Dr. Alan Feller

Metro, I don't recommend any suppliments for hairloss. The best you can really do is get the minimum daily nutrition and exercise. Dr. Feller Feller Medical, PC Great Neck, NY 516-487-3797

Noreaster, You make a very good point. Perhaps a pregnant daughter of a man taking proscar should be informed so as to not handle her father's BPH medication. After all, proscar is typically 5 times the strength of propecia. Excellent point Noreaster. Dr Feller

Arfy, Tom is correct, it is Merck that announced the handling precautions for pregnant women, not I. Also, if my wife were pregnant I WOULDN'T have it in the house. I'm not anti-propecia. I believe in certain patients it is a miracle drug, but there are downsides and potential downsides to everything. If I wouldn't let my wife handle drug, I don't want your's or any other patient's wife handeling it either. I speak with the merck rep all the time and he has told me that studies were performed that showed practically negligable levels of propecia in the ejaculate and NO human birth defects reported thus far. However, many test results and conclusions are based on statistics, and even if something is 99% safe, that means 1% of the patients may be "stung". What if that 1% were your unborn child? Get my point? If propecia were a necessary drug for health reasons then I would feel and act differently, but it isn't. It's a vanity pill that works sometimes. Period.

Tom, Remember that dht blockers for BPH are usually used in older men (usually 50 and up). I don't find this to be a fair comparasion to say a 20 year old who takes it for 40 years. Also, let's not forget that propecia shouldn't even be HANDLED by pregnant women due to its ability to cause developmental disruption of the fetus' genetils. How do we really know how much of this stuff is absorbed by various tissues and ensure that the fetus won't get exposed. Again, the prime market for propecia are young men in their child producing years. Would you take the chance? Would you let your patient's take a chance? Manipulation of the female hormonal system is not done out of vanity, so I have no problem with taking some risk to set some hormonal imbalance straight. In contrast, hairloss is not a good enough reason, in my opinion, to offer the risk without also speaking of the dangers.

Arfy, I understand where you are coming from, and perhaps cosmetic surgery isn't objectively justifiable (although I obviously believe it is), but you misinterpret my position. The altering of physical appearence through minor cosmetic surgery is one thing; messing around with the body's well balanced hormonal system is quite another. Should the skin be cut, it will heal fairly easily and predictably without side effects (long term or short term); block a natural biochemical pathway and you may experience detrimental effects in both the short and the long term that may affect both quality and quantity of life. Look at the body as the intricate workings of a complex swiss watch (the old type with lots of gears and springs). When cosmetic surgery is performed it is analogous to changing the length of the arms or the style of the numbers, not very invasive; when biochemical blockage is performed, it's like randomly poking at the finely tuned workings. I'll even grant that the tinkerer succeeds in effecting a postive change like a softer tick or more accurarcy; but what are the chances that the watch will continue to run properly AND as designed? Now, try to understand that the human body is millions of times more complex than the swiss watch. Get the point? As a lab rat and clinician for years I can assure you that we know very very precious little about the physiology and biochemistry of a single cell, much less the human body. While I believe we some day can and WILL, it isn't today. How is your healing and growth since you trip downunder? Dr. Feller

I have had mixed feelings about propecia. At first I didn't really believe it gave cosmetically significant results. That alone was reason enough for me not to recommend it. Then I saw a patient who started it about 4 months before a visit to me who showed near miraculous growth. He was proof that it could work very very well. I felt obliged from that moment on to at least mention it to all my patients. My biggest problem is that it IS a HORMONAL ACTIVE drug. That is, it isn't a Flintstone's vitiman, and shouldn't be treated as such. Nobody really knows what the cumulative effect over the years may be. It was always this that prevented me from offering it to patients. I wouldn't take it myself for these very reasons, and still don't. But that is MY opinion. So far, the data from Merck has been postitive with no significant long term side-effects. Good. This is enough for me to offer it to patients ( I never charge for these scripts and actually give away all the free samples the rep gives me), but I still don't want to take it myself. To me, the benefit to risk ratio is just not there. There is just SO MUCH we don't know about the body, so I have a hard time messing with the works unless I absolutely have to. If it ain't broke, why fix it? Hair loss isn't a pathological (sick) state, after all. Remember, the body is very efficient. It doesn't produce DHT just to make men bald and upset. There is no physiological advantage in doing this. The complexity and energy necessary for the body to continuously produce DHT must be surving some higher purpose, even if we don't know what that is. Personally, I believe hairloss is a side effect. In the hormone system, everything is in balance (or it should be)when you add or remove a hormone from the body, the body responds to counter balance the new state. It's call homeostasis (remember this from highschool?). So if you block DHT, what is actually happening? Nobody really knows yet. Dr. Feller FUE and Strip HT Great Neck, NY 516-487-3797

I believe video gives potential patients more information than they could ever get from a series of still before and after photos. For my part I intend to show as much video of my patient's before and afters as possible. I will show views from ALL angles and run a comb through the hair to give a real "feeling" for the actual volume of hair. This patient was my first production, but as I learn more about digital photography, the quality of the videos will improve. Dr. Feller FUT and Strip HT

Dr. Feller's link to his video clip has been removed for violating the rules of this forum. If he wants to show video this can be easily done by sending our webmaster his video for inclusion on his video area of the Hair Loss Learning Center. Pat

Dr. Feller Feller Medical, PC Great Neck,NY 516-487-3797

Dr. Feller Feller Medical, PC Great Neck,NY 516-487-3797

Tommy, If you are SURE you are seeing bulbs, then you are losing grafts. That is, these grafts never "took" and they are just falling out. Also, your scabs should have been off a long time ago. Check with your doctor immediately and take photos. Dr Feller FUE and Strip HT Feller Medical, PC Great Neck, NY 516-487-3797

If you want to know how many grafts were actually implanted you can get a good idea by taking a photo of the recipient area just after surgery. Make sure to put a ruler in the picture for scale, then import the image into photoshop. Create a 1cm sq box and overlay it over 3 random areas of the recipient area. Count the grafts per sq cm and take an average. Now you know how many grafts you received and it is DOCUMENTED! I would also like to know how this H@W patient turned out. Any photos Jo? Dr. Feller

Jp email me some photos to info@fellermedical.com or, since you live on Long Island come in for consultation Dr F

My patients have been spraying it on at bedtime. Dr Feller

The easy way around that conundrum is to dense pack the target areas. By hitting them once, the next area you hit will be virgin and you don't have to worry about hitting your first round of grafts. Simple. Dr Feller

If you transplanted between your native hairs, and they didn't shock out from the trauma that always accompanies surgery, then you probably won't have to worry about rebound from stopping rogaine either. Then again, who could say for sure? Sorry, you're on your own for the final decision. Best of luck. Dr Feller

Tioto, If you are concerned about rebound to your native hairs, keep the rogaine away from them and only put it on the transplants. Dr F

My fault. I just built the website in Frontpage and used stock photos from my and Dr J's website as "place holders" until I could select and import FUE pics.Anybody who has built a site in frontpage knows what I'm talking about. This site, isfues.com was not designed as a promotional site for patients, but rather for physicians interested in adding FUE to their practices. Please keep this in mind when viewing it. The isfues.org site will be for patients and is still under construction. It will feature all the basic info and photos necessary to understand what FUE is from the patient point of view. Dr. Jones and I are doing our best to bring FUE into the mainstream and hope these websites help both the doctors AND the public Thank you, Dr. Feller

Dr. Feller and Dr. Jones announce the launch of the International Society of FUE Surgeons. The site is under construction and is primarily for doctor's, but a patient version is on the way. http://www.isfues.com ISFUES website

Dr. Feller and Dr. Jones announce the launch of the International Society of FUE Surgeons. The site is under construction and is primarily for doctor's, but a patient version is on the way. http://www.isfues.com ISFUES website

Use it at night and then wash it out in the morning. Do this for about 9 months. Dr. Feller

I have alot of "scardey cats", which one were you? Just email me the date of your surgery and I'll get your photos up without showing your face. Thanks for the kind words, I'll pass them on to the staff, I know they will appreciate it. Grow well, Dr. Feller Specializing in FUE and Strip HT www.fellermedical.com 516-487-3797

I have alot of "scardey cats", which one were you? Just email me the date of your surgery and I'll get your photos up without showing your face. Thanks for the kind words, I'll pass them on to the staff, I know they will appreciate it. Grow well, Dr. Feller Specializing in FUE and Strip HT www.fellermedical.com 516-487-3797

Rocky, Unfortunately those hairs will fall out in a week or so as well; but not to worry, they will come back in three or so months. What does "chuffed" mean??????????? Dr. Feller Specializing in FUE and Strip HT surgery www.fellermedical.com Great Neck, NY 516-487-3797

I am long past the "dabbling" phase and am already booked 2 months in advance for FUE work. Great procedure. Dr. Feller Specializing in FUE and Strip HT surgery www.fellermedical.com 516-487-3797