Category: Uncategorized

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I Had a Bottle Busted On My Head and Want the Scar Removed!

Hello. I had busted my head from a starbucks cappuccino bottle(Please don’t ask how It’s a personal issue..) And I was bleeding harshly from my head so my parents wrapped my head with some bandage really tight and put some healing glue over the scar. In like a week in a half it healed and the glue came off like a scab and I was left with a very smooth scar on the back of my head near the root of my head about the size of a quarter, the top part of your pointer finger(the first line part and up cant explain it good). I know hair isn’t growing back because its been three years.

I want to have the scar removed from my head, the surgery is they cut it out then sew your scalp back together and your left with a lined scar that is barely visible when hair is grown a little. I do NOT want hair transplant please don’t give me information about it. Please explain as much as you can about the “scar removal” surgery I have in mind and also a cost for this.

What I would like to have is have a surgeon cut out the scar since its a little smaller than a quarter and stitch the scalp back together leaving me with just a tiny thin line scar that would be. No wider that the original sizer of the sizer or length. Also since I am african american, I want to cut my hair down low to about a 2 but I can’t cause of this baldspot, my dad is willing to try surgery but not until its reasonable. Remember it is about the size of a quarter which is very small compared to others.

Thank you please help me with my problem. Also the color of the scar is about my skin color maybe even a bit darker, I have black indian hair so a big brown baldspot sticks out. Please fill me in with everything you possibly can.

Scar removal from the scalp sometimes works well… and sometime doesn’t work well. That depends upon:

  1. Your healing abilities
  2. The location of the scar
  3. The direction of the excision scar
  4. The surgical technique used

I would have to see your scars to determine what I would do. From what you described here, I am at a loss. You need to see a cosmetic surgeon with experience in scar revision.

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Would 0.25mg Finasteride Be More Effective than Saw Palmetto?

Hi Doc,

I’m a 26 year old male with a fairly aggresive NW4 developing, and need to do something to stabilize this before going for a HT next year.

I’ve grown pretty scared of finasteride side effects through the experience of a good friend who unfortunately suffered some of the psychological sides we’ve all been reading about online.

Question is, would a 1/4 dose (0.25mg) finasteride still be more effective for someone in my position than the full (320mg) recommended dose of saw palmetto? I’ve tried the latter before with no side effects, but didn’t stay on it long enough to evaluate the results.

Thanks doc and keep up the excellent work!

Propecia is finasteride in 1mg strength that you take daily for genetic male pattern (androgenic) hair loss. It’s been indicated that 0.5 mg finasteride daily is about 70 to 80% as effective as the full 1mg dose. I suppose you can infer how a 0.25mg dose may help. But in general if you are going to take a drug, you should take it as directed and speak with your doctor about all these issues. With saw palmetto, you really do not know the dose of the effective ingredients as they vary per manufacturer. Add to that the knowledge that saw palmetto has never been proven to work on hair reliably with a good scientific study.

My final point is that if you are going to read the issues of Propecia on the Internet and scare yourself with unsubstantiated reports without even seeing a doctor, the chances are you will likely have a side effect from the sheer psychological impact.

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I Had High Levels of Depression The Same Week I Had FUE

Greetings Doctor,

I recently had an FUE procedure that involved 2,500 grafts, about two months ago. I’m a bit concerned as I went through some personal matters that caused high levels of depression; all within the same week I had the procedure.

No grafts popped and the scalp healed well, however is it possible that due to the depression, that it could affect the outcome? Is it a possibility, that I developed Telogen effluvium and caused some of the grafts to become void?

I’m just concerned as this procedure costed a pretty penny. Thank you for your time and patience, Doctor.

Why are you not asking this question to your surgeon? Have an open line of communication with your doctor, especially in the months following your surgery.

An FUE procedure of 2500 grafts is a very high number of grafts for anyone and I am always cautious when I hear patients having those numbers. In the end, only time will tell how your outcome will be. At least take some comfort in the fact that depression and emotional stress will not impact the growth or outcome.

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I Have a Small Bump On The Side of My Head — Infection from Hair Accidentally Being Pulled Out?

(female) I have been looking through your webpage and have a question for you, that I can not seem to get a good answer to. I do have a doc’s appt for later this week though.

On the right hand side of my head, kind of directly above the ear, i have noticed a bead like bump. Its firm…is a little sore, is form..and I have had it for a while. I keep thinking it may have been caused by a hair being pulled while I was styling my hair…but think that if it was an infection, would it not be majorly sore and all? I am completely freaked out…is there anything you could suggest until I see the doctor?

Based on what you’re telling me, it doesn’t sound serious. Cysts can be caused by hair getting pulled, and it sounds unlikely that if someone pulled your hair out that you would not know when it happened. Hair pulled out once will not cause a problem and it would regrow. See your family doctor and I am sure he/she will address it.

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Yasmin and Female Hair Loss

I wanted to ask you a question re Yasmin, which I have been taking for almost a year now.

I experienced heavy hair shedding postpartum which could be contributed to the delivery itself and to my then overactive thyroid. My thyroid has been stable and normal during the last 5 months. After stopping for 2 months, I started experiencing heavier hair shedding recently. Since my thyroid is fine, plus no other deficiencies were detected (iron, zinc, B12), could Yasmin be the culprit? Or are other hormonal issues I should be aware of? I didn’t take the first pill of this new cycle and the shedding seemed to slow immediately. Should I consider an alternative contraceptive and will I have regrowth?

Thank you for your time.

We’ve answered a similar question on the contraceptive medication, Yasmin. As we’ve explained before, Yasmin is a combination of drospirenone and ethinyl estradiol. Loss of scalp hair is a reported side effect of this medication. The hair loss from most birth control pills is benign and self limited. Losing hair in this situation is thought to be through inducing hair follicles to go into the telogen phase. You should stop taking Yasmin and speak to your doctor regarding alternative birth control medications or methods.

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I have crown thinning and I’m only 24

This finding at your age suggests that you may have significantly more balding as you get older. See a doctor and build a Master Plan with that doctor that accounts for the short and long term changes that you are undergoing. Your frontal hairline needs to be examined closely by an expert.


2019-03-27 09:04:17I have crown thinning and I’m only 24

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Young Man with Progressing Hair Loss Asking for Advice (From Reddit)

Thank you for your insightful and informative posts on Reddit. You are a beacon of light in what is otherwise sometimes a hell hole of a subreddit, and I really think they should just give you the keys to the kingdom! I wondered if I could seek your advice. I am based in Europe, so I am unfortunately unable to visit your clinic. I do not know who else I can directly contact and trust, though. I was given bad advice 3 years ago, and was told there “wasn’t really much you could do”. Three years later, and six months of Finasteride later, I am left wishing I had started taking this stuff when I was a NW1, not a NW4. Now that I know there are options, I am considering a hair transplant. I think I should take the plunge and buzz it off first though, so I can learn to accept myself. I understand from your posts that hair transplants at an early age are ill-advised and not in a patient’s best interests. I am now 23. My hair loss has progressed very slowly but surely since I was 18. What should I consider before exploring a hair transplant? Do I need to stay on Fin long enough to be sure that it has stopped my hair loss? Thank you for your counsel. I hardly even know the questions I should ask here, and I am not sure my family doctor will have the answers.

Finasteride is a great drug to either stop or slow down the hair loss in someone of your age. If you have progressed to a NW Class 4 now, you need to develop a Master Plan for your future. Get your donor density analyzed to see what you have for future hair transplants, and then you can make the proper plans. I would, of course, love to see you, but there are good doctors in Europe.


2018-05-23 08:47:49Young Man with Progressing Hair Loss Asking for Advice (From Reddit)

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I have Hypotrichosis, what would you recommend for me?

The first picture is with a buzz cut, the second picture is with longer hair. As you can see, as my doctor told me, I don’t have a lot of hair so I can’t let it grow out or it looks terrible.

If you like the buzz cut which solves the lack of hair, I would recommend Scalp Micropigmentation, see here: https://scalpmicropigmentation.com/bold-shaved-look/ This approach will give you the look of a full head of shaved hair and completely hide the limited densities of hair that you have.


2019-02-12 06:45:14I have Hypotrichosis, what would you recommend for me?

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Zinc and Argenine for AGA and TE

https://pubmed.ncbi.nlm.nih.gov/33878855/

Conclusions: Based on our results, the combination of arginine and zinc tested in our study could represent a good therapeutic option for the treatment of AGA and TE and it might represent a valid alternative to finasteride.


2021-04-23 08:56:27Zinc and Argenine for AGA and TE