Schedule a Consultation The term “cicatricial alopecia” or “scarring alopecia” refers to a diverse group of uncommon disorders that destroy hair follicles and associated sebaceous (oil) glands resulting in permanent hair loss. Although more commonly seen in women, scarring alopecia can occur in both sexes. This destructive process may or may not be symptomatic; for […]
What are the chances that I will go bald? How bald will I be? Can I know for sure? These are among the most common questions we get from patients in our hair loss consultations. Despite extensive knowledge about the mechanisms and causes of androgenetic alopecia (common baldness), the answers to these questions have been a bit hazy. New research has sharpened the focus on the genetic mix that results in hair loss and has enabled more accurate predictions. A study published in February 2017 in the journal PLoS Genetics identified over 250 gene locations newly linked to hair loss. Using this information, researchers more accurately predicted severe balding compared to previous methods.
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…
Physician Consult Before & After Photos of Female Patients As discussed in the section on the causes of hair loss in women, women’s hair loss can be classified into diffuse hair loss, localized hair loss, or patterned hair loss. It can also be divided into scarring and non-scarring types. Since the diffuse, non-scarring female hair […]
Synopsis: The ability to achieve full cosmetic benefit in follicular unit hair transplantation depends upon a number of factors including proper patient selection, accurately assessing the patient’s donor supply, appropriately designing the hair line and correctly distributing the grafts. This paper reviews the major mistakes that doctors make in these key aspects of the hair restoration process and advises the practitioner on how to avoid them so that the patient will achieve the best possible results.
Schedule a Consultation How Birth Control Pills Work At the beginning of each menstrual cycle, estrogen levels begin to rise, and the lining of the uterus thickens in preparation of a fertilized egg (this period is called ovulation). After ovulation, progesterone, another reproductive hormone, rises preparing for a fertilized egg. Conception occurs when a fertilized […]
Below is a list of important publications on hair restoration and hair transplant surgery listed by author. For further reading, we have included summaries, abstracts or links to select publications. Use the links below to jump to a section. A | B | C | D-F | G | H | I-J | K | […]
Follicular Unit Transplantation is the technique that has revolutionized modern hair restoration surgery. It has given hair transplant surgeons the ability to restore a person’s hair in just one or two sessions and to produce results that, when done properly, can look completely natural. This procedure, first described by Bernstein and Rassman in their 1995 […]
e donor area where the FUE's were taken looks very diffuse – worse than the original scar ever was, it looks horrible. My doctor said this was just shock loss. Have you seen that happen where the donor area gets all diffuse from shock? If not, have you seen it where the FUE’s are taken in an illogical pattern resulting in new scarring that is noticeable? — E.O., Providence, R.I.
Hair transplant surgery is an elective procedure. However not every person who wants a transplant is medically indicated for one. Patients must meet a number of basic criteria to determine if they are a candidate before surgery is considered. If these criteria are not met then a hair transplantation should not be recommended.