Is hair loss really that common a side effect of taking NSAIDs? If it is, how long does one need to take them before hair loss occurs?
Hair loss is not a common side effect of taking NSAIDS such as Motrin, Advil, etc. It is so rare, I have not personally met anyone in my 20+ years who came to see me for this complaint.
2015-07-01 06:11:072015-09-14 20:34:39Hair Loss And NSAIDs – Nonsteroidal Anti-Inflammatory Drug
How much density is needed for fine hair to look thick & dense (not transparent) at the hairline? Have you ever seen cases with super fine hair, that achieved good density?
Normal density in a fine-haired individual (like what you had at 15 years of age) was never an Elvis hairline, and you know it. It is impossible to put enough very fine hair to get an Elvis hairline, but you can get the look of what you had when you were 15.
Thanks again for your rapid reply. I have a question regarding “telogen effluvium” mentioned in an article authored by yourself and Dr. Bernstein, ‘Follicular Transplantation, Patient Evaluation and Surgical Planning’. (This was a very informative and helpful read) In the article you mention that existing hair in the recipient area could potentially be shed as a result of transplant surgery due to telogen effluvium. You conclude that “it is probably important to transplant enough hair to overwhelm any possible telogen effluvium that might occur so that the net effect of the transplant will be a positive one.”
My question is what exactly causes “telogen” effluvium? And whether there is anything one can do before, during or after the surgery to reduce this side effect and hence achieve better denser results. Since
this article was published in 1997, I was wondering if there has been more studies in this area and if anything can be done to prevent or reduce it.
The telogen effluvium that we have seen with what we used to call ‘Hair Transplant Shock Hair Loss’ can be largely prevented today with Propecia, with which we had little experience in 1997 when the articles were written. We have found that this drug will protect much of the hair that is impacted by genetic balding against the ‘shock hair loss’ we used to see. If the hair that falls out is the permanent hair (which happens rarely), it will usually come back. If “shock hair loss” occurs in women, I have never seen it not return. The cause of telogen effluvium is not known. Most of my views on it are empirical ones that, from a scientific viewpoint, are not proven but it allows me to explain the process to patients and to myself.
If I am prone to forming keloids is it still possible to safely undergo hair transplant surgery w/out forming additional keloids? And have you ever done a hair transplant on someone who has a history of keloids?
Many patients undergo hair transplantation despite a history of keloids, and most of them do well. Keloids can appear on the frontal hairline, but that is relatively rare. Keloid scarring is more likely to form on the donor scar, but the surrounding hairs will cover it so that it’s generally not a problem.
Hello Dr. Im a 20 yr old, white male. Over the past few months my hairline has begun to recede. I’ve also noticed large amounts of hairloss in the shower(150 hairs everytime i wash it). The hairloss began in June and has continued without showing any signs of stopping. I still have a full head of hair and it’s still growing at the same rate, but it’s become thinner, especially on the sides. I’ve also observed that i can pull out some hair easily from any part of my scalp. It doesn’t come out in clumps ,just individual hairs. My scalp has also become alot more itchy and scratching it just causes more hair to fall out. My worry is I had an MRI scan a few years ago – could radiation from that cause my hairloss now or does this sound like male pattern baldness to you? Thank you for help.
The MRI does not use radiation, it uses magnetic fields. There is no connection between magnetic fields and hair loss. You are at the right age for the appearance of genetic hair loss. If you are losing 150 hairs/day, it does sound like you need to have your hair mapped out for miniaturization to get a diagnosis firmly in hand. If you are genetically balding, then drugs like Propecia work to slow, stop, or reverse hair loss. Now is the time in your life that if you take charge, you are best able to manage it. The more hair you lose, the further down the ‘one way street’ you will go to becoming bald.
I just saw pictures of identical twins, one transplanted with 3000 grafts and the other not. The twin who had transplants, also took Propecia at less than the recommended dose, while the non-transplanted twin did not take Propecia at all. The difference between the two was dramatic, of course.
I have seen many identical twins over the years. These two were done back in 1993, when one twin had 3300 grafts removed, and gave 800 of those grafts to his identical twin brother on that same day (on the house of course). The twin who had lost his hair had genetic MPB and wore a hair piece which pulled out most of his remaining hair and he became balder than the twin that had done nothing. Eventually, they both got transplants, and one more procedure was done where the recipient twin had to pay back the donor hair to his twin brother. The piece in the video is short, but you can see the dynamics between the two.
I also remember twins that had been done years apart. The first was done with the old plug technique elsewhere, and the second was done by me with FUT just 7 years ago. The one with the plugs does not like to talk about his hair transplant, while the patient who was done by me has been trying to get his brother to fix the old work. Unfortunately the “pluggy” twin has been gun-shy about surgery since he was plugged years ago and has not yet had repairs done.
From my experience, only a minority of twins go the transplant route. I wonder if it is because my focus is not to ‘sell’ hair transplants but to be a physician hair loss advisor and I do not exert pressure on my patients to go for the surgical solution.
In a recent news article from Central Florida’s Local 6 News, the relationship between hair loss and dieting was emphasized. Although I have always included weight loss as a contributing factor in hair loss, I was reminded by this article of the obesity problem that is confronting the American population and the degree to which people are willing to go to lose excess pounds. Sometimes, starvation diets are employed and are just not a subject that anyone wants to talk about (short of bulimia in a movie staff), but the problem is real and weight loss can accentuate any hair loss that may be present, if not precipitating its onset if it is not present but within the genetic cards of that person. For more info, see the article link here.
2005-11-16 16:04:542005-11-16 16:58:53Hair Loss from Weight Loss
I just answered a question about transplanting in older men, so I’ll answer one on the other side of the age scale. “Youngtoo” asks…
Why exactly is 20 too young if the hair is taken from the permanent growth zone? I am 23 and a doctor also told me that I was too young without giving a real justifiable reason. thanks for your time.
There are many reasons why transplanting a very young man is not a good idea. I will list some of them:
I never make absolute rules and each person is different. I have done transplants on some men around the age of 20, but when I have, I was able to get to know and become comfortable with them, their maturity and their decision process. I also ask men of that age to bring in a parent, a girlfriend or good friend to listen to the consultation and become involved in the decision process like a “brick wall” to bounce ideas off of.
I hope that this answers your question. With more time, I will add to this list of ‘reasons’ to slow down the transplant process for a 20 year old.
Now I am 18 male and from the last 5 years I am losing hair that’s why the front portion of my hair had become so thin that one could easily see my scalp, 2 months ago I came to know that I have vit D3 deficiency it was 11.78 ng/ml, now I am under treatment so anyone can tell me how much time it will take to regrow my hair?
If you Vitamin D levels are low and this is the cause of your hair loss, you can expect to see hair regrowth in a year or less; however, as a male, then the loss is most likely genetic (99% probability), Time will tell?
2019-03-19 05:03:462019-03-19 07:21:25Hair loss from low Vitamin D or genes?
Hi,
Not only I have dermatitis on my eyebrows but my eyebrows are getting thinner. A dermatologist gave me a treatment for my dermatitis (carefully rubbing the treatment on my eyebrows) but I am too afraid to touch my eyebrows now. I rather to have an oral treatment for my dermatitis, and an oral treatment to regrow my eyebrow hairs (if there is any). Also I am planning on getting my eyebrows transplanted, though would that help against my dermatitis, and a hair transplant cost A LOT OF MONEY!!!
Topical medications work best for dermatitis. Regrowing eyebrows that are lost from manipulation can be difficult or impossible (if the hair has been lost from traction). Transplants will be exposed to the same dermatitis condition as the original eyebrow. Sounds like you need to get the primary problem under control first. Transplant only after the dermatitis is controlled.
2006-12-08 12:34:302006-12-08 06:59:26Treatment for Dermatitis in Eyebrows?
