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Hair Loss/FOLLOW -UP : Severe hair shedding after rebonding

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FOLLOW - UP :

Thank you very much for the prompt reply doctor.

I have diffuse hair loss over the scalp and not sure from where it is falling more. But the strands which fall are long and have a white sheath at the end. I recently started using 2% minoxidil twice daily. Is this concentration not enough ? Couldn't I apply it once daily rather than twice daily (its sort of inconvenient to apply in the morning)? Please tell me if there are any side effects if I apply coconut oil when on minoxidil.

I forgot to add in my question that once I had the hair straightening done last july I had moderate hairfall which I didn't worry much about. In dec last year I met with a minor two-wheeler accident and hit my head and had a bump and a gashon the right side of the scalp near the center. CT scan was normal and I didn't have any other injuries so I quite forgot about it though my head used to hurt if I did touch there. In january I noticed that my hair fall had accelerated to an alarming level and the hair fall still persists. Is there any connection to the accident and the hair fall ?

I have never done any other treatment on my hair except for keratin spa's after the hair straightening. I have noticed that    I have almost nil hair fall when I do keratin spa until I wash my hair next. Not sure why is that. Hoping you'd be willing to explain.

Thank you.

Answer
As I suggested 5% minoxidil used once a day is the most effective method of applying minoxidil for you. It seems strange that that would be more inconvenient than applying the 2% twice a day.
The accidents you had could easily have caused you to have a TE- as shed due to stress- which would lead to even thinner hair. That type of shed usually lasts for a few weeks and stops. Your hair may seem thinner but the hairs are changing their cycles and will eventually begin to grow out but at 1/2 inch per month it will take a while to see hair that you can comb. Most of that hair will grow back as well after six months.

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Peter J. Panagotacos, <B>M.D.</B>

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I have 30 years experience in the field of medical and surgical Hair Restoration and am Board Certified in Dermatology and Hair Restoration Surgery.

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I have 30 years experience in the field of medical and surgical Hair Restoration and am Board Certified in Dermatology and Hair Restoration Surgery. More information can be found at my website www.hairdoc.com

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