My Hair Falls Out with Skin Attached!

Hello Dr. Rassman,

I’ve noticed that sometimes, when my hair falls off, it’s not just simply the hairs. Sometimes I see dry bits of skin that look sort of like the image you have on your website showing the FUE method (only instead of looking fresh and fleshy, it looks dried up): Photo

I’ve actually had this happening for a while now, and I am balding, so I was wondering whether this has anything to do with it. That I can see, most of my hairs are fairly thick (they don’t look like they’re literally thinning), but there’s just a lot of space in between the hairs.

Is this a normal MPB thing, or do I have something else going on?

The photo you referenced (at right) are dissected follicular units of 1, 2, 3, and 4-hair grafts used in transplantation. I highly doubt you are able to see a follicular unit fall out naturally from your scalp.

Now I don’t know exactly what you’re seeing, but if I had to guess, I think you’re noticing a small white material that is attached to the ends of the hair. This is sometimes referred to as sebum or a waxy substance that your hair naturally produces (see here for more on that). That isn’t skin with the hair and it isn’t anything to worry about, but if you’re still concerned about this condition please see your doctor.