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Temple Hair Transplant

Between the ages of 20-23 I went to an Norwood 2. Since the shedding of the hair at my temples, my hair has thickend elsewhere. Can a hair transplant be done just at the temples? Who could I contact for such a procedure?

What I am about to say relates to your age of 20-23. I would recommend first that you get your hair mapped out for miniaturization to determine the degree of the genetic hair loss that you have now and to get a good baseline for future reference. Then, based upon that examination (under the direction of a doctor), you may start on Propecia for your hair loss and take it for at least 8 months to 1 year and see if the temples return to the levels you want. Propecia may help regrow hair in the temple area. At the very least, it is worth an attempt. Beware of any person who would recommend surgery for you because he/she may not have your best interest in mind. I feel strongly that a trusting, supportive doctor-patient relationship is necessary in the hair restoration process. If you have any questions about the above information, I would be happy to answer them by email, telephone, or in person. If you live too far from California, I am more than happy to try to recommend a dermatologist in your area. I can be reached by phone at 800-NEW-HAIR.


2006-02-07 11:17:24Temple Hair Transplant

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Temple Hair Loss

Hi, I am interested in possibly obtaining your services. In particular, I am interested in the FOX procedure. My problem areas are in the temple region. I live in MD so I have included some attatchments of the temple region. The ones that look like I have less hair is what I kind of look like in the morning. The ones that look like I have more hair is after I have brushed my hair. As my hair grows longer the hair around the temple region doesnt look as thick as the rest of my hair. I am currently taking propecia which seems to have stop the hair loss but I believe I started it a little to late to help my temple region. So my primary go is to thicken the areas of the temporal region. I may also be interested in some small things such as thickening some of my facial hair. If more pictures are needed I would be happy to get them to you. I am not sure what the next step is so I’ll be looking forward to hearing back from you. Thanks.

P.S. I am 27 years old.

Nice to talk to you today. You reported that you have been on Propecia for 9 months. In addition, you saw a doctor from another clinic who suggested that you visit me and get an FUE (FOX) procedure into the temples.

I have reviewed your pictures. At 27 years old, I am generally very cautious. Before I would even consider adding hair density to the temple region, I would want to assess your overall future balding possibilities, looking for miniaturization throughout the head. I would also want to see what your temple densities are. As you are on the East Coast, I would recommend that you visit Dr. Robert Bernstein in New York where he can make such an assessment. He is an excellent doctor whose opinion should have great value. No one wants you to take unnecessary risks, particularly me, so a good opinion from Dr. Bernstein will determine the best approach. His website is bernsteinmedical.com.

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Temple Hair Loss and Transplantation (with Photos)

Hey Doc,great site!
I know people ask about temple thinning a lot, but are usually referring to the corners of the hairline. Well, I have a question about the real temple area (above the sideburns). If this area is thinning does that point to MPB or something else? Thanks!

Losing hair in the area that I call the “temple peaks” may be part of the balding process in some men. Hair transplants to this area takes a special skill to make it look truly natural. I have seen more problems with the transplants done in this area from doctors who have not mastered the hair process. I posted an example of one such patient that came to see me for a repair after he went to a doctor that obviously didn’t understand the art of transplanting to the temple area — Temple Hair Transplanted in the Wrong Direction.

Here’s a patient we did at NHI with 150-200 grafts places into each temple. The before photo is on the left, after on the right. Click the photos to enlarge.

 

And here are even more patient temple hair transplant examples:


2010-03-19 12:44:09Temple Hair Loss and Transplantation (with Photos)

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Telogen Shedding Years After Genetic Hair Loss Was Detected?

I have heard that early androgenetic alopecia can present itself as an episodic telogen shedding. Can this happen also at an advanced stage, say, 8-9 years after AA was first detected?

Genetic balding first presents with miniaturization in those that are impacted. The miniaturization usually is progressive with thinning hairs that can be seen by a doctor’s video scope and the hair bulk can be measured with the HairCheck instrument. Continued shedding is common, as the hair loss process is progressive

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Telogen Effluvium & Propecia

Hello, Dr.Rassman.
I have been on finasteride and minoxidil for eight months. In the first five months, they worked fine for me with shedding about ten hairs in my hand while shampooing. But after five months, shedding increased apparently and the situation seemed to suit for the Telogen Effluvium. Someone told me it was induced by finasteride and rode it out. Is it a good sign to indicate the possibility to reverse MPB? And if I experienced a Telogen Effluvium and rode it out, does it have the possibility to reoccur again?
Thanks.

What you are describing is the acceleration of the hair loss process that normally comes in spurts. Propecia does not cause this; it generally slows it down or stops the loss. Unfortunately, the genetics in some men has a stronger influence than the DHT blocking ability of Propecia. On the other extreme end, we have had some patients completely reverse the male pattern baldness, even in the frontal area where it rarely works to reverse it.


2005-09-02 12:30:16Telogen Effluvium & Propecia

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Telogen Effluvium from Depakote, now 2 years later my hair is miniaturized.

I had drug induced TE from Depakote. I stopped the medication almost 2 years ago. My hair has grown back and I don’t have MPB. But my hair is miniaturized all over. Is it normal and permanent? Thanks.

If you are saying that the hair, when it came back, was of a smaller caliber, then this may be a permanent effect. I would have to see you and examine you with a trichoscope to understand the problem you pose


2021-03-01 06:47:40Telogen Effluvium from Depakote, now 2 years later my hair is miniaturized.

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Telogen Effluvium After Illness?

my hair has been rapidly shedding since March within two months of being sick. I noticed little white bulbs at the end of the hair. The hair on top, sides and back become difussed, now all of my neck hair has receded. The Derm says I have TE. does it sound like TE? Derm explained hair cycle phases. Am I in the Telogen phase.. Hair stops growing and shedds? when does it stop shedding.?

Thank you

Telogen effluvium (TE) can occur after a stressful illness. It does sound like that’s what you’ve got, but without examining you for myself I couldn’t really say one way or the other with certainty. People with RE will often have a positive hair pull test. If you are going through TE, it will usually stop within 6 months after you are fully recovered from your illness. Learn more about TE at eMedicine.


2009-05-08 10:29:51Telogen Effluvium After Illness?

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Telogen Effluvium After a Medication Overdose

Can antidepressants, antipsychotic, betablockers & more medications after years on and off using cause hairloss? different structure, color and even thinning like miniaturization thin? I found sometimes a very long thin hair in the back and side of my head with less pigment in my hairline i can found them to.

I also now have Telogen Effluvium for the second time. 6 months ago i had a big telogen effluvium shed overall on my head. The cause was dramatic stress and heavy dieting. Now i still have TE, 3 months ago i had a overdose of medication. The overdose really damaged my health now, how long do you think TE will continue?

I’m losing thick hair overall and also in the front, occasionally a thin hair. If i had have hairloss from medication that i have using for 7 years can it lead to permanent hairloss? Can TE make the hairline worse?

Thank you for helping, i really appreciate it

Let’s keep it simple. Telogen effluvium (TE) is not permanent hair loss. It is temporary and the hairs should grow back within a year. Stress (extreme stress – as you write about) can also cause some diffuse hair loss but most people generally recover and grow back their hair with in a year. Genetic hair loss for men is known as androgenic alopecia (AGA) or male pattern baldness (MPB). There is a “pattern” to the thinning / balding… like a receding hairline. A receding hairline does not usually happen with stress or TE.

I don’t know what medications you’re specifically taking, but it wouldn’t be unusual for some people to see hair loss from some antidepressants. I couldn’t say one way or the other if it was your medication that caused your hair loss, though. The reason for your hair loss could be from other medical or genetic causes.

Bottom line — if you are worried about hair loss, see a specialist or discuss it with your primary care doctor. There’s only so much I can offer online without an examination or proper medical history.

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How do you tell someone you care about him and that he is balding?

Be honest and that shows you care. Men often deny early balding and by the time to stop denying it, the are past the point when they might have prevented or reversed it with medications. This goes to extremes and the denial can occur over a generation to the point where men can’t even see what happened to them such as those with the awful comb-overs whose wives and family never say a word. I know your question is really about early balding, but by being open and frank, you can show how much you really care and take a load off of his back.


2017-01-05 11:57:15How do you tell someone you care about him and that he is balding?

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Tell Me What Prescription Medication to Use!

Hi, I’m 22-years-old (111 lbs) and started to diffused thin when I was 17. At the time, I was under severe prolonged stress and eating turkey with wheat bread for every meal for 7 months due to digestion problems, and using Nizoral to treat dandruff.

Since then, for the past 5 years, I have kept most of my hairline, excluding the receding area around my right-temple.

Most of the thinning is near the crown and on top of the scalp. The left-temple still has its shape but the hair quality is noticeably thinner than the rest of the hair on the sides.

I have been on-and-off Minox 5% for the past 3 years; Finasteride 1 mg for 16 months; miconazole nitrate cream for 6 months; and Folligen since the last month.

Overall, I have been trying to convert my vellus hairs into terminal ones, but so far I have not been successful. Should I drop Finasteride and go for either Dutasteride (? mg) or RU58841?

Thanks and looking forward to your response.

Sorry, I am not your prescribing doctor and can’t tell you what medication you should take. Dutasteride’s proper dosage is still undetermined, it isn’t FDA approved for treating hair loss, and as it is a much stronger medication, the side effect risk is likely greater (and longer lasting). As for RU58841, the last I remember it was some experimental lotion that was tested on macaques years ago.

You sound desperate to try anything, but with severe stress and malnutrition, your hair loss should be one of the last concerns you have.