Hair Loss Types and Treatments

Shock Loss After Hair Transplant

Dear Dr. Mohebi, First of all, thanks for this great blogging avenue.  I am very thankful that this website is around. I’m a bit concern w/ my recent hair transplant.  i’m only 27 years old, and had decided to have a 2nd hair transplant done one month ago.   i was mainly just thinning in my front side, and was convinced by my hair surgeon that i should get a 2nd hair procedure done to add thickness in the thinning front side. Please note that the sides of my front have been pretty thick already, but i did have a few […]

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Peoples’ Perception of Hair Loss Sufferers

One time, a friend told me he was at a diversity conference and there was a man who came up to the podium to speak. He asked the audience, “what is the first thing you notice about me?” Someone yelled out, “BALDIE!” And subsequent laughter ensued (being an African American, it turned out he was hoping someone would say, “you’re black”). Although the remark was taken as a joke, it’s unfortunate many people in our society notice physical appearances before anything else. There’s no shame whatsoever in losing one’s hair. The reality is that it’s not that person’s fault. It’s […]

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Alopecia Treatment

Q: Dear Dr. Mohebi, Thank you for taking the time to see me on Saturday! Your correspondence providing a summary of our discussion was very comprehensive and is much appreciated! Since our meeting on Saturday, I have done some research and would like to trouble you with a few more questions: 1) Is Alopecia the correct term to describe my hair loss pattern? 2) Would you consider cortizon shot treatment for me? 3) Would you consider laser therapy? 4) If I were to use monoxidil, does it have to be 2% or a higher percentage would yield more and faster […]

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Hair Loss Treatment with Dutasteride

Q: Hi Doctor, Some doctors prescribe Dutasteride (Avodart) for hair loss prevention. I know you do not recommend Dutasteride for hair loss for obvious reasons, but based on available research findings on this medication, what do you think are the most likely possible side effects from using Dutasteride if worse come to worse. Would it be like multitude of finasteride side effects? Again, I know your view of non-FDA approved drugs. A: Dutasteride (Avodart) is one of the selective inhibitors of the type I and II of the enzyme 5-alpha-reductase, the enzyme that converts the male hormone testosterone to 5-alpha-dihydroxytestosterone […]

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Tretinoin and Minoxidil Combination for Treatment of Hair Loss

Q: How are you doing? All I have to say is TGIF. I was doing a little bit research on hair loss, and I stumbled over retinoic acid. I read about it and have a basic understanding. Have you heard any claims that it could possible revive hair loss? Have a great weekend! A: This is a good question. There are several claims on therapeutic effect of all-trans-retinoic acid (tretinoin) alone and in combination with 0.5% minoxidil for hair loss based on limited studies. In one study the combination of tretinoin and minoxidil was used for 56 patients who had […]

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Finansteride, Minoxidil Or Both

hey doctor! As I read through forums and articles, people mention that propecia works better in conjunction with something else, such as rogaine for exmaple. At the moment, the vertex area of my scalp seems emptier than than the crown and minoxidil works well with the vertex. Do you recommend me go back on minoxidil for the vertex, or should I just focus on propecia? Answer: I generally prescribe finasteride to most of my patients who have significant miniaturization whether they are getting hair transplants or not. There are several studies on using Rogaine (minoxidil) and Propecia (finasteride) as single […]

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Maturation of scalp hair line

I saw an 18 year old patient today who was worried about the recession of his hairline. We mapped his scalp hair to analyze the degree of miniaturization using a digital microscope. Here are pictures from the microscopic of his donor hair (left) vs. very frontal hairline (right). Healthy donor hair (left) vs. significant miniaturization in hairline (right) You can see significant miniaturization in the frontal area. When we examined a few centimeters behind his frontal hairline the miniaturization rate dropped sharply to less than 20% which was consistent throughout the top and crown area of the scalp. The patient‚Äôs […]

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Scalp Hair Miniaturization

Miniaturization of scalp hair is a part of the hair loss process in which hair becomes finer over time before falling out. Microscopic evaluation of the scalp and hair can help determine the rate of miniaturization on human hair. Balding in men and women usually is not obvious until significant miniaturization is present. Scalp miniaturization mapping is necessary for most hair loss patients to predict their future hair loss. The appearance of baldness is not obvious until more than 70% of hair is miniaturized in most people. A miniaturization study should be part of the hair loss evaluation of a […]

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