Category: Uncategorized

“Another feel-good story: An elderly man in New Hampshire was bitten by a rabid bat that was hiding in his iPad case, but he got treatment in time to save his life, as reported by WMUR. The incident was newsworthy because of its peculiar circumstances, rather than any medical novelty, and so we passed on it.

That being said, only 1 to 3 cases of rabies in humans are reported annually in the United States. Half of all lethal cases over the past decade have resulted from contact with a bat. So while we won’t go as far as recommending that you throw your iPads out, we’re glad the man in question had the insight to seek medical attention.”

Finasteride: https://www.google.com/search?q=finasteride%20before%20and%20after&tbm=isch&hl=en&rlz=1C1CHBF_enUS811US811&sa=X&ved=0CCIQtI8BKANqFwoTCLC45pfiyIADFQAAAAAdAAAAABAy&biw=1903&bih=880

Micrroneedling: https://www.google.com/search?rlz=1C1CHBF_enUS811US811&sxsrf=AB5stBh9CQfNPcJgeoLsVF66afptlgCjuw:1691696303248&q=before+and+after+microneedling+hair+photos+images&tbm=isch&source=univ&fir=h1ZOE2i_kH0whM%252COeKBNn3X7rgquM%252C_%253BjUJQIMpc0BXGKM%252Cx56aU7_t8iURBM%252C_%253BWn2-nrfuXlkMVM%252COeKBNn3X7rgquM%252C_%253BGqqB9rIUUi96ZM%252Ch-wvL2hflGBV_M%252C_%253BhX061oluFQAixM%252CBZIg88pkejOUNM%252C_%253B_5rh2ckuBfnTlM%252CQYjR6aULLuQajM%252C_%253BB-BDc13Frq-2-M%252CWdvDElzbt8xw3M%252C_%253B5ZqG_B-WqKTVVM%252CWdvDElzbt8xw3M%252C_%253BQabMX0LX-9818M%252C1Ww0njYmj3ZZoM%252C_%253BHhHr116ndm3cDM%252CLD8AEs24R7OnJM%252C_&usg=AI4_-kQdCsYhlk0RX0kX-zTWzWeffF074w&sa=X&ved=2ahUKEwiogeTp69KAAxU6JkQIHfBZAkEQjJkEegQIGRAC&biw=1920&bih=931&dpr=1

The Scientific American reported a fix for hair loss in August 1914. Let me share it with you. “A gold wire 1/500 inch in diameter is bent to form a loop barely visible to the naked eye, which is then threaded with a woman hair of the desired color and from 8 to 12 inches long. The wire is introduced into a Pravaz hypodermic needle and then bent and cut, forming a tiny hook. The needle is inserted normally, twisted and carefully withdrawn. The doubled hair is anchored by the hook in the subcutaneous tissue. As many as 50,000 hairs may be required. ”

Source: Scientific America

That amounts to 15 grains of gold. Someone made money out of this.

I will assume from these pictures that your hair is coarse. The arrow I placed on your photo shows the location of the middle of the new hairline and a mature hairline shape. If I am right, then the number of grafts to do this job would be in the range of 1,200-1,300. If your hair is finer, then it will take more grafts. It might take 2,000 grafts to get a reasonable result with fine hair. Everyone is different so the amount of grafts required reflect not only the thickness of the hair itself, but the area that has to be covered. This takes an experienced surgeon to do proper estimates.

 

It is ok, but it does not meet my standards. The hairline has many two hair in the leading edge of the hairline which makes it an obvious hair transplant. I would build a transition zone in front of these grafts so that no-hairline hairline exists, meaning that the hairline does not have an abrujpt start as it does in these photos. There is also a small gap on the sides which should be addressed. The hairline on the right is one of our hairlines and as you can see it is much different than the one on the left (your hairline)

This is a great video which shows many photos of what to look for in patients, the doctors work and how they do it, the importance of the microscope in every FUE, etc.. The speaker had the worst hair transplant from the 1990s on his own head and had it fixed, but probably put the hairline a tad bit too high. He missed two important nuances of the FUE. (1) The skin of the FUE grafts is trimmed under the microscope. By trimming off most of the skin, the cobbling of the skin, something called cobblestonning (like the old streets which used bricks instead of pavement) produces small elevations of the graft at the point where the skin enters the scalp. (2) The grafts are always placed flush with the skin so that bumps never appear at the point where the grafts enter the scalp. Nevertheless, this is one of the best videos I have seen for evaluating a doctor.

I’m thinning, and i decided to shave it all off. A big thing for me is the fact that once its all shaved off, there are follicles everywhere and thus it looks like i shaved out of style and not necessity. My question can the hair follicles itself, as time goes on, stop regrowing?

Your pictures shows you are thinning a bit. Some people believe that if they shave it, it will grow back normally, not true. To find out how much hair has been lost, the HAIRCHECK instrument check will tell you (see: https://baldingblog.com/2017/01/10/value-haircheck-bulk-measurements-two-patients-seen-today/) . The hair will keep growing until such a point as your genetic hair loss (assuming that is what you have) advances to your family genetic inherited pattern. That takes time. Based upon the HAIRCHECK results, you may consider finasteride if there is hair loss confirmed and if you are under 30 years old when the drug works best.

So I started taking finastaride on Saturday the 22nd of June. And here is what I have taken. Saturday 0.25mg Sunday missed a pill (hurt my leg playing football and was in hospital for scans) Monday 0.25 Tuesday 0.25 Wednesday 0.25

So here’s my question. I have taken in total 1mg of finastaride and last (Thursday)I have started to have an irrated nipple to the point where it feels like it has been chaffing on my T-shirt’s( I was wearing a rough embroider shirt) I’ve had no other sides (for now) and I am well aware that this could be in my head and I am a massive over thinker in these types of situations but the things that are swaying me to thinking gyno is:

1. I had gyno as a pubescent teenager (had the full lumps and everything during puberty, it wasn’t bad and it didn’t make it look puffy but it was there I think)

2. I had a doctors appointment today and i mentioned my symptoms and how I was feeling, I was had told my doctor I had been on finastaride for 2 weeks (obviously a lie, was a brain lag it’s not even been 1 week) and she felt around my pectoral area and she said my left hand side (which is the tender/irrated one) is slightly fuller than my right. But my right is also a bit fuller.

So my question is, do you guys believe this could be gyno? My doctor recommended to stop for 2 weeks and see what happens to the symptoms. I’m just unsure how fast gyno can happen?? I really don’t want to lose my hair so I’m debating whether taking a SERM with finastaride??

Thanks a lot for listening and I’ll be very grateful to listen to anything

After a single dose or a limited dose, I doubt that the gynecomastia would get worse. Considering your history, I would think that you are too much focused on this side effect and .what you are experiencing may be a nocebo effect. Seeing your doctor is a good idea.

My great enjoyment is seeing the results of the patients who we treated after the hair has grown in.

 

 

 

 

 

 

 

 

You have possibly been over-harvested and have developed donor site depletion. If it does not get better, the only treatment that can make the back of the head look better is Scalp Micropigmentation (https://scalpmicropigmentation.com/scar-covering/#!)