Hi Doc, Does the stiches which takes place at donor area hurt after HT? any headaches does it has to be protected from Sun etc for a long time
Thanks
Stitches are something you feel, but I would not say that they hurt. I am talking from my experience with stitches after my two hair transplants. The back hair covers the stitched area so you do not have to worry about the sun.
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I was wondering if hair from other than your head can be used for hair transplant for example from you face?
Yes, I have actually used beard hair from a face lift and from a brow lift to transplant into the crown. I have also used pubic hair to create beard hair. It works nicely.
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This patient had 1414 grafts almost 12 years ago to camouflage the obvious grafts in his frontal hairline and in the process, bring down his hairline into its normal position. His old transplants were placed too high and looked too pluggy. This is a nice result and a good demonstration of the value of camouflage when used properly. The photo on the left is before I performed any transplants on him (note the plugs there on the close-up), and the photo on the right is over a decade later. The key to the camouflage was to create a feathering zone of one hair grafts irregularly placed and spaced apart in front of the plugs, then with two hair grafts placed closer together, the transition to the old plugs was so gentle that the plugs were hidden from view. The patient was thrilled with the results.
When we wrote the original articles on repairs for the medical journals, it was taken from experiences like this man had. Today, we can harvest hair from the big plugs (not shown in these photos) as well as use camouflage as we did here. When this repair was done in 1995, the unfortunate standard of care at the time was still the ‘plugs’ that produced the corn row deformities. Surgeons were trying to repair the rough work by putting even more large grafts in between the larger grafts, which only compounded the problem. Fortunately today, few of these pluggy procedures are done and much of what we published has become today’s standard of care for repairs. To see the original work we did on the subject and the publications, look at: NewHair.com – Repair (search).
Click the photos to enlarge.
You said in a previous post that skin inflammation causes hair loss. If Eczema is a disease caused by skin inflammation, does Eczema cause hairloss?
Inflammation of scalp (and eczema) may cause hair loss from scratching when you comb and/or brush your hair, as it may pull out if you are not careful with it. Using a good conditioner will help soften the scales and separate them from any crusts.
Dear Dr. Rassman, I know you’ve been asked a billion times about Propecia but I just have one question about it.
I understand we need to wait at least 8-12 months to see whether it is ‘working’ and I also realize that by taking Propecia we’re at least slowing down the rate of balding. With this said I have a hypothetical question.
It’s been 3 months since I’ve been taking Propecia (much too early to tell) but let’s say hypothetically, Propecia will actually stop my hair loss. Before my 8-12 months trial period is up, can my hair still become miniaturized before Propecia “locks in” the hair I have? I’ve been on Propecia for 3 months and I’m starting to see significantly more thinning in the front and I’m curious whether or not I’m going to lose a big chunk of my frontal hair before propecia stops the recession.
Any help would be appreciated. Thanks.
When Propecia works, it works very fast. You may not see the full impact for 8 or so months, but you do not have to wait to get the benefits. Be patient, as it sounds like you are doing the right thing.
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Hi, I have been told by my doctor that taking 5mg Finasteride tablet(Proscar)once every three days is also effective for treatment for balding. I’m 21 years old and was told that I’m having genetic alopecia. Can I have your opinion or recommendation?
I don’t have a problem with this suggestion if it works. The reason we recommend daily dosing is because that is the way the data was collected and the official recommendation of the drug company (1mg/day). It is logical as a daily dose, because the half life of the drug in the body is about 5 hours. Maybe your doctor has a great deal of experience with this every 3 day dosing routine. It may work OK!
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I am a female planning to get a hair tranpslant and have heard that the trauma of the surgery can cause other hair to fall out. I was wondering if being on Propecia would help keep the hairs from shedding. And if so, do you need to be on Propecia for a certain number of months before it works (i.e. keeps hair from falling out)? Thanks!
Propecia (finasteride) is contraindicated in women who may become pregnant and inefficient in post-menopausal women. It probably will have no impact on pre-menopausal women. Although studies have shown significant reduction in the rate of shock loss in men who are on Propecia, it has not been studied for in women for that purpose and in theory should not work. Hair loss shock is not common in women after transplantation.
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This patient had 1461 grafts just 10 days before these photos were taken. There is only a small beard and no real problem hiding that he had hair transplants as I comb my hair foward. In this way there is a canopy covering the frontal hairline. As with any surgical procedure, there is some visible redness (the degree of which varies per person), but this will subside more in the coming days. So many men expect that the post-operative patient will show deforming holes in the head. Note that there are no wounds evident, just a beard.
Click the photos to enlarge.
I find it very hard to believe that someone has not found a way to grow back hair consistently on a persons head. Hell, we can clone a human, but not regrow some hair? I am thinking that there is too much money to be made with all the bogus pills and lotions, not to mention the expensive transplants and “wigs”. The solution is probably too simple and inexpensive, so it has been shelved by the powers that be…just a thought….
Maybe a little research on your part and we can get rich together. Please, when you find the solution, I would love to participate with you on building an industry here.
Hair multiplication has been successfully done in animals and also in human volunteers. Some researchers have succeeded in making two hairs out of one, but the two hairs have less value than the one that it came from. It still needs to go through additional research to make two be better than one. Hair cloning also has been successfully done, but it has been inconsistent, non-commercial and certainly not for human use at this time. Just be patient and we all should know the result of the research in less than 10 years one way or another (at least that is what is being projected for a solution timeline).
(female) I am aware that dropping a 100 hairs a day is normal. However, when I met a trichologist about 2 years ago, she told me that for Asians, a 100 hairs is considered a sign of hair thinning. This is because that most tests are done on Caucasians and they have apparently more hair on their scalp. The ideal would be 50 hairs per day for Asians. What are your views on this?
Assuming that you have a typical density for an Asian (1.6 hairs per square mm on average) then I would expect your daily loss of hair would be about 80 hairs.
