As Seen on newhair.com

 

As a former patient of NHI, I remember that it was desired/required to keep the hair length longer in the donor area in order to “cover” the post surgury scar/shaved area. Do the new procedures (scar minization) used for the donor area make this no longer necessary?

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Only about 5% of former patient developed noticeable scarring. Most of these scars are the result of the healing properties of the patient, although some are technique dependent. With new techniques recently developed over the past year or two, the risk of scarring in first time surgery patients has been reduced. We have notified all of our patients from over the years to contact us if they had scars that were noticeable or bothersome. New techniques can reduce these scars and there are a series of options now available to treat problematic scars. As you can see from my publishing your question in my blog, my goal has always been to focus my efforts on good patient follow-up and communication. I want 100% of my patients to be satisfied and I will work towards that end. Please contact me and make an appointment.

 

I am a 39 year-old man whose hair is moderately thinning. I have taken Propecia for about 5 years with excellent results but now it seems to have little to know results on the crown. The past two months hair has been falling out consistently. It has finally started to stall but now there are two very noticeable areas on the crown. I never really found minoxidil too helpful. What can I do?

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You need to have an examination to determine the extent of miniaturization in order to predict what will happen to you. You also need to quantify the donor supply, so that you will know if there is enough donor hair to meet your expected needs. Transplants work well, but before embarking on this path, you need to know what your future has in store for you.

 

I would like to do a corrective procedure. I have way too much hair on the frontal hairline and I am receding in the back. Presntly, I can comb over much hair to create a look of fullnes; however, I fear a wind storm or having my hair wet; the result is too much long strand hair which looks awful (when wet or during a wind storm) ; I am tired of “faking: my hair style; I would like a style that is easy to care for. allows me to get my hair wet and allows me not to wear as much hair spray. I realize that means that I will be bald in the back-so be it. If I had my choice, I would be bald all over whithout transplamt scars and dolls hair look.

Is it do-able-I have some donor hair left but not a lot.

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When working on the crown, there is a balance between donor supply, need and the worst case scenario for your hair loss. Often the donor supply is limited and you should have some reasonable assurance that your donor supply will not outlast your need as you continue to bald. It takes a real expert to make the most out of the least. A visit to a competent doctor with experience in corrective work will be invaluable. Be sure that the doctor will watch for your long term interests and not just transplant you today for how much money he/she can make now. When transplanting the crown, you must balance what might happen to you tomorrow. Can you send some pictures to me? It might help. My email address is on the Contact page. If you are in California or can easily come to California, please visit me.

 

why can’t someone use another person’s hair if the blood types match and he is willing to donate his or her hair for you

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Good question. When you think about hair you think of that stuff that grows on top of your head. Hair on the top of your head is dead as it exits the skin. The frozen Eskimos and ancient Egyptians in the tombs still had hair after thousands of years. Of course, it is dead. Now when I think about hair, I think of an organ. Each follicular unit of hair has blood vessels, glands, nerves, skin, and fat. It takes all of this plus a growth center and the right genes and nutrition to make hair grow. Since by definition hair is an organ, transplanting the hair from someone else is like transplanting a heart, kidney, lung, etc. These organs are rejected by a person unless the recipient is given drugs to suppress rejection. If you had a twin, then hair from that twin with the exact same genetic blueprint would give you a successful transplant. We did that exact process on identical twins and it worked wonderfully. The usual problem is that when one twin has balding, so does the other.

 

I and my daughter have severe bald spots. My other daughter has a bald spot also. Not as severe as ours. My daughter is devasted. I think she can be saved from what I am experiencing. I personally feel that there is something in our system. No other family members have this disorder. We have been unsuccessful in locating a doctor who is familiar with Black Hair care or disorders. Can you help us. I now wear a wig. My daughters do various things from sew-ins to wigs. If you provide address I will mail pictures. Thank you.

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If there are spots of hair loss in you and your daughters, you should start off by seeing a dermatologist. There are genetic conditions that fit the description of what you are talking about. Please see a good dermatologist.

 

Hi Doctor,
I am an avid weight lifter and exercise quite frequently. I heard that after surgery, I won’t be able to my normal routine physical activities for 3-4 months. Is this true? What type of weight lifting am I allowed to do in that period and for how long? Thanks.

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There are two types of surgical approaches in harvesting of donor hair. One is where the surgeon removes a strip of skin and then sutures back together (standard for today’s Follicular Unit Transplantation). I generally ask people who have strip harvesting to hold off on body presses, sit-ups and other such types of exercise that can strain neck muscles for a few weeks after the surgery. All types of aerobic exercises. otherwise, are ok.

The second type of surgery is Follicular Unit Extraction (FUE), where the follicular units are harvested one at a time. With this procedure, you can resume full exercise within a few days of the surgery with no limitations at all. The FUE surgery is more expensive than the strip surgery and the surgeon can not as easily move as much hair in a single surgery. This means that FUE requires more procedures.

Patients who had FUE surgery have not complained about pain, but those that have had strip surgery generally have some discomfort, mostly on the first night.

 

I am a hindu. I have to shave my head at various religious cerimonies. is there a way where I can get a scar free hair implantation? Having a scar is out of question

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Anyone who has a cut or break on the skin develops a scar. The proper question is, “Can the scar be seen in a routine social situation?” There is a surgery (developed and published by me in 2001) called Follicular Unit Extraction, or FUE for short — otherwise known as the FOX™ Procedure. With this procedure, individual follicular units of one, two or three hairs are removed with a 1mm punch. That leaves a scar measuring 1mm and a series of these are produced proportional to the number of such grafts that are removed. These scars close by ‘secondary intention’ which means that the skin from the sides of the wound, grow to the center as the center fills from below. The resultant scar can be seen in close-up detail on the FOX Megasession page at newhair.com. Near the bottom of that page, there are photos of scars shown at different levels of magnification and with the hair clipped and shaved.

For further information on FUE / FOX Procedure, please see our FOX Procedure page.

 

I have terrible scars on my head from a burn I got when I was a child. I had many, many surgeries with balloons placed in my head to stretch the scalp and the scars (which are significantly better) are still there. Prior to the last three surgeries, I had a scar that ran from ear to ear which was about 1/3rd inch wide. The cosmetic surgeons tried to remove the scar but it kept coming back. Is there something that you can do for me with Hair Transplants?

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Yes, hair transplants work very well for the scars you are talking about. Depending upon your hair color and the density we need to get in the scars, we can usually fill scars in nicely in one or two surgical sessions. In some patients we can not push the density so more than one session may be required. Still, after just a single session, you should see a benefit of the surgery.

 

Hello Doctor.
I have visited the site you posted, www.clonemyhair.com. Within the site I read alot of information on Prof. Carl Bazan, M.D., MTTS. Have you ever heard of this Doctor before. I am asking you because I have heard alot of good things about you front the Bald Truth. In his site, http://www.itzan.com/, he claims that he is doing Dp-Hair Multiplication. My question is, have you ever heard of this doctor and this procedure. Is there any light to his claim?
Thank you.

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Hair Multiplication is not a proven technique. There is no evidence that it works reliably. Whenever I hear claims that are unsubstantiated by any scientific or objective results, I am skeptical, to say the least.

 

I have bleached blonde hair which I have been bleaching for about 1.5 years now. For the past 10 months or so I have only bleached the roots and experienced the regular breakage associated with bleaching. It has all been quite normal and certainly nothing to be alarmed about. However for the past 2 – 3 months I have noticed a large amount of hair loss at least 50 hairs a day which is very unusual for me. The other unusual thing is that for example at the moment I have brown regrowth of about 1 cm length. If I purposely pull a hair out of my head it is blonde all the way down with 1 cm of brown at the root. However every single hair that comes out of my head on its own has a tiny 1 mm of brown on the end as opposed to the 1 cm of regrowth that I actually have. Every single hair that comes out has this 1 mm of brown on the end which is making me wonder if it is actually coming out from the roots or not as the roots are much longer. I am started to get very concerned and would appreciate any answers you could give. Thanks.

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It is always difficult for me to interpret the meaning of what you are seeing without making my own observations of your clinical examination. I generally employ densitometry (a science I invented and patented) which allows me to visualize the degree of miniaturization of the hair and the area in different parts of your scalp. First, I need to know if you have genetic balding. A good visualization with high magnification would serve to address the diagnosis.

The average person loses 100-150 hairs per day, so your report of 50 is not alarming. Although we undergo asynchronous hair growth, many people do see some cycling of the hair loss, not to the degree of animals with synchronous growth (shedding), but certainly what you describe could be present on a temporary basis. Time will clearly tell us and after you get a good diagnosis (reassuring yourself that you do not have genetic balding), then waiting this out is a reasonable next step. The hair character does change with age, and it is possible that you are changing the character of your hair which makes you more conscious of your recent past history of hair loss and hair breakage. You might consider letting your hair go natural brown and see if the hair loss slows down, but the first thing to do is to get a good examination and diagnosis.

 

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