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My story and my case


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At a young age around 21, I had a traumatic experience where a small frontal portion of my forehead hairline was forcibly and violently ripped out and what I think it to be its hair roots ripped out. I think this may also be described as a case of Traction Alopecia, concentered and isolated in a particular area of the scalp.

If one were to conduct a close-view examination of the affected area, one would find or to be able to make out from a close visual observation, an uneven hairline in the affected area of my forehead hairline where there is almost a barren or absolutely no growth of hair within the affected area, and where it should normally be growing. One would also be able to visualize the missing portion of the hairline would have looked like in place and in line with the rest of the frontal hairline, if it were not forcibly ripped out in the first place.

I believe close examination is needed to adjudge the damage to the hair follicles and hair roots, to evaluate whether the scarring has been severe enough that the damage is permanent and that new hair cannot regrow naturally.

I am exploring the idea to undergo a hair transplant to have this issue finally corrected and hopefully in time, to restore the frontal hairline back to its aesthetically even and natural appearing manner. There are also various hair regrowth serums on the market that may also help alleviate the issue.

I am open to anyone's analysis and suggestions?

Thanks
Jack

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Hello. Can you kindly post some photos if possible. You can also send them in private if that suits you better. 

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Dr. Taleb Barghouthi approved and recommended on the Hair Transplant Network. You can schedule a virtual consultation with me here.

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I agree with Dr. barghouthi, can you share some photos?


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

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  • 3 weeks later...

Sure thanks. Yes I can see that you do have a noticeable recession near the left temple area. You do also seem to have a genetic recession of the hairline in general it seems? Is that correct or are the photos not too clear to me?

Dr. Taleb Barghouthi approved and recommended on the Hair Transplant Network. You can schedule a virtual consultation with me here.

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  • 4 weeks later...

Dear Dr. Taleb

Thank you for your response and time taken.

I have visited several hair loss specialists in Hong Kong. All of them have used a mechanic microscope to examine the conditions of my scalp at 200x times (I have attached pictures for your reference).

All have diagnosed my stage of hair loss at at Stage 3A or 3V and all of said I am not a candidate for Hair Transplant, not yet at least.

From examining my scalp, they have found my scalp is oily and the pores are blocked or clogged from oily sebum secretions mixed with sweat, air pollutants, etc. The blocked or clogged pores are stunting any further hair follicle growth at the scalp surface. They recommended I should consider using targeted shampoo and conditioner products that targets and cleans my oily scalp that removes all impurities and nourishes my scalp with much needed vitamins, natural extracts and stimulants to stimulate healthy hair follicle regrowth that is sustainable. The specialists also noticed some of my hair pores have been closed and that they postulated that the hair bulbs are intact but the hair follicles are dormant underneath the pores or skins. The specialists recommended I should use targeted hair growth serums that stimulates the dormant hair follicles to wake up and regrow. 

The specialists did not recommend me which products I should use as they explained there are many in the marketplace and that I should conduct my own research.

I have researched using Amazon and shortlisted various products that I could consider.


Can you guide me which ones I should short-select in the near term, bearing in mind the exact type of natural extracts or ingredients I need to target the issues for my scalp and to stimulate the dormant hair follicles and existing follicles for new hair growth going forward?

 

Thanks

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Thanks for your message. To be honest, there are thousands of these products in the market and each person might respond differently to each. I don’t recommend products usually. However, I would start by using a good mild shampoo for daily use. I would also add any sebum regulating shampoo twice a week. I’m not sure where your exact location is so I wouldn’t know which brands could be available etc. However, I can try and get you several examples that can be bought online perhaps. 

Dr. Taleb Barghouthi approved and recommended on the Hair Transplant Network. You can schedule a virtual consultation with me here.

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I live in Hong Kong. I can easily purchase most known anti hair products in retail or simply purchase from Amazon Global shopping portal. That is why I researched and made a list of anti hair loss and hair regrowth products and serums. But I need direction and guidance to choose the products with effective natural ingredients and extracts that targets my scalp issues and rectifies them to stimulate hair regrowth of dormant hair follicles. 

I had attached earlier screenshots of the short-listed products I found on Amazon and shared it with you. 

Kindly advise me which products would be best suited for me from this Amazon list and also from ones that you personally know off. 

 

Thank you 

Jack

 

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Jack who were these 'hair loss specialists?' Are they medically qualified dermatologists or trichologists? It just seems a little dismissive to say that you need to do your own research for any product out there? If they are not I would recommend seeing someone who is a professional in this area (assuming they are not) and get a diagnosis on your scalp condition. MPB and an oily scalp etc are two different things and you appear to be suffering from MPB just going by the pics. I'm not a medically qualified person to give advice but this is just my opinion. All the best!

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i believe they were trichologists who worked at a private clinic offering hair transplant solutions to clients. I went to three of them and all of them said I was not a candidate for hair transplant and that was their main product/service they were offering. I believed them when they explained I should consider taking propecia or other anti hair loss solutions but they were not in a position or had the expertise to suggest me which products. 

Hope that clears things up

Regards

Jack

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Yes to be honest it is hard to recommend something without having the entire diagnosis/ scalp condition etc. What I can say though is that most anti hairloss shampoos are not closely effective to finasteride or minoxidil. So I wouldn’t really be an advocate of using a shampoo to regenerate follicles. I simply think it doesn’t exist as a treatment. As for the oily scalp, it also varies: is it oily dandruff, is it a type of eczema or could it be some sort of flaky psoriasis. Again these can be only assessed in person unfortunately using the cameras and some probes. 

Dr. Taleb Barghouthi approved and recommended on the Hair Transplant Network. You can schedule a virtual consultation with me here.

Contact me via WhatsApp at +962798378396 (Jordan) 

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I understand your points of view of not being able to have a entire diagnosis in person. But I have seen the microscopic visuals on screen at 200x times and I understood carefully what the diagnosis the Trichologists gave and understood the main critical issue was related to environment of my unregulated and unbalanced scalp. So you can take my comments I had described about my issue at heart and as most probably the same diagnosis you would have also uncovered if you could analyze my scalp. 

 

For the time being, I do not want to consider Hair Transplant as an option now.  

 

I am aware of other non-surgical treatments such as:

- micro-needling

- laser hair therapy 

- hair scalp deep cleanse treatment 

- oxipeel or jet peel treatment 

 

What is your view on the efficacy of these treatments ?

 

Also, what is your view on the use of Derma-rollers, used in conjunction with hair growth serums?

 

 

Recently, I switched and started using Davines Shampoo and Superactive Growth Serum under its NaturalTech Energizing range

There seems to be effects to a small degree. 

I have also shortlisted Hair ResQ product range by PetalFresh to be considered to try out :

https://petalfresh.com/shop/hairresq/

 

Can one judge, by looking at the ingredients and natural extract compounds used in these products, that these products can have some positive effect to the issues affecting my scalp and stunting my hair growth ?

 

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From the photos you posted, I can see a variation in hair calibre. I also see a clear male pattern baldness pattern. When hair calibre varies across a region, then this means one thing: a DHT mediated progressive thinning. In such scenario, even with unbalanced scalp conditions, you would really need an approved treatment for male pattern hair loss: mainly finasteride or minoxidil. 

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Dr. Taleb Barghouthi approved and recommended on the Hair Transplant Network. You can schedule a virtual consultation with me here.

Contact me via WhatsApp at +962798378396 (Jordan) 

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