Category: Uncategorized

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Do I have DUPA? (photos)

Yes, most of the hairs in the donor area shown are miniaturized but a few are thicker showing the comparison from normal to miniaturized hairs where the miniaturized hairs exceed 20% by a large margin. To demonstrate the normal hairs, I placed an arrow next to them and as you can see there are only 5 hairs that have a normal thickness, the rest of miniaturized. That is how the diagnosis is made. It is always better to evaluated the hairs when they are cut shorter than sent here by this patient so it is easier to count both miniaturized hairs and normal terminal hairs.


2020-02-14 07:56:45Do I have DUPA? (photos)

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Propecia’s Effectiveness in Front and Sides

Just wondering if it is known why Propecia is often not effective around the front/sides ? Is there any hope for a new drug in the works that may address the front/sides?

When Propecia works, it works where the hair loss is relatively newer. The frontal area is often the first place the hair loss starts but often it is not noticed until the hairs are fully miniaturized or lost and at that point Propecia is not effective. Propecia can work well in preventing rapid hair loss in the frontal areas when the drug is started early enough. There is clearly a difference between frontal balding and crown balding, which tends to start later, in the way the genetics are expressed.

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Do I Use the Rogaine Dosage All Over My Scalp or Concentrate on the Crown?

I have a question regarding rogaine. I have thinning in the crown and front of the head too. I have read that rogaine can be beneficial for retarding additional hair loss anywhere there is hair. Thus, I split the 1 ml dose throughout my scalp rather than just concentrating it on the crown.

Would this stop the effectiveness of rogaine? I suppose I am not supposed to use more than one ml.

I would use the dose listed in the directions that came with the product that you purchased. You can put Rogaine on your crown and front area of your scalp, but it should only be placed in the areas where you want the benefits and not put in areas where the hair is good. As you know, it has not been shown to be as effective in the frontal areas.

I suspect you can use more than 1 ml, but there is a small risk of your body absorbing too much and you experiencing systemic side effects (such as headache, fainting, etc). I would think this risk is low, but it is something to think about.

If you are concerned you should ask these questions to your doctor and get a good medical physical examination to make sure you will have no issues. I am not your doctor and this is not a place to get personalized medication use advice, simply because I do not know your medical history.


2010-06-29 10:24:50Do I Use the Rogaine Dosage All Over My Scalp or Concentrate on the Crown?

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Protecting Against Shock Hair Loss

I have researched that after the hair transplant surgery, there are some patients who are experiencing a common side effects which is Shock Loss. I would like to know if this is the fault of the surgeon during the incission? Is there a way to prevent the further trauma to avoid more hair loss after the transplant? I am thinking of having this procedure done, but very much concern of loosing more hairs after the hair transplant. Please educate me. Propecia is commonly prescribed to patients before the surgery, but do you have to take this drug for the entire life or the remaining hairs will soon fall out

Shock loss is a hair loss process that accelerates immediately after getting a hair transplant. It usually occurs in the first 4 months after the surgery. Generally, Propecia will protect against most post-surgical hair loss from shock and it should be taken for a period to discuss with your doctor. The longer you take it, the better, but as hair loss is a progressive process it will kick in again when you stop the drug.

I generally recommend for patients to stay on Propecia for 9 months minimum just to deal with the threat of the shock loss, but that is not a hard rule. Everything depends upon your examination and the relationship you build with your doctor. I generally think that if you are serious about preventing any loss, men with genetic loss are best treated long term (lifetime is long term) with Propecia (finasteride).


2010-01-12 15:00:35Protecting Against Shock Hair Loss

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Do You Ever Do Small Transplant Procedures of 500 Grafts?

Do you ever do transplants with grafts as low as 500? My hair is generally really good, my hairline is normal, the top of my hair is really thick, just the crown is slightly thinner than it should be but there’s still plenty of hair there. I just wonder if they’d do such a small transplant. I’m currently taking fin and my loss is completely stabilized.

Finasteride peaking is an observation reported by doctors and Merck in the original study of the drug. Yes, I do small hair transplant sessions (FUE or Strip) with the proper indication, but I would rarely do such small procedures on a man under 25, unless I understood the reason for it. I make individual assessments each and every time I perform a hair transplant with the mandate: “Never do harm to my patient”.


2019-12-09 15:07:15Do You Ever Do Small Transplant Procedures of 500 Grafts?

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Psychological Effects of a Wig Wearer?

I have been reading your blog for quite some time and i see you repeatedly emphasis not to hold your breath on the baldness cure. I totally agree with you, my dad went to Europe in the 70s to talk with doctors and find a cure for his baldness the doctors then told him there may be a cure in 2 or 3 years! It has been 40years since then and i must admit he still has hopes that those 2 or 3 years is not far away!! Me on the other hand have no hope of seeing anything new at least till 2020 considering if the trials succeed by 2013 go for FDA approval.

So i have considered going for a wig or a hair piece, i just wanted to know what is the psychological effects that you noticed with an average person(non-celebrity) who uses a wig? Do they get addicted to it and would they be able to live without it after awards if they choose to lose it? Also how much emotional scare does it do if it comes of in a public place like a swimming pool?

What is your advice on the best hair piece available, which would look real and shows the scalp and not something that looks like a thick road kill.

Thanks.

HairpieceWhile I do hope we see a cure for hair loss at some point, we’ve all been hearing the same story for decades. Who knows — 30 years from now, people might be having a conversation about how foolish we were in 2010 for hoping the cure was right around the corner.

As for the wigs / hairpieces… well, people all respond differently. There’s possibly the initial wave of confidence, but with that comes new problems you have to deal with.

The attachments used are critical, because you do not want to make the hair loss worse from traction alopecia caused by pulling of the hair under the hair system. Most people will shave the head under the hair system to minimize the impact of traction. There are clearly limitations with a hairpiece (like swimming).

Interaction with women is a problem if the lady wants to run her fingers through your hair… and gets the hair system instead. Most men who wear these pieces realize that there is a “no-touch zone” around their head and watch people carefully when they approach (especially women or relatives).

I really don’t have advice on where to buy them or what to buy, but judging by the amount of spam I get from wig vendors that read this site, I’m sure plenty of them will offer their 2 cents.

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Do you think that microneedling daily is better?

I’ve read about someone microneedling daily, with a dermastamp I think, at 1.5mm, with great results. Do you think this is unreasonable or even risky? Or just ineffective or suboptimal? It did seem to work for that person.

There is no reason to microneedle daily. There is a wound healing cycle that microneedling invokes and this can be stimulated once a week reasonably well.

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Quaranteed, out of finasteride. How long will it take for me to bald?

I live in a small town in a 3rd world country and have to order finasteride from another city as its not available in my town. I had already ordered some but due to city level quarantine, the courier service is closed and I don’t have any fin left. How long before it loses its effects?

When stopping finasteride then the effects may last 3 weeks before you start seeing ‘catch-up hair loss’. Call your doctor’s office and they should renew the medication for you. The US postal service is working during the crisis and the pharmacies can mail it to you.


2020-04-19 12:56:10Quaranteed, out of finasteride. How long will it take for me to bald?

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Doctor Recommended Dandruff Shampoo for My Fungal Infection

Hi,
I have been losing hair on my scalp right at the centre. My doctor says its fungal infection and has advised me to use anti-dandruff shampoos. Is this ok? Can my hair be restored?

How do you know that you have a fungal infection? If you have a fungal infection, then you need to treat it with anti-fungal medications, not over-the-counter shampoos. You might want to get a 2nd opinion.


2006-09-13 09:45:49Doctor Recommended Dandruff Shampoo for My Fungal Infection

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Questions about finasteride

I’m wanting to start taking fin but I have a couple of questions on my mind if you don’t mind answering. I have an inconsistent sleep schedule. Would there be much of an issue if my pill taking is not spot on 24 hours? If for example I take 1mg at 12pm and then the next day 1mg at 10am and the following day 1mg at 11am, would that be fine?

My other question is if side effects are obvious or do I need to be searching for them? I’m thinking a lot of the sides i’ve read about would be obvious so I don’t need to stress about looking for anything bad.

Finasteride can be taken anytime during the day. Just so you don’t forget to take it, I generally recommend that patients take it in the morning when they wake up. If you get the sexual side effects, you will know in many ways. First, you might lose interest in women, won’t get an erection in the morning if that is your usual routine or the erection you do get is not hard as it usually is. You will know if you have the side effects because men focus on their penis, often too much (according to some women) but that is our hormones telling us to procreate.