Category: Uncategorized

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I continue to shed and have some more questions

How long after a hair has been shed should you see the regrowth come through? Is telogen effluvium common in men or is it nearly always MPB? Is fin useful to prevent hair shedding?

Some simple answers: (1) telegen effluvium is rare in men, (2) young men with hair loss usually have male pattern balding and (3) finasteride is not useful in telogen effluvium. Please, for your future hair health and looks, seen a competent expert in the hair field.


2020-10-05 12:00:47I continue to shed and have some more questions

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I don’t like my hairline. I’m 28. What can I do about it?

I have a lot of neck hair, can I use it for a hair transplant?

A hair transplant at this stage and at your age may bring you up to a full head of hair providing that you stay on the drug. Stick to the donor area if you have a hair transplant and do not use nape of the neck hair as it is a problem for two reasons: (1) taking it from there leaves scars and (2) this hair is not permanent in many men. At 28 you can have a hair transplant and reshape your hairline from the donor area alone. Results can be impressive, often in one surgery, if your hair is not fine.


2019-12-12 10:34:55I don’t like my hairline. I’m 28. What can I do about it?

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Woman had hairline lowering procedure and had terrible complications

This woman reported hair loss in the frontal area (see pictures) about 2 months after she had a hairline lowering surgical procedure. These procedures are common surgeries for women who can have their hairlines lowered about an inch directly by advancing the scalp forward and surgically removing the upper forehead. The good news about this surgery is that the results, which are often terrific, are immediate and this patient reported better initial results from this surgery than she thought she would have; however, after two months she began losing hair as shown in the pictures and this hair never came back.

Hair-loss from any forehead surgery, including brow lifts or even extended face lifts, have hair-loss as an infrequent complication. In women over 40, when this happens, the hair-loss rarely returns. There is probably some genetic predisposition to this problem in these women that might eventually show up when they pass menopause. Unfortunately, this woman not only had the hair-loss as shown, but a visible scar from where the hairline was sutured to the upper forehead. The good news is that she does not have to live with this problem as a hair transplant can put the hair back and cover the scar so that she will eventually be normal with no visible scar. Somehow, this woman was not aware of this risk, and this is the tragedy. Every surgery runs a risk and we try to spell this out during our consultations and in the ‘informed consent’ that every patient signs before surgery.

Frontal loss after HLP Surgery

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I Forgot to Bring My Propecia When I Was Out of Town for a Weekend

Doctor,

I’ve been on propecia daily for 9 months. however, I went to Spain for the weekend and forgot my pills. 48 hours+ from one pill to another. Will this alter its effectiveness in anyway?

Thanks

There is enough Propecia fixed to your hair follicles, which makes the 2 or 3 days you skipped OK. Just take it as normal when you’re back home.

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Woman with See Through Hair

I am a 30 year old woman and I have always had very fine hair, even as a teenager. I am almost 100% certain that its genetic (thanks Dad!). I am also a type 1 Diabetic. After a fairly serious diabetes-related illness about three years ago, I’ve noticed my hair coming out when i wash or comb it. I don’t know if its because I’m getting older, because of my health problems or that I am just noticing it. My hair is so fine even when it isnt coming out that its possible even normal hair loss is very noticeable. I have no bald patches as such, but when my hair is wet you can see right through it and when i put it up i have to arrange carefully so that my scalp can’t be seen.

I am confused about the options available to me, especially if I’m not actually losing hair but just have very fine hair. Which treatments are suitable and effective for someone like me? I’ve read about non-surgical replacement, but I don’t actually have anything to replace.

Thanks in advance

Fine haired people have see-through hair. I’ve written about see-through hair in men before. The same applies to girls with fine hair (more-so with very fine hair), but keeping the hair longer and often in pony tails, may have hidden the see through nature of the hair.

You need to have a good mapping of your scalp to determine if you have genetic hair loss, diffuse alopecia, or other general hair loss problems. With your very fine hair, a real expert is needed to make the distinction. A hair system (wig) or hair additions will give you a fuller look, but the cost in terms of accelerating hair loss may be a problem, especially if traction is applied consistently.


2006-02-15 12:57:05Woman with See Through Hair

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I had 2500 FUE grafts, can I repeat it again?

The picture shows heavy donor site depletion suggesting that the 2,500 grafts you had were too many for your donor area density. This suggests that you had a lower original donor density prior to your original FUE and any more FUEs taken from your donor area will make you look balder in the back of the head. A strip surgery is an option but this is something that you and your doctor need to discuss. You might consider a strip surgery for more grafting.

See here for the limits for FUE surgery defined in one of my previous post in the Hair Transplant Forum: https://baldingblog.com/2017/07/21/many-fue-grafts-many-fues-grafts-one-know-safe-limits/

 


2021-08-03 09:17:05I had 2500 FUE grafts, can I repeat it again?

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A World Of Coincidences – It Is A Small World After All Dr. Rassman Finds

This is an email I received from a doctor in Brazil: “Today I had a consultation. The patient told me he was buying tickets for Phantom of Opera in New York (around 1996). Someone behind him realized he had had an alopecia reduction and a bad hair transplant (that someone was you). You talked to him and suggested to go to your office in L.A. to have a better result. Two years later he was in your clinic and had the surgery done by you. You fixed it for him.

Other coincidence: newhair.com was opened in my computer when he came to my consultation room and so was the e-mail you sent me. I showed him all the coincidences!!! I took a Picture by his side and am including it for your pleasure. It is a honour to have you as a mentor, colleague and friend.”


2015-01-08 14:14:57A World Of Coincidences – It Is A Small World After All Dr. Rassman Finds

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I Had a Propecia Shed Within a Few Months of Starting The Drug, But It Never Regrew!

Hi Doc,

I have been taking Finasteride for about a year and a half now and within a few months of starting the drug I noticed that the hair on top of my head was getting thinner. I am 37 and have extremely slow hair loss since the age of nineteen, so after research I figured it was the “propecia shed” amd that it would grow back within a few months. Well, that was eleven months ago, and it still has not been restored to what it was before starting finasteride.

Anyways, I was hoping you could give me some advice on what to do. My doctor just basically said that all I can do is try Rogaine, but there are many reasons I don’t want to use it. Is there anything you could recommend by chance?

Thank-you

The only medicinal treatments I recommend for treating hair loss are minoxidil and finasteride, as they are the only ones proven to work.

I’m not sure what I can offer you advise-wise, considering you’re already under the care of a doctor and I don’t know anything about your medical history. You took finasteride because your hair was thinning — so is it possible that you were just a non-responder and your hair loss would’ve been progressing to this point even if you hadn’t taken finasteride? Did you have any additional stress in your life that could’ve caused it to occur?

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Would Increased Minoxidil Absorption from a Scalproller Be Safe?

I’m considering purchasing the Scalproller but i’m concerned as to the safety of the increased absorption of minoxidil. In your opinion do you think it is safe if the increased absorption is so much greater? And would using the Scalproller lead to a shed similiar to the shed when switching from 2% to 5% minoxidil?

The following response is by UK-based physician Dr. Bessam Farjo:


Response by:
Dr Bessam Farjo, United Kingdom
Dr Bessam Farjo
United Kingdom

5% minoxidil is the safe limit. More may cause systemic side effects such as dangerously low blood pressure. It is speculated that the absorption of minoxidil in a lot of people is not as efficient as it could be. This is most likely due to method of application which can be influenced by the amount of hair present. I have prescribed 6% in the past without side effects and I know of a clinic in the UK that gives a 12.5% preparation! I don’t have any data with regards to their side effects. One possible side effect of too much minoxidil is a lowering of blood pressure and resultant light-headedness.

I don’t know if the scalproller will cause any shedding, but it will be one of the observations I will make when I start a clinical trial. I emphasise that at this point I see the scientific basis of such a device but cannot actually endorse the scalproller itself or support any claims that it will help with hair loss.

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Learn more about the author of this article, Dr. Bessam Farjo, on his BaldingBlog profile or at his website.