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Dr Blake Bloxham

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Dr Blake Bloxham last won the day on May 31

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About Dr Blake Bloxham

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    Senior Member

Hair Transplant Clinic Information

  • Hair Transplant Surgeon
    Dr Blake Bloxham
  • Hair Transplant Network Recommendation Profile
  • Hair Transplant Clinic Name
    Feller & Bloxham Hair Transplantation
  • Primary Clinic Address
    287 Northern Blvd, Suite 200
  • Country
    United States
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  • City
    Great Neck
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  • Provides
    Follicular Unit Hair Transplantation (FUT)
    Follicular Unit Extraction (FUE)

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  1. I have viewed this presentation multiple times now, and I am still impressed with it each time. Very important topic and I am glad it is receiving the attention it deserves. Be careful!
  2. While you may want to triple check with your clinic, I cannot think of how this would be an issue. At all. Also, best to check out the issue at hand. Good luck!
  3. I encourage patients to wait 12 months. Sometimes they are very anxious to address another area of the scalp and you can go in a little sooner. I typically require 6 months at the least in these situations.
  4. A lot of patients start them simultaneously. The argument for starting both at the same time would be: overlapping the initial shedding phases (each drug carries a 3-4 month initial shedding phase) so you do not need to go through this twice, and increasing the strength and efficacy of your preventive regiment. The argument against this would really be that if you did experience some sort of negative effect, it is difficult to tell where it is coming from and how to make adjustments if you started two medications at the same time. If you are looking to stagger them, I think most patients would start with Propecia -- which will likely be the most effective as well.
  5. Excellent point, and one that I always try to impress upon patients during the consultation. The hairline always appears about 0.5 - 1cm lower than the "line" we draw the morning of surgery because the hair grows forward. Furthermore, patients must remember that, as you pointed out here, transplants are permanent. The hairline we place on a 25 year old patient must age well and still look natural at 45, 65, and, God willing, 95. And, as you correctly pointed out, we can always go a little lower later once the stop is stabilized with transplants and age. This is easy. What is not easy, however, is raising a hairline that was started too low and now looks unnatural or is eating up huge graft numbers to maintain. Thank you for the great commentary. I know this will help researching patients out.
  6. Thank you for the kind words. Per my records, he is not on any type of preventive therapy. Absolutely there is a lot of benefit from the native hair. He reported that it still grew well in the back, but he could not grow the hair out because the weaker frontal hair would not grow to any reasonable length. He is very happy now that he can grow it all and blend it together. However, he is also aware that the back will likely thin in time and he will probably want to do another surgery down the line.
  7. Then I would definitely say it is a normal crown whorl. Try to check up on it periodically and keep an eye on it, but try not to let it dominate your thoughts. It is very easy to fall into the trap of "obsessing" over little areas like this you think may be thinning. Early intervention is great when it comes to progressive hair loss and you should check periodically to make sure things are not rapidly changing, but try not to get too "hung up" on little perceived differences in the short term.
  8. Greg, Gillenator's post above , as usual, is pretty spot on: we typically do carefully reinforce thinning -- but not yet bald -- regions when possible. However, there is always a tipping point between an area you can safely invade and one you should not attempt yet due to the potential for shock loss. We require patients to trim for surgery and this, in my opinion and experience, cuts down on the potential for damage, so I frequently try to "reinforce" as many regions as safely possible during a transplant.
  9. If you were my patient, I would probably try to advise you against it at this point. I know it seems like 7 months is an eternity, but the trauma is still pretty recent for your body and the skin is very much still healing. The peroxide is likely just a little too irritating. I honestly would not be as worried about the hair shafts, more the healing scalp skin. Again, however, definitely follow your own doctor's instructions. I am glad you reached out to them. Also, have you concerned a product that lightens with more natural ingredients? Sometimes dyes will use things like lemon juice to lighten the hair. This should be more tolerable if applied to the healing skin.
  10. The patient in today's case is a young man in his 20's who initially presented to us with a pretty reasonable request: he wanted to grow his hair long again. He did not want his hairline lowered, he did not want his corners rebuilt, he just wanted to get away from constantly shaving his head like he had been doing since his hair loss became "bad." When the patient first noticed his hair loss, he tried to keep his normal, long hair healthy by taking Propecia. Unfortunately, he suffered side effects and had to stop. As his hair continued to "miniaturize" it grew shorter and shorter, and he eventually resorted to simply "buzzing" his head -- something he was not a fan of. He came to us restore the ability to grow his hair long. He reported always having a "higher" hairline, and he wanted to keep this. We used the remnants of his existing hairline -- starting behind these to take advantage of their irregular and soft nature -- to rebuild the hairline and pack back through the mid-scalp. He was okay to not address the crown/vertex at this point because he believed it was still strong enough to grow longer and blend with the transplants. We saw him again a year later and he was very pleased to have achieved his goal. Because we started as an FUT he still has plenty of donor left to address the crown in the future (which he likely will want to do), and he can always go a little more "aggressive" in the front once the top is completely stabilized -- though I will admit that I really like the longevity of a conservative front. Here are a few "teaser" images from the video. I only include these because I really encourage patients, especially young patients, to watch the detailed comb-through video. "Teaser" Images: HD Video: Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  11. Clerks, It looks like the main ingredient used to lighten the hair shafts is hydrogen peroxide. This may be a little harsh on your still healing scalp. I typically tell patients that hair "dyes" are okay pretty much any time post-day 10 or so, but things like bleach treatments or anything containing chemicals which may irritate the skin could be excessive. Did you ask your clinic?
  12. Agrinch, It looks like a normal whorl pattern and not a crown affected by male pattern hair loss. How old are you? Are you seeing any changes near the hairline region?