2019-08-22 08:46:172019-08-22 08:46:55poster on Reddit asks “Should he do it?”
Posted on Reddit today
I’m hoping that this is photoshopped. I wanted to make a comment, but the post was closed to comments. One comment stood out from earlier today which said “Stop mocking this poor dude, this how you bully a person into suicide”.
Day 11 post op, the hairline seems to be lower this morning. Is that normal? from tressless
postcount | WRassman,M.D. BaldingBlog
Post-Finasteride Syndrome (from Reddit)
2018-02-14 08:58:502018-06-22 13:07:41Post-Finasteride Syndrome (from Reddit)
Post by Reader: Benadryl and Hair loss – from FDA reports
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A Second Comment: WOW, I have been dealing with extreme hair loss for the last 3 years. I have a third of my hair. thyroid tests etc come back fine. Looked this up on a hunch. And see all these! I hope not too much of the hair loss is permanent but I am afraid that it is. Stopping nighttime benedryl immediately.
Post-Operative Questions About Telogen
First, I would like to appreciate your online service, for freely accepting questions and comments and for your valuable answers. Thank You.
I have had my hair transplant about 12weeks ago of approx. 1,650 grafts. My donor area took quite some time to heal, approx. 9-10weeks, before the occasional swelling in a few spots which have now completely subsided. During the first 10 days I had some grafts fall out, which I was told was normal, over the next few weeks I lost more of these transplanted grafts as has been considered normal procedure after a hair transplant. I have had to deal with pimples/puss modules in the transplanted region occasionally and again I read that this is normal. I have used Neospirin ointment to treat these modules and it has helped quite a bit. I am also taking finasteride 1mg for about 17weeks (started 5weeks prior to the procedure as recommended by the Doctor). It is now 12 weeks, and my questions are:
- Is it possible that not all the transplanted hair has fallen out? Because when I touch the transplanted region with the palm of my hand, I still feel a few spikes here and there. Just today I noticed a couple of hairs with scab attached at the bottom fall out. Should i be concerned that even after 12 weeks not all of the transplanted hairs have fallen out?
- As I do not see much new hair in the transplanted area as yet after 12 weeks, should I be concerned, when I have been reading that by 2-3 months the new hair would start appearing.
- I am considered type VI and 35yrs of age. Even with taking Finasteride, I seem to lose at least 50-75 hair everyday after the two daily showers. Do HOT water showers have a negative impact?
Your valuable comments are much appreciated. Thank You
I am fairly sure that you are not losing hair transplants, but what you are seeing may reflect poor cleansing of the recipient area where the scabs stayed on too long. Without seeing you, I am assuming that what you are seeing is the hair from within the old grafts that is coming out (the hair that should have fallen out earlier). The ‘root’ of the transplanted graft is secure in a couple of days after a transplant until the scabs are all off. Rarely will a transplanted graft come out after the scabs are gone (in our hands in just a few days the wounds lock the hair graft into position because of the small needles we use). We have researched this extensively, and found that they can not be pulled out the earlier of (1) after 10-12 days, even if you try to pull them out, or (2) the disappearance of the scabs (usually a couple of days in our practice). In patients who do not comply with our washing protocol, the scabs may last for weeks.
Hair roots start taking hold and growing hair in 10-20 weeks after the transplant procedure, so I would not worry at this stage in the transplant growth cycle.
Hot showers will not cause hair loss, but if you are losing hair, then there may be a shock effect from the original surgery which should be about over shortly. You need to ask your doctor to map out your remaining hair for miniaturization to determine if your class 6 pattern will progress to a more advanced pattern. That should have been in the discussion when you and your doctor made a Master Plan for what was about to happen to you with a hair transplant.
Post-Operative Care and Scalp Flaking
Dr. Rassman, I think you are running a brilliant blog. After reading several posts, I am encouraged to share my own views and ask a question. I recently got a FUE megasession done in Europe and am pleased with the results, atleast till now (just 2 weeks post-op). While going through this website, I personally felt that it would be a great idea to start a new category called ‘Post-Operative Care’ since I am going through this phase myself and can feel the need to interact with others out there on the topic. Don’t worry, I don’t think it will scare away any prospective patients. It will only lend credibility to the transplant procedure.
On that note, I also have a question. I am using Minoxidil 5% to help with the growth of new hair. But my scalp in the recipient area shows considerable dryness / development of flakes when the scalp is dry. I was recommended to apply a hydrating lotion on the scalp. Would you agree with this advice and can you recommned a good hydrating cream /lotion meant for hair?
Thanks in advance.
Thanks for your kind words and for the new category idea. I’ll add a Post-Operative category now.
The results of the FUE will take 5-8 months to show, so then and only then, will you know the value of what you had done. Minoxidil does cause dryness and flaking. Any non-alcoholic creams will work. Also, try a variety of hair conditioners as well. Take risks until you find the right one. Ask your hair dresser, as they may know the best that is available in your country.
Post-Op Graft Care
Hello-
It seems like every HT Doctor recommends someting differenet for post-op care of the new grafts…..such as…..Biotin Spray…..Saline Spray…..Graftcyte….Vitamin E Oil…..to nothing….etc.
What do you recommend for post-op care of the grafts?
Thanks
You are correct. Nearly every hair transplant doctor seems to recommend something different. There are no scientific studies that indicate that one post operative care is better than the other.
It is important to note the most critical part of a hair transplant surgery is during the procedure itself (the peri-operative care). Making sure that the surgical staff kept the grafts moist, wet, and cool at all times so they have the maximum chance at survival. Once the grafts have been transplanted in to the recipient area, it should be fine. All of the post-operative care is not as important as the peri-operative care. Even if you do nothing to at all, the transplanted hair should grow just as well. In my practice, I make sure the recipient sites are kept clean with daily washings with a mild soap. For over 15 years, we’ve consistently had great results! Perhaps it was the ritualistic hair growth dance and chanting I teach to all my patients. Ha!
Post-op 1 days 700 FUE grafts (photos)
This patient had 700 grafts one day ago. Notice how clean both the donor area and recipient area (no scabbing present) because we washed in the very next morning and then taught the patient how to do it for himself. Immediate washing is critical for undetectable hair transplants otherwise you can walk around with scabs that call people’s attention to your hair transplant for as long as a month.
2018-01-04 06:50:532018-09-22 06:52:31Post-op 1 days 700 FUE grafts (photos)
Do I Have Post-Finasteride Syndrome?
It doesn’t sound like post-finasteride syndrome. You lucked out as you seem to be capable of getting erections.
How bad am I? Am I suffering from Post Finasteride Syndrome? from tressless
2018-06-13 05:43:252018-06-19 09:20:48Do I Have Post-Finasteride Syndrome?