I would need to examine you and find out what classification of hair loss you have. For example, do you have some frontal recession? At this age, the best treatments are finasteride with minoxidil. I would try it for a full year. A hair transplant at your age, would catch you in a transition to balding and just make it worse. There is never a rush to do a hair transplant because so many young men who rush are sorry that they did it.
Hair transplants are certainly not for everyone. Most women with miniaturization in the back and sides of the head (80% of women who are losing hair fall into this category), men under 25, people who don’t have evident balding in some part of the head, other diseases that are present (mal-nutrition, terminal diseases, other systemic diseases that may interfere with your results or increase your risk from a medical point of view, or taking medications causing hair loss that you must take. unrealistic expectations, most commonly inadequate finances to cover the costs that reflect that hair loss in men is a progressive process.
I had 2000 grafts into my two corners and now, 8 months later, it all looks thin. Is this a failure of the surgery?
Certainly, if each side received 1000 grafts, then this is not reflective of such a number of grafts. I would return and see your doctor as most doctors will ‘make things right’ and redo the hair transplant assuming that you still trust the doctor
Sometime we doctors don’t come up with a solution for thinning in women, even with extensive blood testing. A simple cosmetic approach is the use of Scalp Micropigmentation, something that I performed on my own family with great success. The cosmetic approach works well for men and women when surgery or drugs just will not help the situation as shown here: here: https://scalpmicropigmentation.com/thinning-hair-gallery/
I just wanted to ask you about this potential region of hair thinning at the nape of my neck. I attached a photo below that shows this in clear lighting. What are your thoughts about this? I have noticed this for around a year now. I am 19 years old with no known deficiencies. The first photo is the spot a year ago. The second photo is the spot now.
I don’t see the spot now. Thinning nape of the neck hair is genetic but not associated with Male Pattern Balding directly. Nothing to do about it.
Hello, my name is Samah and I am from Yemen. I want to share my prolonged journey with Alopecia. I was diagnosed with Alopecia when I was ten years old. I had suffered since then going through all different stages of it until I reached the last stage where I had not a single hair on my body. I have tried many medications to alleviate my problem and not many of them were of any good. I am currently using Diphencyprone and it is serving me better than the previous prescriptions I had taken. However, I have to keep using it for the rest of my life in order for its effect to last.Since I got the disease, my biggest worry was to pass Alopecia to my children. I was so scared of the idea that any of my children could actually inherit it from me and suffer the way I did. I am 31 years old now and married with two kids. I was happy that my first child was healthy, but my fears came about in my second child (Hassan).
Hassan was a healthy happy child, but giving the war situation and the fear we have lived in, Hassan’s psychological health was affected by the air-strikes and bombings which left him vulnerable to Alopecia. One day, I painfully noticed a small bald spot in Hassan’s head. At first I thought it was a temporary thing and that it would go away after a while, but unfortunately, his hair kept falling until he reached the last stage of Alopecia with no hair left. I felt helpless and hopeless knowing how many doctors I had tried with no use.
One day, I accidentally watched a video on YouTube about a doctor from UAE who was talking about a new natural medicine that helped many people with the same problem. I thought back then to myself “why don’t we try that!” So I contacted the doctor and told him about Hassan. He was interested in Hassan’s condition and suggested he tries the medicine and apply it for a sufficient period of time. The doctor had pointed that since the remedy is made of natural components, it will take time for it to show real results. Therefore, I got the medicine and kept applying it on Hassan for over six months. Fortunately, Hassan’s hair was restored and kept growing normally until he is fine again.
With hope being brought back to my heart, I am writing this because I am truly thankful and hope that my story could help any kid who is suffering from the same problem to get the right help.
Here are some pictures of Hassan before and after applying the medicine:
This is a touching story from war-torn Yemen about a loving mother and her strugle with alopecia universalis for herself and her children. We read and hear much about the war in Yemen, the cruel deaths and the starvation and we all feel great empathy for the people, but we rarely get a glimpse at the very human elements of a mother/child bond like this unique situation, something what reaches many people in the US. Alopecia Universalis is a genetic disorder that may still yet impact her child in the future. These pictures could be of my grandchildren or yours!
This patient had 700 grafts one day ago. Notice how clean both the donor area and recipient area (no scabbing present) because we washed in the very next morning and then taught the patient how to do it for himself. Immediate washing is critical for undetectable hair transplants otherwise you can walk around with scabs that call people’s attention to your hair transplant for as long as a month.
From a practical point of view, yes it does lose effectiveness as the genetic balding process advances beyond what finasteride can help. This often takes time, but even though it may lose effectiveness, it still has value and if you should stop it, you will see that you may undergo significant loss, not only what you gained, but what you would have lost had you never taken the drug.
Some people have skin that easily turns pink when it is traumatized. I can detect these patients in advance by having them scratch their forehead with their fingernails. If the scratch mark turns pink within 5 miniutes, it means that the skin is histamine positive and these patients will often retain some pink coloration for a longer time than the non-histamine positive patients
No one ever gets back their normal density. The question that should be answered is did you meet the expectations that you are your doctor set at the time of the surgery?. . Maybe your hair was fine or that the number of grafts were insufficient or you had less than good growth. In any event, you must o back and meet with your surgeon if you are unhappy
You have a Class 7 pattern of balding and to cover the entire head it would require a very high donor density if you wished to do this with hair transplants alone. You can combined FUE and Scalp Micropigmentation to achieve a full looking head of hair but that requires special expertise in planning your Master Plan for going forward. Your donor density must be measured accurately to know what your options are
Do transplanted hairs experience the same growth cycle (telogen to anagen) as native hairs? I’ve had two hair transplants several years ago and find that I occasionally shed transplanted hairs (marked by thicker, darker, healthier looking strands). Is this cause for concern and will they re-grow to the same thickness?
I believe that they have the same cycle although no one that I know of ever studied it. They usually are the same thickness as the donor hair
Hey doc, I was hoping you might be able to give me some advice. I’m a 22 year old male. I noticed my hairline was starting to recede a couple months ago. I got prescribed 1mg of finasteride and have been taking half the dose daily since the start of October. As of 3 days ago, it looked like practically my entire hairline had grown back and I was so happy about it. A couple nights ago I looked in the mirror after a shower and saw that a bunch of the hair I had regained in the temples had shed. There’s still hair in the temples filling out my hairline but it’s thin hair. I think I remember reading that shed is maybe a good thing? Any advice?
Here’s pics of my progress: 1st pic is pre-fin. 2nd pic is 1 month on fin. 3rd pic is 2 months on fin. 4th pic is from a few days ago. https://imgur.com/a/HrXqv
Great pictures and good story. I would stick to the program and see what happens in time
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