Is it likely all the hair that is going to be able to come back to life with Propecia will also mature fully eventually? At the moment there is a big visual difference between the front section and rest of hair. (I understand hair count per cm2 may differ more drastically- I’m thinking here just of the hair shaft thickness.) Also, when I have hair transplants – as I intend to when Propecia has done all it can – will the hairs from the back of my head (thick) stay that thick regardless or will they take on the properties of the new surrounding hair?

A: Hair that responds to Propecia doesn’t always regain the full character of the original hair, so the area may still look thin.

The transplanted hair, however, will look like the original hair and maintain, over time, the same character as the hair in the donor area (where it came from).

A: I prefer not to do imaging since it tends to oversell the hair restoration procedure.

In addition, the technology is unable to accurately represent what the hair transplant will really look like as there are many hair characteristics that it can’t take into account.

Seeing lots of actual photos of hair transplant patients is much more instructive – and more honest (if the photos are taken correctly). At the time of the consult I design the hairline and photograph it.

A: Eyebrow hair restoration procedures are similar to hair transplants to the scalp in that the hair, once transplanted, is permanent. They differ both in the techniques used to perform them and in the results.

In eyebrow transplants, only individual hairs should be used, whereas follicular units containing from 1 to 4 hairs are used in a hair transplant to the scalp. In eyebrow transplants, the hairs must be positioned to lie as flat as possible to the surface of the skin. In hair transplantation to the scalp, the angle between the hair and the scalp surface can be as much as 45 degrees or more.

As with hair transplants to the scalp, the hair transplanted to eyebrows will continue to grow and must therefore be cut. However, in contrast to hair transplants where the donor hair is generally a perfect match for scalp hair, in eyebrow transplants the hair is taken from a different part of the body and will have slightly different characteristics both in growth rate and in appearance.

Visit our eyebrow transplant page for more information on eyebrow transplant and restoration procedures.

A: Based upon your history, you have three possible reasons for having a type of hair loss called telogen effluvium; thyroid disease, medication induced (Prozac) and pregnancy.

Telogen effluvium is diagnosed by a hair pull test and observing club hairs under the microscope. It is generally a reversible condition, regardless of the cause. Telogen effluvium most often occurs 2-3 months after the inducing event, so your pregnancy is the most likely cause.

Prozac would less likely be the problem since you have only been on it for a short time. Besides causing Telogen effluvium, thyroid disease can also alter your hair characteristics, which can make your hair appear thinner.

Other causes of hair loss, such as genetic female pattern hair alopecia, must be ruled out.

Please see Hair Loss in Women page on the Bernstein Medical – Center for Hair Restoration website for more information.

A: You can expect the follicular unit hair transplant procedure to be perfectly natural, that the hair restoration will be completed in one or two sessions and you should anticipate a quick and easy post-op course.

The amount of coverage and density will depend upon your Norwood (balding) class, your donor reserves and your hair characteristics.