This is a transitional maturing hairline

I have been on minoxidil for 7 months now. I’m on my 2nd prp treatment and 2 weeks into finasterid 0.5 mg/day. Do you think fin will do any difference?

Your hairline looks good. What is the problem you see? I see that you are wasting your money and efforts including medications at this time. The arrows show where the hairline is moving into its mature position so it is thinning out to get there. I see some more movement from your older juvenile hairline to a mature hairline now which is what I think that you are seeing.


2020-08-03 13:31:33This is a transitional maturing hairline

Hair and the Effects of Flat Irons

Hi I am 29 years old, male. Do flat irons cause permanent hair loss? My hair dresser started using a flat iron on my hair 3 years ago, since my hair was wavy, he showed me how I can make it straight. About 2 months after using it (usually once or twice a week) I noticed that my hair was drying out. I stopped, only to use it once in a while. Today I find that my hair is receding on the sides and my crown is thinning. Is this from the use of the flat iron? I’ve stopped using it for about 6 months now but I still find that my hair falls out everytime I wash and style it. I researching on the net about the side effects of flat irons but never found any concrete proof about the consequences of using them. I hope I didn’t ruin my hair for good! What can I do?

Let’s think logically about this. When hair has grown beyond the scalp, it is no longer a living tissue. Only the hair organ below the skin is living. Hair is made of compressed fibers and a shingle type of structure made up of shed skin cells called cutin. These shed skin cells are in effect the same ‘stuff’ that produces the scales we see in dandruff and may reflect higher turnover of the skin on our scalps. As these shed cells are compressed above the fibers in the hair shaft, they form a layered array just like the shingles on a roof would form to keep out the water. But below the skin, the hair organ puts lipoproetin layers into these scales of cutin that give the hair the character that you have. The presence of fat on the outside of the hair shaft is what brings out ‘luster’ in the hair. Once the hair exits the skin as it grows , it enters the hostile environment of air, wind, weather, heat, etc… and it no longer is subject to what your body can do for it. As the hair exits the surface of the skin, the sebaceous glands secret a waxy sebum that may find its way onto the hair shaft, giving some people an oily hair.

When you iron your hair with heat, you do change the character of the hair and change the configuration of the varying layers of compacted cutin and the fibers that make up the structure of your hair. Heat takes away the luster (shine) from hair, burns away the waxy covering, may denature the lipoproteins on the surface of the hair shaft and it is this that protects the hair from the environment. Heat may damage the core of the fibers inside the hair as well. High heat applications can damage the hair so that it cracks, breaks, and even become fragile, producing broken ends from hair that breaks too easily. Take a look at this illustration of an enlarged hair shaft here (illustrated by Norm Nason). Note the layering of the cutin shingles. Look at the center of the shaft and see the fibers that form the backbone and the strength of the hair shaft. When these fibers are broken, or the shingled cutin is removed, damaged or burned, a pealing process may begin which would reflect the damage to the foundation of the hair shaft, and it can become permanent. When the hair is damaged, then gentle handling is critical to maintain and hold it on your head. You can, of course, cut it off and new hair coming from below the skin which should not grow out damaged, will eventually replace the weak hair. The hair exiting the skin is normal and undamaged so you can and should expect that once you cut off the damaged hair, the new hair will grow to whatever your normal should be. Good cosmetology can hydrate the hair and it might bring back some of its luster and strength. For those of you interested in high powered microscopic views of the hair system below the skin, see here.

So, if you have hair loss or thinning of new hair, it is possibly a new problem, and you need to have your hair analyzed by a doctor like me.


2008-02-08 10:03:10Hair and the Effects of Flat Irons

Thyroid Medication and Female Hair Loss

I am a 29 year old woman. 5 years ago a number of symptoms creeped up on me (this started 1 year after i stopped ortho-tri cyclen). The symptoms got progressively worse over the years. They included: hair loss, decreased metabolism (irregular bowel movement inspite of high fibre diet), cold intolerance, fuzzy headedness (lack of concentration), depression, dry skin, increasingly recurrent mild yeast infection.

My TSH was normal, so thyroid probs was ruled out. 2 months ago, i went to another doctor who listened to my symptoms and put me on synthroid. He thought i may be suffering from sub-clinical hypothyroidism. All my symptoms (except hair loss) have since compeletely clerared up … (i feel like i was given a new lease on life …and feel normal for the 1st time in years).

I am hopeful that the medication will resolve the hairloss as well, however i am worried since i have a lot of Hair miniaturization all over my head including back , side and top but most pronounced on top of my head and temples and sides. Do you think that thyroid problems could also cause miniaturization and i should wait and see if the problem gets helped. Or should i be starting another regimen…

Also , where can i get the desitometer measuring the progress or worsening of hair miniaturization, to figure out if my hair is improving with thyroid meds or not…

Thanks in advance !!

Female hair loss precipitated by birth control pills and thyroid disease in women programmed for genetic hair loss may not reverse. Only time will tell you.

The best place to get your own densitometer is at Radio Shack or a local small electronics shop. Look for something they call a hand microscope which should sell for around $15. Someone other than you will have to do the measurements at the same place each and every time you are examined and plot it out over time, possibly monthly.


2006-02-08 11:06:57Thyroid Medication and Female Hair Loss

Hair Coloring and Hair Loss

sir,
i sm 20yrs of age. i use to have very thin hairs. i not use any hair oil or any hair ointment, but use to shampoo twice a week. Also i have habit of applying my hand on my hair regularly, but now the problem is that my hair starts falling & shine is also lost. Please tell me if applying hair color is safe or not. so please send me the related information.i shall be highly thankful to you.

Daily washing of the hair is a good idea, but being gentle is important. Fine hair is more fragile then coarse hair, so damaging it is a real consideration with a strong massage or heavy handed brushing. Ask a good hair dresser for advice. Careful coloring should not be a problem provided that high quality materials are used by a professional skilled in the art.


2005-11-03 12:54:57Hair Coloring and Hair Loss

Today Show Tells How Women Can Stop Hair Loss

Every bit of information educates the public. Interesting reading.

From the article —

We normally have, on average, 100,000 hairs on our scalp. And as evinced by our changing hair lengths, roots and visits to our hairdressers, those hairs grow; in fact, 90 percent of our hair is actively growing at any given time. Hair is the second fastest growing tissue in our body after (I’d love for you to guess) … bone marrow.

Read the full article by Dr. Judith Reichman: Today – What women can do to stop hair loss


2007-12-05 13:43:22Today Show Tells How Women Can Stop Hair Loss

Hair Follicle Cells Growth Stages

My son will be 12 this August, I have been noticing lately on his pillow in the morning, there is some lose hair on it, I would say about 12 strands. I have never noticed this before and I would like to know if this is normal or something I should be concerned about. I was wondering if this could be related to puberty, his voice is starting to change or if it is coincidental? Thanks for your time.

It is normal to lose 100 to even as many as 200 hairs a day. Furthermore hair grows in cycles (see below) and you may notice more hair falling out at different phases and seasons of the month. In other words, hair growth and hair loss can be a cyclical phenomenon. Other factors certainly contribute to hair loss such as hormonal changes, malnutrition, etc. While your son’s hormonal changes of puberty may be coinciding with the hair loss, it is my opinion that 12 strands a day is perfectly normal.

Hair follicle cells have three phases of growth:

  1. Growth phase (Anagen phase) which lasts anywhere from 2 to 6 years. This is the phase where your hair is actively growing at approximately 10cm per year. 85% of hair is at this phase at any given time.
  2. Transitional phase (Catagen phase) which lasts about 2 weeks. This is the phase where the hair follicle shrinks and prepares to enter the resting phase.
  3. Resting phase (Telogen phase) which lasts about 1- 6 months. This is the phase where hair does not grow but stays attached to the follicle. Some hairs are shed at this phase, but at the end the hair follicle re-enters the growth phase to start the cycle over again. 10-15% of hairs are at this phase at any given time.


2006-04-11 08:57:21Hair Follicle Cells Growth Stages

Took finasteride and these were my side effects on just a small dose

I started finasteride but my hair loss had progressed a bit over the past few months in the temple recession and has thinned on the top and crown as well. A little over a month ago my GP prescribed me 5mg finasteride to be cut into fourths and taken daily. I cut the pills into 8ths and started taking them every 3 days initially. After three weeks, I could tel my nipples were swollen and looked bigger. I also had penile numbness, and I could not maintain an erection at all. After stopping finasteride, I was back to normal within a week. I am really sad that I was unfortunate enough to get side effects from finasteride… Now it seems my only options are to try topical finasteride, or to wait until I am old enough and my hair loss has halted to get a hair transplant.

We need to talk. Topical finasteride is a reasonable alternative which I can prescribe for you over a telephone consultation.

 


2020-07-21 13:34:32Took finasteride and these were my side effects on just a small dose

Hair Growth Listed as HGH Side Effect?

Dear Doctor,

Really Love the website. I wanted to know, I have read up on HGH and some of the positive side effects which were listed, are hair growth and thickness on the scalp. I was wondering these method hasn’t been used to treat hair loss.
Thank u.

Human growth hormone (HGH) is not something that should be taken lightly. I have met many men who have elected to take it and it is definitely effective at making the person who takes it feel more energy, younger, and have more vitality. While HGH may have many benefits (including some reported hair regrowth), there are also patients that suffer heart attacks. The final conclusions on safety are not out as far as I am concerned.

I am not religious so take what I’m about to say as my logical mind in action, but I believe that if we were intended to have the energy of a 20 year old when we are 60, then our bodies would continue to secrete growth hormone late into life. Since I believe in Darwin’s laws, older men with vigor would probably compete better for women, and survive in the bush better as they would be more stealth, but alas, that is not how we are built so I suspect that there are plenty of down sides. I am not an expert on the subject, so read on the various sites for HGH and interpret what you want.

A recent article I read in the LA Times a few weeks back discussed negative side effects of HGH, which can promote cancer. With the hype of Propecia and its side effects, HGH would not be recommended. Remember, there is always a risks and benefits of any drug use. My point is HGH is not a bad drug. It has its purpose and use. I just wouldn’t recommend it for treating balding.

Topical Finasteride vs. the Same Drug in Pill Form

What are your thoughts on this “new” topical Finasteride formulation which claims that, “The effectiveness appears to be equal to oral Finasteride, but serum levels are 1/18th that of the oral route.”

My problem with this is the function of Finasteride. Doesn’t Finasteride work to effectively inhibit the formation of DHT? If the serum levels of Finasteride are 1/18th, then DHT is still being formed in the rest of the body as normal, which will eventually circulate to the scalp. Do you think it’s possible that somehow this topical route actually effectively inhibits DHT in the scalp properly? Or do you think this study is not well done (it was done by the creators of the gel, so there’s obvious conflicts of interest)?

If the only prescribed strength is 2.5% gel, which is equivalent to 1.5mg orally, how would one reduce the dose of this as you mentioned in this blog post: https://newhair.com/what-dose-do-you-usually-recommend-for-people-who-want-to-take-reduced-dose-of-finasteride/

I really don’t know. You want to reduce the topical dose, but I don’t know evidence that this works. Frankly, we are flying blind here.


2018-06-22 09:51:26Topical Finasteride vs. the Same Drug in Pill Form

Hair Loss After Battling Multi-Year Illness

(female) I was ill with fever of unknown origin (temp about 100.7 – 102) from Jan. 2004- Jul. 2007. It eventually went away by itself (after I was checked for everything under the sun numerous times) but left me with much, much thinner hair. It completely changed my hair texture from thick and very curly to thin and barely wavy. Most of the loss is on top of my head, but there is also some at the nape of the neck. Will it grow back? I’m even considering the transplant procedure. I just don’t know how long I should wait for this to resolve itself on its own. I have been using Minoxil and taking vitamins (biotin and vit B.)

The hair loss you describe sounds like it is diffuse, and as such, you would most likely NOT be a candidate for a hair transplant procedure. To have such a procedure, you need good hair from some plentiful source to move into the bald areas. It doesn’t sound like you have such a source.

Sadly, I really cannot say if your hair will grow back to its original state. You may try topical minoxidil (Rogaine), and it generally takes over a year to notice some growth with this medication.