What Would You Do for Prince William, Specifically?

This is a follow-up to a post from last week:

Hello!
last week a question was posted about Prince William which you opened your doors to William if ever he decided to go down the hair transplant route…
my question would be - What would you do for William? we can all see where his future lies with his hairline, obviously we do not harvest an adequate amount of donor hair to cover the whole of the balding area, what would be the way forward for william in your opinion?
and also off the subject, i picked up on the comment made by the blogger, something to the tone of “feeling sorry for william on his wedding day, his looks seem to have diminished due to his balding process……” have you seen his wife? hes not doing to badly!

I’m sure you’ve heard the saying, “Bald is beautiful“. With respect to Prince William, I am sure if he is bothered by his hair he would have done something for it. He looks like an excellent candidate to take finasteride and see what happens with the medication alone. One reader commented that they didn’t like Prince William’s thinning hair and wondered if he would be a candidate for hair transplant surgery. Yes, he’d likely be good candidate if that is what he wanted to do about it.
So hypothetically, assuming he has an average hair density and scalp laxity (the ideal scenario) he could cover the entire scalp with two surgeries. The first procedure would be the most dramatic, giving him a non-balding hairline with a frame to his face and some fill for the thinning top and crown. I couldn’t get too into specifics, as I’ve not met Prince William.
When and if he came to transplant, we would do almost exactly what we did for reality star Jon Gosselin. He had only one surgery and we did not address the continuing hair loss to the top crown area, which appeared to worsen. Jon has a similar hair loss pattern, but his hair is black as opposed to the royal’s blondish-brown hair. Since Jon’s hair loss gives less contrast to his skin, Prince William should attain better results.


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Complaining Doctors and Pushy Patients

I am sure you guys see a lot of patients, and I just read an article on CNN about a site that lets doctors complain about pushy patients. Do you have any horror stories about patients that gave you a hard time? Here’s the article: Are you giving your doctor a headache?

From my regular reading of this blog I can tell there are plenty of people out there that fancy themselves as “experts” when it comes to hair loss and love to show off their armchair medical degrees that they earned by surfing the web for a few hours. Its great to try to learn as much as possible about various problems one might have, but at what point does it become a headache for you when the person insists a medication is causing their issue or insists that their hours of research are more accurate than your many years of treating patients in person?

Thanks and keep up the great work!!!

People are people and they come in all personality traits. As a doctor, you expect to see a wide variation of patient personalities, and if you didn’t, you should not be a doctor. I demand that doctors treat every patient with dignity and respect. If a patient does not behave properly or is disruptive to the goals of a first consultation, I use my people skills to try to end the interaction with a frank discussion that maybe we (doctor and patient) are not compatible. This has been very rare for me to find such a patient.

What usually happens is that if there is a patient who is upset about their hair loss circumstances, or afraid of an uncertain future, or were treated with less than proper respect, or achieved less than the results than they expected from a surgery with another doctor, then my job is the communicate with them. Many times what is thought to be a difficult patient, actually turns out to be a patient who is just afraid and if I take the time to listen to them, I almost always calm them down.

I believe that all people deserve the best efforts I can manage and I approach everyone that way. Sometimes I look back upon the interactions with patients and laugh to myself at the happenings. I remember one patient, for example, who had a hair transplant with me and the next day came in with a poster sized blow-up of his transplanted scalp with individual pins placed into every graft in the head that he could see. He claimed that I cheated him and overcharged him for the number of grafts that were given to him the day before. I sat down calmly with him, showed him grafts that he did not see (no pins in the picture) and suggested that he come in another day so I can show him a live surgery and demonstrate why the picture did not really show the actual hair graft count. He did just that and everything was fine after. Especially difficult patients produce difficult challenges and it is the doctor’s job to address the needs of the patient, always.

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Prosthetic Follicles?

Do you have any knowledge or opinion about prosthetic follicles? I was imagining a tiny hypo- or non-allergenic device of plastic, silicone, etc that could even eject broken hairs and be reloaded. If they can replace heart valves and if they can make silicon wafers with microscopic transistors, artificial follicles hardly seems unfeasible. I googled my idea and actually found something:
A hair prosthesis consisting of allogeneic hair and polypropylene mimicking follicular units: long-term result and histocompatibility in rabbits

This sounds wonderful for balding or bald rabbits. There’s still a lot that needs to be done before it is shown to be safe for humans.
There is reasonable experience in artificial hairs and the history is not pretty, with infections that really mess up the scalp. I have personally seen the results of artificial hair over the years and have removed them in patients I’ve seen, but the problems never seem to clear. They look good when they are initially done, but hopefully people will live long enough to regret the decision to do this.


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Could Rogaine Make My Hair Even Worse?

Hi — I have a question about Rogaine.

I’ve read that Rogaine can make things worse before better. I’m OK with that risk. But is it possible that Rogaine could make things worse, and then NOT be effective for me, i.e. things would not get better again? So I’d just be left worse off than without using Rogaine at all? Thanks for your time.

Rogaine (minoxidil) is marketed for hair growth — not hair loss. There are occasional reports of increased shedding in the first month of use, but this is just temporary. Many people panic when they see increased shedding and stop the treatment so I suspect it would be a negative outcome if you look at it that way.

[tag]rogaine, minoxidil, hairloss, hair loss[/tags]

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Hair Loss After Chicken Pox?

Sir,
Recently I had chicken pox and it caused a lot of scars on my face. So for the last 2 weeks I have been using a cream named Dr.Reddy’s Venusia (vitamin E cream). After the application of the cream my hair loss rate increased drastically and I really doubt its the effect of the cream. I apply it on every night on my face. Plz help me to clear of this doubt!

It’s possible that your bout of chicken pox may have been a large stress, causing you to lose hair or to accelerate an inherited genetic pattern. I don’t know anything about you though (age, for starters). I really can not help you without seeing you. Plus, I only deal in hair (not face) problems, so a good dermatologist might be a better initial choice.

Dr. Reddy is a large Indian generic pharmaceutical company that has run into problems recently with the FDA relating to their Mexico manufacturing plant. With that said, I wouldn’t expect that the Vitamin E cream they produce is the cause of your loss.

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Open Pores and Hair Loss

Hello Doctor

I understand that the “clogged pores due to dirt and buildup” is a hair loss myth. But what about open pores? Is it safe to use things like a spray leave in detangler, right after a warm head wash?

Pores are there to secrete oils to coat your skin and hair. Hair spray, lotions, and leave-in detanglers should be safe to use.

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Gray Hair in Children

A doctor via CNN wrote about a young child with gray hair. I thought it might be of interest to you and the visitors of this fine site. Thanks for everything, doc
Link: Why does my 4-year-old have gray hair?

Thanks for sending this!
The article was written by a pediatrician for CNN and contains some good information for parents of children with gray hair. Causes for graying hair in a child can range from anemia to genetic causes. Check out the article for more info.

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What you Need To Know About Stress and Hair Loss

When are we really free from any stressful situation? Hardly ever, except perhaps when we sleep. Everything that we do can lead to potentially stressful situations.

One of the effects of stress on the human body is hair loss. People as young as those in their early 20's experience hair loss too - often it is not caused by genetics, but rather by a stressful work environment. This is particularly true in a work environment that emphasizes daily output production. Employees are required to come back during off days to do overtime. People working in a high chemical environment can also experience hair loss due to the chemicals they are exposed to.

Sudden, non-genetic hair loss is called Telogen Effluvium, which occurs after the end of stressful events. It causes hair follicles to temporarily stop producing hair and relapse into a resting state prematurely. Hair follicles remain in this resting phase for several months when an unusual amount of hair would fall from the head. The good news is that this kind of hair loss is temporary - it stops after hair follicles resume hair production, provided that you do not encounter any more stressful situations again.

While using bottles of hair tonic may seem like a good idea, an even better way to curb hair loss is by addressing the root of the problem and managing stress. There are several ways that you can do effective stress management and avoid hair loss. Cutting out stress is extremely helpful.

Although it sounds easy, we must realize that there are no 100% proven stress-free formulas. However, learning to reduce stress by understanding stress and identifying stress factors would be worth your time and well being.

One is by learning the art of dissociation. Free your mind from your body for a while everyday, even if it takes a few minutes of your day. The longer you're able to stay in this state of calmness, the better. Another form of disassociation is separating business from pleasure. Enjoy your time away from work, and don't think of things you would rather be doing when you are at work.

As much as possible, always try to slot in some time to relax. Not only by breathing exercises and applied relaxation, but by doing something you would love and enjoy. You can sing, you can paint, you can play computer games, or you can go to your favorite park for a stroll or walk your dog. Losing your hair, your good looks, your health and yourself is not worth the stress so, live life to the fullest!


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Guest post by Lester Sim

Yun Nam Hair Care Scam

Hair loss treatment and prevention is a billion dollar industry. Practically everyone suffers from hair loss one way or another in lifetime. If there is one hair care center that you need to be caution it is Yun Nam hair care. I signed up with Yun Name hair care package 10 years ago and throughout the treatment session, no sign of progress observed.

The usual tactic employed by this company is that they will tell you to sign up for a promotion package which according to them is very affordable. Once you sign up for the trial package, they will then try to urge or convince you to pay for add-on package which can easily amount to thirty thousand dollars or even more!.

The herbs and various concoctions that they used to apply as paste on your scalp and hair during the treatment cannot be that ridiculously expensive. Yun Nam management certainly knows how to play on the human emotion factor. They knows that those who visit hair care center are usually desperate people and at their lowest mood in life and they are willing to pay to get their hair loss problem fix.

Why I think this company sucks and also a SCAM? I don't deny that some of the oriental and natural hair medications formulated are quite effective albeit not for everyone. The effectiveness of the treatment varies for individuals.

The thing that I am totally put off by Yun Nam is that they charge customer huge amount of money for the course of the entire treatment (something like starting from 20K onwards) and they mislead the customer by over-hyping the high success rate of their hair restoration therapy.

When things don't go well by the completion of the whole course of the treatment, the staffs will give all sorts excuses such as that in life there is no such thing as guaranteed 100% success hair thinning treatment.

Well,they don't tell you when you first sign up for the course and they charge you as if it is a 100% success rate treatment! Some of the staffs even had the audacity to suggest customer to buy half a thousand dollar wig or toupee to cover the balding portion of their scalp after they have completed the treatment course package with little or no improvement to hair thinning problems.