“No, You Are Not Losing Your Hair” – Comments From a Patient Who Had Scalp Micropigmentation

Greg Smith (alias) had significant frontal balding and he kept his hair about 1 1/2 inches in length but hated that he had no hairline and that his forehead went back about 2 inches. He had Scalp Micropigmentation (SMP) performed to his entire head. I asked him if anyone noticed. He said that many of his friends noticed and thought he had a full head of hair when they looked at him. They were curious as to why he shaved his head. He responded “I was losing my hair”, to which they responded after careful examination of his head: “No you’re not”. One if his close friends even responded “I wish I had your hair” After that conversation, he let the subject ride. Go to: https://scalpmicropigmentation.com/bold-shaved-look/

No New Growth 10 Months After Transplant

Hi Dr. Rassman,

About 3 months ago, I wrote to you concerning my situation at 7 months post-op. I had diffuse thinning in the frontal area and was a norwood 3 prior to surgery, and had 1700 grafts put in. At 7 months I was looking thinner than before my surgery, and could only find a few new hairs that were growing in, all very small (less than 1/2 inch).

Now, at 10 months these hairs (i can find only about 10) all seem to be the exact same size as they were at 7 months, and I have seen no new growth. This is very frustrating for me and I was wondering what your thoughts were. I took your advice and went to see one of your colleagues in San Jose, and he told me that I should wait until a year has passed to judge my results. But why do these hairs seem to be growing in so incredibly slowly if at all? If you could just mention what some of the possibilities may be I would greatly appreciate it.

Thanks for your time.

To keep the blog readers up to speed, your original question (and my answer) can be found here: Transplant Failure To Grow.

You should see growth by this time. I would suggest that you make an appointment to see me personally. I will try to judge what has happened. Please try to get the preoperative pictures from your doctor so that I can make a judgment as to how much original hair was there at the time of the transplant. That will help a great deal because sometimes when people report these complaints, they lost much of their natural hair and the loss may cancel out the gain. Alternatively, the growth of the transplants can be estimated by someone experienced in this field.

No More Morning Erections After Taking Propecia for a Month

I’ve been on Propecia for just over a month, and I realized I don’t get morning erections anymore. (I know for a fact I got them before) Is this something to worry about?

I’m only 21 and any change in sexual function for me is something I want to pay close attention to. Do you think this is just my body trying to adjust to the drug?

Sexual function has a very complicated mechanism and several factors are involved. The most important factor is usually stress that often could be seen with acceleration of hair loss. One way that you can see if your sexual function changes are due to the new medication is to stop it and monitor the changes. Are you having difficulty maintaining and getting an erection?


2007-03-27 10:36:07No More Morning Erections After Taking Propecia for a Month

No Improvements After 18 Months on Propecia — Should I Continue Taking It?

I noticed hair loss from the age of 17 and am now 23. About 2 years back I started using Minoxidil 2% for 6 months and started Minoxidil 5% for another 6 months. There wasnt any improvement and started using propecia for the last 1 year and 6 months. Over all these years there hasnt been any sort of improvement. I can only see my hair getting thinner and thinner with time. I thought propecia is supposed to arrest hair loss. Do I still continue on propecia?

First, as I have said again and again, you need a good diagnosis with your hair mapped out for miniaturization. If you have genetic hair loss and stop the finasteride, you will almost certainly see the hair loss become worse. Just because you are not seeing benefits, it does not mean that you are not getting benefits. Put some science and medical diagnostic force in what is happening to you.

No Hair Loss – Should I Be Taking Finasteride?

Hey Dr Rassman! I’m approaching 23 years old, and have experienced some thinning at the temple area, and also some receding of my hair line. Although i guess this could be my hairline maturing, i’ve bought some folligen cream, Nizioral shampoo, and some proscar as a precaution. Are these products still safe to taken, even though i might not actually be experiencing any irregular hair loss? Just thought i would nip it in the bud so to speak! Thanks for your time!

First of all, you need a proper diagnosis and that requires a good doctor to assess miniaturization of your scalp. Do not assume anything. Your hair is too important to play Russian Roulette with. You should first know what is happening to you, then discuss the options with a good doctor. Taking Proscar without knowing what is going in is a mistake.

No Growth 7 Months After from My Hair Transplant (with Photos)

Thanks for the informative site! I’ve searched for similar questions and answers, you’ve addressed delayed and no growth from transplants before, so hopefully this isn’t repeating too much from others. I’m 29 and had a hair transplant with a reputable IAHRS doctor seven months ago. 2400 grafts total were used, placed in the front 1/3 of my scalp to thicken my front and fill up my hairline.

It’s been seven months and the only growth that has occurred are a couple or so dozen hairs that didn’t shed during the two weeks following surgery. Those started growing further at about 3 months and are still growing, but it looks as though nothing else has even begun to pop through. The only possible explanation I can think of is concerning ridding my transplanted area of scabs post-op. 14 days after surgery, the scabs started to raise up and I went through with the balls of my fingers and gently rubbed them off, in some cases gently picked them a bit to rub them off (a few also peeled like dead sking does). There was no sign of trauma and with the scabs came the small hairs. So I shed about 90% or so of the hairs at 14 days. I discussed this with my doctor and he said there shouldn’t have been graft damage and any grafts coming out would’ve been followed by bleeding.

Is there any explanation(s) for this delayed or potentially little growth from my transplant? I’ve read articles about some transplants having delayed growth for up to a year due to different types of hair cycles. Could the rubbing and slight picking off of scabs after 14 days taken the grafts out or traumatized them to lay dormant longer? I’m sending before and after photos. Thanks!

You sent a lot of photos, but unfortunately most of them were from a distance and poor quality, so they don’t help me see much. The two best photos are shown below (click to enlarge) — the left photo is from 1 day post, the right photo is from 7 months post surgery. There does not appear to be any growth and I would expect that something should have shown by now.

 

Sometimes transplanted hairs can take up to 12 months before it grows, but usually there is some growth by 7 months. You should see some results between 5-6 months post surgery. I would give it up to a few more months, but definitely follow up with your hair transplant surgeon. I really do not like the unusual zig-zag hairline the doctor placed, as evident in the 1 day post-procedure photo.

There are MANY factors that go into a successful hair transplant surgery. Each and every hair graft/follicle can easily dry up and die if not handled and transplanted by a professional medical team. That is why choosing the right doctor and the right medical group is very important. In other words, it is not like buying a car from a dealer who can get you the cheapest out the door price. Despite what the consumers may think, not all hair transplants are equal (even if they advertise the latest techniques).

No Growth 6 Months After My Hair Transplant!

I had a transplant done exactly 6 months ago. I was under the impression that between months 5 and 6 post-operation I would start to see the new grafts growing in. I have seen nothing, or very little. Does this mean it won’t grow in or something is wrong? I’m getting a little worried about it.

Why don’t you call your doctor who performed the surgery and ask for a follow up appointment? If I paid for something that didn’t turn out the way I thought it would, I’d contact the seller. Although you could apply that logic to buying a used car, this same principle goes for cosmetic surgery. If you were told one thing and it hasn’t happened, take charge and find out from the doctor!

Generally speaking, it takes on the average 4 months to see some growth, but it can take as long as 12 months. Everybody is different and not all surgeries are the same. You may be a late bloomer!

No ED Problems After Chemo — ED Problems Started When I Took Propecia

Dear Doctor,
I am 33 yo, I took Propecia for two years with NO erection problems and good hair growth. I stopped October 2007. In April 2008, I got diagnosed with testicular cancer, had a left orchiectomy, chemotherapy, a retropertioneal lymphnode disection surgery and have been cancer free since early October 08. I have now retrograde ejaculation but I had NO decreased libido or erection problems until November 08. I started on Propecia on mid Nov 08 and I have been having serious erection problems since then. I can’t get an erection, rarely I do after a lot of help from my wife, but can’t maintain an erection. I stopped taking the drug five days ago, but the problem is still there. Any advice would be appreciated. Is it possible that it didn’t affect me before, but now it does because of either orchiectomy, chemo, or something else? Should I get my testosterone level checked? Will the problem go away now that I stopped? Please advise.

There are many things that you need to explore. Amongst them might be a visit to Boston Medical Group (for treating ED that does not respond to drugs like Viagra), but I would first ask your doctor about your problem. He must certainly have expertise to help you and knowing your testosterone levels might help.

Nizoral Shampoo

Is Nizoral better than other shampoos and can it promote hair growth?

Nizoral 1% (Ketoconazole 1%) is sold as an over the counter anti-dandruff shampoo. Nizoral 2% (Ketoconazole 2%) shampoo has twice the strength of the over the counter shampoo. The active ingredient, Ketoconazole is said to act as a DHT blocker. While some people who use Nizoral may believe that it does control hair loss, there is no objective evidence that it is anything more than a good shampoo.


2005-08-24 14:48:18Nizoral Shampoo