Best treatment for dormant hairs? (from Reddit)

What would you say is the most effective growth agonist? I’ve heard people say oral minoxidil, but is topical estrogen also capable of reviving follicles after they’ve dormant for a few years?

Reviving dormant follicles is not something that may always happen. The places were we see revival is usually when the loss is less than a year, two at most. Those who have had long term balding may not be able to revive those hairs. The traditional approaches all have value including Microneedling, minoxidil (oral or topical) and finasteride. Estrogens in the face of high testosterone may have more limited value.


2020-12-08 06:38:06Best treatment for dormant hairs? (from Reddit)

Minoxidil to grow beard hair, does it work?

I’m going to give it a go. Problem is in around 2 months i’ll hopefully be starting fin, and I’ve heard that the minoxidil will quit working for growing facial hair then. If i start now and use it for 2 months, will it still have any effect once i start fin? Is it worth trying minoxidil for facial hair just for two months?

No, it takes many months for minoxidil to induce hair growth. Minoxidil works on men under 25 to some degree. The hair growth may not be like a good solid beard however. We do quite a few beard transplants but require that you are over 25 because we don’t want to pre-empt your hair growth as you get older.


2019-12-10 10:46:27Minoxidil to grow beard hair, does it work?

Biofiber (artificial hair – photos)

Biofibers, a type of artificial hair that is inserted deep into the scalp, causes long term infections that are common. These have been banned in most countries in the world. I hope that this reaches people who are considering this type of treatment and learn from this post not to do it.


2020-11-09 17:17:08Biofiber (artificial hair – photos)

Months After Extreme Illness, I’m Still Losing Hair

Hi,
I’am 19 years old and suffering from a great amount of hair loss. I got extremely ill about 4-5 months ago and almost lost my life. After the hospital i lost a lot of hair but eventually went to normal a month or two after. A couple of months after, i started losing even more hair. When i wash my hair, lumps of it fall out. I have seen many doctors but they all say nothing can be done. I have been taking Nutricap for a little over a month now and I see no difference. Any suggestions? I feel like i’m going to be bald by 20!

Hair loss after a major illness can be normal. I can’t explain why your loss stopped and restarted. It may all grow back in about one year time frame. If you were going to eventually bald due to genetics, the illness may have kickstarted your genetic process early… but if the hair grows back, then you don’t have to worry about that being the case. You’ll just have to be patient, though.

Look on the bright side — you didn’t lose your life!

Why Is It That Blonde People like Me Don’t See Their Hair Loss Until It Gets Bad?

When the contrast between hair and skin color is minimal or when hair is very blonde, hair loss does not show well. I have seen many people in the office over the years with this situation. Contrast with a man with fair skin color and black hair (most Asians), especially when their hair is straight, balding stands out with less than 50% hair loss. I believe that a platinum blonde person can lose 85% of their hair, if it is a distributed, without seeing the loss.

 


2018-06-22 13:25:41Why Is It That Blonde People like Me Don’t See Their Hair Loss Until It Gets Bad?

More reviews of finasteride pills, dutasteride and topical finasteride

More details keep emerging that address the sexual side effects that have been well documented. Here is another review medical article for those of your who read this. The topical form of the drug finasteride seems to have fewer sexual side effects, but they are still present.

https://www.practiceupdate.com/journalscan/39062/2/3?elsca1=emc_enews_daily-digest&elsca2=email&elsca3=practiceupdate_uro&elsca4=urology&elsca5=newsletter&rid=NTYwMzM3MDM4NTkS1&lid=10332481


2020-09-15 09:10:34More reviews of finasteride pills, dutasteride and topical finasteride

Body Hair Transplantation

In reply to my post titled Hirsute Men and Head Hair Loss, Duke writes…

That is fascinating but it prompts a few thoughts. Why not use body hair for transplant processes?

More research into the Red Indian genetic heritage us surely required.

And why does the balding gene only impact on the top of the head and not the sides.

This is a fun question. First, why the top of the head. Leonard Shlain’s book, “Sex, Time and Power: How Women’s Sexuality Shaped Human Evolution,” had an interesting insight into the cause of balding. He postulates that our tribal heritage arose when man lived amongst his peers constituting 100-150 people. When looking at that the hunters (the healthy and fit men) in the light of certain qualities, there was a distribution of 4 traits that would pencil out to an 8% rule. He believed as animals learned to be afraid of man, the 8% of the hunters who were bald did not frighten the animals because they did not have the typical framed face of a hairy man, so animals would not run from them. They fulfilled the role of the spotter in the hunting party. Likewise, 8% of men were color blind and could see the animals in the bush missed by normal color visioned men, 8% were left handed and they threw the spear from the left side of the hunting group and 8% were gay so that they would stay home with the women and become more involved in their activities yet retain the strength to protect them. Fathering of children, while the heterosexual man were away hunting, was therefore not a concern.

If you take the 100-150 tribe hypothesis into the Red Indian, it would be relatively easy to see that with a small band of Indians that moved over from the Alaskan Bridge and down the Canadian countryside (they initially migrated to what would become the western American territory) it is possible that selective extermination of a sub-set (based upon the balding trait for example) of Indians over some generations during hard times, might have wiped out that genetic characteristic. This hypothesis for the Red Indian has been made by some, but without the presence of a written language or other documentation of their history, such assumptions might be a dangerous precedence to be proposed by a hair transplant surgeon.

Now, regarding body hair transplantation:

Experimentation is presently occurring on the use of body hair in some transplant centers (they just do not call it experimentation). As body hair grows in singular numbers (not follicular units of more than 1 hair each as in scalp hair) and length is not as long, and the hair cycle is possibly much shorter and the sleep cycle much longer, the use of body hair for transplantation might leave much to be desired.

Multi-Bladed Knives and Dilators

I just visited a doctor who took me into a surgery and showed me nails in the head of a patient. He said that these kept the wounds open and makes the graft placement easier and produced less damage to the skin and hair. He also told me that he used a multibladed knife to harvest the grafts. I thought I read somewhere that these instruments cause damage. Can you explain what I am being told?

These nails that you are describing are something that was invented by Dr. Manny Marritt in the mid-eighties to make the placement of smaller grafts easier. Within a year, he abandoned the use of these dilators as his staff built the skills to not need them anymore. He concluded that these dilators did not have great value to anyone other than the novice. I did try them early on in my practice, but I quickly abandoned their use within a month. For more information on dilators, including a photo of what they look like, please see this dilators page.

After I designed the 2 bladed knife with the offset of 30 degrees, I built a multi-bladed knife with variable settings to it. I eventually found that when I used the final design on the first 9 patients, the results were decent (I estimated the loss at about 15%). Then on the 10th patient, I had a follicular holocaust with a loss factor of 70%. Fortunately, on these first 10 patients, I only used it on a limited area, but the high transection rate on this 10th patient said to me that inconsistency was going to be the problem. If I could do it 9 times right and then 1 time wrong, the technique was flawed.

This clinical research was done by me in 1992-1993 when cutting was a manpower problem that I eventually solved with a larger and better trained staff. The multi-bladed knife was the wrong answer to this problem and that is my final opinion on the subject. With multi-bladed knives, the labor that the doctor saves does not offset the hair that is killed off. I believe anyone who uses such instruments today are subject to the same type of variables.

Botched hair transplant reported by patient on Reddit

I have helped many patients through this problem. The doctor should give you what you asked for, as it is reasonable. I would hesitate to have the doctor do another procedure if the first one was done poorly, as the second one may turn out that way. You can tell the doctor that if they do not negotiate fairly with you, that you will report the doctor to the medical board. In California, as in many states, the medical board (which control the doctor’s license) MUST investigate every complaint. The doctor will not want this to happen and should be happy to negotiate with you.

Botched Hair Transplant-try to negotiate with Dr, or see a lawyer? from tressless


2019-08-09 11:40:54Botched hair transplant reported by patient on Reddit