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Q: Hi! I wanted to ask if after a hair restoration surgery the transplanted hair will eventually fall out? Because the surgery is to restore hair mainly for people with genetic hair loss which results from DHT, won't the DHT make the new follicles implanted fall out as well? -- B.C., Stamford, C.T. A: Hair loss is due to the action of DHT (a byproduct of testosterone) on hair follicles that cause them to shrink and eventually disappear (the process is called miniaturization). The follicles on the back and sides of the scalp are not sensitive to DHT and therefore don't bald (miniaturize). When you transplant hair from the back and sides to the bald area on the front or top of the scalp the hair follicles maintain their original characteristics (their resistance to DHT) and therefore they will continue to grow.
Q: Why does a hair transplant grow – why doesn’t the transplanted hair fall out? -- J.F., Redding, C.T. A: Hair transplants work because hair removed from the permanent zone in the back and sides of the scalp continues to grow when transplanted to the balding area in the front or top of one’s head. The reason is that the genetic predisposition for hair to fall out resides in the hair follicle itself, rather than in the scalp. This predisposition is an inherited sensitivity to the effects of DHT, which causes affected hair to decrease in diameter and in length and eventually disappear – a process called “miniaturization.” When DHT resistant hair from the back of the scalp is transplanted to the top, it will continue to be resistant to DHT in its new location and grow normally.
Q: What are the fibers in Toppik made from? -- A.P., Toronto, Canada A: Toppik is made from an organic protein called keratin - the same protein that comprises one’s hair and nails. It works by thickening the hair and adding color to the scalp, making the hair appear fuller in those with hair loss or general thinning. Read more about Toppik and other products on our Cosmetic Camouflage Products page. Read more about Hair Loss page.
Q: I am 26 years old and have been suffering from hair loss for 8 years. I have been on Propecia (finasteride) and Rogaine (minoxidil) during those years. Unfortunately my hair loss has continued to progress aggressively. I am of half African and Caucasian descent, and my hair is curly. I understand that there are certain limitations on having hair transplants before you are 35, however I do not mind having another transplant in a few years, if necessary. -- A.L., Rye, N.Y. A: Although it is possible to have a hair transplant to the crown using robotic FUE in African American patients, given your young age and that you state your hair loss is progressing aggressively while on Propecia and Minoxidil, it is likely not a good decision to have surgery at this time. The reason is that as your hair loss surrounding the crown expands over time, it may look unnatural to have hair transplanted solely to the crown region. At your age, it is best to take Propecia (finasteride) and Rogaine (minoxidil), and if a transplant is indicated, to start at your frontal hairline and top of your scalp, the areas that will be most important cosmetically…
Q: What is the problem with transplanting the crown too early? -- P.L., Newark, NJ A: If a person’s hair loss continues –- which is almost always the case -– the crown will expand and leave the transplanted area isolated, i.e. looking like a pony-tail. The surgeon can perform additional hair transplant procedures to re-connect the transplanted area to the fringe, but this is a large area that can require a lot of hair, and it is often impossible to determine when a person is young if the donor supply will be adequate. View the full post to see a photo of a patient who had an early hair transplant to his crown.
Q. Many hair loss products contain Biotin and/or Saw Palmetto. Do they work? A. Both Biotin and Saw Palmetto are totally useless in growing hair or slowing the progression of hair loss. Unfortunately, they sound important and are naturally occurring, so they are great for marketing products that contain them. Unfortunately, a lot of desperate […]
Columbia University Medical Center has awarded Dr. Bernstein, Clinical Professor of Dermatology, a "Certificate of Appreciation" for sustained contributions to the academic programs of the Department of Dermatology at the renowned university. The Department stated that they were, "deeply grateful for your continuing support of Columbia's academic programs and of graciously giving your time and sharing your wisdom with the house staff and medical residents."

Showing results 341 - 350 of 590 for the search terms: shock loss.




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Hair loss has a variety of causes. Diagnosis and treatment is best determined by a board-certified dermatologist. We offer both in-person and online photo consults.

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