This is not a problem at day 65 as this graft is a dead remnant of the transplanted graft. You will be shedding many of these starting two weeks after the surgery, and shedding remnants of the grafts is normal until all of the new hair grows in. The hair graft is held in the upper left corner.
If you maternal grandfather is “dome” bald and your maternal uncle has the same appearance, but his maternal grandfather is not bald: does that mean such gene was inherited through the Y chromosome? Therefore, will my mother carry that on her X chromosome to me?
There is a 50/50 percent chance that you will get the genes from your mother’s or father’s side of the family. By the age of 26, you might know who you take after. Look through a lot of photos of uncles and grandparents and see if you can identify yourself.
I would be greatly concerned if you went to Turkey for most of the ordinary clinics there. They may fill up your crown with most of your donor hair, so when you lose the frontal hair you presently have (a considerable amount), you may not have hair left to transplant. This is primarily a concern if you are under 25 years of age. See a good doctor and find out what your donor supply is, what your hair thickness is, and what hair loss pattern you may likely develop. Would you go to Turkey for a brain surgery?
Also, many young men can reverse this with medications alone. Finasteride is usually very effective in this type of thinning. Add microneedling, and you might find that you avoided a hair transplant altogether.
I was using topical minoxidil before but my scalp was itching very much so I switched to oral minoxidil but now my body has started to itch.
Itching is a sign of allergy to the drug or the carrier. If you have it with the oral, it is likely an allergy to minoxidil.
I’m 17 and I’ve been lurking on various blogs and forums due to hair loss paranoia. Saw a post about shedding short hairs indicating AGA, freaked out, and saw a dermatologist. They said no significant thinning (other than a few vellus hairs on the left side of the hairline, which is normal )after looking at my hair under a microscope. Any advice on proactive hair loss detection since early intervention is the key…thanks
This woman presented with this bald spot characteristic of a genetic abnormality called Triangular Alopeica. It is often on both sides of the head and is best treated with a limited hair transplant, which cures the problem.
In my experience, when I put a man on finasteride, it is not uncommon to reverse this process if they have crown thinning. I have seen this happen as men in their 50-80s, who were put on Proscar (finasteride 5mgs) for their prostate, and they were considering a hair transplant only to come in and show me the of the reversal of their crown thinning from the prostate drug that they were given.
After experiencing shock loss so dramatically from my first hair transplant, would another hair transplant in the next two years cause more shock loss to happen of my current native hairs too?
Usually not. The shock loss knocked out the miniaturized hairs that were the cause of the shock loss.
I have been seeing the charts going around that a .3 or.25 topical finasteride reduces scalp DHT more than 1mg oral fin. I am asking this because I am losing density on 1mg finasteride. Before I try DUT or anything else I was wondering if you believe that this will help me. Please let me know!
The ideal dose of finasteride is 1mg. Higher doses usually are not better than then 1mg dose. Losing hair while on finasteride means that your hair loss is moving more than the finasteride is helping. The 1mg dose is ideal. I question your thinking that finasteride at higher doses than the 0.3mg you are taking, is worse for you. Adding Dutasteride may add a 15% benefit at the expense of a long half-life of 5-6 weeks, and possibly it would hang around your body for many months if you decide to stop it.
I wrote an article about hairlines and how they evolve. The word “Evolve” suggests that there is a starting point, so when women find that their hairline recedes, similar to some balding men, they are alarmed. This was the case in the first patients shown below, whose hairline had some hairline recession laterally and superiorly. She lost the lateral sides of the hairline, which resulted in losing her original concave shape. She asked me to restore her female hairline, which I did, as shown in the first set of photos below. The hairline was substantially missing in the second woman’s sides and the 1cm of the frontal hairline. In this woman, she wanted to keep the shape of the thinning hairline, which had a subtle temple peak. The third woman had a loss of the temple mounds and some frontal recession, which were addressed. I want to bring to your attention all three hairlines. They are not created by connecting the dots. Each patient had a transition zone created in front of the thicker hairline to allow for a transition zone from the forehead to thicker hair. For women and men, all hairlines should have a transition zone created to make it undetectable as a hair transplant.
Below is a schematic drawing of the various hairlines (taken from one of my publications). The female hairline (I often refer to this as the juvenile hairline) is clearly recognizable by its concave shape. Boys and girls aged 5 or 6 have this hairline, but as they grow, the hairline changes. Many fortunate women keep this concave hairline into adulthood. The classic female hairline has no temple peaks. Temple peaks signify a change from the original juvenile hairline, as shown in both the Intermediate and Mature male hairlines in the graphic. Also, classic female hairlines have no widows’ peak, which signifies that the hairline has moved upward into the Intermediate Hairline position. From a genetic point of view, the entire hairline behind the Mature Male Hairline shown in the graphics has significantly different genetics than the hairline I refer to as the adult mature hairline. The Norwood classification of balding impacts the hair behind the line, which I refer to as a mature male hairline. I have seen men develop an advanced state of balding and retain much of their juvenile hairline. I even remember seeing a patient with a comb-back that was so good that I couldn’t see his Class 7 balding pattern until he flipped it forward. By the way, he kept his temple peaks, a common finding in men with very advanced balding, suggesting that the temple peaks have a different genetic code than most of the hair on the head.
I gave this woman two choices, both acceptable to me. She chose the lower hairline because she wanted a lower hairline to reduce the size of her forehead. See the 3-year photos below.
Transplanted female concave hairline with no temple or widows’ peak, performed 3 years ago.
The shape is different from above because that is the shape she wanted.
Again, the loss of the temple mounds and some hairline loss were repaired with no temple peaks. A second set of three photos allows a close visualization of the detailed results.
Just wondering if any of you guys have done any blood or other tests to see whether the usage of topical fin can have a big impact on semen? And has anyone tried to conceive successfully while on topical fin, any issues any thing?
Yes, many men on finasteride develop a waterery semen with a decreased volume. A family member of a friend of mine took finasteride, had watery semen and a low sperm count, and made two nice babies.
Dr. Zarev transplanted 13.000 grafts in one session on this patient. Sounds too good to be true
Dr. Zarev appears to be a great surgeon. I have met him. The average Caucasian male has 50,000 follicular units on their head. Of that number, 25% reflect the rim of hair around the sides and back of the head, we call the Donor Area. If the entire donor area is removed, then the donor area will be bald in 100% of men. He could have decided to extend the donor area, which is commonly done. This is a risky decision for some men, as the hair removed from outside of the donor area may not be permanent, so some hair could disappear as they age. I suspect that the 13,000 grafts he transplanted were in a person with a very high donor density, and he removed many partial follicular units on this patient or extended the donor area. I have seen such men and have transplanted as many as 11,000 grafts on them.
Is there any truth or validity to the claim that one’s hair at age one can be used as a predictor of their hair loss later in life? Looking at a few famous people with notably in-tact hair, such as Bill Clinton, Ronald Reagan, and Brad Pitt, there seems to be some correlation. Still, I couldn’t find any formal research on the subject, and I assume the connection isn’t as direct as the rumors might imply.
Maybe one can make a business out of this as most parents would like their children to be men like those you mentioned. Some scam artists may develop a combination that will make susceptible parents take up the challenge.
It’s hard to find on google how to deal with white hair (and beard). My alopecia is being fixed thanks to the finasteride/minoxidil combo but I can’t find anything for hair whitening? is there a real solution?
At this time, dying your hair is the only sure treatment. Occasionally, I see cures posted on the internet, but when I look into the source, I don’t find it credible. Many researchers are working on a pill, but nothing I know is available now.
I’m writing this because, I keep finding contrasting opinions about microneedling Since scientific papers have already proven the efficacy of this therapy, especially when combined with other treatments, my main questions are related to depth and frequency, Is the recommended depth of needles 1.5mm, 1mm, or even lower than that? Some people say the frequency should be once every 1 or 2 weeks, while others have posted promising results from doing it every day To avoid the risk of creating scar tissue, what would be the ideal frequency for microneedling?
How much pressure am I supposed to apply if I don’t want to damage hair follicles and the hypodermis? Since dermarollers are usually not recommended, I’m considering buying a dermastamp to test microneedling’s efficacy, and I will consider a dermapen in the long run.
Microneedling works for most men. Some microneeding results parallel a good hair transplant (rare), but you will grow some hair if you do it right. For younger men, hair growth is better than in older men with long-term balding, but I have seen good results on a few men in their 50s or 60s with long-term balding, like a Class 6 pattern balding. The microneedling using a Dr. Pen device gives you control of the damage the microneedling does to stimulate hair growth. What happens is that the microneedling produces damage at the very upper part of the hair follicle where the stem cells are present. Bleeding is the first step, followed by migrating specialized healing cells from the body’s defenses. Within 2-3 days, stem cells appear at the wounding site as part of the cascade of events that occur with miconeedling. These stem cells convert to hair stem cells that control hair cycling, and with enough injury frequency, the hairs in the area of wounding stimulate the hair to commence their anagen cycle. The microneedling needs to be done once a week initially. A maintenance schedule is required, like once a month, once the hair has grown. Usually, a person can expect hair growth within 5-6 months or earlier.