Category: Uncategorized

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I was asked this week if I was really a doctor

I addressed the question by suggesting that they check me out in the medical board offices of the States of California, New York and Florida where I am licensed. I thought I would share some of my recent awards with you in case you have any doubt. These include Best Doctor in the United State for hair transplantation by Castle Connolly (see here:https://www.castleconnolly.com/about/NomProcess.cfm ) for 10+ consecutive years, the Golden Follicle Award (see here: https://newhair.com/wp-content/uploads/2018/11/nhi-newsletter-2005.pdf), Two Life Time Achievement Awards presented in 2019 (by South American and European Societies).

I guess the answer to the question is that I must be licensed to practice medicine or I am a hell of an impostor.

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I was told not to do a hair transplant!

I was told that I haven’t lost enough hair to fill in the highlighted areas where I’ve been balding (see outline of my thinning). Do I need to loose more hair to become a better candidate? I consulted two clinics about the number of grafts for my hairline. One said 2000 the other said 2500-2800. Above 2000 seems like too much to me, but I’m not sure. Any feedback is appreciated.

Why undergo a hair transplant if you don’t need it? Hair transplants accelerate balding, especially in younger men. You would likely lose much of the hair presently on your head if there is significant miniaturization present, so maybe a transplant would be switching from what you have to transplanted hair with marginal gain other than the surgeon making money at your expense. There are great medical treatments for your hair if you think you are thinning. Get a doctor that knows how to treat you medically.

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If Exercise Increases Testosterone, Wouldn’t it Also Increase DHT and Hair Loss?

I noticed your recent post about protein powders and how they have no effect on DHT and hair loss. I’ve seen some posts on your site, but I feel that exercise and supplements (other than steroids which obviously impact hair loss) have not been adequately addressed.

For example, many studies indicate that creatine increases testosterone and DHT. Also, generally speaking, exercising increases testosterone levels. Therefore, wouldn’t exercise and working out increase DHT and therefore hair loss? Also, maybe we can get a more straight forward answer on certain common supplements such as Creatine and Glucosamine. Thanks

I do not believe that working out will increase hair loss, but the straight forward answer is that we don’t know for sure. If you search the web, many talk about creatine and how it may relate to increased DHT, and ultimately hair loss. I do not know of any well constructed, reliable, or definitive studies about it, though.

In the world of genetic male pattern hair loss, the keyword is genetic. I suppose there are extraneous things you can do or take (anabolic steroids – a drug/hormone – not a supplement) to make the genetic trait worse or accelerate it. But in the end, even if you don’t do anything, but you have the genes for it, you will lose hair.

If taking creatine or glucosamine or other supplements worries you, then consider not taking them. Prioritize your goals. If you are taking these supplements to enhance your workout and gain muscle etc, nothing beats actually working out (an extra day per week or an extra 10 minutes in the gym is better than any supplements in my personal opinion).

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If I Haven’t Seen Improvement After 2 Years on Propecia…

I have been on Propecia for 2 years; I am 45 years old and have seen no improvement in my hair. I am somewhere between a NW 2 and a NW 3. The fontal forlock has thinned significantly while on Propecia. In your practice have you seen any patients quit Propecia and not get any worse or do most people experience increased hair loss once they go off the medication?

Also, I would do a hair transplant immediately if I was confident that I could go back to work undetected after 2 weeks. It would be a big help to get your thoughts on this as I think this is probably the biggest reason people do not get transplants. Perhaps post some pictures of patients at 14 days. Your blog is great and NHI would be my choice once I decide to take the plunge

Assuming that you have the balding gene and a HairDX finasteride response test indicates that you have an average sensitivity to Propecia, then I would expect that you, like many other men, had their hair loss stabilized on the drug. If that is the case, then you can assume that you may very well lose hair by stopping the Propecia. The series of steps and events are important in the building of a good Master Plan so that whatever happens, it will be planned for. I am sure you can see a series of potential scenarios here, so a good working relationship with your doctor is all important.

Here are some previously posted examples of patients just days after surgery:

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If I Stop Propecia After 2 Months, Will There Be Sudden Negative Effects?

I have been taking propecia for 2 months. I haven’t had any side effects yet but reading about gynecomatia and the sexual side effects have me worried. Also I read on your site that proscar in 5mg has had some connection to breast cancer. So I was wondering if I stopped using it will I lose any hair? I am not sure if it has slowed down my hair loss but will there be any sudden effects on my hair?

If you have been taking Propecia for 2 months without side effects, I suspect you probably will not have the side effect you’ve read about. 2 months is a relatively a short span of time and I suspect you will not have much negative effects on hair. For example, you will not lose hair suddenly if you stop the medication because the medication has not been taken long enough to work. It goes without saying, please speak to your doctor before starting or stopping any medications and express your concerns to him/her (I am not your doctor).

Propecia will not cause breast cancer, but in a very small number of men, it may cause breast enlargement (less than 1:500).


2007-07-10 15:19:31If I Stop Propecia After 2 Months, Will There Be Sudden Negative Effects?

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If My Dermatitis is Active, Can I Still Get a Hair Transplant?

(female)
Does contact dermatitis affect my chances of having hair implanted. Over the past two years, my dermatitis has caused my hair to fall out and I want to get implant hair. Can I? That’s the question. Please let me know.

Thank you.

At NHI, we have performed surgery on many patients with dermatitis or even psoriasis. Each and every patient is different and if you are interested in surgery, you need to be evaluated by a competent hair transplant surgeon.

There are cautions with regard to the pretreatment of active areas of local dermatitis or psoriasis for example, as complications do occur with such findings as a Koebner phenomenon in the areas where incisions are made in active areas of psoriasis or dermatitis.

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If the Average Person Has 10k Grafts Available, Why Are Most Patients Given Less?

I’ve read time and time again the average person has 7000-10,000 grafts available to transplant. If this is true why isnt there anyone on your website (Newhair.com) who is even up tp 7000 grafts?? Obviously some of the patients dont need anymore grafts but i’ve found a few pictures of your patients that have had 2000 to 3000 grafts transplanted that still have somewhat of a see through look. Why don’t these patients get more grafts transplanted? Would you say a lot of these patients are content with what they have?

I also have a random question. After the grafts are extracted from the back of the head and ready to return to the top of the head. How many grafts do you think two technicians put in on average per half an hr? A couple hundred per Technician???

Even if what you area reading is true about 7,000 to 10,000 grafts being available, it is up to the patient to want to have a hair transplant and use those grafts wisely. The Master Plan may include saving the remaining hairs for possible further hair loss. It may be a see-through look for you, but have you considered that the patient with 3000 grafts is happy with their results?

That being said, here’s a patient that has been presented on this site multiple times and had close to 10,000 grafts transplanted. He wasn’t going to be losing more hair, as his pattern was quite advanced already.

Patient ZU’s before and after (click to enlarge):

 

The speed of transplanting hair varies with each technician, along with the instruments and techniques used in the surgery. In other words, all clinics and doctors vary in technique (despite what they advertise). An average surgery of 2000 grafts can take 5 to 6 hours, so you can do the math backwards if you wish.

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I’m 16, is my hairline receding?

Your hairline is moved from round to flat. As it further matures, it will become V shaped. The tip of your widow’s peak show where the hairline was when you were 5 years old. Some men lose the widow’s peak as their hairline matures. That is what is happening to you at this time.