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Balding Blog – Dr. Bessam Farjo – Hair Loss Information

Dr Bessam FarjoDr Bessam Farjo graduated as a doctor of medicine in 1988 from the Royal College of Surgeons in Ireland. He spent 5 years working in the national health scheme (NHS) hospitals in Ireland and the UK training in the field of general surgery.

In 1992, he travelled to Toronto, Canada, and joined a training course in hair restoration surgery at the office of Dr Larry Fremont. He started practicing hair in Manchester later that year. In 1993, he co-founded the Farjo Medical Centre with his wife, Dr Nilofer Farjo, exclusively practicing hair restoration surgery and medicine in Manchester and London. They currently operate a busy practice to the tune of over 300 hair restoration surgical procedures a year.

In 1993, he joined the International Society of Hair Restoration Surgery (ISHRS) and has served on its Board of Governors since 2002. He was ISHRS President in 2007-2008, the first from Europe. He is one of a handful of doctors who have attended every annual meeting since the society’s inception.

In 1996, he co-founded the British Association of Hair Restoration Surgeons and served as President during 2002-2004. In 2001, he was granted fellowship of the International College of Surgeons and in 2003 fulfilled the requirements and passed the examination of the American Board of Hair Restoration Surgery (ABHRS). He has served as ABHRS Board Director since 2006.

In 2002, Dr Farjo was host, program chairman and congress organiser of the 5th Annual conference of the European Society of Hair Restoration Surgery in London, England. He served as Board Governor and Vice-President until 2005.

He is a registered member of the Institute of Trichologists (est. 1902) and has been a Board Governor and medical advisor since 2000. In 2006, he was bestowed with the title of Fellow of the Institute of Trichologists in recognition of contributions to the Institute as well as his involvement in the in research and field advancements. He is also the Editor the Institute’s Trichologist journal.

Other affiliations include member of the European Hair Research Society, Fellow of the European Academy of Cosmetic Surgery and Founder member of the Trichological Society.

He has to-date over 25 different hair and scalp presentations/publications to his credit at more than 40 different meetings, workshops and conferences around the world. Along with Dr Nilofer Farjo, he is the only British hair transplant surgeon recognised by his peers as regular educational contributor at international meetings and congresses. During the last few years alone he has lectured in the USA, Canada, England, France, Germany, Ireland, Italy, Spain, Austria, Switzerland, Egypt, Turkey, Mexico, Australia, Romania and Poland. In addition to his clinical work, he is involved in several hair research projects including collaborations with University of London, University of Bradford, Intercytex plc and Unilever plc.

See www.farjo.com for more details.

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Besides Telogen Effluvium and MPB, What Else Can Cause Miniaturization of Hair?

I know what mpb and TE and CTE is but can there be other involvement with miniaturization of a follicle? Like toxins, emotional stress for a long period, extreme lack of nutrition etc.

Add to your list: aging (senile alopecia), a deficiency of various vitamins (vitamin A, vitamin B6, vitamin B12, beta-carotene, biotin, vitamin C, calcium, vitamin D, inositol, iodine, iron, magnesium, niacin, pantothenic acid, selenium, zinc), and a series of many autoimmune diseases.

The list goes on and on.

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Benefits from microneedling didn’t last (photo)

To those who are just using Minoxidil and micro-needling only. I am just speaking from my own experience but eventually whatever gains you get from the two will not last, at least it didn’t for me. But I have continued to persist with it even though it continued to get worst. I am 39 and now starting on topical finasteride for the first time

I am not surprised that even if you got all of your hair back, once a single hair cycle completed (2-3 years) the balding would have returned to where it is now. If the topical finasteride fails and you want your hair back, a hair transplant is a sure thing for this type of balding.


2021-01-13 09:04:10Benefits from microneedling didn’t last (photo)

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Benedryl and Hair Loss

I have been taking Benadryl for years as needed for allergies. About five years ago, I started to notice that the top of my head was getting thin. I began to wear weaves because it had gotten to the point where I was almost bald at the top in an effort to cover it up. Now, it’s completely bald and I’m wearing a wig now. I’m trying to combat it by using the Keranique Hair growth system. We’ll see if it will help my hair grow back. Through researching, I realized my hair loss had to be because of Benadryl. Something should be done and we as consumers should be compensated. I’m going to speak to an attorney to see what my options are.

You should see an expert about your hair loss. Maybe it is not due to the Benadryl but something else. Focus on your problem first and think about lawyers later.


2018-10-10 12:25:19Benedryl and Hair Loss

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Benadryl and Hair Loss?

Hello Doc. I was wondering if long term use of benadryl could cause hair loss or hair thinning. I usually take two 25 mg tablets before i go to bed. Sometimes I take three. Also, could taking a large dosage of benadryl have any adverse effects on hair? I was wondering this because i accidentally took two doses(total of 4 25mg pills)in the span of an hour. This is a really great website. Thanks.

I’ve not heard of any connection between Benadryl (diphenhydramine) and hair loss. Antihistamines like diphenhydramine are not known to cause any kind of hair loss, even at higher dosages. There could always be exceptions, but I doubt you’ll see a problem.


2010-03-18 09:22:05Benadryl and Hair Loss?

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Bell’s Palsy and Hair Loss?

Hi doc, i have had a case of Bells Palsy due to extreme stress 1 year ago. After that experience i have had my hairline on the RIGHT recede. Is this due to Bells Palsy? does it have any connection with hairloss? Or is it because im constantly stressing about my condition of Bells Palsys? i have yet to recover 100%. I am about 85% and this is as far as will ever recover. Also the Bells Palsys affected my right side of my face. Please, any help would be great help as i am only 23 living day to day to try and hide my hairline. thank you doc.

Bell’s palsy is probably a viral condition. Extreme stress can cause acceleration of genetic hair loss, so that is how these two conditions are probably linked.


2011-08-15 11:07:08Bell’s Palsy and Hair Loss?

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I Believe That There Are Other Causes of Hair Loss That Have Not Been Discussed (from Reddit)

Thanks for your insights.

This has been heavily studied, and the genetic component of hair loss is well documented. We get these genes from our ancestors, and sometimes it skips generations, sometimes not. But curiosity is important, and I do believe that one should never accept what you are told without questioning it.

The real cause of hair loss! from tressless


2018-06-21 08:53:58I Believe That There Are Other Causes of Hair Loss That Have Not Been Discussed (from Reddit)

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Being young and balding

I would like to keep hair forever. But you don’t understand balding in the early 20s. Your choice of women falls greatly. I shaved my head once and got less attention from women. I look better with hair makes me look young because I am. I just want to enjoy life right now and if I lose hair in my 30s it’s ok cause by then I’m not out there chasing young sexy women. Not that life is all about chasing sexy women. But hair surely helps me enjoy being young.

There are two options that can help you. You can shave your head and get Scalp MicroPigmentation done so you always look full headed (see here: https://scalpmicropigmentation.com/bold-shaved-look/ ).

Or you might consider a hair transplant when you are a bit older. I recommend that you wait until you are 26 years-old for the hair transplant option.

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Before Selecting a Hair Transplant Doctor, Do Your Homework!

Dear Dr. Rassman,

I wanted to share my thoughts with your readers concerning the selection of a HT doctor. I had several transplant sessions in the mid-1990’s. After many years, I find myself in need of a hair tune-up and will be scheduling surgery with Dr. Rassman this Fall.

I cannot stress enough that people do their homework when selecting a doctor. You only have so much donor area. When it is gone, it is gone. No amount of money can bring it back.

Through my research concerning HT doctors I have come to two conclusions. First, see a doctor that has been awarded the Golden Follicle award. This is voted on by their peers. Secondly, see a doctor whose primary specialty is hair transplantation. There are even winners of the Golden Follicle that practice other forms of cosmetic surgery. My reasoning is that I believe that HT is both surgery and art. The more a doctor performs quality HT, the better your results![/bq]

This is good advise. And you are correct in that hair transplantation is as much an art as it is a surgical procedure. This is a cosmetic procedure, afterall!

For more tips on choosing your surgeon, we put together a checklist of sorts that I encourage people to check out — Selecting a Hair Transplant Doctor.