How About a Minoxidil Styling Wax?

Can Minoxidil be in the form of a hair styling wax? The current minoxidil products on the market are mainly spray, foam or gel form.

Would the addition of Minoxidil into a wax be viable?

Minoxidil topical is used to grow hair, but you need to put it on your scalp, not hair. So if you make it into a wax for styling purposes, it would not be doing any good (unless you want to cake it on your scalp).

What is my hair loss pattern on Norwood Scale? (photo)

I have marked up the areas that are thinning that may lead to complete balding. The forelock has a different genetic code and may remain in some men so this man has an evolving Norwood Class 5 pattern that could eventually lead to a Class 6 pattern as many such patterns do. You have at this time a persistent forelock that may eventually be lost along with the bridge area defined in the photo as well. If you are lucky and the forelock lasts until you are 35, it will hold a frame to your face for many years after

 

How Can I Find Out If My Doctor Will Prescribe 5mg Generic Finasteride?

I’ve read back 30 pages, but could not find a former instance of my question. Apologies if it is a chronic repeat.

I’ve been taking Propecia for one year, and recently accepted a lower-paying job. As such, I am interested in switching to the quartered 5mg generic Proscar method. I would like to know that the doctor is willing to prescribe the 5mg prior to scheduling an appointment – is there a way to politely obtain this information?

Thank you in advance for your response.

I can’t tell if your question is about another clinic or doctor at NHI. If it’s elsewhere, just call the doctor and ask. Most patients we treat with finasteride at NHI are prescribed the 5mg dose to save costs, and they are instructed to take 1/4 pill a day.

What is the final word on sexual side effects and finasteride?

I’ve heard stories about people who quit fin after 10 or so years and feel so much more better, or people who suddenly start experiencing side effects after a long time of taking fin. Is fin safe to take over a long term period?

I have been on it for years and many of my patients as well. If you don’t get the sexual side effects (which are real in 2-4% of men), then most of the changes over decades on the drug are most likely related to normal changes seen in men who develop Erectile Dysfunction.


2020-12-21 11:46:24What is the final word on sexual side effects and finasteride?

How Common is Hair Loss Following Gastric Bypass?

Hello Doctors,

I just read an article from a writer for the local paper about her 100 pound weight loss following gastric bypass, which is something I’ve considered doing for myself. One thing that stuck out to me was that she says, “One common post-surgery side effect is hair loss. And I have been losing my hair. I knew about this before surgery, so I am dealing with it. I don’t like it, but it will grow back, and I have also lost most of my eyebrows, but that too will grow back.” See article here.

So my question is, how common is this loss? Scalp hair loss is a problem in itself, but to lose my eyebrows too would be devastating. How long could something like this take to regrow (or will it not regrow)? My husband visits this site quite frequently and when I mentioned the story, he suggested I write to you. Thanks for your help.

A gastric bypass surgery causes weight loss and in many cases can produce signs of malnutrition. Weight loss is often associated with hair loss, particularly in men who have genetic hair loss. For women who do not have genetic hair loss, the hair loss may reverse as nutrition gets better and the weight stabilizes, but for men with genetic hair loss, it often accelerates the genetic process. For men in this situation, it’s best to take finasteride prior to having the gastric bypass, and maintaining this drug for life. Even with the DHT block offered by the drug finasteride, hair loss may still occur.

The good news is that hair transplantation can be used to replace the lost hair in the same way as in a person with hair loss that didn’t have the gastric bypass. As far as eyebrow loss, it would be unusual, but again, hair transplants into the eyebrow easily can solve that problem as well.


2009-10-27 15:05:47How Common is Hair Loss Following Gastric Bypass?

What Is Wrong With Donald Trumps Hair?

I have heard from reliable sources that Donald Trump has had more than one scalp surgery to treat balding over 20 years ago. Many people who have had the older types of hair transplant procedures from the 1980s and 1990s often received deforming procedures that caused significant scarring on the scalp. Visible deformities can be covered up with good styling camouflage. In the 1980s and early 1990s, the hair transplants were created by pencil sized plugs and were often accompanied by hideous looking scalp reduction scars which, when the surgeon tried to cut out a bald scalp, left terrible deformities on the scalp. Today, hair transplants are created by moving hair in their natural growing groups of between 1-4 hairs each from the back and the sides of the head to where the balding problem exists.

I have heard that Donald Trump was a victim of these outdated techniques. Putting things together and relating it to my vast experience with patients who came to me to treat such deformities with ‘comb-overs’ or ‘comb-forward’ hair styles to hide these hideous deformities, I would guess that Donald Trump is a victim of these old surgical procedures and uses his now distinct hair style to cover it up. As long as he maintains this hair style and does not lose more hair, he will hold his iconic look.

The good news is that most people who were so victimized, have since come to be repaired with the more modern techniques developed over the past 20 years or so. Vice President Joe Biden is a good example of a politician who used to have a pluggy frontal hairline. Now, he proudly shows off a nice, frontal hairline with no evidence of any preexisting problems. I suspect, that Donald Trump is hiding something similar, using his dyed blonde hair and his ‘comb-forward’ hair style to hide his secret.

How do I know if my donor area will look bad after FUE?

Basically from what I’ve seen discussed, when people get hair transplants, they move hair from the sides/back of head to the top. This sometimes leads to scarring, so what people do is the keep the sides/back a bit longer to conceal it. If i were to get a hair transplant would I still be able to get skinfade haircuts like this or would I be required to keep the sides/back long due to scarring or any other reason

The answer to that question is: (1) depends upon your donor density, the higher it is, the less the problem, (2) it depends upon hair thickness, the higher it is, the less the problem, (3) it depends upon how many FUE grafts were taken and transplanted and (4) it depends upon your hair length, the longer it is, the less will be the problem.


2020-03-02 12:42:25How do I know if my donor area will look bad after FUE?

What Shampoo Should I Use?

Dear Doctor,

I am a little confused on what shampoo I should be using.I was using johnsons & johnsons baby shampoo but a doctor suggested that I make the switch to Head & Shoulders containing 1% zinc pyrithione as this product has been known to thicken hair & even slow down hairloss. However,other arm chair experts on various hairloss forums have compared head & shoulders to sulfuric acid & claim it will thin out my hair even more.

Can shampoo have such an adverse effect on hairloss ? What are your thoughts on this product & can you recomend a shampoo ?
Thank you

Any reasonable commercial shampoo will work just fine and have no impact on thinning. What you could do is try different brands and then settle on the one you like. There are shampoos for dry and for oily hair, shampoos that give your hair more character and make it wave more. It is a trial and error process.

How do you select a doctor

I wrote about this here: https://baldingblog.com/selecting-hair-transplant-doctor/

This is a global approach to selecting any doctor for cosmetic work anywhere. We have monthly open house events for prospective patients to (1) meet many patients one-on-one and judge the quality of the work for themselves, (2) see a surgery live actually on the day of the Open House and (3) get a free consultation to get a Master Plan built for your hair covering short and long term hair loss possibilities. Few doctors will do this because dissatisfied patients come and can ruin such an event as happened a number of years ago where former patients actually picketed the doctor’s office. Your doctor should be proud of his/her patients and willing to bring patients for meetings to educate you. I also started doing this in 1993 at medical meeting where I brought my patients to teach doctors what a good hair transplant should look like. After many years, the ISHRS (International society) had established patient ‘live viewing’ sessions at every annual meeting. What is good for the doctor, should be good for you, the patient.


2019-12-31 09:36:36How do you select a doctor

what’s the average cost of a hair transplant these days and how effective is it

The costs for a hair transplant are usually priced per graft and the costs range from $4-10/graft depending upon the doctor, the location, and the reputation of the doctor for consistency and predictability. I always ask patients: Would you try to find the least expensive brain or heart surgeon? The hair you have on your head that the surgeon transplants can be seen by everyone. You MUST meet some of the doctor’s patients to see the quality of the work your surgeon does routinely. My patients have been coming to monthly Open House events months for 27 years just to help prospective patients learn about the process.


2019-03-26 18:26:21what’s the average cost of a hair transplant these days and how effective is it