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Patient Experiencing Additional Hair Loss 18 Months After Hair Transplant - 11/9/2009 2:41:51 PM
Question:
I had a hair transplant 18 months ago and although my results looked good for awhile, I've been experiencing a lot of hair loss these last several months. I've been experiencing a lot of stress lately due to the loss of a loved one and have been taking Deptakote for bipolar depression. What's causing my hair loss? Will I need another hair transplant? Additionally, the transplanted hair still feels kinky. I knew this was going to happen because when my hair is short in the back, it's straight, but when it grows out it gets kinky. Do you think the doctor shouldn't have put these hairs in the front?Answer:
Traumatic stress which may include the loss of a loved one can cause temporary hair loss. Once the stressor is reduced or eliminated, hair typically returns to normal. One exception may be miniaturizing hairs due to male pattern baldness. Miniaturizing hair may be too weak to survive the stressor resulting in permanent loss of these hairs.
It’s difficult to say what’s causing your hair loss, but I suspect it’s just a typical progression of male pattern baldness possibly accelerated by other non-genetic factors such as extreme stress or even your use of Depakote, a medication that comes with the risk of hair loss as a potential side effect.
Regarding the reasons for kinky hair in the front, it’s difficult to say. Though all of your hair appears to be wavy/curly in the photos you've sent me, physicians can only work with your available hair characteristics and have no control if donor hair characteristics vary from those on top of your scalp.
There is a possibility that surgical hair restoration is the only thing that will add growing hair into thinning areas. You may want to consult with several hair restoration physicians recommended on the Hair Transplant Network you are impressed with and develop a short and long term plan.
Remember that hair loss is progressive and may continue even if/when you decide on another hair transplant. Thus, it’s possible you will need subsequent procedures no matter how excellent your initial results were.
If there is anything else I can do to help you, don’t hesitate to contact me.
Bill Seemiller (Falceros) - Associate Publisher of the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.
To share ideas with other hair loss sufferers visit our Hair Restoration Discussion Forum.







