Author Archive

What Causes Hair Loss in Women and How do You Treat General Thinning?

February 3rd, 2009

Q: I’ve been losing my hair just around the front of my scalp for years, but now it’s bad enough that I need to wear a wig to hide the top and back. Do you transplant women?

A: If you have thinning in such a broad area, most likely your donor area is also thin and you would not be a good candidate for surgery.

An examination can determine this and also determine if there is some other cause of your hair loss other than genetics.


Posted by Robert M. Bernstein M.D. at 4:32 am

Can Hair Transplant at Temples Cover Facelift Scar?

January 27th, 2009

Q: I had a facelift about a year ago and the skin on the sides by my temples is really bare. It makes the scar a little obvious too. Can you transplant hair just at the temples to cover the scar?

A: Hair loss in the temple area following a facelift is relatively common and can be treated with a hair transplant. If there is scar tissue, the hair restoration will generally require more than one session.


Posted by Robert M. Bernstein M.D. at 4:38 am

Before Hair Loss Evaluation, Should One Fast or Change Diet?

January 23rd, 2009

Q: I am a 47 year old woman with thinning on the top of my scalp for three years. I think I want to go for a comprehensive evaluation for hair loss and know that the doctor may want to take blood tests to help find out the cause of my hair loss. I am not sure if I need to fast before I come in?

A: Fasting is not necessary for a comprehensive evaluation.

The comprehensive diagnosis may include hair pull tests, hair pluck, hair density measurements, anagen telogen ratios, scalp biopsies and laboratory (blood) tests but no pre-test fasting or other preparation is necessary.


Posted by Robert M. Bernstein M.D. at 4:36 am

What Hair Loss Treatment Can Prevent Hairline Retreat, Thinning?

January 20th, 2009

Q: I am having hair thinning and retreating from the front part of the scalp. According to Norwood’s classification I rank a category III. From what I see on the Rogaine pack it is used in hereditary hair loss on the (vertex) on top of the scalp. Any recommendations?

A: Minoxidil does work on the front of the scalp to prevent the progression of hair loss and may thicken areas of early thinning, although it won’t re-grow hair in areas that are bald.

I would also consider using finasteride (the active ingredient in the hair loss medication Propecia) as this will also work on the front of the scalp to prevent further hair loss and to increase areas of thinning – and it is more effective than minoxidil.


Posted by Robert M. Bernstein M.D. at 4:34 am

After Hair Transplant Should One Continue Treatment with Propecia?

January 18th, 2009

Q: If I get transplants, do I still have to continue taking Propecia?

A: Yes, you should.

You do not need finasteride (Propecia) for the hair transplant to work, or the transplanted hair to continue to grow, but finasteride can decrease further hair loss.


Posted by Robert M. Bernstein M.D. at 4:29 am



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