Advanced Patterned Hair Loss?

I have a new question for you! Is there a very advanced norwood scale where hair thins on the bottom of the back of the head, and the bottom of the sides?

My hair is really thick on the upper sides of my head.. and very very thin under that, just directly above my ears (Not my temples) and behind my ears.. it is very hard to explain. The hair loss I have explained seems patterned (in the sense that it is thinning similarly on both sides). I have thinning on top in a sort of norwood 3 vertex pattern. Could it be MPB related?

Norwood 7Some men have a hairy neck extending from the permanent fringe area of the scalp (as seen in the Norwood 7 diagram at right). This neck hair can be very thick, like good scalp hair (this might be what you are talking about). I really don’t understand what you are describing. There are a variety of autoimmune diseases that can produce a pattern-like loss, but first lets show me what you have either in person or by photos, as I can not write a book about it here.

Laser Comb, Provillus and Procerin

I’ve used the laser comb for several months, and cessation or regrowth of my hair didn’t happen. Then I wanna try other methods. I’ve searched in Internet, and found that Provillus and Procerin are effective and convenient for use. I do wanna know ur recommendations. Could u please help me do the choice? Thanks a lot.

I would have expected the results you reported. Look up the other products here on this site (use the search box in the top right) and you may see similar predictions. Why not do it the right way and get your hair mapped out for miniaturization and then get a competent doctor to make the diagnosis? Then with the correct treatment, rather than waste all of this time and continue to lose hair, you might get some control of your problem.


2007-07-26 11:33:09Laser Comb, Provillus and Procerin

After 6 Months, I See No Change from Propecia

Hello,

I am 24 and have been taking Propecia for nearly 6 months now, but I have noticed little to no change in my hair loss. I have spoken to a doctor about getting a hair transplant but was told that I need to continue taking Propecia after the transplant in order to keep my existing hair, or else I will only have the transplanted hair on my head in the future. If the Propecia is not responding to me are there any options for the future in terms of keeping my hair?

Thank you!

I often write here about the importance of speaking with your doctor for a treatment plan, but I suppose even after talking to a doctor there are things that go missing. Your doctor should have explained to you (and maybe he/she did) that Propecia is not a cure for hair loss, but it should help hold onto the hair you currently have. Some patients respond better than others to Propecia, but that does not mean it isn’t working. It just means your hair loss predisposition is outweighing the limits of the drug.

Hair transplants may help, but you deal with your existing hair problem. This is the main reason you need to have a Master Plan. Hair transplantation is not a simple decision to take lightly. You need to plan for what your hair will look like in the future. With or without Propecia if you are destined to go completely bald (Norwood class 6 or 7) you need to plan for your surgery accordingly.

Leg hair as donor hair for a transplant

I just never heard of it. Could you fill a bald Norwood 7 head with leg hair like this picture I found on Google? Arms are similar. I assume minoxidil would help it grow longer and thicker

Leg hair has a short anagen cycle and a long or equal telogen cycle. That means that if you transplant 100 hairs from your leg to your scalp, only 50% will be growing at any one time. Leg hair’s thickness is usually under 25 microns, which means that each leg hair will not contribute much to your hair volume on your scalp. Too many doctors with today’s technology now can do this type of hair transplant, but it may be more in the doctor’s financial interest than your need for grafts.
[If you have any questions, you can reach me at williamrassman33@gmail.com]

After Taking Propecia for 6 Years, I Began Noticing Side Effects

Doc, I am an active, healthy 37 year old. After taking Propecia for 6+ years with little side effects, I started to notice a decreased libido, difficulty maintaining an erection, no morning erections, a smaller penis in the flaccid state and a feeling of “disconnect” (mind from penis). I stopped taking it 6 weeks ago and have not noticed a change, other than my hair loss has increased again. I have read on other sites men complaining of similar symptoms and claiming they are permanent. I have considered getting a testosterone level, A DHT level, FSH/LH, E-2, and Prolactin levels. I haven’t mentioned any of my concerns to my (female) physician. Any suggestions (other than discussing them with her? -which I will).

Decreased libido and difficultly maintaining an erection are reported side effects that occur in 1 to 2% of men taking Propecia, but the same symptoms are prevalent in more than 2% of the men who are NOT taking Propecia. You may have other unrelated health issues (undiagnosed diabetes, blood pressure problems, etc) that can also contribute to this. That is why you are doing the right thing by seeing your primary care physician. See Propecia Gave Me Side Effects — How Can I Get My Sex Drive Back? for more.

As far as the DHT and testosterone or FSH/LH tests, I really don’t have an opinion, as your endocrinologist will be better suited to advise you on whether you need those tests. With respect to a smaller penis size, I highly doubt a drug is shrinking your penis… just as there is no drug that grows your penis size. With respect to a disconnect with your penis, you may want to see a counselor. I highly doubt this problem is from Propecia. I wonder what Sigmund Freud would say…


2008-11-20 10:22:52After Taking Propecia for 6 Years, I Began Noticing Side Effects

What is the Life Expectancy of a Hair That Has Begun to Shrink?

For example, I have noticed, that sometimes when I lose a hair, it is thinner than other hairs that fallout, yet it is still as long as the thick hair. I understand that a normal hair loves and grows for 2-7 years. So would a hair that has begun to shrink have a similar life expectancy? If I am diffuse thinning, and some of my scalp hairs are beginning to lose caliber, would it be appropriate logic to think that some these hairs (although smaller) will last at least 2 more years? The reason I ask is I believe myself to have good density, and I do not notice an abnormal amount of hair fall out. But the hairs I do shed look thin.

  1. Does miniaturization decrease the size of the hair by half every cycle? Or gradually?
  2. Will the thinner but still not quite miniaturized yet hairs I have be around for a while?
There are many degrees of hair miniaturization and the life of these hairs depends upon the degree of miniaturization. When it progresses to a thread thinness, then it is near the end of its life and often is not growing at all, just hanging in. Hairs that lost 50% of the bulk, for example, will vary in the time it takes to get to a thread-like state because the disappearance of the hair depends upon the aggressiveness of the balding process. So, it is impossible to really answer your questions as the answer relates to the aggressiveness of your balding and what you are doing about it. People on finasteride, for example, can hold on to 50% miniaturized hairs for years.


2018-12-01 08:06:06What is the Life Expectancy of a Hair That Has Begun to Shrink?

Alfatradiol for hair loss, does it work?

I‘m from Germany and I suffer from hairloss. I was prescribed fin around 2 years ago. Recently it got worse and I went to a another dermatologist, since I moved places. He told me that he doesnt recommend taking fin and instead take Alfatradiol (apparently it has the same effect as fin but its topical?). Have you heard of this? The product is called Ell-Cranell. I cant seem to find a lot of studies.

Alfatradiol is a weak estrogen and 5-reductase inhibitor medication which is used topically in the treatment of pattern hair loss (androgenic alopecia or pattern baldness) in men and women. You might be better off with topical finasteride plus minoxidil as these are stronger medications.


2020-09-01 09:50:11Alfatradiol for hair loss, does it work?

How Long Are My Grafts at Risk for Loss?

I’m trying to determine if I lost any grafts after a recent FUE. I was extremely gentle and did not touch the grafts until day 5 when I was instructed to use moderate pressure and rub at the crusts to remove them. Some of the spots, especially near the hairline and temples were still acutely tender. I expected hairs to still be attached to the crusts. Many hairs did fall out with them. I have read your study on how long it takes grafts to anchor. My question is how much bleeding is typically associated with a graft loss? Just a spot? An ooze? A trickle?

Many places say you probably didn’t lose any grafts unless there was pain or bleeding. But they never specify how much bleeding. I am now at day 7. And hairs began falling off at day 5 with the pressure, which worries me that it was too early. Also, can I use lotion or moisturizer on the recipient site? It tends to dry out.

I wrote that paper with Dr. Bernstein on Graft Anchoring (see here: https://baldingblog.com/wp-content/uploads/pdf/mp-2006-graft-anchoring.pdf). As long as there are crusts attached to the grafts, you must not pull them off. This is why I get all of the crusts off on day one. You can use a conditioner after shampoo and moisturize after the crusts are off.


2019-02-20 08:32:40How Long Are My Grafts at Risk for Loss?

Alopecia Areata Universalis

Im suffering with alopecia areata universalis. due to it i lost my hair totally on my scalp, eyebrows & eyelashes. Is hair transplantation possible for me? please give me a reply. thank you.

A hair transplant requires a sufficient amount of donor hair taken from the back of the scalp, to be moved to the balding area. Unfortunately if you do not have the donor hair to accomplish your goal, then hair transplantation is not an option. You can discuss your choices with a good dermatologist, and the National Alopecia Areata Foundation has a very extensive and informative website for those suffering with your condition.