As Seen on newhair.com

 

dear doctor:
you stress on getting a diagnose from a good doctor to determine the baseline. Is regenix a good place to visit? or i can just go any skin doctor to do the diagnose? and where is your clinic located? i am 25 and notice hair lost when i was 22. i am in los angeles, CA. thanks

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Regenix offers hair care and accoutrements that make the hair thicker. They cleanse the skin, clean the pores and massage the scalp. Many people feel that this service is very helpful. I have seen visual benefits from thickening the hair shafts with the materials they give.

A good doctor can prescribe Propecia and make a medical diagnosis. If hair transplantation is appropriate, then a good hair transplant surgeon with high ethical standards may be able to diagnose your eventual hair loss pattern and put numbers to the rate and degree of balding. Monitoring the hair loss over time is an important contribution that a good doctor will add to your hair loss protocol.

Yes, I have an office in Los Angeles. Please visit newhair.com or call 800-New-Hair and visit me personally.

 

Hi Dr. Rassman. I am 22 years old but have been experiencing hair loss since I was 13. I have already tried Minoxidil (1 year) and Propecia (1 year) when I was 14-16 without stopping or slowing hairloss. I haven’t really lost much confidence due to my hairloss but it is very notorious now and would definitely like to do something about it. From what I can tell baldness comes from my dad’s side of the family (grandfather and father plus many of my dad’s cousins went bald) but no one has gone bald as young as I have. I think I am a class 3A Norwood and have been thinking about getting hair transplant surgery but I am worried if I will have enough of a donor area to cover the bald spot once the balding process stops, especially if I bald like my grandfather but so far it doesn’t seem to be the case. I was just wondering if at this advanced stage it was possible for a doctor to determine how much hair I will have left.

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You need to have a good doctor define what is going on with your hair. Hair loss at 13 is rare, but can occur. If genetic balding has started that early, it would have been good to get a base line on the degree of miniaturization and the change over time. You must have that done now, before you get worse, or you will not know where your hair loss is going. With your history, a densitometry examination with quantification of the miniaturization in each area of your head will point to the long term pattern of your genetic hair loss (assuming that this is the correct diagnosis). There are other conditions as well, so it would be of great value to you to have a consult with someone like me, who is familiar with the causes of hair loss.

Transplantation in a person with certain conditions could be contraindicated. You need to be evaluated by a professional and even sending photographs will not give me the detailed microscopic examination I need. Please do not become your own doctor. This is not a game, but your future look we are talking about.

 

Hair dye, it’s long term use and potential adverse health affects, has received a lot of media coverage recently. Do you think that hair-dye should be avoided? Is there any such thing as a safe hair-dye?

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Dyeing your hair is not as good as not-dyeing your hair. Many people point out that when they dye their hair they get more breakage. Anytime you apply chemicals to your hair you are changing what nature thinks is the best. Periodically, I hear of people who develop hair loss from dyeing their hair. I suspect that toxic chemicals or high doses of chemicals are being used that cause this hair loss. I am often surprised by the failure of such hair to return in the most extreme cases. There is no doubt in my mind that some people overdo their hair coloring, changing it frequently and in effect ‘abusing’ their hair. Anything done in excess is not good. With regard to long term use, be responsive to what you see. Take a break from the dyeing periodically, going back to your normal hair color to see if it makes your hair better. At least, this way you will know how far from normal you have migrated to.

 

i am a student at State University of New York College at Geneseo. i am doing a reseach and it requires me to find out the density of human hair, in terms of kg/m^3.

i know that human hair density might have a range. if you have that stat., please also give me.

thank you very much for your concern.

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In the Caucasian, human hair density averages 2.2-2.3 hairs/mm square. In Asians, the density averages approximately 1.6 hairs/mm square and in Africans, is averages apprxomately 1.3 hairs/mm square. In the head of an average male with a hair bearing area of approximately 80 square inch area, the density is approximately 1250 hairs per square inch (rounded) bringing the total count to 100,000.

You must keep in mind that this is center point in a Bell Curve, and standard deviations overlap heavily between the races. The highest densities I have measured were in Caucasians at 4 hairs per mm square and the lowest numbers are not trustworthy because they may reflect diseases or some form of genetic balding.

 

I have a bad elevated, thick scar from my hair transplant incision. I was told by my doctor that this is a keloid scar. Can you explain this to me and what it means if I ever have another surgery?

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In medicine, we always talk about the differential diagnosis of a particular problem or disease. Scars come in many flavors and we are focusing upon healing wounds with this question. Some scars stretch, some get red for a short period of time, some hold their redness for weeks (even months), others get elevated and some form tumor type growths which grow from them – the keloid scar. Many people, even some doctors use the term keloid scars when they are not really understanding what a keloid is. The keloid has become famous from photos in the annals of National Geographic, showing people creating these grape like tumors by cutting into the ears and applying a chemical irritant which produces the keloids. When keloids are found naturally in wounds, they are most often found in the darker skinned races. Doctors have been polled reflecting the cumulative experience of tens of thousands of patients, and keloids are almost unheard of when we talk about scalp scars. When a keloid exists, it is a proliferative process in which the scar significantly exceeds the boundaries of the original wound and is significantly elevated and often globular. Hypertrophic scars can be elevated or simply a thick scar. Burn scars can also be hypertrophic, but rarely keloidal. The trunk and shoulders develop widened and hypertrophic scars quite commonly after mole removal, and this would not be a contraindication for elective surgery. I have done scalp surgery on people who are known keloid formers, but I have never seen one appear in the scalp from which the donor area is harvested.

 

I am the mother of an 19 year old son, who is now experiencing the effects of heritary male pattern baldness. My father was bald, and my son’s biological father is bald. In fact baldness on both sides of the family goes back for several generations. Poor kid; he is really distressed about this. I tried to explain to my son that just because he is loosing some hair on the frontal area does not mean that girls will not be interested in him. Of course he always says, “That is such a MOM answer!” My new husband and I live in Utah and our communication with my son is mostly over the phone to California where he lives attending college. We told him to go see a Pharmacist but I am sure they will just recommend some over-the-counter cream like Rogaine. Also he likes to work out and has been drinking these shakes to help him bulk up. Are those bad adding to premature baldness as well? What do you recommend? Should he contact is primary care physician? Should he see someone in the Santa Clara, CA area? Please help.

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Sometimes these ‘shakes’ have steroids in them and they can accelerate balding in people who use them. He needs to be seen by a specialist. I have an office in San Jose so ask him to make an appointment with me personally, and I will try to diagnose him and address the problem. The longer he waits to get to the root of the problem, the more hair he will lose. To set up a free consultation, please call 800-NEW-HAIR or fill out our online info request form and we’ll contact him to setup an appointment.

 

Hi,
I visited NHI for a consultation about three years ago and was told that while I was a candidate for a procedure, my donor hair sites were limited. I guess they determined that the back of my head just didn’t have enough follicles to take care of my developing baldness in the front and on the top of the head. My question is this: I’m curious about the recent developments in cloning and gene therapy. How far are we away from these advances? I hope soon.

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Since you are in the Los Angeles area, please come back again and let’s talk. A re-examination may have value. With regard to cloning, I have had a number of questions on this subject, which I’ve answered in the Hair Cloning section of this blog.

 

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.

 

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