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I am one month after having a hair transplant. I have been using minoxidil 5% as recommended by my doctor since the surgery. My head itches and is pealing. Can this be caused by the Minoxidil?

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Minoxidil can be an irritant and has been known to produce these side effects. I would suggest that you stop it and see if it goes away. If it is caused by the Minoxidil, it should go away in a week or two and the time off of it should not have any negative effect. I recommend that my patients who are already using Minoxidil wait for at least one to two weeks after a hair transplant, before they resume its use.


Do DHT blockers reduce body hair?

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It has been reported that both Dutasteride (Avodart) and Finasteride (Propecia) can reduce chest hair. One doctor did report that he counted body hairs and found the count dropped by half on one patient he followed. The patient, of interest, did not notice the reduction.

Based upon this, one might expect that it will also reduce nose hair and ear hair, or at least the build up of these unwanted hairs. If I knew for certain that there was a solution that was as simple as a pill, I might offer it to all of my patients and I would even take it myself. The story, however, is still out.


I understand that there is something out there called artificial hair. Where can I get it and how does it work?

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Artificial hair is a product sold in Asia and limited countries in the western world. It has been banned by most countries because it must be surgically implanted with a special sewing needle. This would be a procedure that would need FDA approval and it has not been approved as safe in the United States. Many patients’ bodies will actually reject the artifical hair as it would any foreign body once it is implanted into the scalp. I have seen some patients with wonderful results. It gives ‘instant hair’ and as a result it is a big selling point in countries where it is allowed, BUT I have also seen patients that have developed massive scalp infections from these ‘artificial hairs’. There is a trade off and safety is sacrificed in exchange for short term benefits. Biofibre is one of the sites for artificial hair. Reading it might give you more information, but I would strongly caution your pursuit of this as a solution for your hair loss.

Artificial hair does not need to be included in any hair cut and you can not grow your hair out with them as you could with hair transplants. Hair transplants allow you to grow your own, natural hair for as long as you live.


Hi, this might be an unusual question but how much and in what way can the low self esteem/ balding thing affect how a man interacts with women??

I am wondering becuase I recently dated a bald guy and I think he had a few hangups about it and I really think that it affected the way he percieved himself, and me , and the potential relationship. I only went out with him about 8 times. On our first date, he asked me if I was only going out with him because my car was towed, and this was a serious question ( he never thought that I thought he was attractive). Then when I would flip my hair around my fingers he would tell me to stop playing with my hair, and implied that I was being vain. But I have long hair that I like to twist and play with, and I kept doing it, not thinking it was an ACTUAL problem. Until he really got kind of upset, I mean he didnt yell but he got really weird and short with me and told me that It was a sign of nervousness and low selfesteem to play with ones hair….WHAT?!?!?!

Then one night I was a little late getting ready for a date with him and he asked what the hold up was, and I told him I wasnt finished with my hair, it takes an awful long time to dry it, style it, etc. So he made fun of me for it, and told me I would rather “fart around with my hair, than hang out with him”. Then he dropped the subject, for the moment..but brought it up again at dinner…but in a really sarcastic and mean way…”so what else do you like to do, besides, fart around with your hair??” Then, I tried to explain to him that my hair, while lovely and all, is really a pain in the butt to take care of…and he got mad at me and said “ya, I wish I had hair”

Our relationship ended soon after that as he got more and more focused on the idea that I was a prissy girl who farted with her hair all day long, and really wasnt attracted to him. but I was really really attracted to him. Is it in my mind, or did he have something going on in his brain because he was bald. I thought he looked very confident and masculine, its not like he combed it over…he shaved his head for godsake!!!

Is this a common thing with bald men or is it just this guy???

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This is an important question. Low self esteem is an issue for men who are impacted by balding. Balding in men, and how to treat it, goes back thousands of years as evidenced by much of what we have learned from older civilizations. But in our modern world, not only are we studying how to solve the problem of balding, we are also considering men’s feelings about balding. Just like women who are proud of a good figure, a pretty face, or a nice head of hair, men spend time grooming themselves to look their best. It is hard to groom your hair if it is not there! I often refer to the lion’s mane as a symbol of virility, for without it the lion might be mistaken for a lioness. No man wants to look less virile than they feel.

Men do get impacted by their balding. When he loses his hair, a man who has relied on his physical appearance to project his personality and virility, may then become self conscious. This may change the way he interacts with his environment. I have seen this happen to men from all walks of life – famous men, billionaires, and geniuses are no different in this respect to the ordinary, average Joe.

I remember a very wealthy man who I did transplants on, who was a great speaker, CEO of a company, dynamic and very outgoing. Two years after he had his transplants, his wife came to me and told me that the man she married came back. His hair impacted his behavior in many subtle ways that she did not appreciate until he became the hairy man she knew 20 years earlier. I was very surprised to learn about it. The person he presented to the world was clearly different than the person she knew privately. They had a very successful marriage and I envied him in many ways, that being one of them.

I could go on and on with all sorts of stories, but bottom line, be kind, do not draw attention to your hair when you are with balding man, particularly if he is sensitive to it as you claimed in your question!


I can honestly say that my thinning began in high school, I have just been lucky enough to make it this far being creative although very limited in style choices to make my hair look full,however I’ve done my best to keep what I have as healthy and free of scalp debrie as possible, The rate seems to be excellerating and concerns me greatly, I work in the public and have for as long as I can remembeer, it’s how I earn a living and provide for my children, my doctor has recently put me on 5mg. of proscar and I’m about ready to start Minoxidl.

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It seems radical for you to be taking Proscar when the drug has not been proven safe for women, plus if you are taking 5 mg of Proscar daily, this is FIVE times the dose that I prescribe for male hair loss. There are many questions with regard to your safety and as a mother who has the responsibility for your children, your future health is critical. Taking this drug may not be good for your health. There is no evidence that Proscar works on woman’s hair loss. Minoxidil, on the other hand, may work to help you out and is worth trying. I would suggest that you have a doctor who knows about hair loss in women to evaluate you. This is a specialty in itself.


I am planning to have a hair transplant, but I must return to work 2 weeks after. I am fair skinned, so I am very concerned about the appearance of my transplanted area. I do not want people coming up to me asking me what I did to my head, or in the alternative, looking intensely at my head like I was a freak.

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Pictures are worth 1000+ words. These pictures were taken today at my office, of a fair-haired patient two weeks after surgery. You can see a blush of pink, or is it just a beard that accentuates a pink that normally one would not notice? He said that the only person who commented on this was a close friend, and the patient told him it was a sunburn. He said that no one looks at it and he is not self conscience about it at all. Click on the photos to enlarge.


My doctor started me on Propecia without examining me. I have been on it for 3 months. Should I continue to take it? My hair is farily full, but my corner areas have moved up about 1/4 inch. I am 24 years old.

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If you are taking Propecia without an examination, then maybe you do not have genetic hair loss. You should see a doctor who can examine you, take measurements with the appropriate instruments, and can make the proper diagnosis. If you do not have genetic hair loss, then you should not be on Propecia.

Corner hair loss can be just a ‘maturing hairline’ and most men have a change in the frontal hairline as they move into their 20s. Most of these changes occur between 17-29 and these changes are not genetic hair loss.


I currently have used propecia for 8 years and have seen no hair loss since that point of initiation and some regrowth. I am very interested in dutasteride since it’s efficacy seems greater than finasteride. Though it isn’t currently FDA approved for male pattern baldness, do you think it safe for this use? And at what dose? Going through many blogs and websites, it seems the use of this drug for baldness is common.


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You are correct to state that the FDA has not approved Avodart (Dutasteride) for hair use. The half life of this medication is measured in weeks, not hours like Propecia, so the question is “what is the effective dose to prescribe?”. Intellectually, you can justify monthly doses, but there are no studies on safety or effectiveness which is the hallmark of the FDA. Side effects are reported more with Avodart than Propecia but then again the dose will dictate the frequency of the side effects. There is a gamble going outside the FDA approved drug route. The benefits of a theoretically more effective drug must be balanced against the safety and proven effectiveness issues.


I heard something about a place in Las Vegas that does “head resurfacing” to get rid of scars for men who are unhappy with their hair transplants and just want to shave their heads. Have you heard of such a place? Does such a procedure exist?

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Resurfacing is essentially dermabrasion where the doctor will take something like a Dremel and remove layers of skin. This clearly can change the surface of the skin, but it does produce scars and in the process of abrating the skin, it sands away the pigment cells making the skin lighter in color in the area it is resurfaced. You must be careful that the changes from resurfacing are not worse than the problem you are fixing. Any good dermatologist / plastic surgeon can do this, so you do not have to go to Las Vegas to get it done. It is not rocket science.


Hi doc… do you agree a lot of people do not lose anymore hair while on Propecia??? One doctor I have been writing to says Propecia stops the hair loss in most patients.

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I do not believe that Propecia can be reliably expected to stop all hair loss. Propecia studies done by Merck show that hair loss continues over time, but by taking Propecia the balding starts at a new level and possibly falls out at a slower rate. Their studies on patients go out now 7 years.


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