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Randomguy02

Concerned About Potential Hair Loss And Would Like Another Opinion

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17 hours ago, Randomguy02 said:

Thank you for the encouragement, as this makes me feel a lot better? Would you say based on the pictures I provided (including the more recent ones I put in my most recent post) that I am safe for now not to do anything drastic like take Propecia or Rogaine at this point? It doesn't don't know if my hair had gotten worse or not in the past year, as the one picture I have on my hairline is only on my right side and is a bit blurry and at a weird angle. I don't remember the temples looking as thin as they do now, but I don't really trust my memory for that.

That said, two dermatologists did tell me I had nothing to worry about for now, so I should probably just trust that. I am actually going back to see the one that did the biopsy in two weeks for a three month followup to see if the telogen effluvium they diagnosed me with has cleared up. I plan to ask them to compare the pictures they took back then with my crown and my hairline to see if they notice any change, as well as inquire about doing a miniaturization study.at some point (since another fear of mine is that there is miniaturization that I'm not noticing due to having always had very thick hair)

Based on all the information provided, particularly the photos and the two dermatologists who examined you and said you have nothing to worry about, I would 100% trust that and focus your time and energy elsewhere. 

And I do strongly encourage you to get a head start on managing your anxiety and getting ahead of that sooner rather than later. 


I am a patient advocate for Dr. Parsa Mohebi in Los Angeles, CA. My views/opinions are my own and don't necessarily reflect the opinions of Dr. Mohebi and his staff.

 

Check out my hair loss website for photos

FUE surgery by Dr. Mohebi on 7/31/14

2,001 grafts

Ones: 607

Twos: 925

Threes: 413

Fours: 56

1.25 mg Finasteride daily since July 2014

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On 5/24/2019 at 3:58 PM, pkipling said:

Based on all the information provided, particularly the photos and the two dermatologists who examined you and said you have nothing to worry about, I would 100% trust that and focus your time and energy elsewhere. 

And I do strongly encourage you to get a head start on managing your anxiety and getting ahead of that sooner rather than later. 

Thank you. I am still worried that the the temples seem to be thinning a bit, but they havn't really changed in the past 5 months best I can tell and not even that much since a year ago based on the one picture I have I think.

I do plan on also seeing a psychiatrist around the same time as I go back to the dermatologist (a few days after the derm), to hopefully get my anxiety sorted out. Since at this rate I AM probably going to go bald from just the stress I am putting myself through alone.

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I apologize for bothering everyone again, but I have begun to get paranoid again and more than a bit paniced due to finding myself continuing to shed short 0.5inch to 1.0 inch hairs. These hairs seem to have normal thickness, and they all have the white bulb at the end. I keep fearing these are minified hairs and its a sign I am going bald despite the fact I had two dermatologists look at my hair and one even did a scalp biopsy on on my crown.

Should I be concerned? Is this normal? I know from the pictures everyone says my hair look fine and it still looks thick, but the fact that I keep finding these short hairs is really freaking me out

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8 hours ago, Randomguy02 said:

I apologize for bothering everyone again, but I have begun to get paranoid again and more than a bit paniced due to finding myself continuing to shed short 0.5inch to 1.0 inch hairs. These hairs seem to have normal thickness, and they all have the white bulb at the end. I keep fearing these are minified hairs and its a sign I am going bald despite the fact I had two dermatologists look at my hair and one even did a scalp biopsy on on my crown.

Should I be concerned? Is this normal? I know from the pictures everyone says my hair look fine and it still looks thick, but the fact that I keep finding these short hairs is really freaking me out

Get a miniaturization test with a qualified HT Surgeon/Specialist if you really want to put your mind at ease. (And then if they tell you not to worry, trust them! Lol) 

That said, we shed on average around 100 hairs per day - so it's very likely that this is nothing out of the ordinary. Your stress/concern over this may be leading you to being hyperaware of everything and catastrophizing what is quite possibly a normal occurrence. 


I am a patient advocate for Dr. Parsa Mohebi in Los Angeles, CA. My views/opinions are my own and don't necessarily reflect the opinions of Dr. Mohebi and his staff.

 

Check out my hair loss website for photos

FUE surgery by Dr. Mohebi on 7/31/14

2,001 grafts

Ones: 607

Twos: 925

Threes: 413

Fours: 56

1.25 mg Finasteride daily since July 2014

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4 hours ago, pkipling said:

Get a miniaturization test with a qualified HT Surgeon/Specialist if you really want to put your mind at ease. (And then if they tell you not to worry, trust them! Lol) 

That said, we shed on average around 100 hairs per day - so it's very likely that this is nothing out of the ordinary. Your stress/concern over this may be leading you to being hyperaware of everything and catastrophizing what is quite possibly a normal occurrence. 

I will inquire about that when I see my dermatologist next week for the 3 month followup to my last visit. See if they can refer me to a hair specialist to do a miniaturization test. I plan to ask them about every little thing that's beem worrying me about my hair too, hopefully helping me put my mind at ease. I may even ask for them to do blood work too, just to double check I don't have any thyroid issues or vitamin deficiencies.

I know I am probably worrying about nothing, and that if anything the hair shedding I am seeing is more likely than not being contributed to by my stress over the whole situation.

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Posted (edited)

Alright, alright, I will try to stop posting and worrying about it

 

Edit: I am going to leave one last picture (i mean it this time) I took this morning on my whorl. As a note, I did  try comb my hair in the opposite direction the whorl normally falls/grows (it only ever looks like this if i brush my hair in this manner). I have my finger next to it to compare size.

20190530_093726.thumb.jpg.a9ed0442c461c2019a84c282886f65cf.jpg

 

Does this look like its balding? Or just a normal whorl that looks worse due to longer hair, bright florescent lights, and being pushed appart? 

For comparison here are two after I let my hair fall how its naturally inclined.

20190530_102422.thumb.jpg.0f62063da2d9b669ac988398fce1f15e.jpg20190530_102149.thumb.jpg.1dcd7049311eea5adae25c3bebd5dc3b.jpg

 

Edited by Randomguy02

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So just a quick update. I went back to the dermatologist who I saw before who did a the scalp biopsy, who then answered some questions and did another quick visual examination. I got them to explain the biopsy results in more detail, which had apparently showed normal numbers of terminal hairs, however with abnormally high numbers of telogen hairs. This biopsy was from the crown, three months ago now. This result they said could be very early MPB (listed as the differential diagnosis), however they said it was far far far more likely to be Telogen Effluvium based on those results due to the lack of miniturized hairs in that spot. So they said they are pretty confident I have mild Telogen Effluvium, which has been likely perpetuating due to my stress over hair loss.

So, at this point should I still try to find a hair loss doctor to do a minituriztion study? Or is it not worth it at this point.

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Posted (edited)

Josh, yep I had almost the same concerns when my hair started to be thin and gaps between them became bigger. But I went to the doctor in Los Angeles, who specializes on men's hair loss as well as on women's issues, and what he said is I should change my shampoo, and spend more time doing physical activity. Well, I've started doing some sport every evening, and believe me or not - my hair is ok for now. That's why I can go here and choose any hairstyle I want, and change them every day just for fun.

Edited by kattie89

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Sorry the bother people again, but I keep worrying about the fact I keep finding these thinner hairs among those I am shedding. I have read these could ne signs of early balding, but the dermatologist I saw said to not worry about it.  Most of the hairs seem normal thickness, but it is still scaring me a lot. Is it normal for some hair strands to be thinner than others? Should I be concerned?

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On 6/11/2019 at 6:38 AM, kattie89 said:

Josh, yep I had almost the same concerns when my hair started to be thin and gaps between them became bigger. But I went to the doctor in Los Angeles, who specializes on men's hair loss as well as on women's issues, and what he said is I should change my shampoo, and spend more time doing physical activity. Well, I've started doing some sport every evening, and believe me or not - my hair is ok for now. That's why I can go here and choose any hairstyle I want, and change them every day just for fun.

So who was this doctor in la that specializes in hair loss? I’m nearby and would like to know

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5 hours ago, jj51702 said:

So who was this doctor in la that specializes in hair loss? I’m nearby and would like to know

There is no "one single doctor" in LA that specializes in hair loss. I would disregard that post, as it appears to be spam. 

Now, back to you... I appreciate your persistence in getting people to tell you what you don't want to hear, but I really think it'd be a good idea for you to listen to all the evidence that is currently supporting the notion that you have nothing to worry about at the moment. The general consensus in this forum is that your hair looks perfectly normal and you have doctors who are backing that up and the last medical professional you spoke to told you the stress could in fact be exacerbating whatever is going on. Invitation to let this all settle and focus your energy elsewhere at the moment. ❤️  


I am a patient advocate for Dr. Parsa Mohebi in Los Angeles, CA. My views/opinions are my own and don't necessarily reflect the opinions of Dr. Mohebi and his staff.

 

Check out my hair loss website for photos

FUE surgery by Dr. Mohebi on 7/31/14

2,001 grafts

Ones: 607

Twos: 925

Threes: 413

Fours: 56

1.25 mg Finasteride daily since July 2014

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1 hour ago, pkipling said:

There is no "one single doctor" in LA that specializes in hair loss. I would disregard that post, as it appears to be spam. 

Now, back to you... I appreciate your persistence in getting people to tell you what you don't want to hear, but I really think it'd be a good idea for you to listen to all the evidence that is currently supporting the notion that you have nothing to worry about at the moment. The general consensus in this forum is that your hair looks perfectly normal and you have doctors who are backing that up and the last medical professional you spoke to told you the stress could in fact be exacerbating whatever is going on. Invitation to let this all settle and focus your energy elsewhere at the moment. ❤️  

Alright, I will do my best to put it out of my mind for now then. At this point I guess there is nothing more I can do anyways but wait, so I will just try to keep enough of an eye on it to make sure it doesn't get worse and otherwise put my focus on getting my anxiety under comtrol.

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As a quick update, I now have 6 month pictures to compare.

These are from the past week.

20190628_182049.thumb.jpg.03e1d9aeb6b673d886af9c9946c1b8ae.jpg20190628_181511.thumb.jpg.9768535d099e9b9363e961f4c4ec4e59.jpg20190707_131232.thumb.jpg.2bdfc77d4802e230e46705b5ad2062d7.jpg20190707_131309.thumb.jpg.437dc1a2f6f4d42a835cb8a99d2b9ec0.jpg20190707_131357.thumb.jpg.3384d113adf877d833132e0fabce3f80.jpg

Now these are from 6 months ago

6125.thumb.jpeg.44c4ad5731e4cfdb5f2f477a18ca41b6.jpeg6208.thumb.jpeg.6abd6f68bc7f6b7d3051c364910c8846.jpeg6155.thumb.jpeg.3c12913020f9bac6d6a7b12bdb268b35.jpeg

Does there look like there is any change? Or about the same?

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Posted (edited)

Anyone? I am still a bit concerned due to finding hairs of thinner diameter than others among those I shed, but I am not sure if this is miniaturization or not. It has me quite scared still.

On the other hand, everyone said my crown looked normal and the hair doesn't seem to have changed in the past six months (may actually look slightly better now, but I am not sure)

What should I do at this point? Try to find a dermatologist who can do a miniaturization study? Or just relax for now?

Edited by Randomguy02

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On 6/12/2019 at 6:29 AM, Randomguy02 said:

Sorry the bother people again, but I keep worrying about the fact I keep finding these thinner hairs among those I am shedding. I have read these could ne signs of early balding, but the dermatologist I saw said to not worry about it.  Most of the hairs seem normal thickness, but it is still scaring me a lot. Is it normal for some hair strands to be thinner than others? Should I be concerned?

You have a full head of hair, you have nothing to worry about. Not healthy to obsess over this. Trust me, if you start thinning someone will tell you. You have the opposite issue as most, those who really have hair loss are usually in denial lol.

  • Thanks 1

I do not provide medical advice, recommendations, all responses are my opinion.

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1 hour ago, Melvin-Moderator said:

You have a full head of hair, you have nothing to worry about. Not healthy to obsess over this. Trust me, if you start thinning someone will tell you. You have the opposite issue as most, those who really have hair loss are usually in denial lol.

Okay, thanks...

I've been pretty much going back and foward between realizing I am having anxiery over nothing, then switch back to freaking out again, and so on.

I just need to get this under control then somehow.

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Just wanted to leave some more pictures now that it has been a few months (8 since I first started worrying about this) and since I got a bit shorter haircut then I did the last few times. Does this still look normal? 

20190826_101827.thumb.jpg.af072211ab189db81fc029e6f815c5bd.jpg20190826_101901.thumb.jpg.85a3272aa5461e14bfa6c07c8d256787.jpg20190826_102042.thumb.jpg.a5b025f055014e65b82dc2fe64e4d69b.jpg20190826_102118.thumb.jpg.fdb9d62282b34c9b337c43fe56f78430.jpg20190826_102048.thumb.jpg.a65e07f6eed43e777ac3990061b9999a.jpg

 

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Posted (edited)

You definitely have some miniaturization at the temples going on 

Crown looks fine though 

But If hair feels thinner at the mpb zones then it's the earlier signs of future hair loss

Knowing how hard it is to restore hair wiht meds alone, I would strongly suggest to start fin and minox right away and save yourself from a hair transplant in the future, which with your thin hair characteristics is going to be a challenge in terms of density appearance 

Dont wait - fin and minox are for hair loss prevention, before hair loss happens to the extent that most other people can see and then it's too late to get it back for the majority of guys 

Edited by elduterino

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Posted (edited)

I have been hesitant to start fin and minox due to being concerned about the side effects when at an early stage. And for my hair feeling thinner, I honestly can't tell if it is or not. Sometimes it feels thinner, other times it does not.

Edited by Randomguy02
Fixed typo

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Side effects from fin is a valid concern 

Maybe only minox then

Another topical which helps reduce the any FUTURE hair loss is called stemoxydine - or neogenic 

Together with  minox in Combo this will help delay the loss 

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