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February 26th, 2010

O, The Oprah Magazine - March 2010O, The Oprah Magazine has a feature on hair loss in women in their March 2010 issue. Dr. Bernstein was consulted for the article and discussed female hair transplantation.

“Since female hair loss is often diffuse, only about 20 percent of female patients with thinning hair are candidates, says Robert Bernstein, MD, a New York City dermatologist who specializes in these surgeries.”

February 25th, 2010

Samuel L. Jackson and Bruce Willis Sport Power Alleys - Image c/o Asylum.comAsylum.com reporter Brett Smiley interviewed Dr. Bernstein to get his take on hair loss and the balding pattern known as a “power alley”:

Power alley is an accurate term for that type of balding,” says Dr. Robert M. Bernstein, a clinical professor of dermatology at Columbia University and world-renowned hair-transplant surgeon. “It’s Norwood Class III balding, which is the most common type.”

February 19th, 2010

Q: At what level of thinning should the hair transplant be done? — V.K., London, UK

A: A hair transplant should be considered in an area of thinning when:

  • The area has not responded to medical therapy (finasteride 1mg a day orally and minoxidil 5% topically for one year).
  • The thinning is significant enough that it can’t be disguised with simple grooming (i.e. is a cosmetic problem even when the hair is combed well).

Other factors that are important include:

  • the age of the patient
  • the donor supply
  • whether the thinning is in the front of the scalp or in the crown
February 12th, 2010

Q: I have been using Rogaine and Propecia, but recently purchased a bottle of Nioxin Cleanser/Shampoo. However, I am reluctant to apply it because I have noticed that the Nioxin website recommends against mixing Nioxin products with Rogaine products. Do you think that it is safe or advisable to use the Nixon shampoo? Is there any indication that this product is even effective? Any advice?

A: Nioxin has no active ingredients that can grow hair. There is an increased incidence of scalp irritation when used with Rogaine – i.e., the likely reason for their warning. I would stick with the medications that are proven to work, i.e. finasteride and minoxidil.

February 8th, 2010

Q: What is your take on hair tattoos?

A: I don’t think that it is a good idea since, as the pigment is absorbed deeper into the skin, the tattoos tend to change color over time, developing a bluish hue. This gives a distinctly unnatural appearance. However, techniques are improving and there is increasing demand for Scalp Micropigmentation (SMP) procedures.

February 8th, 2010

Q: When can patients go in the sun after a hair transplant? — S.M., Glencoe, I.L.

A: Following a hair transplant, patients should protect their scalps from the sun for about a month.

This does not mean one needs to stay indoors. It just means that after a hair restoration surgery you should wear a hat or a good sunscreen when outdoors.

Sunburns on the scalp should be avoided, not just for persons having a hair transplant, but for everyone.

February 5th, 2010

Q: I know that Propecia works in only about half of patients. Are younger people more likely to be helped by this medication? — V.C. Greenpoint, Brooklyn

A: The main studies by Merck looked at men between the ages of 18 and 41. The five year data (which, in my view, is most important) showed that 48% of men had an increase in hair growth and 42% had no change over baseline. Thus a full 90% held on to their hair or had more over a 5-year period. This compares very favorably to the placebo group where 75% lost hair over the 5-year period.



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