Category: Uncategorized

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My Hair Looks Worse After Each Transplant!

Doctor,

I started noticing hair loss around the age of 26. I tried the laser for a year and did not believe it worked and took propecia, but felt that did not provide help either. In 2009 I decided to have a hair transplant surgery 2,000 hairs. 1,000 in the front and 1,000 in the back.

After the transplant I began finasteride and rogaine to maintain the amount. I was so happy after the first 6 months, until I started noticed thinning in the front again. Everytime I go to the doctor who will remain nameless they say things are fine. I went for the second procedure a year later to thicken up the front. It has been 5 months and the front looks worse and the back is starting to thin out on the sides and a little in the middle. I have a few questions.

  1. Can the initial surgery cause this shedding to occur and then stop?
  2. Could the rogaine cause an adverse affect? Every time I use the rogaine and start combing my hair at least 10-20 hairs come out. I read somewhere that if shedding does not stop after 5 months then stop.
  3. Does the finasteride not work as well as the propecia? These 2 drugs should keep the back fine, but that is not the case.
  4. Also could transplanted hair fall out?

I cannot comment too much on your particular issues, because I’ve never examined you… but I suspect there was no Master Plan associated with your hair loss issue and you were chasing after a goal that wasn’t clearly laid out. It’s possible you were never given realistic expectations. Perhaps you should see another surgeon for his/her opinion.

1. I do not know what your initial surgery was, what it was suppose to do, or even if it was successful. In general, you can have shock hair loss from the surgery itself. That’s one possibility. The shedding from shock hair loss is permanent.

2. Rogaine is a topical medication to grow hair, not lose hair. If you have an adverse reaction, then ask your doctor for an examination. Losing 10-20 hairs is normal with or without Rogaine. Finally, some patients report slightly more hair loss when starting Rogaine treatment, but as you continue to use it there should not be a problem. The initial hair loss from Rogaine is thought of as a “cycling” of the old hair falling out in preparation of new hairs to grow.

3. Propecia is finasteride in 1mg strength. There is no difference as it is the same medication. Propecia is the marketing name, like Tylenol is the marketing name for acetaminophen… or Rogaine is the name for minoxidil. I’m not sure what you mean by the “back” … is it the back of the head (donor area) or the top/crown?

4. Transplanted hairs are considered permanent as your donor hair. They do fall out as the hairs cycle, but it regrows.

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Can hair loss accelerate from time to time?

Genetic hair loss is not like a straight line if you plotted it out. You inherit a pattern and at different ages some hairs will undergo miniaturization and eventually fall out. So yes, hair loss can accelerate, then slow down and then accelerate again. If you are treating it, you may be treating a stop and go process. Many of my patients tell me that even when they take a drug like finasteride, they may start losing their hair in spirts and stops.


2021-10-11 07:17:41Can hair loss accelerate from time to time?

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My Hair Started Turning White at 20 Years Old!

I am male at 24 age. My hair have started whitening since i was 20. Now i have nearly over a hundred white hair. How can i handle this. Is there any proven drug that fix this. Some people say that eating onion twice a day, hair become black. Is there any proof. Additional info i have used finasteride for five years. It stops loosing my hair. thnx for this site.

White hair is a genetic trait. You can dye it if you don’t like it, but there’s no pill for it (yet). Eating two onions a day won’t turn your hair black, but it will make your breath horrible.

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My Hairline is Receding on One Corner — Should I Consider a Transplant at 18 Years Old?

Hello, im an 18 year old male and was unlucky enough to be born with not a great hairline to begin with. Now however i notice that my hairline has become a lot worse on one side than the other. Is this natural? And also what would you recommend for treatment? i am already on regaine at the moment which seems to have help a bit and stopped hairloss for now. But would you consider a hair transplant?

it wouldn’t take many hairs being transplanted to have a huge effect on my self-esteem, how many do you reckon?

Please help, it can be really depressing at times, thanks!

You need an evaluation and a Master Plan. At this point, you really don’t know what type of hair loss pattern you have or if you will bald further than the frontal corners. If were to have surgery without a Master Plan with everything under consideration, you could end up with two patchy corner areas of hair and a bald head some years down the line.

You might just be developing a mature hairline or it could be early genetic loss. There’s no way for me to know what you’re seeing or what your treatment options are without an examination. At 18 years old with some hairline corner recession, I wouldn’t anticipate surgery being the recommended path at this time.

Address your depression and self-esteem by educating yourself and seeing a doctor for an examination and a Master Plan of your options.

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Can I get 5000 FUE grafts? (photo)

There is a safe limit as to how many FUE grafts you can safely harvest before you get a see-through donor area. This post defines this according to your donor density: https://newhair.com/resources/#tab-id-4 Most people can’t support 5000 FUE grafts without getting donor site depletion


2019-05-10 12:22:50Can I get 5000 FUE grafts? (photo)

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My Mom Has Female Hair Loss — Will Finasteride Help My MPB?

Hi,

I just have three quick questions. I’m not sure if I have MPB but I’ll probably be starting finasteride soon (either generic, propecia, or proscar) at least for preventive purposes.

1.) Since my mother has the female version does this basically kill any chance of finasteride working for me? (Really hoping I get a positive answer on this one)
2.) How bad does the shedding process usually get (first 3-6 months)
3.) Is a propecia/proscar prescription interchangeable with generic finasteride since it’s cheaper (I’m pretty sure I can cut a pill in 5 equal pieces)

Thanks.

  1. I am assuming you are a male patient. If you have genetic male pattern baldness, finasteride may help. Get a diagnosis from your doctor and if possible, a miniaturization study. Just because your mother has genetic hair loss doesn’t mean that finasteride is ruled out to work for you. I’m not sure how you’d connect the two.
  2. What shedding are you referring to? You do not generally shed when you start Propecia. There are reports of shedding, but it doesn’t occur for everyone. See Propecia Shedding — What Is It?
  3. You need to ask your doctor regarding your options on the prescriptions. The doctor will either give you a prescription for brand name Propecia or generic finasteride. It is really up to the physician to prescribe the dosage — 5mg generic is available, 1mg generic is not.


2008-10-03 14:28:58My Mom Has Female Hair Loss — Will Finasteride Help My MPB?

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Can I Have Arm Pit Hair Transplant To My Head?

Hi doctor, weird question. Have you ever taken a strip from the arm pit region? One would think there would be great elasticity in that area. If not, would you ever consider it?
Thanks again!

We have had these requests in the past. There has to be a good reason (such as depleted donor scalp hair) and a realistic understanding of its limitations (such as a difference in hair quality). It does work and we have done them.

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My Son Has Hair Loss Around a Cyst

My 12 yr old son had an infected cyst on his scalp which has caused a penny sized bald patch. Our doctor said his hair should grow back if left alone, but I am wondering if the cyst needs to be removed to allow the hair to grow back. The painful swelling of the cyst is gone down and there is just a soft jelly like lump where the cyst was. Can you tell me if his hair is likely to grow back without any surgery. Thank you.

I cannot tell you anything different than what your doctor has already told you. Hair should grow back if left alone. If it does not grow back there is an option for a hair transplant surgery to address the small bald patch. Excision of these cysts may be appropriate if it returns infected again.

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Can I reverse my bad hair transplant?

I had a 1500 follicle FUE transplant about 8 years ago by a surgeon on Harley Street. I regret having it done now. I get the feeling that others can see the gap between the transplanted hair and behind it where my hair is thinning. Also the transplanted hair stands straight up which accentuates the difference between it and the rest of my hair. I don’t want to have another transplant as I feel that I will always be chasing the receding hair!

I went to see the surgery a couple of years ago about a reversal and they advised against it. However, I wondered if anyone had experience/knowledge of whether it was possible to have the transplanted hair removed?

I would want to see your hairline and get some good pictures of what you are looking like before rendering an opinion. I have fixed well over 1000 hairline patients. I find that the best way to fix it is to create camouflage that will take advantage of the poor grafts and fill it in with follicular units around and in front of the existing grafts (see here: https://baldingblog.com/actor-joe-penny-shows-off-his-repaired-hairline-with-photos/ ).

For those who need more, I add Scalp Micropigmentation (see here: https://scalpmicropigmentation.com/gallery/#!https://scalpmicropigmentation.com/wp-content/uploads/2016/04/new_hair_institute-scalp_micropigmentation-patient_photo-066b-smp-wm.jp here: https://baldingblog.com/repair-of-hairline-transplants-photos/. Also here is another fix: https://baldingblog.com/repair-of-hairline-transplants-photos/


2020-12-04 11:32:17Can I reverse my bad hair transplant?