Hair Restoration Blog

I visited a 30 year old patiet for a hair loss consultation a while back who believed he lost his hair due to having too much sex.  The fact is that most patients attempt to find a reason for rapid loss of hair in the early stages.  Thas is often the same age that they are most active sexualy.  The combination of the two may convince them that they may have lost their hair due to having too much sex in those years.

These people are not the only balding peole who try to find an environmental situation and blame it for their genetic balding problem.  Many people blame their partner, bad relations, stressful situations and other significant events in their lives for their hair loss.  The reality is that gene, sex and time are the only major contributors to male or female patterned hair loss and environmental factors only may accelerate the presentation of the hair loss.  Normal people without balding gene may lose hair for different reason, namely stressful conditions, but the hair always grow back when stressor is gone.   This is not the case for people who have the gene of hair loss that may never grow their back what they lost after losing it due to stressors.

According to a recent L.A. Times article, people in our current economy are scaling back on elective cosmetic treatments, and finding ways to negotiate costs and figuring out what’s really necessary (e.g. Botox) and what’s not (e.g. massages and body scrubs).  We have posted on Recession and hair transplant cost before.

US Hair Restoration understands that people have found themselves in challenging economic circumstances. Our goal has always been, “offering quality hair transplant for everyone”. We want to relieve the pressure on people by responding to patients’ needs for more affordable hair transplant prices.

Every year, we have a summer hair transplant special, but this year, we’re going to offer it several months in advance as part of an unprecedented and huge hair transplant cost reduction. And we promise it will be the lowest price ever for our hair transplants using our standby program.

For those who are seriously considering getting a hair restoration procedure, the best time to get one is when we have this reduced-price offer. This is a limited offer and the price might not ever be this low. Now is the time to take advantage of it.

Offering hair transplant cost discounts in our standby program helps us to fill all openings in our operating room schedules. On the other hand, for those people who can be a bit more flexible with the timing of the surgery, it helps them get a US Hair Restoration-quality hair transplant done at historically low rates, at one of our Southern California offices: Beverly Hills, Encino, and Orange County.

The bright side to the recession is that retailers and companies are offering lower-than-usual prices for their products, knowing consumers have become increasingly tight-fisted about their cash. Our earlier-than-usual summer special is our way of saying we are sensitive to our patients’ financial circumstances.

Check US Hair Restoration for more info on our hair transplant promotions.

Q:

hey doctor:

is it true i can lose hair by wearing a baseball cap a lot of the time? if that’s the case, then i guess baseball players are good candidates for hair transplants! =P. but really, is there any truth to that? I read that it doesn’t have an effect on a person’s hair, but i wanted to verify with an actually hair loss doctor.

A:

We can lose hair due to environmental trauma to the hair shaft and, consequently, to the hair follicles. The name of this condition is traction alopecia; it can be seen when people braid their hair very tightly. One type of traction alopecia is called turban alopecia, for people who wear turbans on their head for long periods of time and when they wear it tightly. Baseball caps are regularly used by people, and I have not seen it in those people who wear them. However, you can guess that a tight cap of any kind may mimic the turban effect and may cause traction alopecia in which hair follicles are being pulled over time, which destroy them eventually.

Q:

I’ve been using 5% topical minoxidil in liquid form for five months and see some positive results (I think) but I have two side effects:

1) itchiness–it’s mild, I can live with it

2) a crust forms that’s dry and I can pick it off, little dry flakes–that is.

Questions are simple:

1) Can/should I still use it?

2) is the foam better to avoid these symptoms?

3) Is there an inexpensive hair conditioner or shampoo I should use? Appreciate your feedback/thoughts…thanks

A:

1) Can/should I still use it?

Minoxidil use is lifetime in most cases. If you stop using it, you may lose the hair which grew from its effect. This is called shock loss and many people experience it when they get tired of minoxidil use and stop it after using it for a few years.

2) Is the foam better to avoid these symptoms?

To avoid the itching, the foam is better based on reports I am gathering from my patients who tried them both.

3) I am not aware of any conditioner and shampoo that can be used to help the growth of hair. There are some shampoos with active ingredients such as minoxidil. However, they efficiency in comparison to minoxidil topical solution is questioned.

This type of “hair test” is done by a hair transplant surgeon or dermatologist to find out the rate of telogen hiar. It’s a simple procedure. The doctor pulls hair to find out the number of hair follicles in the resting phase. The way the test works is that the doctor grasps a couple of hair shafts between the pointing finger and thumb, then pulls them ever so softly. There are two classifications of hairs: Anagen, which are growing hairs that ought to remain in place; and telogen: hairs that should pull out rather easily.

By keeping track of the number of pulled hairs, a person can approximately calculate, in the telogen state, the hair follicle percentage. For example, if a person pulls on 10 hairs and then 2 come out, then the telogen hair follicles frequency is 20%.  If extracted hair follicles percentage is up to 25%, that is still considered OK, but if it’s over 35%, it is not normal and shows that there’s a disproportionate amount of hair in the resting phase.  This condition is often seen in Telogen Effluvium (TE).

Even though this hair-pulling test seems simple, a person may come to the wrong conclusions if they do not carry out the test properly and he or she does not have a full comprehension of the test’s limitations. The biggest concern is that the test results may be affected by what the patient did with her hair in the preceding hours. When the patient washes her hair, it will cause many of the telogen hairs to fall out.

There are several factors which can increase the accuracy of the hair pull test. The hair pull test can be ratcheted up to another level by conducting the “unit area trichogram”. This type of test requires that a couple hair follicle samples are grabbed from the scalp utilizing rubber-covered forceps; both telogen and anagen hairs are yanked. These hairs are to be placed on a glass slide and inspected using a microscope. After that, the dermatologist is to count up the telogen hairs and the anagen hairs as well.  The test can help the doctor in differentiating a variety of hair loss conditions.

Q:

Hey Doctor Mohebi,

I was wondering, I’m thinking about getting a hair transplant, but I’m afraid of telling my future wife and female friends that I’ve had a hair restoration. I know men may not care that much, but if I’m dating someone and eventually I tell them I’ve gotten a hair transplant, I fear that they may get turned off.

I kind of look at it like plastic surgery. I know when I meet women who has undergone a nose job, I kind of feel strange about it and think maybe that person was not happy with their looks.
To be honest, it  turns me off.

So, my question is: from your experience with patients, do they keep it a secret from others or do they not mind telling people?

A:

Today, we have capabilities we did not have 50 years ago. As a young soccer lover, I used to have the disadvantage of wearing glasses.  It was very difficult for me to stay competitive in succer team without wearing my glasses.  Every now and then, I use contact lenses to be able to put aside my glasses. I am planning to get a LASIK procedure for that as well.

If I undergo a LASIK procedure, does it make me an insecure person. Not at all. I call it using all your resources to look your best.

We do have technology that we did not have 10 years ago. I say: why not use it? A lot of people are doing it, and nobody cares if these peoples’ hair is native hair or transplanted. The point: they are not bald any more and they can be as competitive as their non bald rivals in life.

One time, I met a very beautiful woman at a party and I ended up having a conversation with her.  When I told her I do hair transplants, she told me a story about someone who proposed to her and she rejected him. She said the man was bald. But I’m not saying because he was bald that he got rejected, but because he did not do anything about it. I know the argument can be made that what the woman did is sad and superficial but, hey, looks do play a part in initial courtship, whether we would like to admit it or not. And it was her prerogative to make that decision.

My point is: Be yourself and do whatever makes your heart happy. No matter what you do with your life, there are going to be people who may not like it. It should not influence your decisions.

Q:

hi

I come from china ，I would like to consult your organization a few questions:

In your experience,usually Asians（chinese people) the normal growth of the number of roots Per cm² of hair? Head at the top and post-occipital whether there are different?
using FUE technology，on one operation ，After the occipital Site  get the maxinum number of FU (Asians including 2-3 days operation) at present,how much FU can be planted per square centimeter on Planting area? Between the scope of? and the percentage with normal?

Looking forward to your reply Details!

Thanks for your questions.

A:

Here are the answers in the order they were received:

The number of hair follicles

The number of hair follicles in non-balding areas of scalp like occipital areas have been studied.  A range of 80 - 120 follicular units (FUs) per centimeter were reported. The density of follicular units vary in different locations of the scalp. Also, the number of hairs per follicular unit vary in different areas and with different races. For example, Asians usually have less number of hair follicles per cm², so even with similar number of FUs per cm², the density of their donor area is still less than Caucasians. To calculate the number of hair per cm², you have to average the number of hairs per FU and multiply it by the number of FUs per cm².

Difference of hair on top and back

The shaft of hair may or may not be different in different areas of the scalp. Obviously, if you are balding, you see more miniaturization and less terminal hair, which makes the appearance of the hair less dense on the area. However, without baldness, hair quality would be the same in back and top of the head.

FUE and number of grafts

FUE (Follicular Unit Extraction) is more labor intense and requires more time for harvesting the grafts. For that reason, FUE procedures are generally smaller in terms of the number of grafts per session. What we do at US Hair Restoration is up to 1,500 grafts per day on average, for 8 to 10 hours work in a FUE procedure. The number may occasionally go up to 2,000 grafts, too, but not everyone can expect to get that number with FUE.

Density of transplanted hair

There are many research projects on this topic. The number can be as high as normal density in some circumstances. However, practically we can make up to 35%-40% of the normal density in one session. This is a good number if you consider that the density of hair on frontal areas could be about half of the hair on the donor area in some patients, so 35%-40% is not that far from the normal density in those patients.

Q:

I had a hair transplant surgery a month ago.  As it turns out, I have a huge amount of shock loss right now.  As i’ve never taken propecia before, do you think it’s too late to combat this shock loss with propecia?  Any suggestions on how i could eliminate this shock loss from further damage?  I hope my hair will return.

A:

To prevent shock loss, it is never too late for Propecia (finasteride) if you really need it. You may not get the maximum benefit as if you started on the medications before your hair transplant, but your shock loss may not have been completed yet.

We generally start our patients on Propecia a few days prior to their hair transplant so the medication is in the system at its therapeutic level on the day of surgery.

Many people choose to continue the medication after hair restoration surgery and we encourage that. We continue the medication for 6 to 8 months after the hair transplant, depending on the degree of miniaturization for patients who do not want to be on finasteride for the rest of their lives or the ones who have minimal miniaturization. After the first few months, the chance of shock loss due to the hair restoration surgery is very minimal but it still may occur.

Eyebrow hair transplant at US Hair Restoration - Top picture: Ten days after eyebrow transplantation.

I saw a patient who had an eyebrow transplant 10 days ago.  I thought it would be useful for our readers to get an idea of how a transplanted hair ought to appear about 10 days after an eyebrow hair transplantation.

For transplanting to the brow areas, scalp hair is being used. In this particular case, we have used around 600 grafts for both eyebrows (300 for each eyebrow).

After the hair transplant, transplanted hair shafts generally stay in place or may even grow for two weeks, but they almost always fall after the second week. It may take about two to three weeks for the newly transplanted hair to start growing after an eyebrow hair transplant, which is the same length of time as a scalp hair restoration.

After full growth, patients need to keep trimming their transplanted eyebrows because they have the same growth pattern of the scalp hair where they are originally from.

Previously, we posted an article in our hair restoration blog: Tax on Cosmetic Procedures. For our readers, the good news  is that there were many people who supported us in our rally against the cosmetic tax proposal. Even more good news: the current cosmetic tax proposal has been dropped (hooray!). It was the same proposal that was part of the massive health care reform bill presently being considered on the Senate floor.

But let’s keep in mind that it is quite possible the “Bo-tax” could be tacked back on before the bill’s final passage.

I say the five percent tax is insane because a very similar type of cosmetic tax has been implemented in New Jersey, with disastrous results. Tax revenues from plastic surgeons and cosmetic doctors have dipped in that state, probably because potential patients are going to doctors in surrounding states for their cosmetic surgery needs, while not having to pay as much.

In this case, we may deter those people who visit the United States every year from coming to America in order to take advantage of our top-of-the-line cosmetic procedures.

The additional tax on cosmetic procedures has lowered business profits for doctors, thus limiting the amount of tax revenue the state of New Jersey receives to pour into public institutions and not-for-profit organizations. It seems to be a no-win situation for everyday citizens, doctors, and state assemblymen and politicians who are sincerely trying to do good service for the people of their district.

Another drawback: the tax may be applicable to a broad-range of procedures that improve a person’s self-image and self-confidence. These procedures may very well end up improving a person’s depression or social anxiety, as described in our article, Psychology of Hair Transplants.

Lastly, the cosmetic surgery levy unfairly discriminates against people with congenital defects, such as bald people who are looking for a hair transplant or women seeking to rid themselves of wrinkles by using Dysport or Radiesse.

Data sources show that about 90 percent of people who are considering cosmetic-type treatment are women (source: American Society of Plastic Surgeons). These women are seeking to enhance their self-perception and to feel more comfortable in social settings and also looking to gain an edge in the workforce (studies show chances are better for more “attractive” people to get hired, to receive promotions, or to receive a higher salary).

I would like to take this time to thank all physicians, patients, and politicians who supported the drop of this proposal from the health care reform bill.