Lebron FUE before and afterEarlier this week, NBA star LeBron James unveiled his new Nike shoe line. It was is hairline, however, and not his shoe line that drew the most attention. This is because James, who normally sports a noticeably receding frontal hairline, showcased a much thicker, lower hairline. Speculation began immediately; media commentators cited low level laser therapy (LLLT), reduced stress, and longer hair as possible explanations. One theory, however, seemed most prevalent: James’ new hairline is a result of hair transplant surgery via the Follicular Unit Extraction (FUE) technique.

Could FUE explain LeBron’s new look? Possibly. His hairline does appear lower and more “juvenile” in shape, and several media sources shared images of James frequently wearing hats in the period before filming the Nike appearance, but is this the only explanation? Not likely; surgery, temporary hair pieces (hair system), and old fashion “Hollywood magic” are possible as well.

It is not certain whether James actually underwent hair transplant surgery. However, many now wonder: Could Lebron’s new look be explained by FUE? In my opinion, yes. Follicular Unit Extraction (FUE) is a tested and proven method of hair transplant surgery. Many patients undergo impressive transformations with FUE daily, and LeBron could have been one of them. Thus far, however, James remains quiet on the subject.

Interested in hairline restoration with FUE? Consider an evaluation and consultation with one of our Follicular Unit Extraction physician experts. 
Blake – aka Future_HT_Doc

This common question comes from a member of our hair loss social community and discussion forums:

I want hair transplant surgery now, but don’t have a lot of disposable income. This means I’m looking for the most affordable hair transplant surgeon. Does anyone know where I can undergo cheap hair transplant surgery? Should I take cost into consideration when choosing a surgeon? Is it wrong to pick a doctor based solely on price?

piggybankThough it is tempting, most advise against “price shopping” for hair transplant surgery. In some cases, it results in sub-par work; when this happens, it is almost always MORE expensive in the end. I’m not saying completely discount cost, but a single quality procedure with a trusted doctor will be most efficient with respect to both cost and use of your finite grafts. This does not mean you can’t take cost into consideration when selecting a physician. However, it probably should not be the sole deciding factor, nor should it be placed above quality, skill, and results.

You can always wait and “save up” for a hair transplant as well. Hair loss (androgenic alopecia) is a progressive disease, and many physicians actually recommend waiting and using preventive medications – finasteride (Propecia) and minoxidil (Rogaine) – before taking the surgical plunge. Consult with several recommended hair restoration physicians and discuss your cost concerns. Some likely have payment plans outlined for this situation; others may recommend saving up while stabilizing the hair loss with preventive medications.  However, I don’t think any will recommend seeking the “cheapest hair transplant” available as quickly as you can.
Blake – aka Future_HT_Doc

This question, asked by a member of our hair loss social community and discussion forums, was answered by “Garageland” – a clinic representative for Coalition hair transplant surgeons Dr. Victor Hasson and Dr. Jerry Wong.

I began experiencing thinning hair when I was about 16-17 & I’m 25 now. I actually started out with unusually thick hair, so I still have a decent amount of hair at this point even though it’s been many years. I use a fiber type hair loss concealer right now to cover up the baldness I do have.

I was wondering if anyone could please give me a rough idea about how many grafts my situation would require for hair restoration surgery. My hair loss is a bit worse than it appears in the pictures, but not much worse.


0_6181You shouldn’t get a hair transplant at this stage. What you should do is speak to your doctor about getting on Propecia (finasteride). This medication is proven and works especially well in the crown at your young age. You may find some thickening of the hair in the crown if you are lucky and it could fill back in and you won’t need a transplant. At 25 years old without using any medical hair loss treatments to resolve a small area of miniaturization in the crown, I would be worried about any doctor providing this type of surgery.

I have a six month supply of Rogaine (minoxidil). Should I keep it in the refrigerator?

ColdInstructions for the medical hair loss treatment Rogaine recommend storing it at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). I do not know what reconsideration may do to its effectiveness in the long-term.

Rogaine has a long shelf life when stored at room temperature (3 years for liquid and 2 years for foam) and does not require refrigeration. However, the foam product tends to melt in the hand quite quickly during warmer times of the year. To counter this effect when applying Rogaine Foam, try running the bottle under a cold tap for a few seconds. This will firm up the foam long enough to apply it to the scalp without running.

David (TakingThePlunge)
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.
To share ideas with other hair loss sufferers visit the hair loss forum and social community.

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I’m a 41 year old male. Between the ages of 20 and 35, masturbated 3 or 4 times per week. I also used Super Vasmol dye on my hair about 10 times when I was 33 years old.  Then I switched to Garnier dye when I was 36 to 38 years old and finally I used Bigen, which is a Chinese made hair dye. During this time I experienced a lot of hair loss.

I quit using dye 3 years ago but 2 and a half years back I rubbed an onion (ie, small variety onion, not big variety onion) all over head to grow hair which I read in a sidha book in the Tamil language. After that, most of the hairs fell very quickly.

I explained all of the above to a homeopathy doctor and I’ve been taking medication for the past 4 months. My health is improving but my hair loss has not stopped. The doctor told me that the hair will grow back soon.

Please tell me why my hair is falling out. Is it due more to masturbation or hair dye?  Is it possible to regrow my hair?

indexYou’ve brought up multiple issues here that I must address. First, masturbation does not lead to hair loss. The cause of thinning hair in the vast majority of balding men is androgenic alopecia (genetic baldness).

prostate cancerIn a new study, conducted by the American Society of Clinical Oncology, researchers found a correlation between a specific balding pattern seen in androgenic alopecia (male pattern hair loss) and an aggressive form of prostate cancer.

The study, titled the Prospective Prostate, Lung, Colorectal, and Ovarian (PLCO) Screening Trial, confirmed a well established theory that prostate cancer and male pattern baldness are linked by a shared hormonal imbalance. Both prostate cancer and androgenic alopecia feature an irregularity of androgen-based hormones like testosterone and, more specifically, dihydrotestosterone (DHT). This study, however, went a step further and linked one specific balding pattern seen in androgenic alopecia to an aggressive type of prostate cancer. According to the results, men who, by age 45, suffer from “baldness in the frontal scalp and moderate hair thinning in the crown” have a 40% increased risk of developing aggressive prostate cancer.

4Androgenic alopecia is a progressive and unpredictable type of hair loss. Due to it’s ongoing nature, the degree of hair loss seen in androgenic alopecia is classified by the Hamilton-Norwood Hair Loss Scale. This scale grades hair loss on a level from II – VII, with II being the least amount of recession and VII being the most severe. Based upon the description in the article, the level of hair loss associated with the aggressive prostate cancer is approximately a Norwood level IV.

I had a hair transplant 6 months ago. My hairs are coming in fine but I can still see my scalp. I think when the hair grows longer it will be fine. My hair restoration physician told me it’s better if I can quit smoking but I continued to smoke up to 3 months from surgery. For the past 3 months I gave up completely. Do you think that it affected my grafts or will it affect my hair regrowth?

I also asked him if I can apply Mira Hair Oil as I saw so many good reviews of this product. Plus it’s natural with no side effects. Is it to use this product?

OLYMPUS DIGITAL CAMERAThe most important time to avoid smoking is about one week prior to and two weeks after your hair transplant surgery. This is the critical healing phase when the transplanted grafts are becoming anchored in the recipient sites. The reason that hair restoration physicians recommend abstaining from smoking during this period is that smoking causes constriction of the blood vessels which then reduces blood flow to the grafts. It’s thought that this can affect wound healing and hair growth. However, there is no hard data to show just how much of an affect it might have and there will be no way to know until your hair transplant matures.

This frequently asked question comes from a member of our hair loss social community and discussion forums

Online, I saw a clinic offering stem cell injections for hair loss. The clinic can either: extract fatty tissue from my stomach, remove the stem cells from the fat, and inject them into my scalp; or remove some donor tissue from my scalp and “multiply” the follicle stem cells and inject them back into the scalp. Are these methods valid? Should I treat my hair loss with stem cell injections?

stem cellsOne day, stem cells will likely revolutionize the way we treat a variety of ailments – hair loss included! Unfortunately, we have not yet reached this day.

As of now, any hair loss treatment involving stem cell injections is purely experimental. What’s more, these treatments are experimental for a reason; stem cells are powerful, rapidly changing cells, and possess serious adverse effects. Some of the unintended consequences of stem cells include abnormal cell growth, immune system issues, and even cancer. This is one of the many reasons why stem cells must be researched and carefully studied before used as a medical treatment.

This is also why stem cells injections are currently not a recommended hair loss treatment. Opposed to trusted treatments, like minoxidil (Rogaine), finasteride (Propecia), and hair transplant surgery, stem cell injections have not been evaluated and proven safe and effective. Altogether, this leads to one very important conclusion: stem cells injections are not recommended for the treatment of hair loss at this point in time. We may soon see a day where stem cell therapies are safe and even commonplace; however, we have not yet reached this day.
Blake – aka Future_HT_Doc

This question comes from a member of our hair loss social community and discussion forums

Several years ago, I suffered from an unrelated medical issue. A physician prescribed a medication and the pills essentially fixed the problem. However, I’m beginning to experience symptoms again and wanted to restart some left-over medication. But, I just underwent hair transplant surgery several days ago and I’m concerned restarting the medication could affect the results. What should I do?

pillsI recommend the following:

First, speak with the physician who originally prescribed the medication. Ask him – or her – whether or not you should restart the medications, and if an appointment, exam, or further testing is required first.

Next, speak with your hair transplant surgeon. Explain the situation and ask whether or not the medications could affect the newly implanted grafts. Make sure both physicians understand the importance of your prior medical condition and your new hair transplant. Follow the advice of both doctors closely. If possible, ask if the two doctors could speak directly and create a treatment plan together.

Questions about medications should always be answered by trained physicians.
Blake – aka Future_HT_Doc

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning

Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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This question, asked by a member of our hair loss social community and discussion forums, was answered by “California” – a clinic representative for recommended hair transplant surgeon Dr. Tejinder Bhatti:

What’s the usual time for the scabs to come off after hair transplant surgery? I am 8days post op and I still see most of the crusts being very stubborn and not coming off. I am being very careful not touching them at this moment but I wanted to know usually how long before all or most of the crusts come off?

Darling BudsMost, if not all of the crusts should come off by the 15 day after hair restoration surgery. After that, you will have your transplanted hair to enjoy for a little while longer and then most of that will start shedding.

You will probably lose most of the transplanted grafts starting from the 30 day mark. Then the “waiting” period for new hair growth starts.

North America Representative and Patient Advisor for: Dr. Tejinder Bhatti

David (TakingThePlunge)
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.
To share ideas with other hair loss sufferers visit the hair loss forum and social community.

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