Dr. Williams' medical and surgical hair restoration practice is dedicated to the art and science of hair surgery, integrating medical, regenerative PRP and stem cell therapies, and surgical restoration in treating hair loss in men and women. He was one of the earliest cosmetic hair transplant surgeons to incorporate Follicular Unit Extraction (FUE) into his cosmetic surgical practice. He is active in the international hair restoration societies teaching hair surgery and FUE to his professional colleagues. He relates easily to his hair loss patients and is the recipient of approximately 10,200 follicular grafts with FUE.
Duke’s dermatologists diagnose and treat hair disorders, such as hair loss (alopecia), excessive hairiness (hirsutism), and abnormal hair growth (hypertrichosis). We understand that abnormal hair growth can be distressing and affect your self confidence. We work closely with you to diagnose the cause of your condition, and develop a personalized treatment plan that meets your medical needs, improves your condition, and helps you regain a positive self-image.
A directed history and physical examination usually uncover the etiology of hair loss. The history should focus on when the hair loss started; whether it was gradual or involved “handfuls” of hair; and if any physical, mental, or emotional stressors occurred within the previous three to six months3  (Table 1). Determining whether the patient is complaining of hair thinning (i.e., gradually more scalp appears) or hair shedding (i.e., large quantities of hair falling out) may clarify the etiology of the hair loss.4
The more research i do about hair color and PPD/PTD allergy the more I think that my hair loss is from that… it has been 7 months now and my hair is growing back. I have not had a tight /itchy scalp/ no more feeling as though bugs are crawling in my hair. I have only gone to the Hair loss dermatologist-whom did not think it was hair dye and the regular doctor to check my hormones. I would love to cover my gray – My hair is very dry at the roots. I went to a stylist(hair loss sprecialist) not much info there-master colorist-she did not know about PPD allergy- I do think stopping coloring my hair has help me keep me from lossing more hair and I think some have grown back. I really would like to color, but I am blonde and gray so I don’t think henna will work. I want to tell you about the reaction I had was first itching and then hair loss. Please take note if that happens to you. Then doctors- they said it was probably not the dye.Wrong! They said Hair loss came with age and hormones. I had all of those tested . Then 6 months later I had the salon dye my hair and a bad reaction bumps and itching and hair loss.Again! I still would like to see a doctor that has knows about hair loss or PPD allergy Or a salon. I have not found anyone in Florida. Keep researching. Mostly I have learned from these web sites and I have educated the doctors and the salon. I know it is all about money and that is how these chemicals stay in the products we are using. I did use rogaine before my first reaction. I thought might have had a chemical reaction from the rogaine and hair dye being used in the same week.

Alopecia areata affects people of all ages including young children. It produces circular patches of hair loss that appear overnight. More patches appear over time and eventually about 5% of people affected lose every hair on their body. This includes eyebrows, eyelashes and even nose hairs. In some people, hair grows back, either in the same place or on a previously unaffected part of the scalp or body.

I look forward to seeing you both there. There are quite a few ladies that have experiences with different wigs and head coverings, including a really wonderful stylist that works with women who are losing their hair. She can also be of great help for those looking into different wig or hair system options. Her name is Mystique and here is her page:


Men may also experience some sexual and emotional side effects while taking it: In a study published in the June 2011 issue of The Journal of Sexual Medicine, Dr. Michael Irwig of George Washington University found as many as 92 percent of test subjects reporting problems in the bedroom. The study also reported that “the mean duration of finasteride use was 28 months and the mean duration of persistent sexual side effects was 40 months,” meaning that side effects lingered long after subjects stopped taking the pill.
The loss of hair can be sudden, developing in just a few days or over a period of a few weeks. There may be itching or burning in the area before hair loss. The hair follicles are not destroyed and so hair can re-grow if the inflammation of the follicles subsides. People who experience just a few patches of hair loss often have a spontaneous, full recovery without any form of treatment.
Hi, I am now 25, I have been losing my hair for the past 6 years. I did find an excellent Dermatologist in Orlando, FL Dr. Crotty who helped me alot in this whole process. He started me on a regimen of 3,000 mmg of Biotin daily. I also did Kenalog shots (which is a steroid). He did localized injections in the scalp and also in the hip. I also was prescribed Olux E Complex foam to put in my hair twice daily. I had to stop using the Kenalog b/c I thought I was getting headaches from it ( IT WAS NOT THE KENALOG – (TMJ/Migraines). This three regimen combo produce amazing results for me, within months. Unfortunately, my hair has now started coming out in the front and on the right side but I changed my insurance and cannot find a in network doctor that will treat the Alopecia. I am very tempted to just Pay OOP for Dr. C. So anyone living in the Orlando area suffering from this condition please contact his office. They are the most caring individuals ever also. I love them!!!!!
Sinclair Scale: The 5-point Sinclair Scale is a modified visual grading scale. Grade 1 is normal. This pattern is found in all girls prior to puberty, but in only half of women age 80 or over. Grade 2 shows a widening of the central part. Grade 3 shows a widening of the central part and thinning of the hair on either side of the central part. Grade 4 reveals the emergence of diffuse hair loss over the top of the scalp. Grade 5 indicates advanced hair loss. This grade is uncommon, occurring in less than 1% of women.
But you must start these medical therapies before you lose all your hair. McAndrews likens it to brushing your teeth, in that both are preventative measures. “The sooner you start doing it, the better at slowing down this aging process,” he explains, adding, “Is toothpaste perfect? No, you’re still getting tooth decay with toothpaste, but you’re slowing down tooth decay.”
When alopecia areata is associated with celiac disease, treatment with a gluten-free diet allows for complete and permanent regrowth of scalp and other body hair in many people, but in others there are remissions and recurrences.[15] This improvement is probably due to the normalization of the immune response as a result of gluten withdrawal from the diet.[15]
I too have suffered from hair loss, more noticebly over the past 2 year, although it first started 10 years ago. I am 39 female and always had a full head of hair. Now, my hair has gone dry, dull and and has lost it volume. I have been to my Dr and have had test done, however everything has come back ok. i.e. my hair los was not found to be down to any internal deficiencies hormones, nutrient levels, diseases etc , so now my Dr is referring me to a dermatoligst to see if the problem is due to the skin on my scalp. However it maybe advisable if you havent already, to visit a licesend Trichologist, this is someone who specifically deals with the scientific study of the health of hair and scalp, and would have a more thorough knowledge about your hair than any GP and by conducting a hair analysis, can identify your hair loss problem. I intially visited, and it was he who suggested I go along to my GP and ask for specific types of tests. However, he also informed me for some cases there are conditions that can be cured, but with other, it could simply be that hair loss pattern is heriditary which can occur in both male and female ( this does not necessarily need to come from your parents or grandparent, it could come from family gene from generations back, that so happened to show up in you generations later!). In this case, the frank truth is little can be done. However there are different topical treatments, and people do not have to go to the extreme of hair surgery or even having to wear undignified wigs. Below is a link to a product called Toppik which I have used. Basically it small fibre which are made from the same fibres as natrual hair, which use sprink onto your hair to cover bald and thinning areas. It adds body, volume, and makes your hair ‘magically’ appear full regardless of the lenghth of your hair. Its not expensive, and also come with conditoner and shampoo to give your hair that added volume, even to the most thinnest of hair. I hope this will provide some solution and even comfort to those experiencing hair loss. The link is below – Good luck

I’m going to see an endocrinologist, a trichologist, a hematologist and a gastroenterologist and maybe this Dr. Redmond. I’m done with ‘hair loss experts’ pushing cosmetic surgery and trying the all around approach. My insurance is crap, but….Anyway, thanks all for your stories and knowing I’m not alone in hair loss and the fight against disinterested medical establishment. xxx

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