Are maturing hairlines for real?

Are people just balding but at an acceptable rate ? Does everyone have a “halting point” at which their hairline will stay for a period if you let it get there? Does everyone have different strips of hair that will go at random speeds?

Just look at friends and family and you will know it is REAL! I actually learn at airports about the various ethnic hairlines which I study and sometimes ask permission to photograph


2020-10-05 12:11:23Are maturing hairlines for real?

Are Korean Transplant Centers Better for Asian Hair?

A good hair transplant surgeon will transplant all ethnic hair types. Only the African hair type requires special skills because it is not straight below the skin as the hair on top of the head is curly. For African men, we use special tools for FUE or STRIP surgeries; whichever they decide is appropriate for them.


2019-12-05 13:11:17Are Korean Transplant Centers Better for Asian Hair?

Are juvenile hairline loss triggered by DHT?

I know what’s the difference between two cases? DHT miniaturised and non-DHT miniaturesed? What else causes miniaturisation except DHT?

If the miniaturization is DHT dependent, then it occurs in the hairs of the scalp that are susceptible to DHT from genetic causes (i.e. Norwood Class 7 pattern patients). I have believed that the juvenile hairline in most Caucasian men have hairs that have a limited life (i.e. develop apoptosis when the clock reaches its genetic finality which may vary in men between ages 17-29). I have met some men with a Norwood Class 7 pattern who had a persistent juvenile hairline that stayed strong into their 60s. That is why I don’t believe the juvenile hairline is not sensitive to DHT and its loss is apoptosis tied to some biological clock.

Are Hair Transplants Permanent?

Yes, hair transplants are permanent. Yesterday, I saw two patients that came in who had hair transplants in 1994 with me. Both said that they would have been bald, had they not had a hair transplant. One man had a full head of hair in the front (from the transplants but was losing his crown hair, the second guy had lost much of his native hair and wanted it thicker. So, even guys in their 60s (both men were in their early 60s) want more hair to look younger.


2020-06-25 10:58:56Are Hair Transplants Permanent?

Are hair transplant surgeries going to get better?

I’m just wondering something. I’m in my early 30s now and always dreaming of a hair transplant. Maybe the older guys know an answer to this question: do you think (good) hair transplants will get more affordable and better in the future? I know that in the past it was mostly FUT so I think FUE is definitely a step up. But I’m wondering if there’s still room for improvement besides this procedure so one can hope. I’m not talking about unrealistic stuff (stem cells, yeah been hearing this for years now…) but just for more efficient ways that are in development? How has the industry changed over the last ten years and what can we expect for the next ten?

The procedure for hair transplants is now very efficient and that is why it is becoming more popular. This is a rapid growth industry now growing in excess of 20% per year, as high as 65% in some areas of the world. We have not tapped the balding market yet, but the number one problem is dishonest representations of the goals that are realistic, often pushed by salesmen employed by somewhat unscrupulous doctors. Young men, in particular, tend to fall for the lines of the salesmen that work for doctors who hustle for business and may get commissions for closing the sale (this could be you). Let the buyer beware.

Are Dutasteride side effects less?

I’ve read many times before that libido improves in people who quit finasteride and use dutasteride. I think there was a study on this. I have also observed this myself. Has anyone noticed this before? Could Dutasteride be more tolerable? (I use it every 2-3 days)

Dutasteride is more potent then finasteride by about 15%. Logically, there should be more side effects. There are less publications on dutasteride side effects in men of hair loss age than finasteride by a long shot

Are Drug Companies Not Investing in a Hair Loss Cure?

Hello Dr,
I am wondering why there is no a magical cure for the baldness? is it because the researching costs, no ambitions, or the medicine maker companies are not investing to find a cure!

what do you think the new treatment in the near future? stem cells, PRP, Gene Therapy?

Thanks

One could theorize that there is some conspiracy to keep the world bald, but I tend to believe that the reason there isn’t a hair loss cure available yet is because there hasn’t been a successful cure developed. I suppose the drug companies are still working on it, but I really have no insight into how much they will invest into various hair loss cures. Treatments fail all the time and are quite costly in research and development.

Using common sense, I’d think that the company that comes up with and successfully markets a cure will be able to make a huge profit… and that alone would make it worthwhile to be ambitious.

Here are some past posts regarding stem cells and PRP (platelet rich plasma):

  1. PRP Treatment Still Unproven?
  2. Offshore Stem Cells Treatments Offer False Hope
  3. Stem Cell Baldness Cure? Not Quite.


2010-10-07 10:21:30Are Drug Companies Not Investing in a Hair Loss Cure?

Are Drug Companies Making a Better Finasteride?

Hey Dr Rassman
First of all I would just like to recognize all the the individuals who help make this site what it is. Its great. I love it! To be honest it distracts me at school a lot. I keep saying to myself, okay read one more post and thats it! But now for the serious part. I’m just wondering about the progress which is being made in the development of new drugs for male pattern baldness. I know you are probably getting sick of these questions, but are companies researching the working mechanisms of the approved drugs minoxidil and finasteride and building off what they already know?

Also, who is the youngest person that you have performed surgery on, not including young children with burns, but with male pattern balding and if so what do these results look like? I am also pleased to say that I will be scheduling a visit with you in May to meet with you….. I’m very excited as I am from Canada and have never been to LA before. I hope it lives up to the hype!

I don’t know much about new drugs in the drug pipeline of the pharmaceutical companies, but as I do find out anything I try to post it on this site quickly. Sometimes I get emails from people alerting me to medications in the pipeline that I hadn’t heard of before. Contrary to popular belief, I’m not a drug insider that knows timelines on when medications are coming to market. Treating hair loss is a billion dollar business, so while I don’t know this to be 100% the case, it would make sense that some drug companies are working on the next possible medication to regrow hair.

In the treatment of male pattern baldness, I made a mistake once by taking on a 17 year old patient with strictly frontal balding. He had a very fast moving hair loss progression and eventually went on to a Norwood class 7 pattern. This was around 1993, years before Propecia was on the market and it was early in my hair career. Today, I generally wait for:

  1. Advanced pattern progression that does not respond to Propecia
  2. Ages of 22 or higher
  3. Adequate or high densities of the donor hair
  4. Maturity… and many other characteristics tied to hair and skin color, hair density, coarseness of the hair, character of the hair, and family history

I look forward to meeting with you. Los Angeles is a great city and I am sure you will enjoy it if you gave yourself enough time for touring.


2010-04-01 15:48:01Are Drug Companies Making a Better Finasteride?

Are Certain Hair Colors More Likely to Go Grey?

Are people with certain hair colours more likely to go grey as they age? I notice a lot of people with salt and pepper coloured hair but I can’t think of anyone I’ve seen with that level of brown and grey hair, or red and grey hair etc.

All hair colors would generally grey as the person ages. The degree of greying and how fast the person goes grey is dependent on their genetic predisposition. I am not aware if there is a correlation with hair color and going greying.