Your hair loss questions, answered daily.


Hello Dr.R. I am an 18 year old. I have been classified as a NW1 by a hairloss center online in London. I however observer minatuirzed thin hairs on the leading edge of the hairline and the leading edge of the hairline corners but the hairs beyond this very forward part of my hairline are very thick. Does this indicate Male Pattern Baldness or future hairloss? If not, till where should miniaturisation exist beyond the leading edge to say that MPB exists.

Other details- I have 12% vellus hair and 88% terminal hair (I checked) and good hair density in general.

I sincerely hope you clear my troubles like you have for several other people on this blog. Thank you for all the information Dr.R.

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It didn’t know there was a NW 1 classification. Many non balding men and women have fine miniaturized or vellus hairs on the leading edge of the hair line. This does not mean you are balding. There is no way to determine if you are going bald based on these things. If you see a hair loss “pattern” that develops, then it may be male “pattern” balding.


I get oily skin and increased libido while on zinc 50mg/day. As Zinc increases testosterone so I fear that it may increase the progression rate of my baldness. Considering that I’m also on Finasteride, will the use of zinc negatively affect my hair?

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Some studies show zinc supplements increase testosterone levels.
There are other studies that show zinc supplements doNOT affect testosterone levels.

For a normal healthy individual with genetic male pattern balding (MPB) taking over the counter supplements such as zinc would not negatively or positively affect their hair loss. It is always a good idea to follow up with your doctor if you have concerns.


Does calcipotriene, or any of the D3 analogues, stimulate hair growth?

The reason I ask is because I have been prescribed both Clobetasol Propionate and Calcipotriene to treat a chronic, non-psoriatic, scalp condition I have had for the past two decades. Severe itching and burning, but no psoriatic lesions.

After roughly one month of using the Clobetasol shampoo, sparingly and once per day, followed by liquid Calcipotriene, I have noticed the triangular-shaped area of the sides of my scalp, in line with the tips of my ears, is becoming very noticeable, as well as dark.

I did an experiment where I put ten drops of the Calcipotriene on the right side of this triangle only, once per day. After two weeks of daily application, the right side is visible and pigmented, while the left side is nonexistent. Both were originally nonexistent.

I have also noticed my crown appears to be getting much thicker as well. I have been using 2.5mg of Finasteride (generic) once per day for the past seven months, however it has only been since I have been using the Clobet / Calcipo combination that I have truly seen any regrowth or thickening.

Since there is an inflammatory aspect to alopecia, in addition to the DHT, could it be that the Clobet is contributing to the thickening as it is a super-potent anti-inflammatory?

I have heard, recently, that a misconfigured D3 receptor may be implicated in alopecia and that D3 analogues may hold some promise.

In your experience with those with scalp psoriasis undergoing topical Clobet / Calcipo therapy, have you noticed any thickening or regrowth that you could not attribute to Finasteride?

Thank you very much for your most valuable time and for all the information, and hope, that you give to those desperately seeking Susan…I mean, hair.

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vit D
Calcipotriene or Calcipotriol is Vitamin D Analog for treatment of psoriasis. There actually some thought that theoretically it may INDUCE hair loss. Some recent papers suggest it may help for those with alopecia areata but only for those with a specific vitamin D receptor (VDR) mutation.

Your specific question is likely pertaining to genetic male pattern balding (MPB) or androgenic alopecia (AGA). This is a separate genetic trait that is not related to the vitamin D receptor (VDR) mutation. Thus, it will likly not affect hair growth.


Many men want a beard or a goatee. They want to know how to promote beard hair growth. Unfortunately beard hair is a separate genetic trait much like male pattern balding. If you were not born with the genes for beard hair growth, you can’t grow a beard. Some try Rogaine with minimal success. One other method would be a hair transplant surgery using scalp hair. The following is a video showing the process.


What are the best options for improving my transplant scars so that I can wear my hair shorter?

I had strip done 10 years ago with DR .xxxx (for privacy name omitted)

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There is no universal answer or solution. Some try scar revision surgery. Some try FUE to scars. Some try SMP to scar. My Scalp MicroPigmentation reviews have been very positive. See the results on the video.

Scalp MicroPigmentation and hair transplant FUE Review of this patient’s Experience on his scalp scar and hair restoration.


So my hair is thinning in the front and I would love to find a product that I can use everyday for styling that makes it look good?
Right now I use dry shampoo and I style that way but it’s drying out my hair… I wouldn’t use gel or hairspray because it makes my hair look oily which makes me look even more bald. I would love a product that keeps hair in a style but also looking dry so it looks more full.
Thank you so much in advance.

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Many men and women use Toppik, Dermmatch, or similar concealing products to thinning hair. Scalp MicroPigmentation is a permanent concealer. The some of these women had Scalp MicroPigmentation as well as hair transplant surgery.


I see you posted about this website before – It recommends treating hair loss by using the muscles at the front and back of the head to move the scalp back and forth.

I know this is unscientific and likely ineffectual. But I actually discovered how to do these exercises as a way to self-treat tension headaches and scalp tension, before I read the website or had any hair loss.

So my question is, might such exercises have any impact at all on miniaturizing follicles, particularly those being treated with minoxidil? I still like to moderately exercise my scalp in this way during the day (when no-one is looking, of course) but wonder if there might be some negative cross-over effects to moving about the scalp and follicles?

On the flip side, scalp exercises seem to be recommended to help loosen it prior to hair surgery?

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Someone put the time and energy to put together that information.

From a medical point of view, scalp exercises will not grow hair or help miniaturized hair.


I had a hair transplant by fue technique and as to be expected I did start shedding around the 2nd week point. However, when I inspect the shedding hairs I noticed that some of the transplanted hairs that shed are short and some are longer. Is it normal to have different lengths of transplanted hairs? Or does that mean something that isn’t a good sign?

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It is normal to have different length of transplanted hairs. Doctors usually trim the hairs before FUE. Doctors are not the best hair stylists or barbers so they may have not trimmed your hair perfectly even.


I m thinking Smp for my strip scar.can it be done without shaving?

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Yes we do this everyday at New Hair Institute. See the video and the reviews:

RealSelf Patient Reviews of Jae Pak, MD


I have a question about temporal hair peak, my temporal hair peak in my left side has disappeared whereas the right side temporal hair peak is still ok, thus it makes an asymmetrical looks. It does not bother me since the temporal hair peak is not as important as baldness, however, I just want to know that does loss of temporal hair peak indicate the onset of hair loss on my scalp? And will my right side temporal hair peak follow the loss with my left side? Cheers

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Your description of asymmetrical temple peaks are relatively common. It is one of many examples that humans are not perfectly symmetrical. It does not signify the onset of hair loss.


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