2021-06-18 01:29:292021-02-23 18:31:26Over-harvested donor area (photo)
I live in New York City and am looking into scheduling my second session of FUT this fall. I’m transsexual and need to finish rounding out my m-shaped hairline after having done my first session last year out of the country because it was done within a week of another surgery.
This time I’m looking to stay close to home and have been speaking to a surgeon recommended by a friend, Michael Beehner, located far upstate in Saratoga. I like him because he’s communicated in depth with me over email and has a decent amount of before and after photos of trans women. I don’t think all surgeons/technicians are good at creating natural looking hairlines and I also don’t think my hairline was drawn properly the first time so I want it reevaluated.
What makes me hesitant in scheduling is the four hour bus ride for someone who charges $5/graft. I’m wondering if anyone in the NYC area can give me a comparison to other doctors here. Bernstein’s office told me $7. Maxim seems the cheapest, although I’m not sure by how much: their website says $2.95, but I saw a blog post from last year where a woman was quoted $4. Basically, if I feel like I’m getting a deal for a top notch surgeon and team then I’d feel a lot better about making the trip.
Never buy based upon price! Always check out the quality of the doctor. If you get a doctor who discounts his prices because he isn’t good enough to compete on quality, then you could buy less quality with a lesser price. I know both Bernstein and Beehner and they are both first class doctors.
2020-01-23 04:00:402019-11-22 15:39:19Comparing Prices for Hair Transplants
I am a 47 year old female, who has had thick, coarse hair all of my life. Last year, I had a few hot flashes, my gyn gave me some estradiol to take……..I felt better, discontinued it. *this was in April…I took it for a few months. I had a surgery in August…general anesthestic. In December my friend mentioned my hair looked thin. I got some Rogaine…..used for one month until my hair was falling out by the tons and I had noticable thinning in my temples/hairline. Hair looked much, much worse. Stopped using it Jan 21. Gyn gave me estradiol Feb 21st.,,after I saw him complaining of hair loss….he said I was periomenapausal. My hair shed slowed until two weeks ago and is now shedding again. I still have very thin hair in the bang area/temples….you can see my scalp in the sun or bright light. Blood work showed normal levels in all tests. I do have lots of new hair that can be seen over the back of my head…but I don’t see anything in my bang area. I am suffering anxiety and worrying constantly…which I know doesn’t help. How long does it take for hair to get back to normal if it is going to? Am I expecting results too soon? Have you ever heard of Rogaine making the problem worse and does it make it permanently worse?
I would like to consider a hair transplant if it can give me some density back. I am taking vitamins/EFA supplements….don’t smoke, ….also interestingly my once coarse hair is now soft/finer feeling which seems wierd.
thanks for any insight, help.
Your email sounds desperate and you need to be sure that there is no underlying medical condition causing your problem. Assuming that you fully check out (see female hair loss Q&A), then it sounds like much of your process is reversing. The reversal time should be less than a year. You should be evaluated by a doctor like me, who can determine your base line today, the full extent of your miniaturization and then follow your progress. A transplant can solve the ‘bang’ problem, but first let’s clear you of a medical problem.
Anagen is the growth phase which lasts between 2-6 years depending upon sex and age.
Telogen is the sleep phase which lasts about 2-6 months.
These hair cycles occur in every human being on the scalp. It starts when we are born and continues until we die unless we have genetic balding.
2018-09-06 05:07:352018-09-14 08:54:39Confused About Hair Loss and Regrowth. What Are the Stages of Typical Hair Growth and the Amount of Time It Would Take to Regrow?
I have thinning hair at my temples. I am in the Army and have to wear my hair up everyday while at work. My hairstylist says that my hair will grow back once I stop putting it up. However, I will be in the Army for the next 10 years and am thinking about hairloss treatments for my temple area? Any suggestions?
If your hair dresser is correct and you have traction alopecia (hair loss from traction), then you can expect little relief. Whatever is causing the hair loss must be addressed by stopping the pulling. There are other conditions, such as triangular alopecia, where people lose hair in the temples from genetic causes. This is part of the differential diagnosis that you needs to have made. See a good doctor and discuss these two conditions with him/her.
Can you please help me? I have a contact dermatitis and have been picking it- is the hair loss permanent or temporary?
Can you also recommend a good dermatolgist and endorcolgist in London? We have bupa but my gp is not good with hair problems.
Thank you . I am very impressed with the time you give others with this awful, life destroying conditon
Contact dermatitis usually is not related to hair loss. However, you seem to describe a condition of compulsive hair-pulling (called trichotillomania) and it may be secondary to your contact dermatitis. Hair loss from pulling is often permanent if it goes on for any length of time. Fortunately if you stop pulling at it, your hair may still grow back. People who pull at their hair often have some obsessive/compulsive elements in their personalities and may require medications to stop the process.
It appears FUE has become the treatment of choice among patients. My goal would be to receive as many intact grafts of “terminal” hair as I could get from a transplant. I may be off but it seems to me strip surgery comes closest to that goal. I’ve read up to 25% of grafts could be damaged at some point during FUE procedure. And considering the wide donor area I would think some grafts could from from an area more likely to thin than from where a strip is performed. I could be off here too, but I would think FUE would leave the donor area more thin looking than strip where it’s just one spot and the hair above would cover evenly.
If you have more than one strip surgery that means another long scar for each surgery?
There are some misconceptions in your question. FUE is not the treatment of choice. FUE is a great alternative to strip surgery since it does not leave a linear scar. FUE leaves thousands of 1mm circle dot scars. Patients who have FUE over strip are the ones who want to keep their hair very short or don’t want the “idea” of a linear scar despite never being able to see it (as their hair will always cover the scar). Many patients after weighing in the pros and cons end up choosing strip surgery over FUE as they realize no-one will ever see the scar as they keep their hair relatively long (up to a 3 guard).
FUE has some disadvantages in that the harvest and growth rates do vary widely among patients as well as the doctor’s experience. FUE can also leave the donor area looking much thinner than the strip. Finally many patients do not realize you can have multiple strip surgeries over the same scar – effectively having just one scar overall.
hi, doctor in one of the topics you said propecia is like testosterone. here is the link
I thought finasteride wasn’t a steroid hormone.
Thank you for pointing that out. It was an error in our part, and I guess it went unnoticed for nearly 6 years. It should have stated DHT (not Propecia) is like testosterone in that it is one of the male hormones.
We have corrected it. Sorry for the confusion.
Only part of my my hairs are white — the tip is black, the root is black, only 2-3mm of the hair near the tip is white. It’s odd. I assume it’s the part of the hair that was growing from the root around the time of the transplant. Does that make sense?
Yes, I believe your analysis is probable.
Hello,
I’m using flixotide 100mcg 2 times a day. Flixotide contains corticosteroid that works against inflammation for my asthma. Because it is a steroid, could it accelerate androgenetica alopecia? I can’t find good answers about this subject.
Hopefully you can help me. Cheers.
Chronic use of steroids can negatively impact hair loss, but I don’t see anything in the literature that shows hair loss as a side effect of Flixotide (fluticasone). There is little I can offer here.