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Could This Be Shock Loss Behind My FUE in the Hairline?

Dear Dr. Rassman,

First I would like to take this opportunity to thank you for this great website.

I have two questions and i would be very greatful if you can answer them :

1. I had an FUE procedure done on the front area (frontal hair line)with approx. 1200 grafts before three months ago, the strange thing that i am experiancing is some hair loss in the area behind, which is in the mid-scalp area, is this shock loss? shedding period? or the normal genetic hair loss pattern? and how can i tell the difference between them?

2. If your answer to question no.1 is shock loss then can you tell me what is the solution for it? and is there any chance of hair regrowth for those that were lost? (By the way i have used propecia for 12 months before a few years ago but with no success and i experianced terrible testical pain)

Thank you and Best Regards.

If you were not on finasteride when you had your FUE procedure, it would almost be certain that you had shock loss. You should have worked this through with your doctor prior to having the surgery. I always assess the status of the hair behind the transplant recipient site and if it showed significant miniaturization, one could have predicted this outcome. I would need to see you and understand what the loss area shows now.

I would also have considered lower doses of finasteride, which may have allowed you to use the drug without the complication. One quarter of a pill finasteride (0.25mg) can be effective at minimizing hair loss from shock.


2009-06-11 14:38:51Could This Be Shock Loss Behind My FUE in the Hairline?

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Could There Be Hair Multiplication News at the ISHRS Meeting?

For all of us desperately following the advances in hair multiplication, do you think that any information would be available before the ISHRS annual meeting (September)in Alaska if discovered or is that venue the most likely outlet for bringing advances to the public? (So I can stop my daily obsessive searches.)

While anything is possible, if a company had a big announcement to make (such as hair multiplication being available to the general public), I doubt they’d wait to announce it just for the ISHRS meeting. These companies are usually looking for financial investors or commercial interest, so it wouldn’t necessarily make sense to hold back any good news just for an annual meeting of doctors. Now if a physician had a presentation for the meeting, that’s a different story.

Though new information could and hopefully will come out from the meeting in Anchorage, I wouldn’t expect a new hair multiplication procedure to be announced as available to the public this year. I guess we’ll find out in September.

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Could the Video Microscope (for Miniaturization Mapping) Cause Hair Loss?

Do you think it’s possible the Celestron 44300 handheld digital microscope, that you recommend for mapping miniaturization can harm newly placed grafts on someone who just had a hair transplant? (Im mainly concerned with the LED illuminator, could that possible cause damage?)

I would doubt that the light from the hand held microscope will have any impact on the health of your hair.


2009-10-26 10:55:12Could the Video Microscope (for Miniaturization Mapping) Cause Hair Loss?

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Could the Topical Steroids Prescribed for My Foot Fungus Impact My Scalp Hair?

I have a small fungus on my foot. Mr dr. gave me clotrimazole/ bethameth. could it impact mpb?

I do not think a medication for your foot or a fungus can impact the hair on your scalp. Topical steroid on your foot should not affect male pattern hair loss. If there is long term / high dose skin applications with significant steroid absorption into your body, there might be a connection. Be sure to ask your doctor this question.


2012-09-18 10:58:29Could the Topical Steroids Prescribed for My Foot Fungus Impact My Scalp Hair?

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Could Testosterone Replacement Therapy Cause Hair Loss?

Hello Doc,
I have recently been diagnosed with low testosterone levels and my doctor recommended that I start testosterone replacement therapy. Is it possible that once my testosterone levels reach “normal” or average levels that I will experience hair loss?

This is something you need to discuss with your doctor and express your concern to him/her. If you carry the genes for genetic androgenic alopecia (AGA) then testosterone replacement therapy can potentially cause hair loss.

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Could Supplements Have Caused My Sudden Hair Loss?

Hi I have recently been experiencing sudden hair loss. I am a 23yr. old male, and have always had thick brown hair. This past march I took some pro-hormone supplements (oxyguno) to help my workout program. At the end of May, I noticed my hair was alot more blonde in areas, and noticeable thinning in the front hairline. I immediately went to a physician, and he said it was probably the supplements I took. I also had two tough last semesters (both 18hr loads). My doc prescribed me some propecia & told me to take Rogaine. My hair began to shed really bad after starting the two medications. After about a month I decided to stop the Rogaine, because my scalp was itching and I was continuing to shed alot of hair.

My question is, do you think this was caused by the supplements? Also is I got back on the Rogaine do the shed hairs grow back? Also there is some MPB in the family, although this hair loss just seems too sudden.

I would doubt that supplements caused your hair loss. The stress you are apparently experiencing will accelerate the genetic process and it can happen in a relatively show time frame. I can’t say what Rogaine will do for you — not everyone reacts the same.


2009-07-16 08:55:12Could Supplements Have Caused My Sudden Hair Loss?

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Could Stress Cause a Bald Spot on the Side of My Head?

I am a 45 year old male and have had a bald spot on the right hand side of my head for about 4 weeks. There is no itching or discomfort, and its about the size of a 50p piece. I am a smoker and probably drink more than I should, my job is also quite stressful.

could you give me any advice please? thanks.

I cannot diagnose a bald spot without seeing you. In addition to stress, there could be many causes, such as a fungal infection, alopecia areata, etc…

I recommend that you see a dermatologist to diagnose the scalp condition you have.

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Could Someone Have Mixed Something Caustic and Dumped it On My Hair While I Slept?

(female)
Dear Doctors,

2 years ago i went to bed with a clean dry head and awoke to a greasy, wet head. My daughter also awoke to a greasy head. She had had a friend sleep over that night, and now after 2 years and 3/4 of my hair gone on the top of my head, and my daughter’s hair thinning greatly, all i can think of is that her friend mixed something caustic with oil and dumped it on our heads while we were sleeping. We are both losing the hair only on the crowns of our heads and not in the back. Is there something she could have put on our heads to do this to us?

Also, if by doing this she killed the hair follicles does that mean there is no chance of getting hair transplants…i know you are very busy but i would greatly appreciate it if one of you could take the time to answer my question. i am pretty desperate….thank you so much, sincerely

Your story is highly unusual. This sounds like a crime scene which may require some probing, interviews with the potential offender, etc. Yes, a hair transplant can probably solve the problem, but I would be very curious to know exactly what occurred first.

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Could SMP Fill In My Donor Scarring?

I have had some extensive hair surgery done, and it looks quite good. Still I have some scars from the 90’s transplant days and thinning in the crown. Could some SMP be done to fill in just the scars and in-between the grafts for illusion purposes? I’m afraid if I shaved it completely, there is just too much extensive donar scarring from before. I’m afraid I might be stuck at the mercy of Topik or Couvre, but the mess really is a hassle. Thanks!

If you look at our SMP site, you will see examples of what you are asking about. Micropigmentation is not as good as Toppik for thickening up areas in the crown the way you described your present problem, but if I examined you, I might be able to tell you what benefit you could get. Without examining you, I can’t guess what will happen with the pigment in the crown area where you presently have hair.

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Could SMP Damage Previously Transplanted Hair?

Dear Dr. Rassman,

I am interested in your new SMP process. I have had approximately 3000 grafts in the past and am running low on donor area.

My question is, will the SMP damage the hair that I have already had transplanted? The purpose of SMP in my case is to make the hair look thicker when it grows out.

The SMP (scalp micropigmentation) process works really well for this problem (low on donor hair), provided that you have enough hair to take advantage of the reduced contrast between scalp and skin color. SMP will not damage the previous hair transplants or any naturally growing hair that is present.