HAIR TRANSPLANT FORUM

Attached are magnified scalp samples of a patient who presented his case to us today. The right-mastoid sample area depicts clusters of healthily growing follicular families while the frontal sample area depicts follicular groups succumbing to the effects of DHT. These photos illustrate the process of miniaturization in patterned hair loss. In other words, the hairs are not “falling out” over the scalp, but rather they are shrinking progressively and irregularly in the male-pattern area.

Interestingly, the follicular densities of both samples are roughly the same, 20-25 follicular groups per unit area (depending on what hairs are counted as being in the field). The hair diameter is markedly different however. In essences, the photos illustrate how follicular unit densities are not the only determining factor in the appearance of coverage. Hair shaft diameter plays a crucial role. Therefore, hair quality as well as quantity will determine scalp coverage. While this conclusion may seem self-evident it should be kept in mind in the context of hair restoration surgery. The final result of a hair transplant is determined not only by the number of grafts transferred but also by the diameter of the donor hair.

On a separate another note, one should carefully analyze the number of hairs per follicular cluster when viewing these photos, particular in the right-mastoid sample. While it is impossible to be entirely accurate with hair counts based on surface photos, roughly 5% -10% of the units are singles in this Norwood class 6’s donor area. These percentages are not unusual yet many times we see published hairs transplant surgery accounts where 20-30% of the grafts are single hairs. This is inconsistent with the natural distribution of hair bundles and should therefore be attributed to excessive graft fractionation. Unless a hairline is being constructed, breaking up follicular groups is a sub-standard practice. How does this practice affect the patient? Well if you are paying a per graft fee for your treatment, you are paying more money, perhaps significantly more, than you would if the groups were kept intact.

Also remember that FIT is a harvesting technology whereby follicular groups can be cherry-picked by the physician. So not only do we provide a better result and better value by keeping larger groups intact, we also do so by avoiding and skipping over the smaller groups that would have necessarily been harvested if the area was excised with a STRIP. This would account for the consistently high calculated densities (hairs per follicular group) seen with FIT.

Here is another photo sample showing miniaturization in the recipient area. Initially we used these types of photos to illustrate that while the follicular densities between donor and recipient are roughly the same, the hair quality is vastly different. Another point is how hairs miniaturize. One might think that follicular units themselves miniaturize progressively. This is not so. Actually, hairs within the group miniaturize at different rates. In the photo below we see that the donor is rife with 1, 2, 3, and 4 hair clusters. This is not with the recipient areas where we see more 1’s than anything else.

This observation further illuminates the process of hair loss. Firstly we lose hair shaft diameter, secondly we lose calculated density (hairs per follicular unit), and finally we lose follicular density.

it is important to recongnize that many products slow this progression. one is propecia or avodart, but here are many more that prolong the duration of the anagen cycle and thus slow this progression from full size coarse hair follicular units to single fine hairs. these products include Hair Cycle shampoo, Minoxidil, Nizoral shampoo, and saw palmetto.

Hi...Is there any side effect if I undergo propecia..? Does it really work..and how long if so..??? M losing hair like anything else...I think I will turn bald.. Please help me...

Hi Shyla,

I would enjoy answering any of your questions anytime via telephone. Procecia (Finasteride) may not be a viable option depending on your situation. Please give us a call at (800) 368-4247










My advice is not medical advice

Excelent post. Thank you for helping us understand the hair loss evolution process.

Shyla wrote:Hi...Is there any side effect if I undergo propecia..? Does it really work..and how long if so..??? M losing hair like anything else...I think I will turn bald.. Please help me...

I'm 40 and have a hair loss problem since last 5 yrs. I tried many drugs, shampoos, gels and creams and finally I settled for Propecia Finasteride. Propecia is the best medicine for hair loss. It certainly has some side effects and these side effects disappear as our body gets used to the medication. I'm using Propecia for year and half. I too had some side effects like decreasing sexual desire in the beginning and as my body got used to it slowly, most of the side effects disappeared. As per my experience Propecia is long term medication and it should be continued at least for six months.

After year and a half, today 80% of my receding hairline disappeared with negligible side effects. As I am buying propecia from emedoutlet, I have recd 15% discount coupon. The discount coupon number is 5234E. If any one of you want to buy propecia and want to have 15% discount, you can try this coupon code. I believe it should work for you also. These guys are best in quality and fast in delivery. Propecia 1mg costs $ 16/- for ONE MONTHS OF SUPPLY - Just go for it and save 15% on Propecia purchase...

FITLocks wrote:Attached are magnified scalp samples of a patient who presented his case to us today. The right-mastoid sample area depicts clusters of healthily growing follicular families while the frontal sample area depicts follicular groups succumbing to the effects of DHT. These photos illustrate the process of miniaturization in patterned hair loss. In other words, the hairs are not “falling out” over the scalp, but rather they are shrinking progressively and irregularly in the male-pattern area.

Interestingly, the follicular densities of both samples are roughly the same, 20-25 follicular groups per unit area (depending on what hairs are counted as being in the field). The hair diameter is markedly different however. In essences, the photos illustrate how follicular unit densities are not the only determining factor in the appearance of coverage. Hair shaft diameter plays a crucial role. Therefore, hair quality as well as quantity will determine scalp coverage. While this conclusion may seem self-evident it should be kept in mind in the context of hair restoration surgery. The final result of a hair transplant is determined not only by the number of grafts transferred but also by the diameter of the donor hair.

On a separate another note, one should carefully analyze the number of hairs per follicular cluster when viewing these photos, particular in the right-mastoid sample. While it is impossible to be entirely accurate with hair counts based on surface photos, roughly 5% -10% of the units are singles in this Norwood class 6’s donor area. These percentages are not unusual yet many times we see published hairs transplant surgery accounts where 20-30% of the grafts are single hairs. This is inconsistent with the natural distribution of hair bundles and should therefore be attributed to excessive graft fractionation. Unless a hairline is being constructed, breaking up follicular groups is a sub-standard practice. How does this practice affect the patient? Well if you are paying a per graft fee for your treatment, you are paying more money, perhaps significantly more, than you would if the groups were kept intact.

Also remember that FIT is a harvesting technology whereby follicular groups can be cherry-picked by the physician. So not only do we provide a better result and better value by keeping larger groups intact, we also do so by avoiding and skipping over the smaller groups that would have necessarily been harvested if the area was excised with a STRIP. This would account for the consistently high calculated densities (hairs per follicular group) seen with FIT.

This is a nice post.
I want to simplify the answer so that other can also understand. Medical Scientists believe that MPHL (Male Pattern Hair Loss) is due to two reasons. First is inherited from the either sides of the family. Second is due to biological chemical called a dihydrotestosterone, commonly referred as DHT. DHT is a biological material in the body, which shrinks the hair follicle.

Male pattern hair loss is a widespread situation, where men encounter disappearing of hair on the scalp. This also results in receding hairline or balding on the scalp area of the head. The treatment of Propecia Generic Finasteride stabilizes the overall DHT level and help stop follicles.

Generic Propecia contains the active ingredient Finasteride, a type II 5-alpha reductase drug that restricts the conversion of testosterone to dihydrotestosterone.

Generic Propecia Finasteride is the right medicine for male pattern hair loss.

Really awesome post..I heard about taking propecia to prevent hair loss..Is it a good hair loss treatment to follow? will it prove best for my hubby?

Well, it's up to you if and to your hubby if he know how to appreciates it. But there's no harm in trying, so it's better if we will just only see the result. Don't miss your chances in life, guys!

Interesting article, thank you for putting up such a nice information like that.

http://hometreatment.net/home-remedies/skin-hair-and-nails-problems/home-treatment-for-hair-loss/

Hey buddy,
Your post is much informative one for all the person's specially for those who loss their hair and got bold... I think this kind of the posting is much helpful to that one's also who are worried about the hair's health.... Thanks for your posting and keep share more data about that topic.................