I had a beard transplant 5 days ago. I am concerned that my herpes is acting up on my recipient scabbing area?

At 5 days, you have far too many crusts on your beard. What you are seeing is probably the crusting not the Herpes. You should nevertheless start taking your acyclovir because wounds like this tend to bring on the Herpes, possibly in the recipient wounds themselves.Many doctors would have put you on the acyclovir just for having a beard and mustache hair transplant. You need proper washing of your crusts to get them off. See your doctor as you shouldn’t look like this at 5 days, it is poor post-operative management.


2020-08-23 16:07:21I had a beard transplant 5 days ago. I am concerned that my herpes is acting up on my recipient scabbing area?

Worst Case Progression from Propecia-Only?

From your practice, what is the worst progression of balding that you have seen with someone taking only Propecia and not anything else like Minoxidil? Like what Norwood was he before and after and how long was he taking it and how old was he?

I routinely prescribe finasteride for all balding men, so progression is not evident as the process slows down considerably. In the days when Propecia was not available, the balding process was very evident in a matter of a few years, but now when Propecia is used, I just have not seen the radical changes in balding patterns.

I had a forehead reduction surgery and thinned out the side hairline (Photo)

Sometimes when a woman has a forehead reduction surgery, or even a face lift, they could develop thinning of the hair on the corners and/or the sides of the hairline. If this is a recent surgery, I would wait a full eight months to see if the hair comes back. Shock loss in women is often reversible on its own. If it does not get better in a year, this area can then be transplanted to make it thick again.


2017-08-09 08:37:23I had a forehead reduction surgery and thinned out the side hairline (Photo)

Would Propecia Prevent a Teenager from Growing Facial Hair?

Hello Doctor. I was wondering as Propecia affects male hormones, would taking the medication when you are 18 prevent anything such as facial hair growing and other changes that happen as you grow older?

DHT is partly responsible for growing beard hair and blocking DHT might slow it down. For boys younger than 18, it is not recommended.

I have a scar from my hair transplant (photo)

I have a scar from my hair transplant, why did it happen, did my doctor do something wrong and what can I do about it? (photo)

You had a strip surgery and clearly scarred worse than many people do. I had three surgeries in the same place and have no significant visible scar. It is not that I had a better surgeon, I just healed better than you did. I am sure your surgeon did the surgery right. The best way to deal with the scar is to have scalp micropigmentation which covers up the scar nicely. Your picture is on the left, a worst case scar is shown on the right before and after scalp micropigmentation (https://scalpmicropigmentation.com/). There is hope!


2020-07-13 08:17:32I have a scar from my hair transplant (photo)

Xanax and Hair Loss?

I am a 33 year old male and am convinced that I am losing my hair at the front of my head. I have thick hair, but it is certainly thinner, i.e. I seem to have less hairs per square cm. I can also see my scalp at the front, which I could not around 1 year ago. When I comb my hair, or wash it I notice hair in my hands or in the comb. I would say that the number of hairs is around 5 or 6. This is also something pretty new to me. What I would like to know is, am i going bald and how can I determine the rate? Also I take Xanax in small doses and what like to know if this has an effect. Would Rogaine help for frontal hair loss?Finally, how long should I wait before I have a hair transplant. I don’t want to go bald before I do. Thanks.

Xanax can cause hair loss, but I would think that if you are thinner in the frontal area, then you may be having genetic male patterned hair loss. As I have said many times in this blog, a diagnosis includes an examination for miniaturization, which would be evaluated throughout the head to determine what your genetic pattern might be. At 33 years old, your pattern should be evident when your scalp hair is mapped out. I am ingorning your 6 hairs per day loss as that is low and probably a wrong estimate, but the thinning of the hair in the front is more of a concern for me. If you have male pattern balding, the hair in the front will be heavily miniaturized and will show up nicely on magnification imaging. If that is the correct assessment, then Propecia may help slow or stop the hair loss.

Young Man Depressed with Multiple Complaints While on Finasteride (from Reddit)

I Have High Blood Pressure, So What Can I Take to Treat Hair Loss?

I am a male, age 59. Have been diagnosed with high blood pressure and control it with Diovan and Lasic. My father is near bald.

What if any products, medicines might I take to control the loss and hopefully regrowth of the hair I have lost?

THank you.

If you want a medical treatment for your hair loss, you should start by seeing your doctor and asking about medications such as Propecia or Rogaine. Propecia and Rogaine are the only two medications proven and approved by the FDA for the treatment of hair loss. There are also surgical options such as hair transplantation surgery. For more information you can visit NewHair.com.

If you are asking if there are any blood pressure medications that do not produce hair loss at all, the answer is probably no as a class of drugs, but yes for individual drugs that may have to be tested in you. This is something you need to work out with your doctor. Your blood pressure and heart should be more important than your hair.

Zenagen Shampoo

I’d like to bring to your attention another product making wild claims – Zenagen Natural Hair Loss Shampoo

Presumably you have a similar attitude towards it to other similar products?

ZenagenOh boy. I’d say anything that bills itself as a “natural hair loss shampoo” already falls under my “buyer beware” list. But, let’s review the product’s site anyway…

The first thing my eyes were drawn to on the site is the big “1,000,000,000 hairs protected” graphic. I wonder how long it took them to count all billion. Then as I scrolled down the page, I noticed the lovely “As seen on Los Angeles Times and Chicago Tribune” graphic at the bottom. Often the only mention for products like these in major publications is in the form of a paid advertisement or reprinting of a press release. I’d love to see what the LA Times actually said about the product, if anything. I assume that if there was a real mention in those newspapers, there would be links to the articles (of which there are none). The photo results are equally laughable. Look at the “Results” page to see an example of a guy with a mostly-shaved head as the “before” and with his hair grown out as the “after”. You can clearly see he’s got a prominent and strong hairline in the both photos.

The makers offer zero proof and zero science to back up their statements, yet their site insists, “Based on science and research, the unique formula makes Zenagen shampoo the number one rated hair loss product“. It’s always the #1 rated products that nobody has ever heard of and offer no basis for their claims, right? Ha! Of course, you’re welcome to try the product for yourself, but until I can see a bit of proof of this shampoo’s efficacy, I’d say it’s not going to do much of what the maker claims it will. I am not impressed.