Forehead Lift Caused Hair Loss - What Are My Options?

I am a 52 year old female. A little over 1 month ago I had a forehead lift which left me with a bald spot around the front forehead incision line. The area is approx. the size of a quarter which is mostly in front of the incision line but extends slightly behind as well. The surgeon states she is unsure why this area lost hair. She says she has not had this happen with any other patients. I also have lost hair volume throughout my head. Is this a normal hair loss issue after a forehead lift and do I have any options that might help regrow the hair.
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Hair loss is a potential complication of surgical brow lifting and forehead lifting. Fortunately, this problem is uncommon for most patients who undergo surgical rejuvenation of the brow and forehead regions. There are several factors that can influence ones predisposition to losing hair following surgery and two primary patterns in which hair can be lost.

Technical issues related to the performance of the surgery can contribute to postoperative hair loss. Factors which compromise blood flow to the hair-bearing scalp set the stage for unexpected hair loss. Inadvertent disruption of the scalp’s blood supply, aggressive surgical cautery at the wound edge and excessive tension along the incision line are three of the most common causes of post-surgical hair loss. Read more

What Is The Difference Between The Woods Technique and An FUE Hair Transplant?

Years ago I used to read about the Australian doctor, Ray Woods. But now it seems he has vanished, or at least off the internet. My question is how does the technique he performed differ from FUE?
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Dr. Woods technique is essentially a form of FUE as far as it is known. He had never revealed to the medical community or the public, the tools or technique he uses. He does describe isolating, extracting, then placing individual follicular units but the details concerning tools and technique have never been described by Dr. Woods. From information obtained from the internet a number of years ago, at that time he did place the grafts in small holes or incisions made by small needles and performed up to 600 grafts a day. If more grafts were required, multiple days of surgery were performed.

I am not aware of any changes in his technique over the years. Techniques do evolve and most physicians who keep up with current techniques adapt over time. Read more

Propecia Has Slowed My Hair Loss - I Am 41 And Interested in a Crown Hair Transplant

I’m 41 years old and have been losing my hair since around the age of 24. I’ve been on propecia since it came on the market which has really slowed my hair loss down. I’m around a Norwood class 4 but I have a lot of hair in the hair line. Do you think it’s ok to have a hair transplant performed to fill in my crown now that I am above the age of 40 and have maintained a lot of hair for all of these years?
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Without seeing your scalp, I will have to speak in generalities. I am very pleased you have been on Propecia. As I am sure you are probably aware, Propecia is able to stabilize male pattern balding in up to 90% of men as long as they continue to use it. Before talking about transplanting your crown, I would like to focus on the last part of that statement. Propecia controls hair loss, but it does not cure it. If you were to stop taking Propecia, your balding would resume. However, worse than that, it is possible that your balding could actually catch back up to where it would have been at age 40 had you not been using Propecia at all. If you have been using Propecia since age 24, that suggests that you could lose a tremendous amount of hair over a year or two period if you stopped taking Propecia. So before considering whether you want to have your crown transplanted, you need to be certain that you are willing to continue taking Propecia indefinitely. Even if you are committed to long-term use of Propecia, please keep in mind that it is possible that you could develop side effects down the road that would necessitate its discontinuance. That would be quite unusual after having used it for such a long period, but we very rarely see men who develop enlarging breasts (gynecomastia) after many years of taking Propecia. Read more

Women’s Hair Transplant Advice

My 27 year old sister underwent a hair transplant to lower her hairline. To my knowledge she had no hair loss but just wanted to kind of frame her face better. The hair transplant surgeon who performed the surgery claimed to have done the same type of surgery on many female celebrities so my sister was excited. Today she looks like a women with a hair transplant and has become extremely withdrawn. She no longer wants to go to work. She does not date and is very depressed. She is also now losing her normal hair since she had the hair transplant.

Is there anything I can do to help her? Can her hair be fixed? Is it normal protocol to do a hair transplant on a 27 year old girl with no real hair loss? Her surgeon is basically ignoring her calls now. Please give me some advise.
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Thank you for your letter. It is unfortunate that your sister did not receive the results that she was hoping for. It sounds like there are two issues that need to be addressed, hair loss in a woman and a transplant result that is not completely natural. I will attempt to give you some options regarding both of these problems.

By your letter it sounds like your sister has started losing her “native” hair since the transplant. You didn’t mention where this is occurring but the situation should be evaluated like any woman with hair loss. This involves obtaining a history of the condition as well as an examination by an experienced hair restoration surgeon. The treatable cases such as thyroid function abnormalities, anemia, elevated testosterone or polycystic ovarian syndrome (PCOS) should be ruled out. Read more

Success Rate of Facial Hair Restoration - Is There Visible Scarring With FUE?

What is the success rate of facial hair restoration and is there visible scarring if I use FUE? How long is the procedure and how long does it take to heal?
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If we define success as survival of grafts, facial hair grafts do as well as hair transplant grafts placed in the balding scalp. The key determinant for survival of hair transplant grafts to the face or elsewhere is the technical delicacy with which the grafts are prepared, stored, and handled during insertion. With proper attention to these details nearly 100% of the grafts will survive and go on to produce living hair over a lifetime.

Grafts for facial hair transplantation can be obtained either by strip harvesting (FUT) or by extraction of individual follicles (FUE). With the strip method there is a fine linear scar left. This almost always has no cosmetic significance if the scar is in an area where hair is worn 1/4 inch or longer. FUE leaves tiny pinpoint scars which do not show if hair is shaved in the area of harvesting.

FUE would be the preferred method of harvesting for a facial hair transplant if the area to be treated is not large or if beard hair is going to be used for donor grafts. For example if a patient simply wants to fill in defects in a moustache or beard FUE can be used to extract grafts from the beard area under the chin where the tiny pinpoint scars will be least evident. Read more

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