Category: Uncategorized

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I’ve Lost Leg Hair

(male)
I have lost all of the hair on the outside of my legs from the knee down. I do not have any medical conditions that should affect this. Thank you

I do not know enough about you — like your age, for starters. If you know you have nothing wrong with you, then what value can I have? I think you need to link with a good doctor and then let him/her tell you that you have no medical conditions, and/or possibly identify something that is wrong.


2007-05-08 10:23:19I’ve Lost Leg Hair

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A scalp biopsy with slightly surprising results…

I’m a 22 year old male with androgenic alopecia and diffuse thinning. I’ve been balding since I was 18 years old.

Recently, I’ve been experiencing very rapid shedding all over my scalp (top of the scalp, donor area, and both sides of the head). I went to my dermatologist and had a scalp biopsy (4mm, punch) done to make sure it wasn’t alopecia areata. Turns out, it’s telogen effluvium due to various stressors. 12 days later, I got the stitches removed from the area.

BUT

The hair that is currently growing out and closely around the biopsy site are probably the thickest that they have been in YEARS.

I currently use a topical minoxidil 7%, finasteride 0.1% compound solution ((been using for 1 month), stopped taking finasteride tablets due to sides (used for 2 months)) and I use a microneedling pen (1mm, once per month). Although I’ve had very subtle hair regrowth on my hairline and slight thickening on my temples, the hair from the biopsy site feels and looks thicker than most of the hair on my scalp at the moment.

I’m aware that it may seem like an “illusion” due to my current TE condition, but it honestly feels much more thicker than before the initial shedding started. It almost nearly resembles the texture that it was from when I was a teenager.

If anyone is familiar with the biological components of hair loss and hair regrowth, I would love to hear from you about this matter.

Wounds sometime stimulate hair growth much like microneedling does


2021-01-17 07:29:21A scalp biopsy with slightly surprising results…

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Jean Devorye posted using his FUE serrated punch

This is what we do every day with speeds of between 1000-1800 grafts per hour depending upon the patient’s skin characteristics. The key to good results from FUE is good speed with accurate excision and no damage to the hairs in the grafts (shown here in the video), proper handling of the grafts from the point they are removed from the body, sorting them by sizes and quantifying any damage done, and then placing them into the recipient area with minimal trauma in a fast and expeditious manner in a short period of time. Note that many of the grafts contained more than two hairs. That is because the surgeon can select which Follicular units he wishes to excise. This is nicely done by Dr. Devorye showing the excision which always must be done by a surgeon (by law).


2020-02-13 13:29:01Jean Devorye posted using his FUE serrated punch

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Accelerated Loss from Propecia?

HI Dr. William Rassman. I read in many places that propecia can make the frontal hairline/temples recede. Is it true or is it a myth? Coincidently my temple was a NW 1.5 2 month before propecia. Now it’s diffusing in a strange way. thanks

I am unaware of any reports that Propecia will accelerate temples recession. I am assuming that you are a young man (Norwood 1.5-2) and one of the things that you must recognize is that 95% of Caucasian young men (also true of other races but a smaller percentage) will change their hairlines as they mature. This maturation process certainly moves in the direction of a Norwood 2 – 2.5 range. This is not balding, but normal maturation which occurs between the ages of 18-29 in men. The other 5% or less of Caucasians are like Bill Clinton, where they keep their childhood hairline and remain as they were at 12 years old. Best to be sure that you understand the difference between normal maturation of the hairline as seen in your genetic family connections and the balding process itself.

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Just Started Losing Hair at 60 Years Old

I’m 60. My brother has been bald for years, but I had kept most of my hair until the last 18 months during the stress of a business failure. Now it is very thin on top with a bald spot on the back. I began using 5% minoxidil about 45 days ago. Is there anything else I can do to at least stabilize the situation? Thanks.

It is rare to see balding start at your age, but we are programmed to have a certain number of hair cycles in hairs in different parts of the head. Maybe you have reached the age limit and number of cycles of some of your hair. It is not unusual for it to appear in patterns. Taking Propecia (finasteride) would probably slow it down and could reverse the thinning areas, considering that the entire process is recent, which is when the drug works best.


2009-04-07 11:47:35Just Started Losing Hair at 60 Years Old

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Acne, Hair Loss, and Numbing Pain in My Arms

First. It was nice to see a blog about hair loss authored by real doctors and thank you for that. I am from Philippines and there are not much doctors here that specializes in hair loss problem thus when I visited once before, i was not able to get answer. So i hope you could help me here.

I was 19 when my hair loss started together with some big acne. My mom said it is hereditary but what concerns me is the very very subtle tingling pain in the place where I am having hair loss (which is the front). Sometimes I feel it after I comb my hair.

Another are the acnes, is there a case that having an acne and hair loss at the same time is a symptom of something.

3rd is I always experience numbing pain in my arms that I have not experience before.

I am sorry if I have too many questions because I read a lot about hair loss but couldn’t find answer to why I am having one. Right now my hair is in a norwood 2. I tried to talk to one doctor before but his answer was because it was due to stress then gave me prescription for my acne not my hair loss. Sorry. This is already long but Thank You in advance.

Acne doesn’t cause hair loss, and hair loss doesn’t cause acne. Your loss may be stress-induced like your doctor said, but at 19 years old it’s entirely possible that you’re showing early patterned hair loss. A Norwood Class 2 could just be a mature hairline, though. That isn’t anything to be concerned with. I haven’t seen you, so I can’t make that determination.

I do not know what numbing pain in your arms has to do with having acne or hair loss. I think you may be trying to link everything into one. Unlike physics, there is no unifying theory about hair loss.

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I have been diagnoses with Keratosis pilaris, can I still have a hair transplant?

Yes, Keratosis Pilaris is a benign condition and it is harmless. Some people describe these bumps as ‘goosebumps’. If it produces itchiness and dryness it can be treated with lotions and lanolin. If the appearance of these bumps bothers you, soften your skin with lotions. Treatment can ease the symptoms and help you see clearer skin and have less itch. This is not a contraindication for hair transplants

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Addison’s Disease and Propecia?

Hi I’m 30 and suffer from Addison’s disease. I’ve noticed over the past 3 years my hairs been getting thinner and thinner and I want to do something about it. Propecia seems like a good starting point…. only problem is I have this rare endocrine disease and am worried about serious side effects. Should I be worried? Should I try rogaine instead? Many thanks.

You should first see a doctor for an examination and a diagnosis of your hair loss cause. You shouldn’t just jump at trying different medications/products blindly. You can also ask your endocrinologist about your concern with Propecia (finasteride 1mg). First and foremost, make sure your hair loss is due to genetics if you’re even considering Propecia.

I have seen many patients with hormone disorders (though not Addison’s disease specifically) and there is no reason they cannot be on Propecia that I can think of. But even to my own patients, I always advise them to check with their endocrinologist first.

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Laminin-511 Molecule?

Could you tell me more about Laminins-511 please and whether you think it is a promising ‘solution’ to hair loss? I had never heard of it before reading this article, but i’m now very intrigued.

Link: Mens Health

I do not know much about laminin-511 besides this press release from 2008. These are studies performed on mice and the research is disseminated to the popular media, grabbing the interest of readers such as yourself. I don’t see a date on that article, but I’m guessing it was from back when the laminin-511 mouse findings were first announced. It says they’ll have trials in 2 years… so I’d assume there should be info already if it was successful, but I can’t find anything new.

These news stories create a definite interest, but the implications on hair loss treatment remains to be seen. We get these types of stories sent to us almost on a weekly basis.


2011-10-25 17:17:15Laminin-511 Molecule?

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African American Female Hairline Loss

Hi I am a thirty year old African American Female. From my early childhood, I have been exposed to tight ponytails, braids, weaves and chemical services applied incorrectly. Surprisingly, I still have a head full of hair with the exception of my thinning hair line. My hair is currently chemical free and has been that way for over seven years. I normally wear wigs as a protective style. My hairline is still thin. Is surgery my only option?

Norwood 4AUnfortunately, there’s no medication that can restore a hairline and surgery might be the only option. Hair transplants for the frontal hairline work well, even in African Americans. Unfortunately, many African American women I’ve seen with traction alopecia have lost much of their frontal hair, even the hair that goes into the temple peaks on the side, creating a concave look similar to a Norwood Class 4A pattern (see image at right). The problem is that the larger the area, the more hair it takes to get a thick result.

African Americans usually are born with less hair than Caucasians (about 65% by hair count) so the supply is often more limited. In your case, if the hair loss is just in the frontal 1 1/2 inches, you may be able to get it back. A good examination is important, especially when made by someone who has considerable experience capable of giving you realistic expectations.