Bradley R. Wolf M.D.

Tony, You probably have a congenital condition called Temporal Triangular Alopecia (TTA). It's usually an oval shaped area of hairloss present since birth that doesn't change located above and forward of your ear. Often there are a few minaturized hairs growing in the middle of the area of loss. It's usually on one side but can be bilateral. Transplants grow very well here. One hundred to 200 grafts can generally be placed here. It's a perfect area for FUE to be used since a small number of grafts is needed. If in fact this is what you have there is no need to get a biopsy. I've done many TTA cases all with successful growth. Post photos here. Go to a reputable FUE doctor. Good luck.

I suggest consulting with Maurice Collins M.D. at the Blackrock Clinic in Dublin. He spent time with me at my clinic in Cincinnati.

The epidermis absorbs water during a shower and can swell giving the appearance of elevated white pieces of tissue. This epidermis sheds with the scab in 7-10 days and the result is a smooth flat scalp post op without elevation or pitting. Scarring from FUE is equal to the perimeter of the punch multiplied by the # of grafts. Compared to strip there is actually more scar tissue. As opposed to strip, where there is concentrated linear scarring, FUE, even with more scar tissue, is diffused over a larger area and less, if at all, noticeable. I have used the "lateral" incision exclusively for a year and a half and find that I can control the angle better, match the size of the incision to the graft better (with 10 blade sizes at 0.1mm increments), limit the depth of incisions, and pack more densely. I am not recommended on this site because I choose not to advertise here. I withdrew one year ago. There are some physicians on this site with which I choose not to be associated.

He's probably taking Propecia.

This scar is from two procedures. The first scar was excised and this scar is from the same location. It has not caused me any problems whatsoever in eight years. I don't know it's there and it's easily covered by my hair even when short. I show it to prospective patients to whom it has never been an issue. No patient has decided not to have surgery after seeing this scar and it helps them make their decsision to have strip excision surgery. There should be no "Shapiro Controversy" based on this scar and I would recommend Dr. Shapiro without reservations.