Can smoking cigs mess up your mpb from reduced circulation?
Smoking may have some effect on the blood flow to the scalp but there is no evidence that it accelerates the balding process. Stress is; however, known to accelerate the balding process and people who some often use smoking as a stress relief.
I found this picture on an internet forum. The patient wanted his hairline lowered and elected to have it lowered by a doctor who does not understand what a hairline should look like. All men, if they have a high hairline, nearly 100% of such men will have genetic hairline recession. As a man ages, the hairline will continue to go back and recede more. This particular patient now has a scar in front of his hairline which is subtle now, but will be very obvious as his hairline recedes further. Add to that the design of the hairline which is classic ‘female’ hallmarked by a rounded concave hairline that is very feminine. So this man,. may have had his hairline brought down, but he will almost certainly have problems with normality.
You need to bet both a miniaturization study and a HAIRCHECK test by a doctor who knows these modalities and can help you with the diagnosis you need. The miniaturization study will look at the back of your head (donor area) and if you are miniaturizing there, they you have DUPA (Diffuse Unpatterned Alopecia) which is a far more grave prognosis that standard genetic balding for men.
You run many risks if you scratch your recipient site. The initial risks are graft loss, but the longer term risk of the introduction of infection such as folliculitis which could destroy the grafts. Stop scratching.
I saw this post on Reddit.com. It says a lot about hair loss with the shoe on the other foot (woman instead of a man with hair loss). I always tell my patients that balding is not only what is on their head but what is inside their head. For this particular women, it appears that there is a scar on the left side of the back of her head and some thinning on the hair around the sides of her head. She would be a great candidate for scalp micropigmentation which would address the variations of her hair density and camouflage the scar nicely and possibly some other types of reconstruction procedure to bring her back to possibly a full hair normal female. In any event, she is very beautiful and has a wonderful, glowing smile., If she reads this post by me, I would be willing to offer her such processes at no charge along with other approaches that might make it easier for her to manage her balding and scars.
History: We are the modern day inventors of the FUE procedure, doing these FUE procedures longer than anyone in the world, dating back to 1995. We published the first article on FUE in 2002 (https://baldingblog.com/wp-content/uploads/pdf/mp-2002-fue.pdf) and then the rest is history as doctors from all over the world started to do them. To encourage this technique, I handed out over 600 DVDs to the doctors at the International Society for Hair Transplant Surgeons meeting in 2002. This constituted a tutorial for the doctor and after viewing it, many doctors started to offer this technology to patients in their practice. The results of their initial results world-wide was Follicular Holocaust as most of the doctors failed to replicate what they saw in the technique on the DVD or in their patients who had the FUE procedure performed by them. Their failure rate, unfortunately, victimized many patients.
From this short term experience, Dr. Pak and I brought out of the closet the robot we built in 1998 and then added appropriate optics to the design and submitted two patents in 2003 on robotic hair restoration surgery technology. The patents were granted in 2006 so we are the patent holder inventors of the two core technologies of the hair transplant robot today. We proceeded to license a new start-up company, Restoration Robotics, who built the ARTAS robot from our core technology. The reason we invented the robot was because too many doctors failed to perform FUE successfully with the manual techniques I had developed, which is somewhat the case today. Since that time, significant improvements in the tools for FUE have been developed and the newest of these tools have been incorporated with our standardized techniques into our daily FUE offerings for our patients.
Take a careful look at the video after reviewing what I wrote below so that you can pick up on the nuances as each component of the FUE, which is very fast and difficult to see. What it shows is the use of a specialized punch as we align the punch to the center of the hair follicular unit under high powered optics. The punch is advanced at the proper angle, almost to the full length of the graft. In Caucasians, this length runs 5-6 mm on average, for the Asian, it may run 7-8 mm in length. What I defined in the article were insights into what can go wrong with FUE, for example, the presence of non-elastic collagen which may cause increased transection rates (amputation of the graft). Special skills are needed to avoid this. The FUE contains two direct steps that are unique to this type of surgery: (1) the coring of the grafts with an appropriate instrument, and (2) the plucking of the graft from the wound. Damage to the grafts can happen at both levels, first in #1, from mechanical damage from improperly aligned punches, the forces of torque which can cause tearing of the tissues during the coring phase and direct amputation of follicles in the graft from sharp punches.
Hairs in the follicular unit graft are not always aligned straight, but may splay apart. This splay can cause the mechanical punches to amputate the hairs in the splay leaving you with less hair in each of the splayed grafts. When the grafts are plucked out, the tissue type of the patient (containing more or less elastic collagen in the graft which is different in each person) will cause either an easy pluck with minimal damage (with high elastin) or a difficult pluck (when elastin is low) which if not done carefully, will tear the follicle apart. It takes years to learn these techniques and novice doctors and novice teams working with these doctors takes years to really get it right.
When the doctor cores the grafts from its home in the scalp, there are invisible collagen fibrils that anchor the grafts into the scalp (see schematic diagram on the left which shows fibrils drawn in.) There are actually hundreds of the fibrils present supporting the hair follicular graft in its home within the scalp. The surgeon’s FUE instrument must cut or tear these fibril connections and clearly that would depend upon the depth of the punch used during the coring process. Our punches go in to almost the full depth of the hair follicle so that only the fibril connections at the base of the follicular unit graft remains. To remove the grafts after the coring is complete, the graft is plucked out of its home ‘bed’ in the scalp tearing these distal fibrils that anchor the grafts. Most doctors use some type of drill with either a sharp or dull punch and never advance the punch below the half-way mark of the grafts, (including the ARTAS robot), so more pulling is needed to get the grafts out (look at the video which shows the plucking process below with minimal pulling required). The deeper the punch goes, the lesser number of fibrils that remain. The less the elastin component of the collagen (elastic collagen) in the fibrils, the greater the difficulty to pluck out the grafts and the higher the risk of tearing the follicular graft unit apart. So to make for perfect FUE grafts, you have to (1) align the punch perfectly with the hairs in the center of the punch (using high powered microscopic observation), core it at the proper angle (the angle is not the angle that the hair exits the skin but a more acute angle which is determined by the surgeon’s judgment and the surgeon’s feel of the punch). When plucking occur, it must be carefully done or tearing the grafts will occur.
I have included (1) some pictures to the left of a typical follicular unit with its all of its anatomy which must come out during the FUE process to get perfect grafts, (2) some different size grafts from 1-4 hairs each and (3) an unusual 10 hair follicular unit (an anomaly) is shown. The key to a great FUE is speed as well as all of the elements discussed above. The grafts must be preserved in an appropriate cold storage solution while it awaits placement and the grafts must be kept out of the body in as short a time as can be accomplished, therefore, the speed of the surgeon is one of the critical factors in minimizing out-of-body exposure for the follicular unit grafts. If you time the extraction rate in this video, you will see a rate of ~36 grafts per minute, a speed that may or may not be achieved throughout the entire surgery. Our general speed averages between 1000-2000 grafts per hour and this depends upon the amount of ‘elastin’ that is in the patient’s collagen. It has taken us years to build up our speed of the surgery and to develop the quality control processes that go with the speed. We also have an expert team surrounding us to make sure that the grafts will survive. We have 22 consecutive years of experience with FUE (since 1995), more years in this business than any doctor or medical group in the world.
I am a user of low dose Finastride (0.25 mg). I experienced high sex drive after 8 months. I don’t have impotency. I masturbate double my usual amount. After masturbating, I feel exhausted, depressed and can’t think straight for several hours. Is masturbating less the only answer?
Yes!
Yes, people with watery semen often see some improvement in time, but many don’t. Remember you are still capable of causing pregnancy even if your semen quantity is less and watery.
When people get reasonable results from finasteride and then stop it, they get what I call “Catch-up hair loss‘ which means that you lose not only the hair gain you got on the drug but all of the hair you would have lost had you not taken the drug. Hopefully 1 month may be enough of a gap to reverse the stoppage.
Some doctors just push numbers to make money when they do FUE grafting. I believe that this is such a case I picked up on the internet which shows some patient victimized by too many FUE grafts. The only options to treat this is with Scalp Micropigmentation, a tattoo for the donor area something we do all the time. Overharvesting to make money, is as immoral as a doctor can get. This was a woman who from the pictures, did not have much hair loss and fully 80% of women have miniaturization in the donor area which will absolutely cause this problem, This picture is one months following the FUE surgery and I suspect that there will be little growth and she will be bald in the back of her head.
You are likely to get thickening of your hair, highly likely as finasteride (Propecia) works well for young men your age.
Minoxidil does not impact the hairs that you are losing from miniaturization and genetic hair loss, it does grow new hair. So what you are seeing is the shedding of your native hair.
My early hair loss makes all this exceedingly difficult for me as my situation is with women. I’m already a 22 year old kissless virgin, though I’ve been working very hard lately to change that. I get dates from time to time but it goes nowhere. Part of this is me panicking, in a sense of feeling like I’m running out of time (I’m 22), because, once I’m bald I know things will be significantly more difficult with women MY AGE. I know, generally speaking, that women don’t care as much when you get into your 30s and over, but without sounding like a douche, I want to be able to experience girls closer to my age, and I don’t want to have to wait that long. Even though, by then I’d be a virgin well into my 30s. That means I’d be screwed anyways. I may go back to school and this would be a distraction for me, but the problem will still be there when I meet a woman.
Much about hair loss is not what’s on your head but what’s inside your head. Women perceive insecurity and insecurity is not sexy or attractive. You may perceive this as a hair problem, but look at a lot of guys your age or slightly older who have girlfriends and I’l bet that some may have early recession or even more hair loss and still get dates. You need to recognize who you are, what is your value as a human being. Speak with your parents or older friends and open up with them and I am sure you will find out that what is happening to your hair is not your big problem. You might even seek a therapist who can work through your own personality development. I know that men in their late teens and early 20s, have not fully developed the pre-frontal part of the brain, the part that is central to the personality you develop and the relationships you will develop as you get older. Play it cool and you may be surprised when you meet a girl at school, that the meeting and the relationship will flow more easily. To manage your insecurity you must recognize your value and that will project to the women you meet. The older you get, even if you lose more hair, you will see your relationship with the world around you different.
Hello sir, I’ve read about you a lot on internet. I would definitely want to post some pics of mine to show you my baldness. Here is the link https://drive.google.com/drive/folders/0B0LjCHwTVmTxdnc4RVl4NHRJVTA?usp=sharing I’m balding. I used to have huge dense hair, and now it seems very thin. I was born with a bit wide forehead like my father, but not as wide as it’s now. In my family, no one is bald, but my mother and sister have experience hair loss for the past few years. I’ve been experiencing my hair loss for past 7 years. It might be due to vitamin deficiency, or due to excessive masturbation. Yes, I do masturbate often, many times a day. I don’t know, what is the particular reason behinds my hair loss. I’ve visited many doctors, and have been prescribed many medicines, but none have worked out. Could you tell me a bit, what type of hair loss, I am experiencing and it’s remedies? Will I regain my natural hair if I opt for hair transplant? Thanks a lot.
You do not look like you have significant balding at this time as your hairline is in the normal position without any recession. Masturbation does not cause hair loss no will a lot of sex, I think that you are worrying to much about your hair. Go on with life and ignore your hair until the time you see recession of your hairline, which according to your family history on the male side is unlikely as there is no genetic balding on the male side of either family.
We have known for some time that finasteride can alter brain function in some people as we side effect in a few patients that change mood. This article points out a mechanism in those patient with Post-finasteride syndrome (this is a very, very small subset of people who take finasteride, possibly less than 1:1000 people). Despite these findings, nobody knows whether there is a causal relationship with Finasteride, especially it would be interesting to know if depressive or other patients have similar findings. You can see these same brain changes in stressed-out OCD or panic disorder patients who are decompensating and have never taken finasteride. The message here, is be careful how you interpret these findings.
https://www.sciencedirect.com/science/article/pii/S0960076017301024