Physician Consult Before & After Photos of Female Patients Common baldness in women, also called female pattern alopecia, is genetically inherited and can come from either the mother’s or father’s side of the family. Female alopecia most commonly presents in a diffuse pattern, where hair loss occurs over the entire scalp. Less commonly, women exhibit […]
Q: My hair is thinning, but I’ve been told I have too much existing hair to warrant a hair transplant. I heard that transplanting new hair into my thinned areas will lead to a loss of existing hair follicles. I was told to delay a hair transplant procedure until my density has further decreased. Is this true? -- M.S., Maple Glen, P.A. A: It is possible that you simply don’t need a hair transplant at this time one. If you have early thinning, it may be best treated with medication, or not at all. As you age, we will have a better idea of your thinning pattern and, at that time, a hair transplant may be more appropriate. A hair transplant does not cause loss of hair follicles in the recipient area. The procedure may cause a temporary “shock” loss of the hair. Shock hair loss is a physiologic response to the trauma to the scalp which is caused by a hair transplant. Hair that is healthy is going to come back after some period of time – generally 6 months. Hair that may be near the end of its lifespan may not return. When a hair transplant is performed…
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Acne Keloidalis Firm, red brown papules (small bumps) and plaques on the back of the scalp at the nape of the neck of unknown etiology. It has a genetic predisposition and occurs more commonly in persons of African descent. It is treated with local injections of corticosteroids, antibiotics, and surgery. Because these lesions occur in […]
Propecia, the brand name for finasteride, is the only FDA approved oral medication for hair loss. Read more about how propecia (finasteride) helps prevent hair loss.
Synopsis: This paper reviews the core concepts of Follicular Unit Transplantation, including basing the surgical planning on the follicular unit constant, using only individual, naturally occurring units in the transplant and accomplishing the restoration in a few number of large sessions. The section then describes the techniques of follicular unit hair transplantation as the procedure enters its second decade.
The Mechanism of Male Hair Loss: DHT DHT causes “miniaturization” of hair follicles Hereditary hair loss in men (androgenetic alopecia) is caused by the action of the hormone dihydrotestosterone (DHT) on genetically susceptible scalp hair follicles. Normally, hair follicles cycle through a growth stage (anagen), which lasts 2-6 years, and a resting stage (telogen), which […]
Q: What is "shock fall out"? – D.B., Chappaqua, N.Y. A: Shedding after a hair transplant is also referred to by the very ominous sounding term "shock fall out." The correct medical term is "effluvium" which literally means shedding. It is usually the miniaturized hair (i.e. the hair that is at the end of its lifespan due to genetic balding) that is most likely to be shed. Less likely, some healthy hair will be shed, but this should re-grow. Interestingly, if transplants are spaced less than one year apart, one often notices some shedding of the hair from the first transplant, but this hair grows back completely. For most patients, effluvium is not a major issue and should not be a cause for concern. Typically, when shedding occurs, a patient looks a little thinner during the several month period following the transplant, before the transplanted hair has started to grow. The thinning is often more noticeable to the patient than to others. Shedding is generally noted as a thinning, rather than of "masses of hair falling out," as the term "shock fall out" erroneously suggests. In general, the more miniaturization one has and the more rapid the hair loss, the…
The field of surgical hair restoration has undergone such dramatic changes over the past decade with the introduction of Follicular Unit Transplantation and Follicular Unit Extraction, that much of the traditional hair transplant literature is now obsolete. The Resources section of our site will focus on publications that are relevant for patients seeking hair replacement […]