Can You Wear A Hairpiece While a Hair Transplant Grows In?
Written by Bijan Feriduni, MD on January 11, 2008
I’ve been wearing a hair piece for almost 5 years and I am getting sick of the constant maintenance and cost associated with being a member of The Hair Club. I was speaking to my stylist the other day complaining about the situation and she suggested that I try a hair transplant. She told me that they have doctors who work at the Hair Club but I find that very suspect so this is why I am coming to you. If I have a hair transplant can I wear my hairpiece until the transplanted hair grows in? Will this damage the new hair in anyway and have you ever had any clients who have done this? This whole wig thing is starting to get me down and I would just like to chuck it. Thank you in advance.
It is generally speaking possible to wear a hair piece shortly after a hair transplant surgery. However it is very important in which manner the hair piece is fixed on the scalp. High quality hair pieces are mostly manufactured in a thin skin-like material, in which the hairs are interwoven or even glued. The hair piece is mostly fixed on the available hairs or on the skin itself, nevertheless it may on no account be fixed in the recipient zone after surgery. The fixing can be done by means of clips or adhesive tape on the not- treated parts of the scalp. Read more
Frequency of Hair Transplant Shock Loss
Written by Blaine Lehr, MD on January 9, 2008
I am thinking about getting a hair transplant but I would like to know what percentage of people experience shock loss. Is there any data for this? Is there any way to know beforehand what your chances are of having that happen?
Unfortunately, I am not aware of any scientific studies which have sought to determine the exact frequency of post operative shock loss. Even if such a study were performed, the results might not be applicable in the real world because there are so many individual factors that influence its occurrence. Nevertheless, it is clear that it is a real problem, especially for certain subsets of patients. Patients who seem to be at highest risk include: 1. Those who are experiencing rapid hair loss; 2. Women; 3. Those who have miniaturized hair in the recipient area; and 4. Those who are having a transplant densely packed into an area of the scalp with a lot of the existing hair. The incidence of post operative shock loss in each of these cases varies. I would estimate that some shock loss occurs in up to 50% of the high risk cases; whereas, I would estimate some occurs in about 10% of regular cases. Read more
Does Propecia Cause Prostate Cancer? What Are My Other Hair Loss Treatment Options?
Written by Glenn Charles, DO on January 8, 2008
I’d like to start taking Propecia, but I heard that it can cause prostate cancer. Is this true and if so what else can I take to stop my hair loss?
To my knowledge there has never been any evidence linking the use of Propecia and the development of Prostate Cancer. There was a recent study that followed a large group of men taking Propecia for several years. The study showed that in addition to the slowing down of hair loss, men taking Propecia had a lower incidence of BPH (Benign Prostate Hypertrophy) and a lower rate of Prostate Cancer than the general population. However the few people who did develop Prostate Cancer had higher grades of Cancer. The authors reasoning for this is that Propecia helps to keep the Prostate gland smaller which in turn leads to a lower rate of Benign Prostate Hypertrophy (enlargement) converting to Prostate Cancer. For those patients whose predisposition for developing Cancer was so strong (higher grade of Cancer) the Propecia had no effect on them. Read more
Any Hope For The Hopeless? When a Hair Transplant Isn’t An Option
Written by Robert M. Bernstein, MD on January 6, 2008
I am writing because I am wondering what to do for my situation. I am 25 years old with extreme diffuse thinning. Lucky me huh? I think it resembles more female pattern type hair loss and the donor hair, side top everywhere is evenly thinned. I think I’ve done enough research to figure out that I am probably not a candidate for a hair transplant due to not having a very stable donor hair area, and also I hear doctors don’t want to transplant guys that are too young. So this is one of those times age isn’t on my side. What do I do? I don’t want to depress anyone, but this has ruined my life, or perhaps more appropriately stated, robbed me of the one I had before. Not a lot of 25 year old women wanting to date a guy with hair like their grandfather. Do guys with diffuse thinning respond well to Propecia or Rogaine? thanks.
You are correct that if you have diffuse thinning by age 25, you would not be a candidate for a hair transplant. I would use both Finasteride and Rogaine and begin these medications as soon as possible. With diffuse thinning, it is possible to have a dramatic response. Read more
Questions To Ask a Hair Transplant Surgeon
Written by James Harris, MD, FACS on January 4, 2008
I figure the best way to know what questions to ask a surgeon I may see for possible hair transplant surgery, is to actually ASK a hair transplant surgeon. Can you give me a list of things I should watch out for or be aware of and possible questions to ask to the doctor I see for a consultation? Thank you in advance.
Thank you for your letter. You are absolutely correct that you may ask the surgeon any question that you would like and you have to feel comfortable with the way the surgeon answers your questions as well as the answers that he/she gives you.
The list of possible questions is lengthy and will depend on your individual situation and areas of particular interest. In general there should be no area that is off limits or too sensitive to ask the physician including training their experience. You should also be able to ask any question about the medical or surgical treatment of hair loss and how each may benefit you. If you have specific questions after you have done some research into hair restoration, by all means ask. Read more
Can The Beard Be Used As Donor Hair For a Sideburn Hair Transplant?
Written by Michael Beehner, MD on January 3, 2008
Is it possible to take the donor hair from the beard area. I don’t have any donor hair left, and need a new side burn. -Steve
Dear Steve,
It IS in fact possible to harvest donor hair from the beard, but there is still a good chance that the wisest and best course of action may be to take it instead from the back of your scalp. There are two different ways to harvest beard hair: The older method was to cut out an eliptical strip from under the chin and then dissect this strip into individual FU grafts, but the drawback is that this method leaves a thin scar under the chin; so this method is only to be used if the man is absolutely committed to keeping a beard in that area of the face for the rest of his life, which makes the scar undetectable. Another probably better way to harvest beard hair is by “FUE,” or folliicular unit extraction, a procedure in which the surgeon uses a very small punch around 1mm in diameter and cuts into the very superficial skin surrounding the follicular unit, then follows up with a dull punch, which carries the dissection bluntly down the sides of the FU without cutting the follicles. The FU graft is then gently “plucked” out of this site, and the holes heal up beautifully in just 4-6 days and are hard to detect very soon thereafter. Read more






