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Major Hair Loss After 5th Hair Transplant

OK, I will start at the age of 18. I took accutane and started losing hair 6 months later. I was scared so I got a hairpiece. At 30 I was talked into a HT. I then recieved 5 more over 5 years but I do not see a large portion of what was transplanted. I had great results after the fourth surgery but it seems that I am at a great loss at the moment. I am 9 weeks into the last surgery and see a “lot” of hair loss. I mean worse than I ever was. I am on everything.. propecia, minox, avacor, nizoral. I spoke with my doc and he said wait, its just a shock. I have a full head of hair except for the first 1 1/2 inch frontal. I am thinking about going back into a hairpiece after $30,000 and lots of heartache but I cannot take this roller coaster anymore. I can’t sleep, work, or think. I’m 36 and feel lost on what to do….help

Going to a hair piece to deal with a temporary problem of shock hair loss may end up making it permanent. You may have made mistakes in the past, just do not make them now. Shock hair loss is very, very, very rare after the first procedure with a person on Propecia. The few times I have seen it, the process reversed at the time the new hair came in. I would expect you to be where you want at about 8 months.


2006-02-03 12:49:06Major Hair Loss After 5th Hair Transplant

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Magnetic Helmet for Hair Re-growth

read in the news yesterday that a ‘helmet’ had been launched in the UK which uses electromagnetic waves to combat balding.It costs £750. Have you heard about this latest ‘baldness cure?’

Also – if someone has hair miniaturisation – does that indicate that those hairs will definitely be lost or is there a chance that they will just stay thin?

Thanks again Dr!

I have heard that electromagnetic waves can have a positive impact on hair re-growth. In fact, I was approached by a company wanting my endorsement on this type of therapy, but as there is no science behind these claims, I did not agree to what they were asking.

Miniaturization means that the hair shafts have a reduced diameter. In the balding process, the hair diameter generally gets thinner and thinner, eventually disappearing. Without doing something, this process is progressive. There is never any guarantee that these miniaturized hairs will all fall out. Many people who can profit from claims of producing hair re-growth and companies pushing such products are hopeful that the hair looks fuller. If that happened, one might think that miniaturization is reversed.

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Magic Shaving Powder

I once used a product by softsheen carson “magic shaving powder” on my head as to go bald for the summer but ever since i used the product, i have a small patch in frontal area of my head that grows thin. its like v-shaped patch. please advise

MagicConsider two possiblities:

  1. You always had that V-shaped patch, but never noticed it before because your hair was longer. After going bald (with the “magic powder”) it is more apparent now that it is growing back in.
  2. Magic Shaving Powder has real magical properties (not good ones of course) that you have not anticipated.
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I Made the Wrong Decision About the Doctor Who Did My Hair Transplant

Hi, I recently got hair transplantation done. The hairline is in the wrong position. My family said this is not me anymore. What can I do?

At this time there is probably nothing you can do. After your hair has grown in, find another doctor. It is critical to find the right doctor who can understand and meet your goals.


2018-08-24 06:47:54I Made the Wrong Decision About the Doctor Who Did My Hair Transplant

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Macular Degeneration from Propecia?

Dear Doctor,
I have a question about possible serious side effect of using Propecia. I am 23 years old male and I have started using Propecia one month ago. After already two pills I noticed some small defect in my vision which becomming worse in time (I was seeing crookedly by one eye). The diagnosis is macular degeneration. My ocularist thought it was caused by Propecia though there were no information about this side effect in the label. I was said that if macular degeneration appears by youth it is in most cases caused by using steroids and its interference to hormones. I have never taken steroids and so doctor thinks it is a result of Propecia’s hormones changes. I would like to ask you have you ever seen similar case of Propecia side effect? Could Propecia theoretically caused it (already after two pills)? And do you recommend me to continue with finasteride in the future? (I stopped after 15 pills and now I am much more worried about my vision than my hair).

Thank you very much.

This is a question you need to ask of your ophthalmologist. A short course of Propecia should not cause any problem and macular degeneration from Propecia is not defined as a known complication of the disease that I could find. I’ve certainly not had any patient mention anything like this to me over the years.

For more about macular degeneration, see Wikipedia.

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M 19, How severe is my miniaturization based on dermoscopy?

The average head has up to 20% of the hairs miniaturized in the donor area and even in a non-balding man; however, in the balding area, I would expect to see a lot more miniaturization in the process of your losing your hair. Please send me microscopic views of your hair mapped against your head as shown here: https://baldingblog.com/mapping-out-your-balding/


2021-02-17 09:56:25M 19, How severe is my miniaturization based on dermoscopy?

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Lysine and Finasteride

I started taking lysine with finasteride in the mornings and now my hair has been getting much thinner. Is there an interaction between fin and lysine. I’ve read that Lysine is supposed to be beneficial for hair growth?

I have no experience with lysine and finasteride together, but it you are getting a negative impact from the combination, it seems obvious to me that you should stop using it. What does your prescribing doctor say?


2012-05-22 12:17:32Lysine and Finasteride

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Lyme Disease and Hair Loss?

Hi there….I am a female with diffused hair loss for almost 19 years. Eventually it will all be gone. I have been tested for all the diseases that cause hair loss. Could Lyme Disease cause hair loss? If so what kind of hair loss is seen with the disease? Hopefully you can help me, thanks!

You should be evaluated by a qualified hair transplant doctor or a dermatologist. You may have a condition known as diffuse alopecia areata , a variety of conditions (search women’s hair loss on this site) and you may have DUPA.

With respect to Lyme disease causing your hair loss, you would have many other medical problems if you had this disease for 19 years. It is conceivable that Lyme disease may cause hair loss, but it would be very non-specific, as many other disease states and stressors can affect hair loss. Therefore, I suspect your hair loss of 19 years is not related to Lyme disease.

From my nine years working with Dr. Rassman, he has taught me a simple way to approach any cause of hair loss. Hair loss can be divided in to five causes:

  1. Genetics – such as male pattern baldness
  2. Stress – such as emotional, disease states, or trauma
  3. Hormonal – such as hypothyroidism
  4. Age – we all lose hair with age
  5. Medical diseases including unexplained weight loss

By Dr. Jae Pak

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Lowest Donor Density?

What is the lowest donor density a person can have in their late twenties, in order to have a successful transplant?

There is no simple answer to this question on donor density. First, I would want to make sure that the person should not have Diffuse Unpatterned Alopecia, which would reflect a depletee donor area in a young man (1-2% of the male population). Then, the size of the balding area (the area of the demand) and the eventual pattern of balding that would have to be maintained must be balanced in a well defined master plan with a worse case scenario put together. A good doctor can make a judgment on the value of the donor density.