I have been recommended 600 to 1000 grafts to the front.  I would like to know what is the highest density and graft count with more aggressive density on the front hairline.  I would like to have the front hairline to be suitable for a 36yo that is not on meds.

You can go with the maximal density, but I’ve seen many patients from physicians who claim to place 70 to 100 grafts per sq cm that are growing 20 grafts per sq cm. One of two things occurred. One is that the patients received 20 grafts per sq cm, which is not likely. The other is that they received 60 to 70 grafts per sq cm and they lost 50 grafts per sq cm because the placed density was much higher than their scalp could tolerate. There are studies out there showing that densities of 40 per sq cm grow only 73%. I like to keep my maximal density between 40 and 50 per sq cm because I have seen consistent growth rates above 90% in my hands. The other problem with poor growth from an attempt to achieve maximal density is that it may poison the scalp for future surgery and nothing may grow subsequently. It is best to stick with a safe density of 45 per sq cm on the hair line and in the rest of the scalp. This seems to work best for my patients. It’s not as if 70 per sq cm will not grow in some patients. The problem is that you cannot tell which patients it will grow in and which patients it will not grow in. The only way to tell is to try it and if it does not work, the patient is in real trouble.
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When can I resume exercise after a hair transplant?

After a strip surgery, it is recommended that you refrain from exercise for several weeks after the procedure to limit the widening of the strip scar. One advantage to CIT or FUE is that you can resume exercise the same day as the procedure. The reason is that you do not need to worry about increasing the width of a strip scar. You should avoid any exercise that might rub on the grafts, however such as standing on your head or martial arts.

With any hair transplant procedure, however, you must be careful with the grafted area. Anything that disturbs this area may result in the potential for a lost graft. Therefore, we recommend that you do not scrub the top of your scalp or pick at the grafts for the first 6 days after a procedure. I let my patients resume washing their scalp the following morning after the day of their procedure, but I recommend they use Hair Cycle shampoo, which has less lather and is easier to get out. I tell them to avoid letting the shower water hit directly on the scalp. I encourage them to use a cup of water on the scalp to remove the shampoo.

It is quite common, for some reason, for patients to hit the top of their scalp on the car, while getting into the car. For some reason they tend to do this right after a procedure only because they are being so careful not to do it.

Of course after 6 days the grafts are in place and you will not disturb them so you can resume normal shampooing and all physical activities.

How long after an FUE hair transplant before a person can – A, shave his head with a razor and B, shave his head with a number 1 or 2 setting? Also, how does HGH affect hair growth and hair loss?

Often times the head is shaved in preparation for an FUE procedure. It is possible to shave the head immediately after a procedure, but it is probably best to wait about 3 weeks. The appearance of the shaved donor area will depend on the total number of FUE grafts obtained in a procedure. FUE removes intact follicular units from the donor area. This will result in fewer follicular units. If 25% of the follicular units are removed from the donor area, this will leave gaps in the donor area where follicular units were removed in an effort to relocate them to the top. A number 1 guard will conceal these gaps, however. It is possible to clip to a number one at any time after a FUE procedure. If you are concerned about gaps in the donor area, one way to minimize these is to add body hair into the FUE extractions at the same time that grafts are removed.

There is no scientifically documented relationship between human growth hormone and hair loss or hair growth. There are anecdotal reports of grey hair regaining color and an increased rate of growth with HGH.

Can hair loss from anabolic steroids be reversed?  When I was in college I experimented with a couple of cycles of anabolic steroids. As a baseball player most of us used them to compete. Luckily I came to my senses in my senior year and stopped cold turkey. I noticed during that time that my hair began to thin. It continued to thin several months after I stopped using and then the shedding just topped. It’s now four years later and while my hair has not gotten worse, the hair I lost never grew back.

Is it possible to reverse hair loss caused by anabolic steroids or is this just one of the adverse side effects of steroids use that I will have to live with?

Anabolic steroids can accelerate hair loss in men or women genetically predisposed to androgenic alopecia. Certain medications could possibly reverse your hair loss, but it is not likely. These medications include Propecia and Minoxidil. At some point your hair loss may begin to progress again. Medications can help prevent or slow down the future thinning or loss of hair. You could try a course of medications for 6 to 12 months to see how you respond. If there is no improvement after one year, you are not likely to see any future benefit in terms of increased hair though progression of hair loss might be limited by
future use of medications. If you still desire to restore your hair at that point, you might want to consider an evaluation for you suitability for hair transplant surgery.

I am recovering from trichtilomania and the hairs that are gone that place stopped growing hair all together and you can see the scalp, I was wondering if there is a miracle to help me regrow or start regrowing my hair…my currant shampoo is nioxin and nizorel…

Patients who’ve suffered from trichotillomania for awhile may damage or even remove the hair roots by excessive pulling, making non-surgical hair regrowth next to impossible.
Hair transplants will restore the hair, but it is very common for those with trichotillomania to resume pulling out the hair after the transplants begin to grow.
First strp will be to address the trichotillomania from a medical/psychiatric medication or therapy approach and solve the underlying problem. Once the patient knows that the cause of the trichotillomania has been fully addressed (fo a long period of time, then the reward can be a hair transplant to put their hair back.