In this Case Study, we will change the format a bit and have each question relate to a different patient. Patient #1 Your first patient of the day is a 21-year-old male seeking evaluation for rapid hair loss. He and his parents – who were present at the consult – are requesting a hair …
Case 16: What Can and Can’t Be Treated with a Hair Transplant? Read More »
A 50-year-old husband and wife came together for a consultation. They were both diagnosed with androgenetic alopecia and had questions about their diagnoses and possible surgical treatment. Question 1: What is the incidence of androgenetic alopecia in men vs. women in a middle age 50-year-old individual? Men 80% and women 20% Men 50% and …
Case 15: Surgical Hair Restoration: Men vs. Women Read More »
A 25-year-old woman presents to your office noticing increased hair in her shower drain and on her pillow for the past two months. She is concerned that she is losing her hair and continually examines her hair throughout the day. Question 1: What is important to establish first? The duration of hair loss. The …
GTI is a 23 y/o male complaining of hair loss x 1 year. He states that his hair is coming out more than normal and he sees hair on his brush and in the shower. On gross inspection he has some thinning across the top of his scalp. His hairline is intact. Question 1: …
Case 13: Which is it – Androgenetic Alopecia or Telogen Effluvium? Read More »
A 28-year-old male presents to the office with progressive hair loss for 3 years. His father and maternal grandfather are both bald. He has tried topical minoxidil 5% solution previously but could not comply with daily application. He has a history of OCD and panic disorder relating to needles. He has read on the internet …
Patient MJE is a 40 y/o Norwood Class 3 with straight, medium weight, dark brown hair, and a donor density of 2.3 hairs/mm2. The after photo was taken three years following two Robotic-FUE sessions totaling 1,354 follicular unit grafts. Question 1: The main indications of FUE are (select all that apply): The ability to …
A 56-year-old male presents with progressive thinning since age 25 and is interested in a hair transplant. He has no significant medical history. On examination, he has an early Norwood 7 pattern of hair loss. His hair is straight, brown in color, and medium-fine. He has a relatively loose scalp. His donor density is 2.1 …
Case 10: What is the difference between FUT and FUE? Read More »
A 34-year-old male presents with progressive thinning and wants to receive a hair transplant. During his examination you note the lesion above. He first noticed it five years ago and claims it has been growing slowly over the past few years. It is not painful. Question 1: What is the most likely diagnosis? Epidermoid …
A 28-year-old male presents to the office with progressive hair loss for 3 years. His father and maternal grandfather are both bald. He has tried topical minoxidil 5% solution previously but could not comply with daily application. He has a history of OCD and panic disorder relating to needles. He has read on the internet …
A 23-year-old male presents with a 3-year history of progressive thinning at his frontal hairline and crown. He has not tried any hair loss treatments. His father and maternal grandfather are nearly bald with only a small fringe of hair remaining at the back and sides of the scalp. He is fearful that he will …
A 60-year-old woman presents with a 10-year history of hair loss at her frontal hairline. The area is occasionally itchy. She also notes some thinning and scaling of her eyebrows. She is otherwise healthy and does not take any medications. She denies tight hairstyles. There is no family history of hair loss. She last washed …
A 30-year-old woman presents with a 6-month history of recent hair loss. When asked whether she first noticed decreased hair volume (thinning) or more hair falling out (shedding) she thinks the latter is the main problem. She has no known medical problems and does not take any medicines. She denies recent weight loss, illness, new …
A 25-year-old male presents with gradual thinning since age 16. He has used minoxidil consistently for 10 years with minimal improvement. He denies symptoms of itching, tenderness, or tingling. His scalp appears normal on physical exam. What is the most likely diagnosis? Male pattern alopecia Post-chemo effluvium Diffuse alopecia areata Diffuse Un-Patterned Alopecia (DUPA) Lichen …
An 18-year-old male presents with a two-year history of thinning at the front and top of his scalp. His father displayed a similar pattern of thinning at this age and progressed to lose much more hair later in life. The patient is panicked that he will lose as much hair as his father and has …
A 35 y/o male presents with progressive bi-temporal hair loss x 5 years. He has been on finasteride 1mg daily and minoxidil 5% foam twice daily for the past two years. The patient has felt that his hair loss has continued to progress in spite of being compliant with these medications. Q: What is …
A 22 y/o male presents with rapidly accelerating hair loss over the past 6 months. He has used minoxidil for two years when the hair loss was first noticed. His father (age 52) started losing his hair in his mid-twenties and now has a horseshoe fringe of hair. The patient is inquiring about a “more …
