie, Low Fat Diet Contribute to Hair Loss?

Would a prolonged (5 yr duration) low caloric/fat restricted diet (low carbohydrate, moderate protein/high protien, very low fat intake) contribute to hairloss? If so, would the hair loss manifest itself in unpatterned total head thinning/miniaturization?

If you are not malnourished and have met your daily recommended requirements for vitamins, then a low fat, low caloric diet should not cause hair loss.


2006-10-10 07:10:40Does a Low Calorie, Low Fat Diet Contribute to Hair Loss?

Reader is Not Convinced That Bulk Analysis is Worthwhile

I’ve seen you mention many times that bulk analysis is a good way to determine if someone is balding and that density should be the same everywhere for a non balding patient.

But I’m not convinced by this – I recently saw a well known hair transplant surgeon and he said that people typically have less density around the crown and temple areas anyway. He didn’t believe in bulk analysis for analysing hair loss.

Today I saw a male child who must have been around 8 years old. His hair was shaved short and sure enough, his temple/corner areas were noticeably less dense than the rest of his hair and this went quite a way back (I suppose to the point where someone might have suggested he was between a NW2 and NW3 on a balding scale if he was an adult).

HaircheckYou may not be convinced of the value in measuring hair bulk, but I am not going to try to convince you.

In a non-balding man, the bulk analysis shows that the hair in the 4 areas we measure (down the midline: front, top, crown and donor area) are all within 10% of the measurement of each other. I do not measure the hair at the sides of the head, because that is not where the balding will be. I would therefore possibly agree with you that the side densities are not as high as the midline densities.

Out of curiosity, I will measure a non-balding man’s sides and see if we are both correct.

Does Bulk Measurement Depend on Hair Length?

A question about the hair bulk measurement tool – surely it’s dependent on the person measuring having exactly the same length hair every time a measurement is taken otherwise it’s going to produce inaccurate results?

I mean, great if you know your hairdresser can cut your hair the same length perfectly each time you want to do a measurement but realistically that’s not going to happen unless you use clippers which most of us don’t want to do.

Or does it not work this way? Am I missing something?

If not, then I’d think that a camera would be a better way of judging hair loss.

For the bulk analysis, you need to have an adequate length of hair (maybe 2 inches in length) so that the hairs can be bundled up and the bulk can be measured. Any adequate hair length will work the same, even if it is 3 feet long, because the measurement is made at about one to one and a half inches from the scalp. Think of a person bundling up a long pony tail. If you have more hair, the bulk of the pony tail will be much greater. As the measurement is limited to a point about one inch from the scalp, the longer hair will not impact the measurement.

We take a baseline measurement at the same coordinates of the scalp each and every time you return (12 months). If you cut your hair with clippers with a buzzcut style, you cannot do a bulk measurement. If you have gel or other products on your hair it will give a higher bulk reading, so we ask that there are no hair products on your hair when you come in for the analysis.

If your hair is very short, then we can always use a miniaturization study, looking at hair diameters at a microscopic level. Bulk measurement is doing it at a macroscopic level. These are all our attempts to measure an objective (not subjective) value of your hair status. The subjective measurement can be a simple before after picture of your head/face. The picture can be highly variable depending on lighting and angles. At NHI, we try to keep the angles and the lighting and the camera model, lenses, aperture, and external flash location as constant as possible.

Recent article on finasteride (topical and oral)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609098/

Conclusion: Preliminary results on the use of topical FNS are limited but safe and promising. Continued research into drug-delivery, ideal topical concentration and application frequency, side effects and use for other alopecias will help to elucidate the full extent of topical FNS’ use.


2021-07-11 16:03:32Recent article on finasteride (topical and oral)