Your hair loss questions, answered daily.

 

Hello doctor

I see a lot of HT photos, a lot of the patients seem to have their hair up and raised back like they’ve been in the wind. Is that just the way they style it? If I was to have a HT I’d want my hair down towards my eyebrows..

Is every patient different?

Regards

Block Quote

Hair normally grows forward in the front (parallel to the ground when standing upright). As one moves back from the frontal edge, the angle starts to change with hair pointing a few degrees upward until it reaches the front of the crown, where the frontal pointing hairs are about 35 degrees to the ground. So you see, the hair when placed by the surgeon is never placed perpendicular to the horizon. At the crown, the hair changes direction in a circular pattern (swirl) and as you look further back, eventually the hair points down and away from the front.

What you see in our patient photos reflect each patient’s styling (or lack of it), not something we do. I always put the hair back in the direction it would have been had they never lost hair and depending where I am working on the scalp, the rules I discussed above are followed with every hair placed by me. Patients generally like to play games with their hair and although a few comb it forward, most do not. Some comb it to the side with a part on one side, others comb it back with some product that they apply to the hair. Some just let it stray, taking on the character of the hair itself. If the hair is curly, then the natural state will look less groomed than if it is straight or has a nice wave to it. If you want to comb it down to cover your forehead and point to your eyebrows, you can do that also.

Every patient is different and the results we get depend upon texture of the hair, density at the area we are looking at, thickness of the hair shafts, the degree of curliness (or lack of it with very straight hair). But the hair transplant you get will be your hair, and it will bring all of its characteristics that are present in the back of the head where the hair grafts are taken.

Tags: hair transplant, hair loss, hairloss, hair style

 

i have always have had a full beard- past year i am losing facial hair- i am getting bald patches and lines of missing hair on my cheeks and chin-what is this? is there anything to cure this? i would appreciate any suggestions.–thank you

Block Quote

You need to see a good dermatologist, as such bald patches may reflect conditions such as alopecia areata. It’s possible this could be stress related, or an allergy, or something else altogether.

I can not say much more without seeing you myself… but even if you saw me in my Los Angeles office, I would still want the opinion of a dermatologist.

Tags: beard, facial hair, hair loss, hairloss, bald spots

 

(female)
Dear Doctors,

2 years ago i went to bed with a clean dry head and awoke to a greasy, wet head. My daughter also awoke to a greasy head. She had had a friend sleep over that night, and now after 2 years and 3/4 of my hair gone on the top of my head, and my daughter’s hair thinning greatly, all i can think of is that her friend mixed something caustic with oil and dumped it on our heads while we were sleeping. We are both losing the hair only on the crowns of our heads and not in the back. Is there something she could have put on our heads to do this to us?

Also, if by doing this she killed the hair follicles does that mean there is no chance of getting hair transplants…i know you are very busy but i would greatly appreciate it if one of you could take the time to answer my question. i am pretty desperate….thank you so much, sincerely

Block Quote

Your story is highly unusual. This sounds like a crime scene which may require some probing, interviews with the potential offender, etc. Yes, a hair transplant can probably solve the problem, but I would be very curious to know exactly what occurred first.

Tags: hair loss, hairloss

 

Doctor Rassman, I am sure you get this questioned asked alot, but in your opinion as a hair restoration expert, do you think by adding 0.5 mg avodart once a week to a every 1 mg propecia regimen can make a difference in loss of hair or even gain?

There was a study of a an individual who took one avodart pill once a week to a propecia everyday regimen and he saw substantial growth. The study was only on one person, but its not a conicidence that it happened when he added the low dose of avodart once a week? or do you think avodart and finasteride at the end of the day still produce the same outcome? I know at the 2.5mg it produces the best results, put more of a high side affect profile, and very expensive.

Block Quote

Both Avodart (dutasteride) and Propecia (finasteride) work in a similar mechanism by blocking the formation of DHT, but I have often stated that treating androgenic alopecia is not only about blocking DHT. I do not believe if you block DHT 100% you will stop or reverse the balding process.

I’m not sure which study you’re referring to, but if it was an anecdotal report on ONE patient, it isn’t something I would put a lot of stock into. Please note that just because there is study results available, it doesn’t necessarily make it the golden truth. Now with that said, many doctors believe Avodart is a better medication for stopping hair loss than Propecia, but I am concerned about sexual side effects and the few reports of sterility that came from Avodart.

A few patients that I treated with Avodart did get a response after Propecia stopped working as well for them. That is as much as I know. I couldn’t tell you if adding a single Avodart dose per week will make a difference, though.

Tags: avodart, propecia, dutasteride, finasteride, hair loss, hairloss

 


I am 53 yr old, African American female with lupus, it is not internally only scalp. I have seen many dermatologists and finally after 2yrs of testing, they stated it was Lupus. I have been told that my scalp is scarred. From the top of my head to near my ears, I am bald. Is there any physician in my area that can grow the hair back or is this just permanent. My scalp literally looks like Bozo the clown. Is there any help for me? I have tried cortisone injections and no help…

Please Help me what can I do? Thanks for taking time to read my story, may God continue to Bless you for the help you have given many.

Block Quote

Usually, people with lupus who lose their hair as a result of this autoimmune disease will not be candidates for a hair transplant. The Lupus Foundation of America has an article about hair loss that can result from the disease or the treatment, which you may find helpful (see here).

There is possibly a solution with Scalp Micropigmentation (SMP) if you have some patchy hair, but I would need to view many good photos of your scalp and hair loss to see if you would be a candidate for this approach.

Tags: lupus, hairloss, hair loss, female hair loss

 

I am 52 and very athletic. I started taking Androgel about 3 or 4 years ago and usually stay on a low dose (2 to 3 pumps/day) except when training hard for a marathon or triathlon (a couple a year) and I go up to 8 pumps/day. I noticed I have lost a significant amount of hair around my crown so I’m now wanting to quit Androgel for good IF there is evidence that the hair will grow back over time. Is there any evidence that this happens or have I lost that hair for good. My hair is otherwise plentiful and my hereditary traits are for thinning hair but not baldness like I am getting so I feel sure the Androgel is causing it.

Block Quote

Usually, hormone induced hair loss in men is permanent. You might try minoxidil in the crown, which might grow back some of the hair. Finasteride (Propecia) may stop the progressive nature of the hair loss while you are on Androgel.

Tags: androgel, hairloss, hair loss

 

Snippet from the article:

The group aimed to see how energy drinks affect heart health, given that these drinks, along with dietary supplements, are not regulated as stringently as new drugs that must meet Food and Drug Administration (FDA) safety requirements, Shah said.

In a literature search, they identified seven observational and interventional trials that evaluated the impact of energy drinks on QT interval, blood pressure, and heart rate.

Three studies with a pooled sample of 93 subjects had QT/QTc data. Six studies with a pooled sample of 132 subjects had blood-pressure data, and seven studies investigated heart rate.

The patients, who were all young (aged 18 to 45) and healthy, underwent ECG and blood-pressure testing before and just after drinking one to three cans of energy drink—most commonly Red Bull, but also others such as Full Throttle and Meltdown RTD. An 8.4-oz can of Red Bull contains 80 mg of caffeine, compared with 35 mg of caffeine in a 12-oz Coke or about 100 mg of caffeine in an average cup of coffee, Shah said.

Block Quote

Read the rest — Energy drinks may prolong QT interval, raise BP

It’s not hair loss related, but it’s worth a post…

This is a study by Dr Sachin Shah, presented at the American Heart Association Nutrition, Physical Activity and Metabolism / Cardiovascular Disease Epidemiology and Prevention (AHA EPI-NPAM) 2013 Scientific Sessions.

According to the report, the increase buzz may be the result of caffeine alone, but the changes in the EKG has not been explained and the relevance of it is not clear.

Tags: energy drinks, health, blood pressure

 

What is your view on using SMP for someone with a fair bit of hair, fairly stable with propecia/minox for over 10years with a bit of thinning? Wanted to fill in the crown a bit to minimize the contrast of light brown hair and the scalp of a caucasian 42 yar old male? Is this a good solution and could it negatively impact a hair transplant in the future if need be?

Block Quote

Yes, it could have value if you already have some hair in the crown. Think long term –if you lose all of your crown hair, then the SMP will not work so well, but a hair transplant could solve that if and when that occurs. SMP works reasonably well in thinning hair.

If you would like a formal consult you can send your photos to hairdoc@newhair.com (it will be confidential) and I will reply with more clarity.

Tags: smp, scalp micropigmentation, pigment, hairloss, hair loss

 

I was wondering if you have any thoughts on the new Invati Treatment for Thinning Hair (shampoo, conditioner, and scalp revitalizer) from Aveda. Supposedly it won’t regrow hair, but it will stop hair loss (at least that’s what they said in the store.) Sounds too good to be true. It also seems to be mainly targeted towards women, though they claimed it would work just as well for men.

Thanks!

Block Quote

I found the product’s page and have seen the commercials on TV. The site says it stops hair loss from breakage, meaning it does nothing for actual genetic hair loss, but rather, it may strengthen hair. I think you answered your own question about it sounding too good to be true. Having said that, if you want to try it, it is your prerogative.

Tags: aveda, invati, shampoo, hairloss, hair loss

 

Hello, I’m 26 years old and was curious if I have a juvenile or mature hairline in my photo. My hairline has been the same since I was 16 or so by looking at past photos and I’ve had no hair loss or recession in other areas. The current length of it is 1/2in.

You have my permission to use for the site.

Block Quote

Thanks for your permission to post this. Click to enlarge:

 

This is a great picture because you wrinkled your brow, as I always ask my patients to include in their photo, is touching the highest wrinkle. If you follow the highest crease, that is where your hairline was when you were 7-9 years old. The corners are rising very slightly, but this is still in the Norwood class 1 category and I would consider this a juvenile hairline still.

There is a wide range between when your hairline hugged the highest crease to a fully mature hairline. What is noteworthy about your present hairline is that the mid-line ‘kisses’ the upper crease, which is clearly the same hairline you had in the middle when you were between 7-9 years old.

Tags: hairline, mature hairline, hairloss, hair loss

 

Page 1 of 712345Last »

Valid CSS!

HTML 5 Validated