Hair Loss InformationStress Hair Loss in Men and Women – Hair Loss Information – Balding Blog

I recently had a breast reduction performed under General Anesthesia and stated losing a lot of hair. Could general anesthesia cause hair loss?

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In some women who have female genetic alopecia (and with what I refer to as fragile hair), we see hair loss that results from stress. Assuming that there is no medical condition going on, this type of stress hair loss takes on two forms. The first form is typical, progressive genetic hair loss which comes on in phases and at different ages, then stabilizes for years before going into another progressive phase. The second form is less common, but it results from stress and often reverses within a year or less. We see a common variation of this second type of hair loss with pregnancy and in some women who have the stress variation, they often see a repetitive pattern of hair loss with stress, re-growth, then loss again with the next stressful reaction.

Stress induced hair loss is also common in men with genetic balding and is often seen as the precipitating cause that starts the process. Most common amongst the social precipitating factors for men include divorce, death or sickness of a family member or close friend, and stress in school or work.

South Africa Doctor Recommendation? – Hair Loss Information – Balding Blog

im from south africa. im 22 years old and losing hair from the front to the back.im busy using minoxidil.its working a little bit but not to much.do you know of any good hair doctors in south africa as good as you for hair implants? i would really appreciate your help. thank you and best regards

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Rogaine / minoxidil does not work well for the frontal area, while Propecia does work nicely at preventing hair loss in a person of your age. The effects of Propecia will probably impact the entire head if you catch it early enough.

I do not know of any doctors in South Africa that I could recommend. I always go to the ISHRS (International Society of Hair Restoration Surgery) website for physician searches, but after such a search there, it did not turn up a doctor recommendation. That does not mean that there are no good doctors in South Africa. If you do find local hair doctors, please remember to conduct interviews with each physician before making any decisions about having surgery. You might also consider coming to the US, but frankly at 22 years old, I would expect that your response to Propecia is worth exploring BEFORE you consider a hair transplant.

Hair Loss InformationAny Hair Cloning Update Yet? – Hair Loss Information – Balding Blog

I’m curious how many years away you are from being able to implant cloned follicles?

I’m a 28 year-old with significant thinning in the temple region and mild thinning elsewhere. I have been taking Propecia for about 3 years trying to delay the need for a transplant. So far, it’s working somewhat. My hope (fingers crossed) is that if I can stave off the inevitable for a couple more years, you’ll have the technology to clone my follicles. I’m nervous about donor area scars and the ability to create density. I assume that when you’re able to clone follicles, you will have solved my biggest worries.

Thanks for you help.

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The topic of hair cloning comes up quite often, but there really isn’t anything new to report. Similar questions I’ve previously answered in this blog can be found in the hair cloning section.

I do not expect that hair cloning will be available for commercial use in the next 10 years. The political problems alone might take that long even if we had the solution in our hands today. As it presently exists, the science may be 10 years away and that could be an optimistic view. For you to wait until cloning becomes available will mean that you will have to live with your progressive balding for as long as it takes. Most men want hair when they are younger, so going bald may not be a good answer for you.

Today, I met with a man who had a single hair transplant in 1998. He was fairly bald (Class 6 pattern) and had amazing results (unusually good hair). He told me that the hair transplant was the best investment he has ever made. Had he waited for cloning, he would not have been able to enjoy the hair these past 7 years.

Nizoral and Fungus – Hair Loss Information – Balding Blog

Hello,
I was wondering about a couple of things: first about Nizorol? I believe I have a fungal problem and have flakes that sometimes become hardened and also bloody. Sometimes I can pull out a little hard bloody or red piece of I guess dandruff or skin?? I am not sure what that is. I guess my scalp is not in a good condition. Can Nizorol help this?

I guess this would be my first concern, If you can answer about this that would be great.

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It sounds like you have a dermatological condition of your scalp skin. I do not like blindly treating something that I have not examined, but a good dermatologist can make a diagnosis and then recommend the appropriate treatment. If, for example, you have psoriasis, then your solution of using Nizoral will probably not be effective. It becomes a hit or miss game to try and treat on your own, not a scientific one where the skills and years of experience of an appropriate doctor are brought to bear in making the diagnosis.

Transplant Hairline, Drugs for Crown? – Hair Loss Information – Balding Blog

sorry to bother you again just one more question. the front of my hair is going quite fast so i was thinking if it was possible to put hair transplants just for the front because that would look so much better. and then i would just use the minoxidil for the back?
best regards

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You need medical treatment first, before surgical treatment. Propecia should be tested for a period of 8 months. It may regrow your crown hair. Hold off on the transplant option, as you will have a lot of time to consider having surgery. A try with Avodart may be appropriate if Propecia does not control the balding within 8 months.

Hair Loss InformationProstate Cancer Prevention – Hair Loss Information – Balding Blog

I ran into the following article which shows the general direction for exploring the prevention of prostate cancer. The following is the introduction to the the journal article.

INTRODUCTION: If an agent can slow the growth of existing prostate cancer cells, it remains plausible that it may be effective as an adjunct to surgery, radiation or chemotherapy.

DISCUSSION: Level-1 evidence will be needed in order to definitively prove the efficacy of agents as chemoprevention strategies for prostate cancer. Currently, only finasteride fulfills this criterion. Two major trials are underway that will assess the role of soy, vitamin E and selenium in prostate cancer prevention.

CONCLUSION: Tantalizing prospects for effective chemoprevention of prostate cancer exist. Fortunately, well-conducted randomized trials will allow us to answer many of these questions within the next 2 to 8 years.

Source: Can J Urol. 2005 Jun;12(3 Suppl):2-4. Prostate cancer: chemoprevention update 2005 by: Fleshner N, Al Azab R. Department of Surgery (Urology), University Health Network and University of Toronto, Toronto, Ontario, Canada.

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Please note that Finasteride (Propecia/Proscar) is presently the only agent for prevention of prostate cancer so its use in hair loss has clear benefits beyond the ability of the drug to reduce the rate of or possibly reverse the hair loss.

Are Hair Plugs Still Used? – Hair Loss Information – Balding Blog

I am 32 years old and started balding about 3 years ago. My wife told me that I have about 60% hair loss located in the vertex of my head. The size is about 3″ wide and 2 1/2″ high. Here is my question: Do I need to wait until I lose more hair or all my hair in order to qualify for the transplant or can I start the transplant and make it a smooth transition so that no one will even notice a change?

Another question: Is hair plugs still used in hair transplants? or is this an old procedure? I do not like the look of hair plugs and it is obvious when someone has them.

Thanks.

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You should be evaluated first to see if you are a potential candidate for hair transplantation. You should also consider the use of medications that will slow or stop the hair loss, possibly even return some of the lost hair.

The hair transplant methods have advanced light years since ‘plugs’ were the norm. Although there may be physicians who still use the ‘plugs’ you are talking about, they would be practicing outside the standard of care and as such, it could be considered malpractice.

Hair Loss InformationDateline NBC on Hair Loss – Hair Loss Information – Balding Blog

There was a great story on NBC last night, where Dateline followed five men on different hair treatments for 12 months. It compared Propecia, the laser comb, Minoxidil, a European fish oil claimed to grow hair, and hair transplants.

Best Time to Take Propecia – Hair Loss Information – Balding Blog

Is there a better time of the day to take Propecia?

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I am under the belief that there is a diurnal variation in testosterone levels which are higher in the early morning than other times of the day. That might suggest that the best time to take Propecia is in the morning as the half life of the drug is only 4 hours. The half life of a drug is the time it takes for the body to reduce its concentration to half of what was taken.

Can Hair Grow In Scar Tissue? – Hair Loss Information – Balding Blog

I would like to shave my head, but have a donor scar about 1/4 ” in width….. We communicated in the past about 2 choices:
1) Scar Revision, Not sure about this one, since, it seems my scar will just stretch again…the scar reaches the lateral side of my head, about the top of the auricle apex.
2) FUE into scar….This seems like the best shot…but will I really be able to shave my head…I would think you would still see a scar even if their is hair growing through it….and can hair grow into scar tissue?

Thanks for answering my concerns

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Yes, hair can grow nicely in scars. The question then becomes, “Where will the donor hair come from?” If the scar is very wide, then the ability to produce donor hair (even with FUE) may be difficult. Some of the worst scars I have seen are very wide. In those patients with a collagen defect, the tendency for the scars to return is very high.

There are two causes of scars. The first is your body’s ability to heal. Some people with the same surgery that you had, developed no scars. The second cause may be technique-related and there are a number of techniques that work well in those patients with wide scars. These techniques include a) limited fascial repairs, b) balloon and expander use. Provided that there is no defect in the healing ability of the patient and the presence of non-stretchable collagen (no Ehlers-Danlos Syndrome) then there is a probable solution to your problem. As you appear to be in the Los Angeles area, I would be happy to meet with you to discuss your options.

With regard to shaving your head, even under the best of end results, some scar will remain, albiet small, so I would not recommend the shaving option.