Hair Loss InformationDo Balding Men Have a Higher Risk of Prostate Cancer? – Hair Loss Information – Balding Blog

According to the Wall Street Journal (9/15/14) There was a 39% increase risk of developing aggressive prostate cancer when compared to non-balding men. This was the result of a questionnaire given to 39,000 men and fom this reason, the patients actually determined their balding pattern and their perception of the aggressiveness of the cancers. The conclusions expressed here should be evaluated with a more scientific clinical study; however because prostate cancer in the #1 leading cause of cancer in men, it may be worth taking note of this possible association. It seemed that the greatest risk may be with those men with frontal balding (what we call a Norwood Class 3V pattern) however, since this was done by self diagnosis, one can not be sure about the association. The American Cancer Society estimates that a man’s lifetime risk of developing prostate cancer is 15.3% and it carries a death risk of 2.7%. The article was written by Peter Loftus.

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We reported a similar finding here
In another post on baldingblog, we wrote about a somewhat controversial article which contradicts the Wall Street Journal article is here

We have seen well documented associations between crown (vertex) balding and heart disease which we reported here

What is clear between the two subject article is that nothing is clear.

A Review of An Eyebrow Hair Transplant: What It Looks Like After Surgery (Before & After) – Hair Loss Information – Balding Blog

NHI Eyebrow Transplant Immediately after 300+ grafts

NHI Eyebrow Transplant Immediately after 300+ grafts

NHI Eyebrow Transplant  7 DAYS after 300+ grafts

NHI Eyebrow Transplant 7 DAYS after 300+ grafts

NHI Eyebrow Transplant  7 DAYS after 300+ grafts

NHI Eyebrow Transplant 7 DAYS after 300+ grafts

This is an Asian patient who wanted to enhance her eyebrows.
She was worried about how it may look after the surgery, especially going back to work!
She didn’t see many before after photos on-line of how it looked IMMEDIATELY AFTER SURGERY so she gave us permission to use her photos.
Hopefully it can help those considering an eyebrow hair transplant surgery.
We’ll keep you posted as the eyebrows start to grow out in the next coming months..

Why dont more patients show their face after a Hair Transplant? – Balding Blog

In your before and after pictures, few patients show their face. Why is that? If I could afford a hair transplant and had a great result, I would show my face and feel proud of it.

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First, with regard to costs, the costs have dropped significantly over the past decade because of better techniques and more competition. Second, cost is a relative term. What may seem “expensive” to one person may be “priceless” to another. In absolute terms hair transplants can typically cost under $10,000 and it depends on the number of grafts you need.

With respect to patients showing their face, this is a private matter for each individual. Some patients have no issue with letting the world know of their transformation. Some rather remain anonymous. We respect the wishes of each individual. In fact most patients rather not have photos published (even when it does not show the face). Some of our best work at New Hair Institute will never be published and go unnoticed to the public. There were a few of our patients on stage and in the audience during the recent Oscars for the world to see but their results will never be published on our site. Each patient has to sign a written consent form giving us permission to publish any photos (even if it doesn’t show their face).

Before hair transplant

After 2400 grafts

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Hair Loss InformationDo All Twins With Balding Gene Lose Hair At the Same Time? – Hair Loss Information – Balding Blog

Do all twins with a balding gene lose hair at the same time? Is it possible for one twin to not have the balding gene? Or is it possible for one twin to bald at a different rate if they were at a different stress level ?

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We have seen many identical twins (same genes) over our 23 years at NHI but they do not bald or lose hair at the same time. Maybe several months to years apart. This may suggest some outside influence. For example one set of twins twin used anabolic steroid and lost his hair fast while his twin did not. Another twin used a hair piece and developed traction alopecia from the tapes and glues. The twin with more hair, at one point, was a donor for his brother who needed the extra hair.

I have seen twins without hair loss, but have not followed one of a pair with hair loss. I would imagine that stress might cause one twin to have accelerated hair loss if they had the genes for balding.

twins

How Do You Reverse Or Fix A Bad Hair Transplant Plug? (Before After Photos) – Hair Loss Information – Balding Blog

How do you undo a bad hair transplant? I see many of them on men in stores and at work.

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Hair transplant has been referred to as “plugs” and still carry that negative connotation because the transplanted hairs actually looked like “plugs”. These type of surgery were pre 1990’s work when doctors were not transplanting follicular units. Those big plugs are still around on the heads of thousands if not millions of patients. We’ve (New Hair Institute) been correcting or fixing the “bad work” for over 23 years since we opened. Instead of a lengthy explanation of how it is done, the flowing before and after photos reviews the corrective hair transplant surgeries performed by New Hair Institute over the years.
You can also see them here

Repair of Hair Transplant Plugs: The old plugs that created his unnatural looking hairline were cut out and then transplanted back in a more natural looking pattern. A total of 1212 grafts were placed in this repair surgery.

Repair of Hair Transplant Plugs: In the repair phase, the large grafts were dissected into their individual follicular units and re-implanted. One procedure of FUT provided excellent camouflage. A second session will be considered to increase fullness.

Repair of Hair Transplant Plugs: Mr. AQ had old plugs that failed to grow hair. Note the visible white scars produced by the hairless plugs. After the repair with one procedure of Follicular Unit Transplantation, the scarring was undetectable and the patient let his hair grow naturally gray.

Repair of hair Transplant Plugs: Patient JG had extensive scarring from a sew-on hairpiece and 3 hair transplant sessions using plugs, many of which didn’t grow well. Luckily, the patient had salt & pepper hair, ideal hair for a repair. Dramatic improvement was accomplished with just one session, although JG planned a second session. One problem that we could not correct was the very low hairline.

Repair of Hair Transplant Plugs: This patient had very noticeable plugs done earlier in his life and he was unhappy with the way they looked. Being a Norwood 5A, he also had very thin hair all over his head as you can see from the top-down photos we took. After three procedures totaling 5405 grafts, we were able to not only hide the plugs that he had, but we were also able to achieve a very full looking head of hair from nearly any viewing angle.

Mr. AS had a very pluggy frontal hairline from the old plug technique. A slight Widow’s Peak was created to break up the straight-line appearance of the hairline and to camouflage the plugs. This repair was accomplished with just one session of Follicular Unit Transplantation. A second session will make it perfect.

Repair of Hair Transplant Plugs: Plugs placed within patient’s old hairline by another transplant center were not too noticeable at first. However, with further hair loss, the poorly planned transplant became very unnatural. Fortunately for the patient, the old plugs were located high enough so that a dramatic camouflage was achieved with just one session of Follicular Unit Transplantation.

Repair of Hair Transplant Plugs: This patient is a 37 year-old man who had three procedures performed at another clinic. He was dissatisfied with the pluggy results. We transplanted 1,947 follicular grafts to camouflage the old plugs.

Repair of Hair Transplant Plugs: A 38 year-old man came to NHI dissatisfied with a hair transplant he had at another clinic. In his first surgery at NHI, he had his pluggy hairline removed, re-dissected, and re-transplanted. During his second surgery, his remaining plugs (not in the hairline) were removed. In his third surgery, he received 1,696 follicular units, and his results were great, but are still not complete.

Repair of Hair Transplant Plugs: Patient BII has medium weight hair of above average density (2.5/mm2). Two original sessions of large mini-grafts resulted in a hairline that was lopsided and pluggy. The patient was treated at NHI with two sessions of Follicular Unit Transplantation after some of the larges mini-grafts in the very front were removed. The hair from those grafts were subdivided under the microscope and re-implanted. We always use every single follicle!

Repair of Hair Transplant Plugs: Joe Penny came to our office a few years back to fix a bad hair transplant that utilized the old plug technique. As you can see, his three sessions totaling 3811 grafts turned out quite well.

Hair Loss InformationHair Transplantation For Generalized Thinning – Balding Blog

Even if your hair is thin all over how likely is it that you can give an appearance of thicker hair by moving some hair from less noticeable locations to the front?

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This question covers a lot of territory:

1- If there is generalized thinning over the entire head and you are a male and the thinning is in the side and back of your head as well, you might have a condition called Diffuse Unpatterned Alopecia (DUPA). This condition is not good news, and these patients can not undergo a hair transplant as there is a poor donor area and therefore the doctor can not move enough good quality hair to cover the thinning area. Scalp micropigmentation (SMP) on the other hand, may be a good alternative (see: scalpmicropigment.com).

2- If there is generalized thinning over the entire head and you are a female and the thinning is in the side and back of your head as well, you will not be a candidate for hair transplantation as the transplanted hair will have poor growth. Again as I said in #1 above, Scalp micropigmentation (SMP) on the other hand, may be a good alternative

3- If you are a male and you have thinning on the front, top and/or crown area and you are under 30 years old, the first treatment course we would be to try finasteride (Propecia) and give you a year to see if some of the hair thinning stabilizes or possibly reverses in some of these areas. If you stabilize or reverse the thinning process, hair transplants can be planned at that point in time if appropriate, however, you must work out the hair supply/demand issues with your doctor. Thinning in men evolves into balding and hair transplants do best in treating balding. When we perform a hair transplant on a young man, we advise the patient to use the drug finasteride to minimize any shock loss from the hair transplant surgery.

4- For women who do not bald but have thinning and a healthy donor area, the amount of hair that needs to be transplant may be limited by the size of the thinning area and the amount of hair one can transplant in a single session. If the thinning is great, the benefits of even a large hair transplant (say~ 2500 grafts) might not be enough to make an appreciable difference. In these situations, I might transplant a female in particular area (like the frontal area to strengthen the hairline or a central or right/left part to make the area look fuller). In this way there can be a partnership between styling and transplants. This is difficult to explain but worth a consultation with an expert in this field.

Most important, there is a balance between the demand for hair and the supply of hair as the doctor moves it around.

Hair Loss InformationCan I Swim After I Have SMP? – Hair Loss Information – Balding Blog

Can I Swim After I Have SMP?

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You have to wait about 3 days before you go swimming (ocean, lake); however, if there is chlorine in the water (typical swimming pool) you should wait at least 30 days to be sure there is no connection between the pigment and the water. When SMP is properly done, the pigment settles below the epidermis within 30 days, so the chlorine from the swimming pool can not reach the pigment. Chlorine can bleach the pigment and change its color. Ocean or lake water should be fine.

Hair Loss InformationCan a Laser Be FDA Approved For Hair Loss Treatment? – Balding Blog

I saw a website from a ‘company’ in the field of hair restoration, where the doctors were advertising several types of lasers for the treatment of hair loss saying that their devices are FDA approved. Does this mean that these devices have been tested by the FDA and actually work?

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We addressed the subject of FDA regulation with hair lasers many years ago here and here. The FDA never really approves such a device confirming that it grows hair, but in this case they cleared it to be safe for sale. It is unfortunate that some doctors seem to promote the idea that such devices are ‘approved’ by the FDA for certain hair loss treatments. The FDA does not actually test these devices on its claims of growing hair, but place the burden on the seller or manufacturer to demonstrate safety and effectiveness. In this situation, the FDA clearance for use of terminology for Low Level Light Laser Therapy seems to have faltered.

Hair Loss InformationIs There A Typical Mature Female Hairline – Hair Loss Information – Balding Blog

I am 21 years old and my hair is everything to me. I don’t want to lose it, even when I grow older. Is there a mature female hairline like the mature male hairlines you write about that I should worry about?

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Unlike the male’s mature hairline which is V shaped, the female hairlines are usually rounded. The rounded hairline may move upward and in most women who are under 40, the upward movement does not change the rounded shape. If by chance you do not follow this rule of thumb, you can always have hair transplants to restore your rounded hairline. Check it out with a doctor who understands the female patterns of hair loss.

Hair Loss InformationNot Hair Loss News – A Supercentenarian Talks – Hair Loss Information – Balding Blog

The body of a supercentenarian expands science’s appreciation for the physiological limits of aging.

This article was Published in The Scientist:

Two interviewers chatted with the now 113-year-old van Andel-Schipper back in 2003. The interview was also repeated at age 111 (neuroscientist Gert Holstege) and again at 113. She was amazing with memories going back to the details of a soccer game in 1898 when she predicted that her favorite soccer team was not going to be successful and she was right.

“She knew exactly what was going on in politics, in sports,” recalls Holstege”… “She could explain … exactly what happened in 1898 when Wilhelmina became queen [of the Netherlands].” She remembered the details of the parties she’d gone to with Dutch soldiers as WW1 began in 1914. “She was completely alert.” She died at age 115.

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I (Rassman) had a great grandmother who lived to 114 years of age and I remember her well. Like Andel-Schipper, her brain functioned reasonably well, but unlike her, she was not in a nursing home. She lived with her daughter (my grandmother). Every Sunday, the family would get together with her. She was born before Lincoln became president and was alive when I went to medical school. She gave me the following advice. “Marry a rich woman until you get established and she puts you on your feet. Then get a divorce and marry for love the second time.” It could be modern day advice for many of our peers.