Hair systems for thinning hair

Hair system for someone who still has hair but diffused thinning like me, will they work well?

Hair systems work well, but they almost always accelerate the hair loss because of the various attachments that are used. Men who use hair systems find that they get balder by the number of years they use them.

Understanding When a Hair Transplant is Appropriate

Hello,

I am a 21 year old male and for the last year or so I have began to notice that my hairline is receding. In an attempt to control my hair loss I have purchased Procerin and minoxidil 5% and I am considering going to my doctor to ask for his opinion on using Propecia. I have also been reading up on the subject of hair transplants but have came to understand that I am too young to consider this sort of option. However, this brings me to my questions:

  1. If I add Propecia to my current regime (Minox, Procerin) will my doctor or dermatologist still be able to map my hair loss and estimate when it would be wise to consider a hair transplant?
  2. Or will I have to stop my regime, for a period of time, to allow the regrown (if there is any) hair to fall out, thus allowing my doctor to see the natural recession of my hair line?
  3. Or would I have to stay on a course of Propecia forever, so to stop any hair loss behind the hair transplant?

I am answering your questions in the order you asked:

  1. The available FDA approved medications for hair loss can help slowing down or in some occasions stopping the process of hair loss. Early 20s is the period that most physicians don’t want to rush into performing a hair transplant, because it is hard to predict the progress of the hair loss and final hair loss pattern at this age. Considering the family history of baldness, hair loss medication use and degree of miniaturization can help establish a Master Plan for a young patient like you. So, you need to find a good doctor for a thorough evaluation and only after considering all above factors should atime table be tailored for your hair transplants.
  2. The effect of these medications on your hair growth is gradual and I don’t recommend stopping them to find out your natural degree of hair loss. You will end up losing more hair unnecessarily by doing that. I have no information about Porcerin, but Propecia is the most appropriate medication to control progression of genetic hair loss in young men.
  3. I recommend that you develop a Master Plan for the treatment and stick to it, being monitored with yearly miniaturization studies to follow the progression of the hair loss. Most of the patients need to continue their treatment for the rest of their lives, so it is wise to do your research before starting such treatments.

Hair Transplant Before Face Lift?

I have a question about possible future hairloss. I have a list of procedures I want to have done and thought I knew the best ordering of them. I plan on having a hair transplant first, this so my hair has time to regrow. About 6 to 7 months later I would have a SMAS Facelift. However, I have been reading about the hairloss common to post face lifting and now I am perplexed. Bear in mind, my eyebrows are to be lifted with a method that doesn’t go near my hairline on top, however, it is the sides of my hairline, the temple region that has me stressed. A facelift will deal in that area and quite truthfully, I can’t afford to lose hair there. It is already thinned out considerably as it is. But, I need to have the facelift. So, is it possible to have a “temple” hair transplant? I don’t see any way around this. Help me by imparting your knowledge so I make an educated choice. I think I can proceed with the transplant on top, to be scheduled in early december, but what about the temples and future facelift?

Thanks so much for taking the time to answer my question and solve this.

Generally, I like to do hair transplants after face lifts, because if there are any problems to the hair caused by the face lift or brow lift, they can be addressed at the time of the hair transplant. A good deal of my practice is this type of surgery. Clearly, the newer face lift procedures spare some, but not all of the problems. You can follow your facelift with a hair transplant after a few weeks to a few months. If there are hair problems following the facelift, they will be evident by month three.

Ursolic acid for male-pattern hair loss?

Any idea if ursolic acid can help with male-pattern hair loss? In the study below, it says it reduced DHT.

https://pubmed.ncbi.nlm.nih.gov/22266360/

Ursolic acid appears to be an interesting possible treatment for a variety of conditions including an enlarged prostate, inflammatory diseases and some cancers however it is not approved for clinical use. Although it is easy to extrapolate its effects on prostate hypertrophy and its relationship to hair loss, there is no proof that this has value nor that it is safe for the treatment of hair loss.

See https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928337/

Hair Transplant in 21 Year Old Woman is Criminal

I had a transplant in August, 2007. Needless to say it has been over a year and a half, and to my sadness and distress, I have yet to see ANY results. I had a full head of hair going into the surgery, and I went to Mexico with the doctors of a medical institute there, maybe that was my first mistake.. I was 21, and I am a female, and now I find I might not even have been a good candidate to begin with. The doctor just looked at me and told me that I was a good candidate. My hair had a diffuse thinning, but still there was quite a bit of hair stil left, something I wish I would have appreciated before. After the surgery, my hair fell out. I was patient, thinking it was shock loss and it would be temporary, but it has been more than a YEAR and the hair never came back. Fortunately I can use powders like Topikk all over my head to fake a full head of hair, something not necessary before, and my hair is much thinner than before. Does this seem like shock loss and is it permanent? I am upset over this and stressed out, but I would like to know what the future holds for me. Any help given would be greatly appreciated. Thank you.

This is quite unfortunate. Hair transplantation on a 21 year old woman is usually performed by doctors who want the money and do not care about the patient’s welfare. Indeed, about 80% of women with hair loss are not candidates for hair transplants and may suffer the same outcome that you did. You should have had a full medical work-up to include many blood tests for medical conditions that could cause female hair loss. There is even a genetic test for the inherited form of genetic hair loss. This remains a buyer beware market.

It might be worthwhile visiting me in my Los Angeles office. I could then confirm for you what may be going on and possibly give you some insights into what may happen to you in the future. I may even be able to suggest treatments for your hair loss. As your surgery was over 20 months ago, you should’ve seen some growth by now if the surgery was successful.

Using Body Hair for Eyebrow Restoration

(male) I have a question regarding eyebrow restoration. All of the websites I’ve been to for doctors who specialize in eyebrow restoration describe the procedure in the same way. They all talk about using donor hair from the scalp. Is there any alternative way of obtaining donor hair, i.e., from a different location on the body, so as to eliminate the issue of transplanting hair that may or may not have the same characteristics as eyebrow hair, and hair that will continue to grow unless trimmed periodically for the rest of a person’s life? What about using arm hair, leg hair, or chest hair? Also, is it possible to obtain donor hair by extracting, rather, plucking, existing eyebrow hair? Can the follicles be extracted that way?

Body hair has a long sleep cycle. For every body hair that you transplant, less than 4 out of 10 will grow at any one time because of this long cycle. Hair from different parts of the body have different sleep cycles. I’ve answered this before a few times, most recently here.

Your thinking is good, but the cycling of the hair makes this approach not practical. I would be reluctant to moving eyebrow hair around. There is a possibility that if it is move, it may not regrow, so I avoid this solution. All hair can be extracted using the FUE techniques that I have pioneered (see Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation).


2006-09-26 16:17:43Using Body Hair for Eyebrow Restoration

Hair Transplant Result Shown on Reddit (Photos)

This is a nice result; however, the frontal area has a see-through look. He may have fine hair that is responsible for this or he didn’t get enough grafts or growth. A second hair transplant to double down on the fullness may be a good idea. In people with fine hair, this is common. The comb-over on the left shows how he handles the see-through look.


2019-12-05 13:12:58Hair Transplant Result Shown on Reddit (Photos)

Using Minoxidil After Hair Loss from Chemical Burn?

Hello Dr. Rassman,
about 3 weeks ago I had a procedure done called l’oreal x-tenso which is basically a hair relaxing (rebonding) treatment. The original goal was to grow my hair longer, which is normally not an easy thing given that my hair is normally very thick and wavy/curly. Anyway, a couple of weeks after the procedures I decided to get my hair cut and a couple of days after that my hair started to shed a lot and has continued to do so over the past week, although it seems that the shedding is somewhat decreaing over the last couple of days. I’ve seen 3 different trichologists here in London and they all seem to think that the chemical from the relaxer cause some bad breakage but that should reverse once new hair grows out. Instead they all seem to agree that I also exhibit signs of androgenetic alopecia. There is no history of hair loss on both side of my family, isn’t genetic baldness always hereditary? The trichologists that I have seen here in London are suggesting that I use different topical solutions, Minoxidil has also been suggested. If the hair loss is caused mainly by breakage and it is not a genetic condition, would it still be safe for me to use Minoxidil? Also, looking at my hair when it falls, some of it but not most of it, has the bulb attached. Is that a bad sign, i.e not simple breakage but damage to the follicle? I’m a 38 year old Italian male. Thanks in advance for your reply

Without seeing you there is little I can do or diagnose. Yes, genetic hair loss is hereditary. Minoxidil will grow hair even if you’re not losing it by genetic factors, but you shouldn’t use a medication that you don’t need, even if it is available over the counter. Stay with someone in your area that you trust. See a doctor and find out if what you’re seeing is genetics or a chemical problem.


2009-01-22 13:07:09Using Minoxidil After Hair Loss from Chemical Burn?

Hair Transplant with Zero Detectability?

Hello Dr. Rassman (and contributing doctors),
I have a question that I believe is something most of your readers might wonder:

For us hopeless (hair) romantics, what would you say is the best possible scenario for someone undergoing a HT procedure? Put another way, is it possible for someone with limited (or even moderate) balding to realistically expect to repair their hair loss to the point of zero detectability? …Hypothetically of course

Absolutely! Non-detection for a hair transplant is a reality on most patients who get them, provided that the densities are brought up to enough of a level to produce the fullness that normal densities will have. Without knowing more about your hair loss pattern, hair characteristics, color, skin, etc, it would be difficult to give you realistic expectations. If you visit me in my office in Los Angeles, I’ve got plenty of patients (and some on my staff) that have the type of transplant which is completely undetectable. I mean, who wants their hair to look transplanted? Nobody! As I always say, seeing is believing and our Open House events show this on many of the patient models who visit us from time to time.

Using SMP to Create More Fullness in Transplanted Patient (with Photos)

This patient received 1260 grafts in 1998, but over the years he continued to thin in the front and top of his head. He came in last month for Scalp MicroPigmentation (SMP) in hopes of adding fullness to the area immediately behind the frontal hairline. The results are spectacular and he avoided another surgery as a result.

The use of SMP for patients who were previously transplanted to create the illusion of fullness in areas where there is existing hair is nicely demonstrated with this patient. Click the photos to enlarge.

AFTER SMP:

 

BEFORE SMP: