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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AA before and afterThe internet has been aflutter with news that scientists discovered a “miracle pill” cure for hair loss. Several members of our hair restoration discussion forums created threads about the pill, and where they could get it, and I think some clarification is necessary:

First, and foremost, the “miracle hair loss pill” rumor comes from two recent news stories: the arthritis drug (Tofacitnib) that regrew a full head of hair in a patient with alopecia universalis, and the bone marrow drug (ruxolitnib) that cured a number of patients with alopecia areata.

Technically, these drugs reversed alopecia in a number of patients. Put another way, these two drugs “cured hair loss” for a number of individuals. Unfortunately, the situation is more complicated. Alopecia areata and alopecia universalis are auto-immune alopecias. This means they are caused by an over-reactive immune system, and not by a hormone process like we see in androgenic alopecia or male pattern hair loss. While these drugs may be a miracle for individuals suffering from auto-immune alopecia (alopecia areata, alopecia totalis, and alopecia universalis), the pills will – most likely – not work for individuals with androgenic alopecia.

In summary, scientists did discover a pill-based cure for a specific type of hair loss. However, this “cure” does not apply for those suffering from the common androgenic alopecia or male pattern hair loss.
Blake – aka Future_HT_Doc

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

This question, asked by a member of our hair loss social community and discussion forums, was answered by “sl” – a clinic representative for Coalition hair transplant surgeon Dr. Christian Bisanga.

How is number of grafts calculated? For the pricing, almost all hair transplant surgeons base this on the number of grafts. How does the number of grafts correspond to the number of extractions made in the donor area? For example, if they extract 2000 grafts and transplant 3000 (assuming some are singles and doubles as well) do they charge for the 2000 grafts or 3000 grafts?

bhr-logoGood question. If a hair restoration clinic extracts 2000 grafts and places 3000 then, as you say, they have split the grafts down into lower groupings.

Usually a clinic performing follicular unit extraction (FUE) will get enough singles for a hairline if this is the area being addressed; as they can cherry pick singles and then doubles and so on. So, on a virgin scalp, I personally would not see this happening. You would get the grafts in their original state for the most part. For repair work this may not be the case.

There may be slightly more extractions than grafts placed, depending on the skill of the surgeon punching the grafts and ability to get them without transection. The clinic will usually charge for grafts placed and some will give a breakdown of this also with relevant make up of hairs per graft.

This question, from a member of our hair loss social community and discussion forums, was answered by Coalition hair transplant surgeon Dr. William Lindsey:

Admittedly, I am a bit overwhelmed. I have been considering a hair transplant for some time now and am still debating on it. The thing is, I am a diffuse thinner and it’s pretty much just really thin all over the top with a bit of a bald spot at the crown. Now, if my hair goes in the same direction as my father’s, it will surely continue to get thinner. He isn’t bald but the hair on top of his head is noticeably thin, though it seems to me he would benefit well from hair restoration surgery. I mean, he isn’t really losing anymore hair being in his 60s and his hair has been the same for pretty much my entire adult life aside from going grey.

I did try Propecia (finasteride), but sadly that isn’t something I am compatible with. It did stop hair loss and even regrew hair in the short time I was on it like some sort of miracle, but sadly the side effects hit me just as hard.

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’ve been taking Propecia (finasteride) and 10% minoxidil for 10 months now and results have been mixed. I experienced some significant shredding during the initial stages but it did stop and my receding hairline hasn’t moved since. So I think I can safely say the medication has halted the receding process. I don’t think I have experienced much new hair growth although there might be a small area of the headline where the hair appears to be thicker. I use Toppik hair loss concealer to cover my receding hairline. I believe I am at II on the Norwood Scale.

I am seriously thinking about getting a follicular unit extraction hair transplant because I want to have my hair short at the back and sides and long (lengthy) at the top. However, I don’t have the money for it at the moment so I was thinking about getting a loan. I have had a loan before and repaid it so I know I can do this.

The hair restoration clinic I received my consultation from has appeared in the media and has performed hair transplants on many celebs. I still don’t know if that particular clinic is right for me. As I am taking out a loan, I have to be sure the clinic and procedure is right for me.

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