Category: Uncategorized

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Scalp Lacerations Required Staples — Will Hair Regrow There?

About a month ago, I sustained two lacerations to the scalp on the back of my head. They were closed with seven staples. The area was not shaved at the emergency room. The largest of these lacerations is about 20 mm long and 1 mm wide. However, the resulting bald area exceeds the wound width by approximately 5 mm (making the width of the bald area 6 mm). I know no hair will grow again within the wound parameters. So I ask you:

1.) Is the prognosis good for full hair regrowth outside the wound?
2.) How many weeks (or months) must pass before I could justifiably believe there would be no more significant hair regrowth?
3.) What are the potential surgical corrective measures (e.g. cutting open the scar and running hair from one hair bearing edge up through the scar tissue)?

Hair loss with laceration repairs is common around the wound. The size of the bald area will vary depending upon the direction of the wound. The scars will be less significant in the normal Langer lines direction (see here).

The regrowth will usually occur within the first 4 months or so and any hair that has not grown in 6 months may probably reflect some permanent hair loss. Scars from scalp lacerations that form are not easily amenable to excision, as they tend to recur (I am assuming that the scars were properly closed and that there were no unusual circumstances present at the time of the closure, such as dirt in the wound).


2011-03-29 15:21:05Scalp Lacerations Required Staples — Will Hair Regrow There?

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DUPA and Aging, are they the same?

Are Dupa (Diffuse Unpatterned Alopecia) and Age related thinning the same condition, just that the former name is applied if it develops in a young person whereas the latter name is applied when it develops in a person of advanced age?

No, these are not the same. DUPA usually has miniaturization well over 50%, if not 70% or more, while aging expresses itself in two manners, (1) Age Related Thnning. This appears with thinning of the hair shafts that are universal and uniform of (2) loss of hair follicles in the follicular unit. This appears as a drop in total hair count per follicular unit and the entire head.

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Scalp Micropigmentation (SMP) with Bold Look

This young man decided to shave his head and with the help of scalp micropigmentation (SMP) he looks like he has a full head of hair and maximizes this good looks. This is an option that is being taken up more and more by young men wanting a perfect looking head of hair, even when they are balding and our practice is booming performing this procedure. This is a non-surgical process that can be performed on any many with any degree of balding provided that he shaves his head like the man below.

 

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Dutasteride is better than finasteride as reported by user below (from Reddit)

One point that I think is worth mentioning is that the deviation in response for Dut is much narrower than it is for fin. Finasteride inhibits 70% +- 18% of Dht while Dut is 94% +- 3%. As you can see, it’s clear why there are about 14% non responders to fin when they may only be inhibiting 52% DHT. With Dut, everyone in the study was above 90% inhibition so you’d have to be terribly unlucky to not respond.

For those who are thinning on Fin or who want better results, Dut is all but guaranteed to work better than fin. Dut is three times as potent at inhibiting 5AR2 which is what we want to inhibit. As a downside, Dut also inhibits 50% of 5ar1 which has unknown consequences.

I keep reminding Reddit readers that dutasteride is reported to cause sterility in a small number of men who take it as possibly is finasteride as well although the FDA trials, which are not present with Dutasteride, is available for finasteride. Neither of these medications have long term studies on young men under 30 years old. I generally tell patients that it is best to stay with drugs that have an FDA clearance for hair loss use as finasteride is than drugs that don’t (dutasteride).


2020-02-13 09:27:25Dutasteride is better than finasteride as reported by user below (from Reddit)

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Scalp Scar After Motorcycle Accident — Will Hair Regrow There?

I recently had a motorcycle accident about a month and a half ago. unfortunately i was stupid and wasnt wearing a helmet causing a minor injury on my head. i went to the hospital and was told by the doctor that i would need plastic surgery to make sure my wound closed. however throughout the whole process of taking care of paper work and insurance to cover the plastic surgery my wound closed out perfectly fine. even the doctor told me i didnt need the surgery anymore.

however i have a scar about the size of a quarter, a little bigger id say, and i have no hair there. but people say i am gonna grow hair being that everything closed out normal no stitches or anything. i just wanted to clarify that. thanks

I would wait about 6 to 12 months to see if hair will regrow. If not, you can have that scar dealt with, either by having the scar revised or perhaps hair transplanted into the scar. At this point, you’re going to have to wait and see, and if the hair doesn’t return you can meet with your doctor to determine the next step.

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Early sign of frontal balding (photo)

It’s been getting worse and worse over the past few months. Under certain light i can already see my scalp there Did the hairs that were there fall or are they just extremely thinner? I want to get on Minoxidil asap but im really afraid that the initial brutal shed people talk so much about, destroys my frontal hair line even more… Now i get why they tell you to get on something asap…

The erosion of a thumb-print section of hair loss from the frontal hairline suggests early frontal balding may be starting. The best approach is to find a doctor who can do a HAIRCHECK ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) test on you to see if there is balding anywhere on your head. You need a Master Plan for what may happen to you and a good doctor should work with you to form such a plan if your hair loss is worse at any time than you realize. Yo should recognize the importance of your problem, address it professionally so that you keep your hair on your head as you get older no matter what happens to your potential balding.


2021-05-12 14:11:21Early sign of frontal balding (photo)

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Scared to Lose My Hair with Chemotherapy

I’m a 22 year old girl who will be starting chemo the first week of November ’07. While the thought of treatment is really scary, what’s scaring me the most is knowing that I’ll be losing my hair outwardly looking ill. I’ve been doing a huge amount of research on any ways to retain my hair during treatment. I keep ending up hitting a product called Thymu-Skin. I can’t find any sites that discuss if there are any side effects to using this product while on chemo.

Can you please help me out with this? I’d really appreciate it!!

thanks

Chemotherapy does not necessarily mean you will lose hair. Hair loss depends on the specific drug used in chemotherapy. Your doctor who will be overseeing your chemotherapy treatment should be able to answer all of your questions and tell you how chemotherapy will affect your health and hair. The good news is that if you lose your hair, it will probably come back strong after the growth cycle is invoked.

To my knowledge, there is no FDA approved product to prevent hair loss from chemotherapy. With respect to ThymuSkin, I have heard of this product from patients and readers like you. Most accounts of its success/failure are based on anecdotal accounts. Despite the claim of ‘research’ and publications, they are rarely in peer reviewed mainstream journals and even if it is, the design of the study needs to be scrutinized for biases in the research. A theme that often echoes here on BaldingBlog is that it is a “buyer beware” market.

Of note, the ThymuSkin website seems to account the expertise of Dr. Morton Walker. Dr Walker is a doctor of podiatry medicine (D.P.M.) I am confused how a foot doctor came to be an expert in hair loss and the thymus.


2006-10-19 13:28:13Scared to Lose My Hair with Chemotherapy

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Electric current can slow down hair loss

https://pmc.ncbi.nlm.nih.gov/articles/PMC8122395/

I had a hair-shedding problem my entire life. As I got older, it became progressively worse. I came across the following study a couple years ago. After a lot of experimentation, the best application of microcurrent to the scalp that halted nearly all of my hair shedding was the following:

-1 milliamp current

-Bipolar Waveform

-10 to 100 Hertz

Factors that can play a role in the efficacy of this treatment include:

-Scalp Thickness

-Microcurrent Device Manufacturer

-Frequency of Treatment

-Duration of Treatment Session

I’ve been doing this treatment for about 18 months. This treatment is relatively safe and inexpensive. I thought it might interest your readers on baldingblog.com.

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Scratch Test for Histamine-Positive Skin

What is the scratch test you mentioned in a previous post?

I refer to the test as one used to discover a histamine positive skin type. The simple test is done by scratching the skin with a finger nail (for example) with moderate pressure, but not enough to cut into the skin. The skin will develop a red-streak within a minute surrounding the finger nail scratch. This, I believe, is local release of vasodilators at the skin edge. I have noted in my practice that people who react to the scratch with a red streak are the ones who tend to remain more pink after a hair transplant. When I transplant these patients, I will often use copper peptide dressing, which I have found gets the pink out sooner in these patients. I have had patients who were positive to the scratch test who were not treated after their first surgery and then when I did their surgery a second or third time, the addition of (1) copper peptide dressings after surgery and (2) the use of high dose steroids at surgery has helped minimize the pink discoloration over time. My view of copper peptide is not shared by many doctors, suggesting that what I observed have not been their observations and their experience.

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Erectile Dysfunction Can Possibly be Treated with Lifestyle Modifications

In the first journal of the International Society for Sexual Medicine, an article appeared titled, “The Incidence, Prevalence, and Natural History of Erectile Dysfunction“. The article (from Department of Urology, St. James University Hospital, Leeds, UK) covered some important points worth sharing with our readers:

1. “The varying methodologies, definitions, and populations make comparison difficult, but in high-quality studies there is a consistent association with age, and analytical studies suggest an association with cardiovascular risk factors, depression, and lower urinary tract symptoms. There is emerging evidence of a link with smoking and obesity.”

2. “Remission was commoner in younger men, suggesting that in these men psychological and lifestyle factors might be the cause of temporary self-limiting ED.”

3. “These studies also suggest that lifestyle modifications might be helpful in the prevention and treatment of ED.”

Read the full study abstract here.