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I Want a Hair Transplant, But I’m Prone to Forming Keloids

i’m an 19 year old girl suffering from androgenetic alopecia. i’ve been losing much hair and tried everything(rogain 2%, hormone therapy) but didn’t see any major results. i’m considering of having FUE on my frontal hairline, the problem is, my skin is prone to forming keloids. I know that keloid will probably form on the donor area but is there any possibility at all that keloids will grow on my hairline??

Yes, you are at risk of forming keloids on your recipient area (frontal hairline), but the risk is low. In all of my years, I have never seen a keloid in the recipient area. At a medical meeting some years ago, we polled the audience of about 300 hair transplant doctors to ask them to raise their hands and tell us if anyone ever saw a keloid in the recipient area. No one raised their hands.

You must also consider that androgenic alopecia in a 19 year old female is very rare and make sure that you have the correct diagnosis along with realistic expectation of what you are trying to accomplish and the fullness that you are going to have from a transplant. In other words, you must weigh the risks versus the benefits and you absolutely need a diagnosis by a competent doctor.


2007-09-14 14:03:41I Want a Hair Transplant, But I’m Prone to Forming Keloids

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I Want to Get Rid of My Hair Plugs!

I had an old fashion hair transplant using the large plug method. Now, I would like to cut my hair short (or shave my head). The plugs on the top of my head are virtually undetectable. I can probably have a laser treatment to completely hide them. No hair really grew anyway. But here is the real question, how do I get rid of the .75 inch high by 4 inch long rows of plugs where the donor area exists? I have spoken to several surgeons and have been told things from FUE to simply cutting around the entire area and sewing it back together. I am no surgeon, but cutting the area out and sewing it back together just seems like a waste of good tissue and hair follicles. Why can’t a surgeon simply re-cut the existing holes and sew them back together leaving the surrounding skin and hair intact. This is similar to the way he/she would do it if removing plugs on the top area of someone’s head? Any thoughts or comments would be greatly appreciated.

There is an art to managing this problem and we published the various methods of repair in distinguished medical journals in the 1990s. One way, when the hairline is too low, is to remove the frontal hairline surgically — and then re-transplant it with modern techniques. This approach leaves minimal scarring and what scar may be developed is completely covered by the hair transplant. Another approach is to remove the big plugs one at a time. Using FUE, we can often just thin the plugs.

As you indicated you’re in the Los Angeles area, you should come in for a free consultation and then allow us to make a recommendation. Also, see past posts about Repair, many of which are about fixing old plugs.

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I Want to Take Propecia Temporarily Before Surgery

Dear Dr. Rassman

you mentioned before “Some of my patients do not take Propecia (finasteride 1mg) by their personal choice. It is your choice as well. The risk is that you may have increased shock hair loss without taking Propecia before surgery. Shock hair loss is common in men under 30 years old or those who are losing their hair actively when they have a hair transplant. Propecia will prevent this complication in most men” …

Well i used propecia before for 9 months and had great results. but by the 8th and 9th months it killed my libido and impotence although i was 26 years old only.. but as you said shock hair loss is really scary. so if i wanted to use finasteride just to avoid the hair shock loss post surgery, how many months you advice me to take it temporary, definitely im not willing to go on with it…

thanks doc…

Stopping the finasteride after a hair transplant has been done with a few of my patients with success. The risk of shock loss is mostly in the first 4-6 months, and those that stopped it after the transplanted hair grew out did not have a problem with shock loss. Of course, they had the benefit of hair transplants to cover any new loss of the original hair, so they may have lost some hair without knowing. This may be a better route than not taking the drug at all, but you will still face the natural evolution of your hair loss over time without the drug on board.

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I Was Diagnosed with PCOS Six Years Ago and I’m Losing My Hair!

I am 23 years old. I was diagnosed with PCOS when I was 17 and was placed on birth control pills. I started to take them regularly, but they started making me sick, so I quit taking them and didnt take them for several years. Just recently I went back the the practitioner who diagnosed me with this and she placed me on a slow-release iron tablet daily along with a new birth control that has iron in it.

I have started losing hair around the middle-back of my head mainly around the crown area. It looks like my part is getting a lot wider, and the part is spreading down to the back of my head. I used to have really thick curly hair but now it is getting thin around the top, and in some patchy areas.

At first, since I am a Registered Nurse, I thought stress was causing it. The last time I went to the doc, she said I was anemic with low iron levels, hence putting me in daily iron, so I thought my anemia was causing it. I’ve been on and off birth control, so I thought that could be another cause.

Am I too young to use a topical treatment such as Rogaine? or Sephren? Sephren is an oral and topical treatment for hair loss in women. What do you recommend? I feel like I am losing more and more hair by the day and it really stabs a knife into my self image and self confidence. I’m desperate for some answers. I wish someone would lead me in the right direction so I can start growing hair in those thinning spots. I don’t want to be bald by the time I’m 30. PLEASE HELP!!

Polycystic ovary syndrome (PCOS) causes hair loss in women who can also inherit the genes for balding/thinning. It is a very difficult condition to treat, as the treatment is often unsuccessful. Since you’re already under the care of a doctor, I’m not sure what I can offer. You need a good doctor/patient relationship.

Hormone therapy might help with the PCOS-related hair loss, though since you mentioned stress and anemia, those are other potential reasons for your thinning hair. I just have no way to know what is causing your loss, or whether it is a combination of things. You aren’t too young for minoxidil (also known as Rogaine, which is FDA approved to treat female hair loss), but the oral Sephren is just a vitamin supplement with no peer-reviewed published clinical evidence that it works.

There is a new cosmetic treatment that we’ve mentioned here called Scalp MicroPigmentation (SMP) which we offer to address the thinning problem in many women. One such patient can be found here.

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I Would Like to Know What Type of Balding Do I Have

Hello I am a 22-year-old male . I would like to know what type of Balding do I have . I notice little spot At first then started to get thin.

Then My hair in the the Front started to shed But my hairline is not receiving and my hair is not thinning In the back .can someone tell me what’s wrong so I can get help our treatment for it

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A doctor usually needs to examine a patient, diagnose a problem (of why you are losing your hair or much more more hair loss you may have in the future), then needs to understand your goals and expectations before giving you options or a treatment plan.

You show early sign of hair loss that suggest you have genetic male pattern balding. If you are concerned you should see a doctor for treatment options.


2015-09-13 13:53:31I Would Like to Know What Type of Balding Do I Have

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If I Don’t Use Conditioner After Shampooing, My Scalp Gets Red and Itchy

ConditionerMy hair is thinning and falling out. I’ve had a problem with acasional redness and serious flaking and itching. Only happens on my scalp. If I don’t condition after shampooing, it shows up that day. Otherwise, its alright.Could there be a fungus that is causing my hairloss? My family doesn’t have hairloss problem.

If hair conditioner works to prevent the problem, why don’t you just use conditioner? I would doubt it is a fungus if simply using a good conditioner corrects the problem, but you could go see your primary care physician if this is a concern. A dermatologist would be a good person to meet with, as well.

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If I See Finasteride Side Effects, Do I Need to Consult a Doctor?

I took Proscar (1/4 of pill per day) for 2.5 years for my hair loss problem .I haven’t seen a clearly any side effects in the past 2 years but lately I read that Proscar causes erection dysfunction so I stopped using it three days ago and I tried to masturbate but I ejaculate quickly and before that my penis get rigid enough(I ejaculate before get hard) but just last week my sexual life was normal but now I have difficulty to achieve a correct erection . I still have nocturne erection while sleeping and in the morning so do you think this problem is caused by Proscar or just due to stressful situation after knowing that Proscar could causing irreversible sexual disabilities .

are the sides effects of Proscar irreversible? do I have to consult a Doctor? how much time I need to take a ride of the side effects(testicles pain,libido,ED.. ? can I take other medicines to heal theses sides effect are they effective ?

This seems more like a psychological problem rather than an effect of the finasteride. You took the medication for quite a while without issues, then after reading about possible side effects you suddenly developed them. Ever hear of the power of suggestion? That’s what is sounds like to me.

At any rate, this is a prescription drug… so definitely see your prescribing doctor if you feel you’re having issues with libido or any pain and let him know of your recent issues.


2010-07-06 14:06:52If I See Finasteride Side Effects, Do I Need to Consult a Doctor?

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If I’m Going to Be Norwood 7, When Will I See Significant Loss?

Hello, I have a question about the different patterns of hairloss in men. My father is a full-blown Norwood class 7. I started losing hair very early (20) and got on finasteride right away. But my hairloss is not diffuse like I would expect a NW7 to bald. I only really have temple recession at this point (21 yrs.old). So my question, Does a NW7 generally bald in a diffuse pattern, or can a destined NW7 start off by losing the temple region?

In other words, do I have any hope that I did not get my father’s hair genes?

Norwood 7You are right to be on Propecia. I can not tell you how you might lose it, particularly with Propecia on board. Ask your dad how and when he lost his hair, as that will give you some possible insight. If I mapped out your scalp hair for miniaturization, there may be some insights into the “end game”.

Most Norwood class 7 balding patterns (see diagram at right) will have considerable balding along that path by the mid to late 20s. You might not have your father’s genetic hair loss pattern, though. Cross your fingers.

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If Propecia Doesn’t Work, Is the Hair Loss Unrelated to DHT?

Is it possible that if you are one of the people who didn’t respond to propecia that your hairloss is unrelated to DHT? I’ve read the Diffuse AA can look like diffuse patterned baldness and even chronic TE can end up looking like thinning on top. I’ve tried propecia for a long time now coming up on 16 months and my hair on top is gradually thinning.

a little background for you, I have lived with anxiety, stress and depression problems for a long time and think that having these problems chronically has lead to hair thinning. I only have slight recession in the temples but everything else is evenly thinning on top. In summary, for the 10 percent or so that Merck reported as not responding, could they have hairloss unrelated to DHT? Thanks.

As you suggested, there are many causes of hair loss that are not DHT related. I have no way to know the reasons for your hair loss, though. That being said, there are patients with genetic hair loss that just do not respond to Propecia and this can be tested for with the HairDX Finasteride Response test (written about before).

You need to get a proper diagnosis from a good, caring doctor. I can not help you without examining you, at which point I could map your scalp and conduct a hair bulk analysis in our office.

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If you’re going to loose all your hair why not accept it?

“If you’re going to loose all your hair eventually there is no point in treating it, you will be bald anyways, that’s how God wants you to be.”

A relative of one person gave him this comment. This was my answer: God gave us genes that cause hair loss. God did not say that one had to accept these genes and that is what I make a living at, helping people like you manage or cure your hair loss cosmetically or otherwise. If God intended that hair loss should not be treated, God would have stopped the science of hair restoration from growing like crazy. If God gave you cancer, heart disease, smallpox, measles, etc.. would you accept it or try to cure it?


2020-01-25 09:49:17If you’re going to loose all your hair why not accept it?