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My son will be 12 this August, I have been noticing lately on his pillow in the morning, there is some lose hair on it, I would say about 12 strands. I have never noticed this before and I would like to know if this is normal or something I should be concerned about. I was wondering if this could be related to puberty, his voice is starting to change or if it is coincidental? Thanks for your time.

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It is normal to lose 100 to even as many as 200 hairs a day. Furthermore hair grows in cycles (see below) and you may notice more hair falling out at different phases and seasons of the month. In other words, hair growth and hair loss can be a cyclical phenomenon. Other factors certainly contribute to hair loss such as hormonal changes, malnutrition, etc. While your son’s hormonal changes of puberty may be coinciding with the hair loss, it is my opinion that 12 strands a day is perfectly normal.

Hair follicle cells have three phases of growth:

  1. Growth phase (Anagen phase) which lasts anywhere from 2 to 6 years. This is the phase where your hair is actively growing at approximately 10cm per year. 85% of hair is at this phase at any given time.
  2. Transitional phase (Catagen phase) which lasts about 2 weeks. This is the phase where the hair follicle shrinks and prepares to enter the resting phase.
  3. Resting phase (Telogen phase) which lasts about 1- 6 months. This is the phase where hair does not grow but stays attached to the follicle. Some hairs are shed at this phase, but at the end the hair follicle re-enters the growth phase to start the cycle over again. 10-15% of hairs are at this phase at any given time.


I’m 18 years and of african descent. My problem is that I’ve noticed that whenever I get my hair cut (down to the skin) the hair on the right-forward side of my head grows slower than the left. I have noticed signs of possible hair loss in future but nothing like this, hardly even a horseshoe pattern.

Also quite recently I was involved in an accident and got stitches on the boarder of my scalp (this was after I noticed thinning). I want to ask if this affects possible hairgrowth in the area. Thanks.

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It is not unusual to have hair loss around the scar for a distance of a mm or two. Most of the hair around the scar should grow back within a year but there may be a small area around the scar that will not grow hair. Sometimes, people who are genetically prone to hair loss may find that a bad cut or accident on the head could start the process off and without any balding present, the sutures can produce some hair loss. It may just appear as thinning or it could advance to general hair loss. If the scar is too big and unacceptable to you, hair transplants into the scar can help, but the diagnostic mapping of your head is critical for you to define just what is going on.


Hi doctor,
I am a 24 year old black man with no real history of baldness in my family, For the past year I have watched my hair shed every since I took the braids I had in my hair for 2 years, I have been going to see a doctor about this for the past year and in doing so they’ve checked my blood and have not found anything abonormal but I am really worried. I work fulltime, I also go to collage fulltime, getting ready to have a baby and get married, I also eat lots of fast foods. my hair never did anything like this pior to me growing braids, can you help me by giving me so advice on how to prevent my hair from continuing to shed and give me an Idea as to what may be causeing this. Thnks and hope to here from you soon

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There may be two different things going on here:

  1. Putting your hair in braids for 2 years may have caused traction alopecia if they were tight.
  2. You may have a component of male pattern hair loss (even without a family history).
  3. Or you may have a combination of both 1 and 2.


My husband and I just realize that on the side of his head he has a bald spot. Its not big, its about less than half an inch. We are both worried and we dont know what might have caused it. He does smoke cigarettes about four to five times a day, could that be the cause? if you can help me by maybe telling me what could be happening I would appreciate it. Thank you very much.

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He should see a dermatologist. I am assuming that he does not use a wig/hair system. Traction alocecia is a common causes of this with wigs. I am also assuming that he is not a hair picker; trichotillomania is not an uncommon finding and is an easily diagnosis with hair mapping for miniaturization. The diagnosis of trichotillomania appears with stubs of healthy ‘terminal’ hairs indicative of the picking problem. Highest on the list might be conditions like Alopecia Areata.


I am a 21 year old male who seems to be having rapid hair loss. My hair has always been very thick and within the last 8 months my hair just began been falling out. My hair is beginning to become very thin and noticeable. I can run my hand through my hair and have 20-30 hairs in my hand. Both sides of my family still have alot of hair. I am just wondering if it is just genetics or maybe because of a desease. What do you think I should ask my doctor???

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It is normal to lose up to 100 hairs per day. You can quantify it by collecting the hairs in a bag for 24 hrs and then counting them, but unless you stay home and follow yourself around catching every hair that comes out, you will not get them all. We generally lose hair with the wind and just walking around doing the normal things people do. To better evaluate for your hair loss, you should have your hair mapped out for miniaturization to get a diagnosis in hand. Don’t panic quite yet, but be smart on what you do now.


I am 27 year old from Bangalore, India. I have lost most of my hair due to male pattern baldness. You can say i am almost bald. I would like to get my hair back. Is there any way I can? I am not sure who to concact for this. Please advise.

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I do not know where to start. First, please review, as I believe it is as a fairly complete directory for hair loss and hair restoration information (possibly the largest and most complete site anywhere on the internet). Then review this blog site, which now has over 1300 questions and answers to various problems people have experienced with their hair. Then with that education, seek professional help. You can use the physician search at to find a doctor in your area. You must exercise your brain and do good research to avoid the scams that are widely promoted around the world. Many of them are identified on this blog site, by people like you who do good research and share that research with me. This is a buyer ‘beware business’, but there are many good things that can be done for the average person with hair loss (which impacts almost 50% of all men and women in their lifetime). Good luck with the research and target me with questions once you are more informed.


Hi, ever since I have been in grade school my hair has grown healthy past shoulder length. I am 20 now and for the past4 years I haven’t been able to grow my hair the way I use. I have ezema on my face and sometimes it comes up on the back of my neck and takes out my hair. Well it has cleared up in the past 4 weeks or so and now the middle of my hair is coming out. I am almost bald on the right side of my head. I have constantly growing on the top and a little in the back. What do you think could be causing my hair to come out on the right side

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There are many things that could be responsible for your hair loss, so you need to see a dermatologist. This is something that requires direct observation by a skilled physician. Speak with your family doctor to get an appropriate referral. If you do not have a family doctor, you can find a dermatologist at the American Academy of Dermatology website.


Hello doctor,
I am a 19 year old freshman at university. The transition seemed like a decent one. I didn’t feel like I was experiencing too much stress during the first month. However during the end of first simester when essays and midterms were coming up I started sleeping less, my face was covered with large zits that would not surface and then leave marks (some of which I still have 2-4 months later). During this period which started about 5 months ago, I was on an emotional rollercoaster too. I had almost no time to see my friends. My social life was quickly becoming extinct. I had no self-esteem because of my new-developed acne problem. It was bad. I think I have started to get the hang of the stress, now that winter is almost over everything seems a lot easier to deal with. But what I have been noticing for the last 2 months is a lot of thinning at the hairline. It was not so bad about a month ago but now my scalp is becomeing VERY visible to the point where I cannot use all the hair I have at the front to cover somewhat “balding” areas. There are no patches persay. It is ver diffuse, but also very noticable. I have had at least 3 people commnt on it. It is beggining to scare me. I have always had fine hair but my scalp has never been visible before. I started taking Vitamin B Complex about 2 months ago for the stress, and am now taking this product called samson’s secret which is full of nutrients that nurish the hair for about 5 weeks.
My question is, does this sound like a temporary thing such as telogen effluvium? And if so when should I be expecting to notice my hair back to normal? Also I am worried because final exams are coming up next month along with more essays worth an even larger percentage of my mark. I am doing amazing but that only makes my expectations of myself even higher, causing me to stress out lest I mess up and the GPA I have worked so hard to achieve and maintain falls. Does this mean that I am only setting myself up for more hairloss and a vicious cycle that will make it extremely hard for the hair to grow back?

I realize this is a rather long post, thank you so much for your time.

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Stress definitely plays a part in hair loss. However if you have a component of genetic male pattern hair loss , hair will not grow back. If this become a big problem for you, you may consider making an appointment with a hair transplant surgeon who can map your scalp hair for miniaturization pattern and formulate a Master Plan for future hair loss.

You have many issues, and some of these things like self-esteem are inside your head as much as outside. For example, when I turned 60 four years ago, the changes in my body should have taken my self-esteem down to low levels, but I somehow managed to focus on the good things in my life. I have said many times, you are the director, writer and actor in your ‘life story’, so write it the way you want it to be. Direct it to work out that way (if hair loss is the issue then tackle it correctly). Act like the man you want to be and get your grades up, for that is clearly in your power. The world will not march to a down tune, only to an upbeat one.


my hairline has receded gradually around the temples for approx the past 5 years. The recession is more obvious on one side than the other (the right side more that the left). I have one question:

Can excessive hair growth (lower neck) be a factor in hair loss?

I have hair growing on my lower neck region. This growth roughly coincided with my hair loss approx 5 years ago. It would have started as soft, blond type hair. Eventually I would have plucked them out. They are now growing quite thick. This growth is heavier on the right hand side of my neck as opposed to the left side.

Looking forward to your reply. Many Thanks

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This is actually a good question. Why? Well DHT is the cause of both the growth of the neck hair and the loss of the frontal scalp hair. DHT is the result of testosterone metabolism and it is one of the hormones that a boy’s body uses to create this thing we become, a man. These attributes include beard and body hair growth (including neck hair), a change in voice (lower tone), sweating and under arm odors, nose and ear hair (I hope you love this one), and interestingly enough, loss of the neck hair as you get older (the same hair that was grown by DHT).

I have only seen one patient who went on finasteride (Propecia) and lost body and leg hair from the blocking effects on DHT, but if you are losing your hair from male patterned genetic hair loss you should probably be on this drug anyway. Be sure to get your scalp mapped out for miniaturization before you start it and you might want to get a neck hair count to see if the actual neck hair density decreases from the drug.

Asymmetrical hair loss in the front is common with genetic balding. The one thing for sure is that the “good” side will eventually follow the “bad” side in terms of thinning or loss. Finasteride may stop this progression or even reverse it.


I had a hair transplant 8 months ago to supplement the hair transplant I had 25 years earlier. This recent hair transplant was to soften the hairline and add fullness. After about 3-5 months the hairgrafts were successful and I was quite pleased with the result. However, in late January I had major surgery (spinal fusion with titanium implants). Since that time it appears that many of the recent grafts have fallen out revealing the crude hairline from my original hair transplant and less fullness than before spinal surgery. Is this a form of “shock loss”? If so, will these grafts recovery and grow hair?

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It is highly unusual for transplanted hair (taken from the correct donor area) to fall out. In the few instances I have seen it, every time I have observiced ‘permanent hair’ falling out for some reason, the hair returned. This was never in response to another surgery (e.g spinal surgery), but rather usually a response to another hair transplant. If this is truely hair taken from the permanent zone, it will almost certainly return. What I said abobe applies to men’s permanent donor hair zone.


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