Burning sensation in the area of my hair loss, will this effect me getting a hair transplant? (photo)

Question

Hello. I currently am under a hair loss dermatologist’s care and taking oral minoxidil and Spironolactone. I most likely will have a transplant performed for the loss on the front top portion soon. My concern is I have been experiencing a burning sensation in that area where the most significant hair loss is and more shedding than normal as well. What good will it do to have a transplant performed when I still get these occasional flare ups? What can be causing the slight burning feeling?

Jason Emer, MD · Answer

There can be increased shedding with Minoxidil and Spironolactone. However, I recommend following up with your Doctor about your burning sensations. There are great non-invasive options like prp/progesterone which can help with hair regrowth. See an expert. Best, Dr. Emer

Parsa Mohebi, MD, FISHRS · Answer

If you are having a burning sensation with associated hair loss you may want to consult with a hair restoration physician.  You need a diagnosis as to your hair loss before you even consider a hair transplant.  If there is active inflammation going on over your scalp you can not place grafts into that area as you will have a poor outcome. Please give a little more history..... if you are female or male and if you are using hair color. Chemical burns from hair color may give you a burning sensation. Certain medications may cause hair loss. Infection and inflammation may cause loss too and the list goes on......    Your photo shows an area of purple discoloration in the mid front zone.  Again, you need to be seen by a hair restoration physician for a detailed history with a hair and scalp exam.

Muhammad Jawad, MD · Answer

Hair loss associated with pain or burning sensation or itching along withboapukes is a straight away contraindication until a diagnosis is established...simple ask your doctor to go for biopsy first and try to establish is it scarring or non scarring alopecia.....in case of scarring you need to wait at least a year and if the disease is stable and not progressing than go for hair transplant...but keep g in mind that disease proces might get back.

Jeff Donovan, MD, PhD · Answer

The key point here is you need a diagnosis. If this is a scarring alopecia, it could flare and you could have less hair and more pain afterwards. If it is one of the scalp dysesthesia syndromes - then pain, itch and burning could worsen. No patient with burning should have a transplant without a diagnosis and preferably a scalp biopsy. Please see a dermatologist.

William Rassman, MD (retired) · Answer

What did your dematologist say about the cause of your burning of the scalp. A hair transplant can still be done on the advise of a doctor

Burning sensation in the area of my hair loss, will this effect me getting a hair transplant? (photo)

Answers (5)

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