Your hair loss questions, answered daily.

 

Hair growth has been reported with PRP (Platelet Rich Plasma) injections which utilize many injections into the scalp and doctors are now doing this wold wide to induce hair growth where there is great need for it. I have been hesitant to accept this treatment because there are no good studies that prove it works. Maybe it does in some people, but clearly not all people, so that is the problem.

Nicole E. Rogers, M.D. reported (in the Hair Transplant Forum, January/February issue, on some research done in India where doctors used a roller micro-needling technique to produce multiple wounds in the scalp to see if it grew hair. Each session lasted 20-25 minutes. These treatments were given every week for 4 weeks, then every other week for 11 sessions for a total of 15 sessions. At the end of six months, three patient reported a greater than 755 increase in their hair. The forth patient reported a 50% increase in his hair. At the end of 18 months, all patients reported that they maintained their new hair.

It was interesting to note from Dr. Rogers, that PRP is like the micro-needling. So I ask: Is is easier and less intrusive to do micro-needling with a roller rather than PRP?

So like any good capitalist, I went on to the Amazon website and found you could buy a dermaroller which essentially does the same thing as I discussed above, for under $20. Of course, you cold come to my office and I could charge you $1000 for each 20 minute needle treatment, but you won’t get a dermaroller to take home to try to save you the money the next time (the material I wrote here on the dermaroller is written to be funny, of course). Is this Black Magic?

 

CDC recommends young women avoid alcohol unless they are using contraception

USA Today (2/2, Szabo) reports, “Women of childbearing age should avoid alcohol unless they’re using contraception, federal health officials said” yesterday. “‘Alcohol can permanently harm a developing baby before a woman knows she is pregnant,’ said Anne Schuchat, principal deputy director of the Centers for Disease Control and Prevention.” Schuchat pointed out, “About half of all pregnancies in the United States are unplanned, and even if planned, most women won’t know they are pregnant for the first month or so, when they might still be drinking.”

The Washington Post (2/2, Izadi) reports in “Health & Science” that “an estimated 3.3 million women who drink are sexually active but not on birth control,” according to a CDC report released yesterday. In addition, “three out of four women who want to get pregnant don’t stop drinking alcohol when they stop using” contraception. The agency “warns that consuming alcohol during pregnancy can lead to fetal alcohol spectrum disorders,” and “there is no known amount of alcohol that’s safe to consume while pregnant.”

Hair transplant surgery, or in fact any surgical procedure has the potential to harm a fetus in the first trimester of pregnancy. For women who have such surgery and are not on birth control pills, they should get a pregnancy test BEFORE undergoing any such type of surgery to avoid miscarriages or other fetal problems.

 

I spent about an hour tonight on youtube reviewing a Denmark based hair stem cell clinic with other offices in Europe (https://www.youtube.com/watch?v=uu-pNdl7z38).  I watched three videos about a half an hour each. What I saw was flamboyance with 8 star offices. One office was based in a castle,  very impressive spokesperson, communicative in multiple languages including English, and lots of fluff. When it got down to the reality of what they were doing, it was FUE, plain and simple. It was a limited procedure that they demonstrated, and despite the claims that they were extracting stem cells and that one hair would produce two, and two would produce forr and so on, the reality of what my professional eye was seeing was nothing more than a limited FUE procedure with no stem cells other then those normally found in an FUE graft and no cloning. I am asked many times about Dr. Gho’s stem cell technique and heretofore, have not commented on it.  I teach my patients a very basic principle about balding, that there is a limit to the amount of hair that one has. Short of an act of God, no doctor has yet gotten two healthy hairs from one, four hairs from two and so on. Somehow, Dr. Gho did not look like the God I know. People with advanced balding patterns must have limited goals. What I saw were a few patients who could never achieve any sense of reasonable results for the balding patterns they showed and with the number of grafts that were offered. I know that pomp and fluff sells and the dream of hair transplant patient world-wide is to have either stem cells or cloning solve their hair shortage problem, but I would suggest that readers of this blog follow the old adage that ‘let the the buyer beware’ and let it be a guiding principle for everyone looking into hair transplantation. I must be lucky because most of the patients I see, educate themselves about this hair restoration process and would never fall for scams. When patients just don’t know, I push them to get educated and this is why the editors write this blog, to educate our readership.

 

This type of complaint is not totally unheard of. Shrinking of the testicles after taking Propecia for one day is an impossibility, yet some people have reported this before. It is a reflection of a condition called Body Dysmorphic Syndrome (BDS) and we see similar things reported by some patients some of the time. It is not that these patients don’t really believe it, but their reality is different than most people’s sense of reality. I have also heard of one patient who reported taking the first dose of Propecia and an hour later, reported he was impotent. This again, is highly unlikely and is a psychological reaction to what some people read on the internet and the suggestive power of these words to their psyche.

 

If you ever heard someone tell you to “get your head together’ I don’t think that they were tell you to get a new head as these researchers did here:

This is a technical challenge for the surgeons doing these head transplant, but it is a real ethical issue for me as we know monkeys are thinking, feeling beings.

 

I have heard from reliable sources that Donald Trump has had more than one scalp surgery to treat balding over 20 years ago. Many people who have had the older types of hair transplant procedures from the 1980s and 1990s often received deforming procedures that caused significant scarring on the scalp. Visible deformities can be covered up with good styling camouflage. In the 1980s and early 1990s, the hair transplants were created by pencil sized plugs and were often accompanied by hideous looking scalp reduction scars which, when the surgeon tried to cut out a bald scalp, left terrible deformities on the scalp. Today, hair transplants are created by moving hair in their natural growing groups of between 1-4 hairs each from the back and the sides of the head to where the balding problem exists.

I have heard that Donald Trump was a victim of these outdated techniques. Putting things together and relating it to my vast experience with patients who came to me to treat such deformities with ‘comb-overs’ or ‘comb-forward’ hair styles to hide these hideous deformities, I would guess that Donald Trump is a victim of these old surgical procedures and uses his now distinct hair style to cover it up. As long as he maintains this hair style and does not lose more hair, he will hold his iconic look.

The good news is that most people who were so victimized, have since come to be repaired with the more modern techniques developed over the past 20 years or so. Vice President Joe Biden is a good example of a politician who used to have a pluggy frontal hairline. Now, he proudly shows off a nice, frontal hairline with no evidence of any preexisting problems. I suspect, that Donald Trump is hiding something similar, using his dyed blonde hair and his ‘comb-forward’ hair style to hide his secret.

 

CHICAGO – A Cook County woman is suing a physician, alleging negligence, after her husband died while undergoing an elective hair restoration procedure in December 2014. The suit alleges that despite the patient’s history of heart disease, no EKG monitoring was used during the operation, which may have prevented his death. This is now the second death that I am aware of. The need for proper monitoring during any surgery is critical during any surgical procedure and I think patients would insist on having the doctor on-hand able to handle any eventuality that occurs that puts you at risk. Some doctors are know to leave the office during a hair transplant procedure leaving the care of their patients to technicians. Both Dr. Pak and I are experience and trained in advanced life support so we can handle any emergency that occurs.  Hair transplantation (including FUE) is a surgical procedure and as such, REQUIRES the doctor’s presence through the entire procedure and that the doctor is prepared for any eventuality. We have done over 15,000 surgeries without incidence.

 

FUE review at New Hair Institute

FUE review at New Hair Institute

 

FUE review at New Hair Institute

Click on photo for LARGER SIZE

FUE review at New Hair Institute

Click on photo for LARGER SIZE

This patient is not going bald. He may be classified as a Norwood 2 or as having a mature hair line.   He had the surgery because he did not like his raised corner hair line.  He wanted a lower, relatively straight juvenile hair line (he once had).  He was old enough (over 30 years old) where chances of him losing more hair or shock hair loss was minimal. He understood this is a cosmetic procedure and was made aware he may need more than one surgery to achieve the density he was looking for.

He chose the FUE method of graft harvesting since he wanted the flexibility to keep his hair buzzed or kept short.

The total number of grafts he received was 1600 grafts.  He had two separate FUE procedures of 800 grafts with each surgery spaced out about 1 year apart.  The final result you see is after 2 years.  If you click on the photos for a close up ZOOM you can see that the density achieved was close to normal (non-balding) hair density.  The reason he needed TWO (2) separate surgeries was because you cannot fit 1600 grafts in such a tight space.  Each graft can be about the size of a rice grain.  After the hairs have grown out, you can fit another graft in between the spaces.

He occasionally attends our monthly Open House events if anyone would like to meet him in person.

 

A German carpenter named Clemens Bimek has developed a vasectomy valve that he has tested on himself

 

My question relates to wind exposure. I’ve read on this blog (and elsewhere) that there is no correlation between exposure to high wind gusts and hair loss.

However, I’ve also read here that most of the hairs shed daily “blow out in the wind,” and from showering, styling, etc.

I live in Chicago where I have been exposed to wind gusts in excess of 30 mph. Can this cause hair loss or would I only be losing what was already bound to be lost?

Thanks Doc!

Block Quote
wind
Wind does not cause hair loss other than the fact it may blow away falling hair. Hair loss in men in most cases is due to genetic male pattern balding. Hair loss occurs in a pattern (thus the term). If your theory of the windy city (Chicago) is true, you would see more bald men and women in Chicago. I don’t believe Donald Trump is from Chicago.

 

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