Hair Transplant Adviser » Featured http://www.hairtransplantadviser.org/blog Your Hair Transplant & Hair Loss Questions Answered Thu, 13 Dec 2007 20:34:28 +0000 http://wordpress.org/?v=2.2.1 en Concerns About The Fleming Mayer Flap http://www.hairtransplantadviser.org/blog/hair-transplant/fleming-mayer-flap/ http://www.hairtransplantadviser.org/blog/hair-transplant/fleming-mayer-flap/#comments Thu, 13 Dec 2007 20:28:21 +0000 Brandon Ross, MD fleming mayer flaphair transplant http://www.hairtransplantadviser.org/blog/hair-transplant/fleming-mayer-flap/ Question:
I am considering having the Fleming Mayer flap performed. I like the idea of having a very dense hair line. My concerns are that it seems very invasive and I will have to have scalp expanders in my head for a few weeks which seems a bit scary. What do you think about this hair restoration procedure?

Answer:
I would recommend that you do lots of research before you commit to having a Fleming Mayer flap procedure. The main positive feature associated with a flap is the high level of density which can be transferred during a single procedure. Unfortunately, the trade-off for this density is a very artificial look. I have never seen a patient with a flap who looked natural from every viewing angle.

During the Fleming Mayer flap procedure, a strip of tissue from the side of the head is dissected and then twisted around and relocated where the hairline is to be created. Your concerns about invasiveness with this surgery are well founded. Since this surgery takes a section of scalp from the side of the head, it is possible that the resulting scar will be noticeable after the surgery. Furthermore, if the blood flow to the section of flap is compromised, the flap could lose its hair or become necrotic. (more…)

]]> http://www.hairtransplantadviser.org/blog/hair-transplant/fleming-mayer-flap/feed/ Update On Dutasteride http://www.hairtransplantadviser.org/blog/hair-loss/update-on-dutasteride/ http://www.hairtransplantadviser.org/blog/hair-loss/update-on-dutasteride/#comments Sat, 01 Dec 2007 00:26:25 +0000 Bernard Nusbaum, MD dutasteridefinasteridehair losshair loss treatment http://www.hairtransplantadviser.org/blog/hair-loss/update-on-dutasteride/ Finasteride, which is the generic name for Propecia, has been approved for the treatment of Male Pattern Hair Loss since 1998. Finasteride works by inhibiting the enzyme ,5 alpha reductase type II, that forms DHT. There has been a lot of interest by both patients and physicians in dutasteride, which is a drug that inhibits both type I and type II 5 alpha reductase enzyme.Dutasteride is three times more potent than finasteride inhibiting the type II enzyme and 100 times more potent than finasteride inhibiting the type I form of the DHT producing enzyme. Dutasteride is not approved by the FDA for the treatment of Male Pattern Hair Loss and is approved at a dose of 0.5 mg a day for the treatment of prostate enlargement. While both the type I and type II enzymes are found in the hair follicle, there is a recent study which shows that type I is present in the human brain.The function of this enzyme in the brain is still unclear. (more…)

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