I saw this man in my office. He had a persistent strong frontal hairline and hair loss is behind it. He comb-over this balding area. He doesn’t fit the classic hair loss patterns described by Otar Norwood who didn’t define persistent frontal hairlines (they are rare). Medical treatment with minoxidil and finasteride might be the best approach for the loss in the center of his head. I would not rush to a hair transplant at this point in time as he was under 25 years old.
If this is recent, it is may be early genetic balding
My barber noticed my hair thinning from the front, but didn’t see it as a serious sign of balding. Are there any scalp masks and serum oils to regrow my hair? from tressless
You have a Class 3A or 4 pattern of balding. At your age, you are an ideal candidate for a hair transplant. The frontal area with a normal hairline will make the man in the mirror look like he did 10-15 years ago.
I’ve been slowly thinning and receded hairline since my early twenties. I’m now 37 and probably about a NW 2.5. I think it’s time to seek professional advice. Firstly, to officially diagnose what type of hairloss I have, to tell me how bad it will get and what my options are.
My question is, what is the best way to seek this type of help. Should I go to a GP and ask for a referral? Should I pay to see someone private? I’m thinking it’s not a good idea to go to a hair clinic, because they might try and sell me something against my best interests
You should find an expert in the field of hair loss. It might be a hair transplant surgeon like me, or a local dermatologist who has an interest in the hair field (many don’t). A proper diagnosis include video microscopy, HAIRCHECK instrument checks when appropriate, a good hair and scalp examination and a doctor willing to spend time with you to answer your questions.
No you are not balding. You are looking at your swirl where hair changes direction.
Because the actual work takes often many people, the work load is distributed to technicians; however, the doctor must do the following: (1) give the anesthetic, (2) do all of the surgical planning including the design and distribution of the grafts, (3) make determinations on the size of the strip (if a strip surgery is one) or the instruments that are appropriate if FUE is done, (4) Perform the strip surgery or the FUE which includes the extraction of either the strip or the FUE coring component, (5) Orchestrate the individual’s roles, control quality of graft management among the staff who prepare the grafts and may insert them into sites made by the surgeon (site making must be done by the surgeon)?
With no vellus hairs seen, this is a clear indication that there is some scalp and hair disease present (Frontal Fibrosing Alopecia, or Lichen planopilaris which typically presents as smooth white patches of scalp hair loss. No hair follicle openings can be seen in the areas of hair loss. At the edges of these patches, there may be scale and redness around each hair follicle. Hairs can be easily pulled out. This condition is a contra-indication for a hair transplant. A scalp biopsy will help make the diagnosis.
If you are 19, neither the surgeon nor you know what is going to be your final hair loss pattern so decisions made at 19, mean (1) possibly using up your donor bank of hair, (2) having a hair transplant every year as your balding pattern progresses which is does in many young men. When a man reaches the age of 25, their hair loss pattern is often evident and knowing this allows the surgeon to make a Master Plan not only for the hair loss you have now, but for the future prediction of your hair loss from the diagnosis of your future loss pattern. Donor grafts must be saved for the future loss predicted by the surgeon at 25 years of age?
I am 25 years old suffering from hair loss . I had a FUE Hair transplantation of 2000 grafts for the hair line but the results was not full and I believe now that I need more hair in the top and the vertex area. Can I do another hair transplant?
Your surgeon should have made a Master Plan for you knowing your donor density so that your surgeon could then know if your donor density is adequate to support a second hair transplant. Sometimes a strip surgery may be better for the second hair transplant if the donor density appears to be thin from the first surgery?
I still have a full crown hair wise but you can clearly see the skin, the hairs are transparent, they have basically no pigmentation and that’s why it looks very thinning. What is the underlying science behind loss of pigmentation in AA? I couldn’t find any studies on the web
Miniaturized hairs often lose pigment and color because the hair follicle production is impaired and continues to get worse as the process progresses. As the hairs get thinner and thinner, they contain less pigment and eventually become clear (see-through) as the pigment cells in these hairs die. These hairs also often stop growing before eventually falling out completely.
Hi doctor, if I want to drop finasteride for cognitive reasons, is it better to slowly ween off of it, or drop it cold turkey? I’m 4 months in. I’m doing proscar 1.25mg every other day.
Just stop it! If you had benefits, you will see the benefits disappear in up to the first 3 months
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