As Seen on newhair.com

 

Patient SYZ regrets his original decision to get a hair transplant. With the plan he and his doctor put together, it would take two more procedures to complete his hair restoration.  He came to the conclusion that he wanted the freedom that a shaved look would give him but the huge scar on the back of his head excluded that choice. When he found out about the option of treating the scar and the areas of his head that were thin with the Scalp MicroPigmentation process, he became excited (https://scalpmicropigmentation.com/).

The shaved look worked well for him and it was entirely possible. After undergoing a Scalp MicroPigmentation treatment, he was able to shave his head and keep it shaved. The pigment enhanced his hair line and gave it a consistency in color, thickness and appearance. It took three sessions to achieve the results and cover up the scar which is shown in these photographs here:

https://scalpmicropigmentation.com/scar-covering/#!https://scalpmicropigmentation.com/wp-content/uploads/2016/04/new_hair_institute-scalp_micropigmentation-patient_photo-005b-scalp_scar-wm.jpg

 

Hello doctor, I have a 2 part question:

I am confused about the location of temples. I’ve been reading many of the previous posts here and I’ve heard you say a few times that people get the temples/corners mixed up and that the temples are above the ear. What I would like to know is: where exactly are the temples/temporal hair? I am having trouble understanding this.  Also, I know what vellus hairs are but I see some hairs that are longer than 2 mm (what you said were the max length for vellus hairs) that are sort of whitish near the part of my head I assume to be the temples (right near the corners).

The leading edge of a hairline often has small vellus hairs that never grow very long. Behind this there are soft one hair follicular units and behind those are two and three hair groups. It is the two and three hair groups that make our hair look full. For purposes of definition, I have put a picture of a patient where we transplanted everything in the front of his head. Notice a soft hairline that is not a line but a zone that is irregular and reaches back to fuller, more dense hair. Many of our patients tell us in emails that they are losing their temples, but what they are saying without knowing, is that they are losing their hairline as this man did.

hairline labels

 

 

This worried me as I have read that most people who complain about their penis size, find that it shrinks on Finasteride.  I believe from what I read that some people get an increased testosterone level when they take Finasteride.  I don’t really understand the complaints that some men’s penises have gotten smaller as mine got bigger.  I am now 35 year old so changes in my overall hormone balance have been stable.

You are correct that it does seem some people complain that their penis is getting smaller on Finaseride, although there is nothing to support this claim in the medical literature. Your complaint is again unique. I can’t explain either complaint.

 

I have hair loss. I also use an herbal hair color. Is using hair color promoting hair loss?

Hair coloring agents only impact the part of the hair follicle which is essentially the visible hair located on the head. Hair represents highly compressed skin which is not alive. As such, coloring agents can not promote hair loss of new hair per se. If chemicals are used which go down below the skin level, then damage to the growing elements of the hair follicles can occur. This would be difficult to do and would require a real chemical burn.

Most people who report hair loss from topical solutions are talking about the hair that is already outside of the head, the hair that we comb and style. Hair can be made brittle by the use of chemicals and as such, hair can break off, creating the illusion that it is promoting hair loss. But this hair loss is strictly above the skin and does not usually impact the hair below the skin which is deep and well protected from the things you can do to it. The new hair, which grows at about 1/2 inch per month, will replace the fallen hair almost 100 percent of the time. If you are used to hair that is six inches long, the normal replacement might take 12 months on its own (a half inch per month), reinforcing the concept that topical agents can promote hair loss.

 

I am seeing more and more patients with depleted donor areas and thinning/balding in the back of the head where the hair formerly looked normal. This can be avoided in FUE by controlling the number  of FUE grafts excised. It can only be treated with Scalp Micropigmentation which we do routinely in our office.

dda

 

“About 40% of US adults will develop diabetes, primarily type 2, in their lifetime, and over 50% of some ethnic minorities will be affected” according to the Centers for Disease Control and Prevention (CDC) and Emory University, Atlanta, Georgia, published online in Lancet Diabetes & Endocrinology.”

Obesity is the major cause of adult onset diabetes as people have great difficulty in managing sugar. If you are worried about this, get your doctor to perform a basic blood test called ‘Hemoglobin A1C’ which will tell you if you run a high blood sugar at times. I am a big fan of finding out risks and addressing them in time before problems set in. The good news is that once you know your Hemoglobin A1C level, you can take appropriate actions with the help of your doctor if needed. We know that diabetes accelerates heart disease and many other conditions including stroke, so the theme of this post is ‘find out and then take action’.

 

I have been transplanted twice. Both times, this bald spot, which was transplanted, didn’t seem to take the grafts and grow out like the rest of the hair. 

You most likely have Alopecia Areata.  This condition will cause the hair to fail to grow in an active area of the disease. I recommend that you see a dermatologist. He will look at it via microscopic examination and possibly find ‘exclamation hairs’. He will also perform a biopsy to confirm the diagnosis. This is a critical step for you because this disease can get worse.

aa in transplant

 

My uncles and father are doctors. Every one tells me that taking Finasteride is idiotic. They believe this because the drug ‘messes’ with hormones without very good reason. They believe that the only doctors that seem to think it’s “safe” are the doctors that stand to gain from prescribing it. What do I do? 

Love to hear this. If you are old enough to make your own decisions, than do what your research tells you. Ignorance can’t be excused by education so even doctors don’t really understand the pain of balding and the value of both the drug and surgery treatments for balding.

 

This 22 year old, very obsessed with a very early thinning of his right and left corner hairline, went to a doctor before seeing me. The doctor recommended 1500 grafts for him. In my opinion, there was not way that such a recommendation was warranted because (2) he was too young to have a hair transplant, and (2) if he was over 26, it will would not require 1500 grafts other than for the doctor to pay his car expenses.  There seems to be a license by doctors to victimize patient at will, and as a patient comes in holding the doctor in great esteem, this is a full abuse of his license and his profession. I condemn this practice, all too common by doctors in this field of hair transplantation. In the photos you can see marginal thinning and with his hair shaved, some thinning is clearly present. This will be best treated with finasteride which will probably reverse the process but unfortunately, the doctor won’t make any money for prescribing this medication

corner hairline shaved corner thinning

 

I am a 20 year old boy, I have been noticing hair fall eveyday.  I have read on the website progesterone cream for hair fall. Is this safe? What about PRP?

progesterone
While progesterone is generally considered a natural female hormone, biochemically it is a precursor to testosterone much like testosterone is a a precursor to DHT. (Men produce progesterone naturally  just like women produce testosterone in their body)

Without going into detailed biochemical / medical logic, there may be an academic reasoning behind the use of progesterone but it is not a standard treatment for male pattern balding.

Keep in mind, male pattern balding is a genetic condition for which there is no definite cure.  Drugs such as Propecia and Rogaine can help but over the long run the genetic predisposition will manifest.  The only FDA approved medication for the treatment of male pattern balding is Propecia and Rogaine.

Many doctors and Internet sites will promote treatments such as progesterone, PRP, low level laser light therapy but it is my opinion that the consumer take a “buyer beware” approach for every treatment as you are the only one to protect yourself.  For every success story behind these treatments, there are many disappointed consumers who have spent thousands of dollars with no benefit. Try to make sure you are not one of them.
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