Chronic Pain in the Donor Area Since Hair Transplant 4 Years Ago – Hair Loss Information by Dr. William Rassman

My son had a hair transplant surgery in 2004. Since then he is suffering from chronic pain especially at the donor area, constant pulling, throbbing and tightness. Is there anything that can be done to relieve his misery? Thanks.

Pain for so long in the donor area can be a rare complication of a hair transplant surgery. It may also be that there is a small area where nerves have grown in a bundle and are irritating the area. Sometimes, larger nerves are cut and this can cause problems. If he gently taps the scar area and it induces a shock like pain, then the problem may reflect cut nerves.

This can be a complicated problem or a simple one, but this is not something I will treat over the Internet. With a case like this, you should have your son follow up with the hair transplant surgeon who did the procedure so that the area can be examined.

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Any Photos of FUE² Patients Yet? – Hair Loss Information by Dr. William Rassman

Doctors,

So how soon can we expect to see pictures of patients you’ve performed on using the new FUE procedure?

It takes 6-8 months for people to develop enough hair to see the impact of any transplant procedure, and while this technology has been in development for some time, it was only recently perfected and announced. The FUE2 is just another way to do FUE (which has been around for 6 years), so I would not expect anything but better growth for the process. I’ll post photos in the coming months, though.

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Testing the LaserComb on Half the Head? – Hair Loss Information by Dr. William Rassman

First of all, it was good seeing you and Dr. Pak on Jon & Kate plus 8.

My question is related to testing the laser comb, how come they don’t test it on half the head? I mean if they only do the left half, wouldn’t they be able to see whether it’s working or not by comparing it to the right half that isn’t laser combed? Or does it affect the right half under the scalp?

I’d guess that many have tried, but there were no significant differences. It’s my opinion that these laser combs or brushes don’t really work. In every patient I’ve seen that has used the home lasers, the therapy didn’t work. I also do realize that I probably won’t see any patients that had great results (why go to a hair doctor if the laser is working, right?)… so I base my opinion on the available research, which is not promising.

I welcome anyone to email me with their own results, either positive or negative. Please include clear before and after photos with permission to publish them (I’ll blur/crop out your face).

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Since I Have Thick Coarse Hair, Could I Shed More Daily than Average? – Hair Loss Information by Dr. William Rassman

Hi doctor Rassman! I am a male 18 years old and don’t have any signs of hairloss as of now. I have thick coarse long hair (To My Shoulders in BAck)

My question is:

You say the “average person” loses 100 strands of hair per day, but for someone like me with very thick coarse hair, would that mean that i could shed more than someone with “average” or thin hair? I may be obsessed but I count hair strands evryday from morning til night and always end up between the sixty to eighty range. but i probably miss “some” throughout the day but the count is always consistent.

Thank you i really hope you are able to answer this question! And thank you for your site!

I would think 60 to 80 hairs, plus or minus a few, is a very normal range of hair loss per day. Thick hair might appear like more hair shed then fine hair. In other words, this does not mean you are going bald. Having thick or thin or coarse or flimsy hair does not mean you will lose more or less hair.

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Looking Younger After Hair Transplants (with Photos) – Balding Blog

My mother told me that she does not know what I have been doing but I looked younger and more vibrant than in years. Considering that I am about to turn 50, that comment made me take a real close look at myself when she said that and I realized today when you showed me my before pictures, how much I have changed. I remember always looking in the mirror to see what I could do to improve my look. but no more. Not only has my career done well, but I never think twice about my hair, that is until I see you.

The above is an email I received from a patient after he came in for a follow-up last week. He’s given me permission to share his results, which are after a total of 4184 grafts over two sessions. His before photos present a Norwood Class 5 pattern, and his medium fine, wavy hair helps with the after results.

Click the photos below to enlarge.

Before:

 

After 4184 grafts:

 




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Doctor Recommends Vitamins and Biotin for 21 Year Old with Early Hair Loss? – Hair Loss Information by Dr. William Rassman

Hey Doctor,
I am a 21 year old starting to experience hair loss. For the last year and a half, my temples have receded and the front of my hair is becoming more and more thin. I recently went to a dermatologist, who confirmed that I am experiencing frontal hair loss. The doctor’s diagnosis was not what I was expecting, though. She stated that I should take a multi-vitamin supplement and biotin for about 6 months, and if by 6 months i am still experiencing hair loss, then i should begin using rogaine for the front of my head, not propecia. I am a little confused by this, mainly because i was under the impression that rogaine was only for the back of the head. I am also skeptical about only taking a multi vitamin for six months, fearing that the longer I wait the worse my hair will get.

What do you think about this regimen? Do you think I should go find a second opinion?

I don’t agree with the regimen your doctor recommended and I’d suggest you see another doctor. You should get your hair mapped out for miniaturization to make the diagnosis of genetic hair loss and then the drug Propecia (which must be prescribed by a doctor) would be the best choice if you have indeed have genetic hair loss. Since you’re a young man with early hair loss (if it is as you describe and the miniaturization mapping shows it), Propecia is the best FDA approved treatment to get your balding to slow down or stop and possibly regrow hair.

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Bald Spots After a Buzz Cut – Hair Loss Information by Dr. William Rassman

Hello
male/20/GA/caucasian
i have very thick hair and rich hair. but about two months ago i got a buzz cut (my hair at that time must have been about three inches or more). the barber did it very quickly though. there was no blood or irritation at the time. however when my hair started growing back a few weeks later i noticed a few irregular small patches and patterns on my scalp, on which there was no hair. i don’t see any scar marks either, it’s just that after the haircut i have not seen hair there after that haircut. do you think hair will regrow in those patches eventually?

If you have patches of bald areas after the close clipping and your scalp was not damaged by your stylist (you would’ve felt it), these patches may have just been revealed by the clipping, not caused by it. You should see a doctor for a diagnosis or send me photos, and maybe I can help (reference this post when sending).

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Hair Loss InformationIf I Had Minimal Yield from FUE Procedures, Do I Have Alopecia Areata? – Hair Loss Information – Balding Blog

In the post linked — Hair Cloning and Hair Transplant Failures — you discuss “transplant failure”. Does this mean total failure or just poor yield? I am a male, late twenties that has been mapped for miniaturization and found to have Diffuse Patterned Alopecia.

Would minimal yield from two (2) FUE surgeries suggest to you that the patient is in fact actually suffering from diffuse alopecia areata? Or do you believe FUE is unpredictable? I realize you cannot make a personal diagnosis over the Internet, but I would like your initial thoughts to point me in the right direction because I am running out of donor hair and patience with two failed doctors.

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You’re right in that I cannot make a personal diagnosis over the Internet. You report Diffuse Patterned Alopecia which does not define what you have. I am assuming that you do not have the diffuse form of alopecia areata which is an autoimmune disease (very rare in young men) and if you had it, it would certainly kill off hair transplants if they were done. To make a diagnosis of alopecia areata, you would need several skin biopsies and an expert dermatopathologist to read the tissue when it was prepared. Have you gone through this? If not, this might be your next step before jumping to the conclusion that you had FUE failure for technical reasons.

I would love to see your results with a good photo or two, a set of slides from biopsies of your skin and then I can give you an opinion. What I meant in that post you referenced is a total or partial failure. Failures with FUE are often partial failures, where so many of the grafts were transected (having many amputated hairs) that the yield will be less than what has been transplanted.

In regard to follicular unit extraction (FUE), in my opinion, it is a procedure that is quite variable in the hands of doctors with different skill sets. Most of the failures with FUE, are probably related to the skill of the surgeon. I couldn’t tell you if you’re experiencing alopecia areata just based on the failure of FUE by your doctor. I recently wrote a new FUE guide that I hope you’ll read — Introduction to Follicular Unit Extraction Techniques.

Hair Loss InformationIn the News – Other Takes on the Hair Loss Gene Findings – Hair Loss Information – Balding Blog

I’ve been reading more of the news items about yesterday’s publication of the two studies in Nature Genetics, and pulled some key quotes from various news sites that are worth highlighting.

From the BBC

BBC“Analysis of DNA from 5,000 volunteers with and without male-pattern baldness found two stretches of the genome linked with the condition.”

“One was the androgen receptor gene and has already been linked to male-pattern baldness. The other region is on chromosome 20 and is nowhere near any known gene.”

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We’ve long known that genes were responsible for hair loss, but now they’ve finally been identified.

From the Scotsman

The Scotsman“Until now, the only known genetic link with male baldness was on the female chromosome, meaning it could be passed down to men from their mother’s father.”

“Dr Richards said so far they had only identified a cause of hair loss.”

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In other words, the cure isn’t here and this is still the very early stage, so don’t cancel your hair transplant just yet.

From the Wall Street Journal

Wall Street JournalBut dermatologists say that looking at hair shafts under a microscope can spot shrinkage years before it’s apparent. “We can pick it up when kids are teenagers,” says Robert Bernstein, founder of Bernstein Medical Center for Hair Restoration, a treatment clinic in New York. He agrees that medication can slow hair loss only if it isn’t too advanced. Once an area is devoid of hair, only a transplant can restore it.

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This is what I’ve been talking about all along — mapping your scalp for miniaturization.

Picked Off Scabs 4 Days After FUE – Hair Loss Information by Dr. William Rassman

I was wondering if after having a FOX procedure if you pick off the scabs from the donor area will this cause more significant scarring. I took off a scab 4 days from my procedure and it looks like it left a dimpled hole. I wonder if this will heal?

It is never a good idea to pick at a wound, as it creates the opportunity for infection. If you have eschar/crusts at the donor site from the FUE procedure (which is usually the case) you can wash them off with a good shampoo and a surgical brush. I don’t know what the dimpled hole is without seeing it, but hopefully it healed up for you.

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