Q: What happens to hair diameter when you age? — K.L., Greenville NY
A: From infancy to puberty, hair gets progressively thicker. From adulthood to old age the hair becomes thinner again and this is exacerbated by the effects of DHT in susceptible persons. The later process is called androgenetic alopecia (common baldness) and is characterized by miniaturization – the progressive decrease in hair diameter and lengths as a result of DHT.
However, even without the effects of DHT, hair gradually thins over time in many people.
Q: It seems like my hair is thicker in the summer. Can this be true? –R.B., West University Place, TX
A: Hair will increase in diameter when there is more humidity, as it absorbs moisture, and will actually be thicker in the more humid summer environment.
Q: What color hair is the thickest? I thought it was brown, followed by red then blonde? But I am also reading that red is the thickest but redheads have the fewest hairs. –S.F., Cook, Illionis
A: In very general terms, the darker the hair, the thicker it is and the lower the density (hairs per area). For example, Asians have the darkest hair, the highest hair diameter and the lowest density. Scandinavian blonds have very high hair density and the fine (diameter) hair. But there are many exceptions, African Americans have black hair, but it is usually very fine and of low density. I have seen red heads in all categories.
View before and after hair transplant photos organized by the patient’s hair density.
Q: I would be so grateful if you could give me some idea on how the quality of the hair that is transplanted is affected by its new ‘home’ and the native neighboring hair. — D.C., Flatiron, N.Y.
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).
Q: I am Hispanic and I have thick, black coarse wavy hair. Do you transplant Hispanics and are there any difficulties in performing hair transplants in them?
A: Yes, we treat Hispanic patients. There are no specific issues unique to Hispanics when performing hair restoration procedures. However, things to consider are:
- Hispanics have a slightly greater incidence of forming a thickened donor scar than Caucasians (but not as great as African-Americans)
- Hispanics often have coarse hair, but a low donor density, so fewer absolute numbers of grafts may be available for the restoration. The coarse hair, however, will make the restoration appear fuller.
Q: I have curly hair with thinning on top and strong, but less curly hair on the sides and back. My hairline is receding, but it is really the area on top I am concerned about. Does hair replacement work with curly hair and will it match? — E.B., Sanibel, F.L.
After the hair restoration, the transplanted hair will take on the characteristics of the hair that was originally in the area, so it will match perfectly with respect to curl and wave.
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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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