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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

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Treatment of Pubertal Gynecomastia Report

Reader responds: RALOXIFEN, is a SERUM. It is a medication that has ANTI-estrogenic effect on breast tissue and esteogenic effects on bone, liver, etc ..
It is used by many bodybuilders and also doctors to prevent and treat gynecomastia.

https://www.ncbi.nlm.nih.gov/pubmed/15238910


2018-10-10 11:48:22Treatment of Pubertal Gynecomastia Report

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Tricks of advertising in the hair business (photos)

A clinic posted two pictures and labeled one as theirs and the other as the competitor. What you are looking at nothing more that two examples of different hair transplant densities. The one on the left had twice the density as the man on the right and probably paid twice the cost. The advertising is clearly misleading and I suspect that it was a set-up because both sides look like different sides of the same patient. The surgeons then would have added more density after the photo on the right was taken so as not to victimize his patient.

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Hair Not Growing Back After Chemotherapy

Dr. Rassman,
I am a woman who finished an intense bout of chemotherapy and radiation about a year and a half ago. Since then most of my hair has grown back on the sides and back of the head. The center top and crown is still very bald. My dermatologist says it is a typical female balding pattern. Can you give me feedback on this subject? Is it possible I could be a candidate for hair transplants? Thank you.

Your dermatologist sounds correct. Some women develop patterned loss, which is less common than unpatterned loss. Hair transplants work better in patterned loss, assuming that your donor hair is adequate in quantity and quality. If there is diffuse thinning in the sides and back, you may not have enough supply for a transplant. A good assessment by a competent hair surgeon will give you insights into your supply for quality hair transplants.


2005-10-24 15:53:55Hair Not Growing Back After Chemotherapy

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Turkey FUE Surgery is a Real Mass Production Line Operation

There are clear risks here, one technician moves to another patient because the team needs help, instruments are crossed between patients, there is clearly not surgeons for each of these patients. All of this can cause life threatening infections transferred from one patient to another. There is a real question of quality control, who does it. Are all technicians equal (some report that the technicians are hired and join the surgical teams that same week).

This would be outlawed in the US or most major Western countries.

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Hair Regrowth vs Thickening

hello, I’m a little confused about what hair regrowth is and what hair thickening is. is regrowth when hair grows where it isn’t or is it when a small hair thickens?

Regrowth is when hair grows where it once was. It’s all a matter of semantics. One can thicken the appearance of a head of hair by increasing the number of hairs in the head (regrowing new hair), moving the hair around (transplant), using camouflage (pigments), or increasing the thickness of existing hair (products). This is done by:

  1. Reducing the degree of miniaturization with drugs like Propecia (finasteride) so that each miniaturized hair will become less fine and more coarse (closer to your normal hair in the donor area).
  2. Increasing the thickness of the individual hair shafts with thickening agents that are applied to the hair which cause them to take on more water, or coat the hairs with some product that makes them appear thicker (this is done by applying a product to the hair that will usually wash off when shampooed).
  3. Increasing the thickness of an area can be done through hair transplantation. This is a relatively permanent solution until you lose more hair (it’s progressive).
  4. By playing with color, someone can bring their hair color closer to their scalp color with chemical dyes or the use of scalp micropigmentation (a medical tattoo). The use of agents such as Toppik (adds fibers to the hair and scalp) or DermMatch (a crayon type application to bring color to the scalp.

So you see, there are many ways to get a fuller look that may not be the results of a full head of hair, but if it fools the eye, then many people will be satisfied using these approaches.

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Two Previous Hair Transplants and Wants to Understand His Remaining Donor Supply

I am in my 40s and have had FUT twice, both times with very high yield and good cosmetic results. I have had a bit over 3,000 total grafts total. My FUT scar in the back of my head also came out well. The scar itself is thin and is pretty hard to detect, even if I cut my hair short. Sometimes I think about having a third FUT. I have a decent amount of donor hair left. How risky is it for me to have a 3rd FUT surgery if the first two went well? Am I risking ruining my good results to date? What are the chances I could get a good FUT scar on the third surgery if the first two went well? Does my chance of a bad FUT scar increase with each subsequent procedure? Should I quit while I am ahead or push for another procedure if I want more hair on top? Thanks for your help, and many thanks for baldingblog. It is very well done and helpful.

3,000 grafts is most likely less than half of your donor supply, assuming that you are a typical Caucasian. I had three strip surgeries myself and have no scar as you don’t with two surgeries. The general rule of thumb for normal healers (not good ones like me) is that the scar risks increase with additional procedures. Considering your history, you might discuss other options with your surgeon such as another strip surgery with a trichophytic closure to minimize the scar. Alternatively, you can have the harvest done with FUE (Follicular Unit Excision) and not worry about a linear scar. The FUE is becoming more and more popular in the past few year and now reflects more than half of all hair transplant harvesting technologies done worldwide.


2018-06-22 05:43:29Two Previous Hair Transplants and Wants to Understand His Remaining Donor Supply