Hair Loss InformationFace, Beard Hair, and Sideburn Transplants – Hair Loss Information – Balding Blog

Hi, I am 50 years old. I am unable to grow sideburns. I am sure it is inherited because I can grow a great mustache and facial hair on my chin, and from there, down my neck, but no sideburns which I have always wished I could. So, I see you folks may be able to help me. I have the usual questions, cost, and will the results look natural? Thanks!

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Unless you have a disease like alopecia areata, you should be able to get hair transplants to place into the face and chin to create a beard, mustache, or sideburns. We do these kind of procedures all of the time and they look completely natural. The use of a fine needle to create the sites in the facial beard area is important to minimize any puckering of the skin. Most doctors charge by the graft, but some charge a flat fee. Your costs can be estimated by sending me photos to the email address on my Contact page. To help get an understanding of where you want the transplants, I would suggest marking up your face, beard area, and chin with a China Marker, which will easily wash off. You can get a China Marker from a local stationary store.

Here are some examples of sideburn transplants we have done at NHI:

Facial Hair After Pregnancy – Hair Loss Information – Balding Blog

i am 36 and have been losing my hair over a span of about 12 years. it started after my pregnancy, but over the last 2-3 years it has gotten VERY, VERY worse. I’m getting a lot facial hair, and acne. I NEVER had an acne problem until having a baby. I’m afraid i’m going to wake up bald . any answers will be appreciated. Thank You, Michelle

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There are a series of masculinizing disorders that should be checked out by your gynecologist. Rather than play doctor here or set you into an alarming process, just pay your doctor a visit and have him/her perform an examination and do the appropriate testing for these disorders.

Sudden Hair Loss in 21 Year Old – Hair Loss Information – Balding Blog

Hi Dr. Rassman,
I was hoping you could help me with some suggestions or information on what is going on. I recently began losing a lot of hair suddenly. However, the really weird thing is that a lot of my hair (maybe 50 to 70%) of it has a white hard mucus type of substance that can be scraped off from the end of the hair(maybe its the actual skin from the scalp or the hair follicle or something?) Is this normal because i really feel like its not?!?!?! I’m freaking out here because im so young (21 years old) and it came on so sudden and i dont know if every hair that falls out with that stuff means that it will never grow back again, and maybe there is something i can do to stop it???? I’m really scared here, if you guys could help with any suggestion or what you think it is, i would forever be in debt to you. Thank you so much.

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You are panicking and that is not a good way to evaluate something as serious as your hair loss seems to be. Clearly, a good doctor knowing hair and scalp problems will be able to diagnose your problem. I can only guess without having you in front of me and that would not be doing your any service. My suggestion is to see a good dermatologist in your area.

Southwest Florida Doctor Recommendation? – Hair Loss Information – Balding Blog

I’m 36, female, and have been losing hair for 8 years. My hair has always been fine and thin, and I inherited my father’s “receding” hairline. Now to be losing hair on top of this is awful. I’m new to the are and seriously considering transplants. I just saw a dermatologist who took a biopsy and said it’s female pattern hairloss, use Rogaine, there’s no other hope. I want to see a real professional who is caring, sympathetic, and willing to work with me to discover the best option of treatment. Can you recommend someone in southwest Florida please? Thanks

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Ask your dermatologist to recommend a doctor in your area. A direct referral is always the best way to go. Dr. Bernard Nesbaum is a hair transplant doctor in Florida who has considerable experience with women and he is a dermatologist. You might want to check with him. You can get the doctors in Florida by looking at ISHRS.org.

Celebrity Hair Transplants – Hair Loss Information – Balding Blog

Because this site was mentioned in the “Matthew McConaughey’s Miracle Hair” article in New York Magazine this week (see my blog entry from yesterday for details), I have been inundated with questions about celebrities and their hair transplants. One notable magazine asked for us to give access to some famous celebrities to talk about hair loss and the treatment for hair loss, like transplants.

It obviously would be improper for us to respond with names of celebrities who may or may not have had hair transplants. The point that I want to make here is that today’s modern hair transplant can be completely undetectable. Please take a look at Patient NU for a wonderful, closely cropped hairline. His hairline was lowered about 2 inches, including restoring the widow’s peak and temples. After you look at this patient’s photos, I challenge you to detect the difference between a completed hair transplant and the hair on a non-balding person.

Here’s the large “after” photos of Patient NU. Click these thumbnails to view the full-size images. To compare these to the “before” photos, please visit Patient NU’s profile. Also, this patient had temple transplants many years ago, and his results are available here and here.




There are many funny stories about celebrities and their not-so-unique sensitivity to their hair loss. For most men, there is some loss of maleness, like a lion without his mane. Men feel that if they lose hair that they will lose their sex appeal. There is some truth about that statement. The stars who are our sex idols (like Brad Pitt, Johnny Depp, George Clooney, and Mel Gibson) all have normal non-transplanted heads of hair, as far as I know. The patient in the pictures above wanted a pointed hairline like actor Andy Garcia. If Andy Garcia cut his hair short, this is most likely what it would look like. You would be completely surprised with the names of some of the men who I did transplants on, from heads of state, to movie stars who absolutely never, ever were detected as having had a hair transplant. The good news is that today’s hair transplants, done in the right hands, are completely undetectable, even by their hair dressers.

I treat all of my patients as celebrities; they are entitled to their privacy and to the best surgical techniques available. I am not just the hair transplant surgeon who defined the modern techniques of hair transplants, but I have also been a patient, and know how important our public image is to our personal well being.

Hair Loss InformationBody Hair Transplant Case Studies? – Hair Loss Information – Balding Blog

I know you recently stated that you were reviewing the progress on transplants using body hair. Have you done any case studies? Do you believe this will be a viable alternative to those prone to scarring with donor hair taken traditionally from the scalp. Since many like me have a chest full of hair with, I’m assuming limited donor hair due to previous surgeries.

I have had three previous surgeries, none within the last six or seven years. My last surgery having been performed by Dr. Bernstein. I have had considerable hairloss since my last surgery. I am thinning to about a 5A. I have two linear keloid scars in the back of my scalp. Not to mention some cobblestoning in the front of the hairline, that is very difficult to hide with the increased balding. I would really like to have surgery soon, but I am worried about further scarring, and receiving transplants producing little or no real hair growth for my money and time. By the way, I am African American.

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I would suggest that you consider another visit with Dr. Bernstein. With that said, body hair transplants are still unproven and are experimental procedures only, at this time. In African Americans, the risk of keloid scarring is higher than in Caucasians, and you have a higher risk of keloid scarring on the body than on the scalp. In addition, the recipient site will almost certainly develop white scars. In an African American, these scars may become very noticable, far more than in Caucasions. Read the past blog entries for my previous posts about body hair transplantation here, here, and here.

Hair Loss InformationHair Transplants for the Short Hair Look – Hair Loss Information – Balding Blog

Hello Doc,
I am 48, an NW4 and pretty stable. I don’t think I’ve lost much (or maybe any) hair in the last 5 years. I am interested in a “minimalist approach” to hair restoration. I have grudgingly accepted this level of baldness — no hats, no pieces etc. I keep it buzzed down very short, to at least a #2 on the clippers. I am not, at my age, looking for a young man’s hairline or density. I am not even interested in reconstructing a hairline, per se. All I would like is just an even sprinkling (or “dusting” — choose your own word) of grafts from front to back to give me a hint of stubble when I buzz it down, cut *some* of the shine in the places that are totally slick, etc. I am not trying to give the appearance that I have a normal head of hair, that’s long gone … yes, I know my scalp will still be visible….no, I am not trying to conceal my balding … everybody already knows that I have lost hair! All I want is a random, sprinkled “suggestion” of stubble from front to back in the bare areas, if possible using FUT’s, which I will then buzz down and keep very short. When I went to one of the high-volume hair mills a few years ago and suggested this, they were very discouraging: “No, you need our Super Ultra Mega Session where we will cram 6K grafts in the front half inch to give you the hairline of a 16 yr old.” Well, that’s not what I’m interested in and, to be frank, if that’s all the industry can offer me, then I’ll stick with what I’ve got. So, Doc, what do you think off the above “Minimalist Approach?” Is this something you’ve ever done before and/or would consider now?

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What you are asking for is not unreasonable. The best way to get this would be Follicular Unit Extraction (FUE), where single small, naturally occuring follicular units are extracted one-by-one directly from the donor area with a tiny punch. This leaves minimal scars and can support a super short hair cut. Send pictures and I will get back to you, privately if you prefer.

For information and photos of the FUE technique, please see:

Welcome New Readers – Hair Loss Information – Balding Blog

Welcome New York Magazine readers!

I wasn’t told ahead of time that this blog would be mentioned in the October 17, 2005 issue of New York Magazine (and on nymetro.com), but what a nice surprise it was. The small article, “McConaughey’s Miracle Hair”, references a post I made several months back about Regenix and my speculation about the hairline of actor Matthew McConaughey. You can find my original post here.

For the benefit of our increased reader base, here’s a quick recap of what this blog is all about. BaldingBlog.com is updated multiple times every weekday (and sometimes on weekends) with questions submitted by the readers and answered by New Hair Institute founder, Dr. William Rassman. In just 6 months, this site already contains over 400 of your questions answered! If you have a hair loss / hair transplantation question you’d like answered on this site, please send me a note via the Contact page.

Thank you for visiting!

Can Food Increase DHT? – Hair Loss Information – Balding Blog

Can certain foods increase testosterone(dht)? In the last three months i have been consuming kefir mixed with acai. I have noticed that my hair loss has accelerated .Any correlation?

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The Acai berry, from the Amazon Rainforest, is used as an anti-aging medication. Friendly bacteria in the intestines synthesize the majority of vitamin K in the intestine. The use of Acidophilus cultures in the form of yogurt or kefir serve as a food source and an anti-oxidant by some people who build muscle mass. I can not comment on the direct association of these medications with testosterone production, but these supplements are often taken with male hormones or other growth hormones which will then contribute to more DHT production and possibly more hair loss. Poor nutrition, will absolutely contribute to hair loss.

It has been long thought that we are a product of what we eat and what we eat will impact the overall personal state of our health. If you eat Broccoli, for example, the Vitamin B6 it contains will spur the tryptophan hydroxylase gene to produce L-tryptophan, an amino acid used in the synthesis of serotonin, a neurochemical mood stabilizer. Determining the effects of different nutrients on each gene variant is tricky and revolutionary because it would enable people to optimize their diet according to their particular genetics. High Blood Pressure, for example, has been linked to the antiotensinogen gene that increases a person’s sensitivity to salt. So the challenge for science it to identify which nutrients interact with genes and how they do so. Red wines (containing Resveratrol), grapes, berry and peanuts has been linked to some of the genes involved in longevity, but unfortunately, not proven in humans. The suggestion that red wine slows the aging process has been suggested by the French, who make the finest red wines. Should we believe them? Vitamin D, not only prevents rickets, but it may half the rate of certain cancers (colon cancer for example). But sunlight will do the same thing supplying high doses of Vitamin D.

Fergus Clydesdale, a food scientist at the University of Massachusetts predicts a day when we will visit an online supermarket, input a color coded genetic profile and buy one of 20 different lasagnas, all of which taste the same but each of which were made to fit a particular person’s health needs. In conclusion, your question was a good one and suggests that sometime in the future, I can be more precise in my answers as science and nutrition come more of age.

Repairing Pluggy Transplant, Part 2 – Hair Loss Information by Dr. William Rassman

Patient Update:

It is important to read the first part of this post which shows where this patient started from just 3 months ago , see last Friday, October 7th, titled Repairing Pluggy Transplant (with Photos).

This patient came to NHI to repair the awful, pluggy look he had to live with for many years. These old plugs are what many people, unfortunately, think a hair transplant looks like today.

Set 5 (above) shows this patient’s results 4 days after surgery. Scabbing and redness are visible, but within a few days will be gone (see below).

Set 6 (above) shows this patient’s results 8 days after surgery. The scabbing that is visible in Set 5 is now mostly gone. The redness has reduced considerably. Although the hairline may look straight in these pictures, you must remember that what you are looking at on the 8th days is remnants of the recipient sites and the single hairs in those frontal sites. In actuality, this patient has a wide transition zone in the front with 550 single hair grafts which will not show as a line when grown, but rather a zone where the forehead goes from its non-hair forehead to the thicker hair behind the transition zone, smoothly and quietly. Look at former patients to see what I am talking about as we have over 200 patient photographs shown on newhair.com.