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MESSAGES TO

Hair Loss & Hair Transplant

A DxD Session with Dr Kelvin Chua


Ended on Thu Nov 15 2018
Ended

Top Answers


It is important to know whether your hair loss is actually normal or excessive. It is quite common to lose about 50-100 strands of hair each day and anything over 100 is considered excessive. The cause of a sudden excessive hair loss can be investigated with a careful history, examination of the scalp and some blood test. Before seeing a doctor, it may also be useful to take photos of how much hair you are losing a day so that you can show the doctor. 

Furthermore it is important to let the doctor determine whether your hair loss is a result of some acute and reversible hair loss or general hair thining. Like what Dr Theng said, you will need to see a dermatologist to exclude other underlying causes of hair loss before deciding if you a actually having female pattern hair loss as hair thining over a long peroid is different from sudden hair loss.

Hair loss treatment varies from topical treatments, medication to surgery. However you need to investigate and diagnose what is your hair loss isdue to before knowing how to treat and the pricing.

Hope that helps.

13 Jun 2018

Not so sure what you mean by rapid over years. How many years did you observe the hair loss? How much hair are you lossing a day and over how long? These are questions which you may need to answer over a consult because the answer you give will lead to other questions and a detailed history and examination would be helpful.

At 29 years old where your hair has become very thin over the crown and temples doesnt sound too good because you are pretty young so if the condition is mainly due to female hair loss without the absence of medical or scalp issues, then the prognosis may not be too good.

However at such a young age, it may be useful for you to investigate it further as you may sometimes be able to pick up reversible causes of hair loss like what Dr Chong says.

Although there is available treatment like hair spray, and some hair treatments, it is more important to exclude other cause of hair loss first and then to plan what to do next. Plan of treatments will have to take into account if any other causes can be found, the speed of the hairloss and your own lifestyle and to manage your expectations. Hope that helps.

10 Jul 2018

Trichotillomania is an impulse control disorder sometimes linked/worsen by other issue like depression or stress. It is first improtant to make sure this habit is not going to happen again.

The chances of having permanent hair loss is high given that the hair has stayed thin now at the age of 28 when the pulling occured during teenage years. If the pulling of hair has only been stopped recently, there may be a small chance some of the hair pulled out may still grow back. Pulling of each hair may result in the actual hair bud (where the growth center is) being pulled out in which it is permanent.

Sometimes, the bud is not being pulled out if the shaft is broken. However if the trichotillomania is chronic, it is likely you would have lost some amount of hair permenantly. Given a year and if the hair doesnt grow back much, it is likely this is what you are going to have.

Permanent hair loss can be treated through hair transplant where we take the hair from the back of your scalp and transplant it in the thinned area. However, trichotillomania is absolutely contraindicted to hair transplant and you must be sure you have the issue under control. If not all the transplanted hair will be wasted and there may not be any point doing it.

Otherwise hair transplant would usually be very highly successful in the rate of 97-98% here in the absence of any other medical illnesses and scalp diseases.

At the end of the day, you will have to seek the right doctor and someone who have years of experience dealing with hair and will give you the right advise. Hope that helps.

10 Jul 2018

Hi,

There is no medical evidence that biotin is useful for hair growth in healthy patients. Its only known the patients with vitamin deficiency can have alopecia but te reason is still unknown and there is no evidence that for healthy patient it helps.

Hair loss in healthy patient like male and female pattern hair loss works on a different etiology and treatments to slow it down have to come from more medically sound basis like DHT blockers, or minoxidil to incresae blood vessels supply in the scalp which by the way is medically proven and FDA approved.

So for Biotin supplement, its a case of if you wish to try it and it works then continue, if it doesnt, then do bother. And dont take excessive amounts.

Hope that helps

30 Aug 2018

Top Questions


24 year old female, previously on Accutane at 20mg/day for about 10 months. Currently on a low dose regime of 20mg/week. I've noticed a widening in the hair parting, and some thinning at the crown. Could permanent hair loss be caused by Accutane, and can it be reversed with Minoxidil? Does Accutane cause telogen effluvium or accelerate female pattern balding?

I have read that PRP is done together with hair transplantation in Korea. Is it advisable to combine both treatments, and does it result in better results? Is hair transplantation with PRP also performed in Singapore?