Your hair loss questions, answered daily.


I am curious. I have been taking Finasteride (1mg) for about six months now. I am a female of 46 years old.
I see that most of the comments are from men and that is why I am wondering if women can experience similar symptoms. I have already suffered from anxiety and panic attacks in the distant past but since six months they have come back and are much worse than ever before. I feel anxious all the time, I am not sleeping and I have panic attacks daily. I am wondering if it is the meds doing that? Could another woman tell me if this could be a possible reason for my extreme symptoms please. It is the only thing I can think of at this time. I am very upset and feel just awful every day. Those attacks are limiting my life and making feel so depressed. I had them under control before but cannot control them today! I am almost hoping it could be the Finasteride I am taking because I have read all the comments on this forum and many people have experienced the same as me. I appreciate any guidance. Thank you.

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First and foremost you need to go back to your doctor and discuss these issues.

Finasteride is NOT to be taken by women.


Hi Doc,  I read on a website that a doctor is offering FUE surgery at $0.50  that is 50 cents a graft in Pakistan.  What do you think?

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Your guess is as good as mine. I really can’t validate this claim.

There was a sarcastic remark made about the Taliban and how it may relate to prices.  Apparently it offended a few readers.  We apologize for the  insensitivity to those who were sensitive to the comments.



Had, what I feel was very successful strip surgery graft to frontal area at beginning of year. Full natural hairline . In light of this, pursued transplant to crown at different center (for geographical/practical reasons)  Was disappointed that  rather than 1,500 or so grafts promised only 900 were done. Reason given was lack of scalp laxity. Multi unit hair grafts were used for a total of 4,500 hairs. Crown area is question was about  14 sq in (35 sq cm) My hair is somewhat coarse, not particularly fine. I’m not fair skinned. Was interested in your opinion as to what your best guess would be in terms of final density.

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I am not here to “guess”.  You have specific numbers and it is merely about doing the math.

It is worrisome how 900 grafts will total 4500 hairs. This equals 5 hairs per graft.  This is highly suspicious since most people have an average of 2 hairs per graft.

Your 900 grafts in a 35 sq cm equals 26 grafts per sq cm.   If you really have 4500 hairs in a 35 sq cm that would be 129 hairs per sq cm.

An average non balding scalp may have 100 grafts (200 hairs) per sq cm.

If you had a successful surgery with one doctor and had a disappointing experience with the second doctor, maybe you should follow up with the first doctor.



Recently, I’ve been worrying about my hair as I’m seeing more hairs fall out in the shower. The issue is that at least have these hairs are short (1 inch or less), thin and tapered at the end, not the root. My hair on my head in general does not look or feel any thinner but the amount of these types of hairs falling out is concerning me. Are these types of hairs an early symptom of balding? Thanks.

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Male pattern balding (MPB) is a genetic trait. The hair loss is apparent from a certain “pattern” that develops.  The morphology of hair may be an sign of hair loss as miniaturized hair is smaller in its diameter.  However ALL of us (even those who are not balding) have miniaturized hair.  It is part of the cycle of hair.


I am an African American woman and have braided hair…is it safe to use Rogaine on my scalp???

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If you are losing hair, it would be advisable to find the cause for the hair loss before seeking treatment.  Rogaine is a medication to grow hair.  It does not matter if you are African American, a woman, or have braided hair.  If you are concerned about hair loss, treatment options, or side effects associated with medications, please see a doctor.


Will Hair Grow Back When I Lose it From Stress and Diet Problems?

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Sometimes yes and sometimes no is the answer.  For those individuals who have genetic hair loss, these stress factors tend to accelerate a normal hair loss process which does not reverse once accelerated. In some people, a telogen effluvium starts which is reversible and in a few, this type of problem can be cyclical when hair loss and stress are related in non-genetic balding.


This is a note I sent to a patient I saw today.

You have had previous hair transplants done by a Los Angeles doctor who has since lost his license. You received 3400 grafts in the front of your head. You were very frightened about the prospect of being bald at that age of 23. Now you are 31 years old and started Propecia 4 months ago. You want to know the status of your balding situation.

Today’s we used the HAIRCHECK instrument on your head. Measurements indicated that you hair bulk in the frontal 3 inches of your scalp exceeds the hair bulk of the donor area by 30%. Comparing the crown and the back of your head, the measurements were comparable.
This tells me two things:
  1. You are not presently balding
  2. Your hair transplant done years ago was done on a young man that probably was not balding but driven to have a hair transplant out of fear of balding. Frankly, you were taken advantage of for the money. I am ashamed that doctors in this field would take advantage of your youth and naivety.You agreed with me that in hindsight, you were driven by fear, not balding
The good news is that you should stop the Propecia and if you are ever concerned again about balding (which I believe will be unlikely for your future), please come back and let me retest you with the HAIRCHECK instrument.
As a side note: I would agree to (1) help him file a complaint with the medical board if the doctor was still licensed in California and (2) I would put him in touch with a lawyer to facilitate a malpractice action against the doctor and act as an expert witness on his behalf.


A young woman wrote this a while back and this week, just four days before these pictures were taken, we moved her hairline back to her 15 year old concave hairline. This is the same hairline that my wife had done here over a year ago. This rounded frontal presentation is a classic female look.

female corner hair line transplant

female corner hair line transplant


Surgical Complications in Hair Transplantation: A series of 533 Procedures


Surgical complications in hair transplantation can sometimes be a serious matter. Most of the published literature on this issue deals with individual case reports rather than larger series of patients.


The authors analyze complications in 425 consecutive patients undergoing 533 hair transplantations.


Patients with androgenetic alopecia (407 men and 17 women), cicatricial alopecia (9 men and 8 women), and malformations (1 man and 3 women) with a mean age of 36.9 years (standard deviation, 10.4 yrs) underwent hair transplantation between 1995 and 2006 and were followed up postoperatively for at least 1 year. Data on surgical complications were retrospectively analyzed.


The overall complication rate in our series was 4.7%, including enlarged scar (1.2%), folliculitis (1.0%), necrosis in the donor area (0.8%), keloids (0.4%), bleeding (0.2%), hiccups (0.2%), infection (0.2%), and pyogenic granuloma (0.2%). The frequency of enlarged scar increased proportionally according to the number of surgical procedures.


The hair transplantation complication rate in this series was 4.7%. Good communication between patient and surgeon, a complete clinical and laboratory assessment of the patient, accurate surgical technique, specific equipment, a trained surgical team, and careful postoperative attention to the patient are crucial for successful hair transplantation and for decreasing complication rates.)


The authors have no disclosures with respect to the contents of this article.

Reprint requests: Sandro Salanitri, MD, Santa Casa São Paulo, Rua Cesário Motta Júnior, 112– Vila Buarque, São Paulo, SP 01221-020, Brazil
Dr. Salanitri is from the Department of Surgery

Dr. Gonçalves is Chief, Head and Neck Surgery Division, Department of Surgery

Dr. Helene is Chief, Plastic Surgery Division, Department of Surgery.

Ms. Lopes is a medical student at Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.

Drs. Salanitri and Helene are members of the Brazilian Society of Plastic Surgery.

Copyright © 2009 American Society for Aesthetic Plastic Surgery, Inc. Published by Mosby, Inc. All rights reserved.

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This is a review of a patient who had a hair transplant surgery to address the thinning and a high forehead.  The hair transplant established a non-balding “frame” to his face, but the SMP gave him the look of fullness.

**click on the photo for better resolution**


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