With a traditional balding pattern as outlined in the Norwood chart (see below), the sides and back are spared. All thinning is limited to the front, top, and crown in patients with genetic male pattern baldness (MPB). So if you do have thinning hair on the sides or back of your head, I might think […]
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You are incorrect with regard to Propecia (finasteride). It continues to work for years and does not simply stop at the end of the 5th year. What usually happens is that hair loss continues to progress and eventually (around the 5th year), you may go back to your baseline hair loss pattern — but if […]
You can use a video microscope and look at your own hair. These run about $200-400 or so and are often sold online (price varies per vendor and tool used). I like the ProScope (the USB version for computers is more costly than the version that connects directly to the TV) and have them in […]
The color of you hair, along with other physical characteristics you inherited, are carried in different genes than the ones associated with MPB. The genetic predisposition for balding is inherited from either your father’s and mother’s sides, with more weight on your maternal lineage (48% for father’s side vs 52% for mom). There is a […]
Propecia (finasteride) does not cure hair loss. When your genetics ‘push’, then Propecia becomes less effective. Please note that I said less effective. If you were to stop the drug, then you would be on a wild ride to hair loss. As I am not your doctor, it is difficult for me to tell you […]
You are certainly pouring your heart out and taking too much blame for what is going on. We take medications when we are in need of them; some can cause hair loss. Both you and your mother need to see a good doctor. I wish I could offer more than just a physician recommendation, but […]
You are asking for detailed medical advice, but I am not your doctor — for legal and ethical reasons, I can only provide general advice. You need to address these issues with the doctor that prescribed you the anabolic steroids and Avodart (dutasteride). You don’t seem to have a focus on the long term consequences […]
Just because your father is a Norwood Class 6 patterned balder, does not mean that you will be that. You may have different expression of the gene or inherited it from another line on your father’s or mother’s side. Since we can not predict your pattern with certainty, slowing down the loss with Propecia (finasteride […]
A tooth abscess should not produce hair loss, other than an added stress in your life (stress can cause hair loss in some people or accelerate genetic hair loss if the stress is prolonged). You need a diagnosis, which I really couldn’t begin to help you with unless I see you. If you are balding, […]
Yes, consultations are by appointment only. Your case, like many, are not as cut-and-dry as you’d like it to be, so it would be difficult to just make random assumptions about your hair loss without an exam. I’m not trying to “rope” you into coming in, but I’m also not trying to steer you in […]
If you are not satisfied with the one doctor’s opinion that you got, seek out a second opinion. You need a doctor who will not only work out a diagnosis, but one that will also build a Master Plan for treating you over the next 10+ years to manage your hair loss. This is what […]
You have a tragic story. You were not placed on this Earth to give doctors money every year to get hair moved and to manage scars on your head. The only patients that have had over 4 procedures with me are those that were very, very bald (9,000+ grafts) or very, very obsessive (I fondly […]
Yes, a receding hairline can start at 16 years old. Normal? That depends on the person’s genes. If you do not have a balanced diet and have a nutritional deficiency, you can thin or lose your hair — this has nothing to do with meat-eaters or vegetarians. You should get your scalp mapped out for […]
After receiving your email, I wrote to a group of well-respected doctors to inquire about experience in this area, and the general consensus was that this should not be treated surgically. Most of the doctors I wrote to were dermatologists who may have an aversion to scalp reductions in this situation. You need to be […]
Unfortunately, I do not have suggestions about your condition, because I have not examined you and I do not know the condition of your hair or the miniaturization state. If you are already under the care of a physician, you need to see your doctor and ask him/her these questions. You need a Master Plan […]
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