A Patient Story That Touched My Heart

“The waiting is the hardest part.” – Tom Petty and…

“The waiting is the hardest part.” – Tom Petty and the Heartbreakers

If my chronicle of hair had a theme song, that 1985 hit would be it. But let’s go back in time and set the stage.

When I first met Dr. Rassman, I had $2500 saved up to populate the barren wasteland known as my forehead. “If I could just lower my hairline 3 inches, all would be right with the world,” I thought. I had everything in place prior to my first consultation with NHI. I knew the day of the week I’d want my procedure, what movie I’d watch during the procedure, and what lunch — an egg salad sandwich — I’d be enjoying during the procedure. The stage was set. And then…

“I’m not going to do $2500 worth of work on you.”

“I’m sorry, what?”

“Your goals require approximately four times that much hair, and I’m not going to put you in a position where you MUST come back for more work. You must approach each procedure as a stand-alone procedure, not something that will leave you incomplete and dissatisfied.”

“Dr. Rassman, the other three places I met with said I could move forward and have a procedure with $2500.”

“If they can show you one patient, just one, who lowered his hairline that much with $2500 worth of work, then proceed with them. My experience tells me the math doesn’t add up.”

I walked out of the NHI office that day thinking, “That’s the most interesting and somewhat irritating business model I’ve ever encountered. He won’t take my money?”

So began my true follicular education. I read all the peer-reviewed journals published by NHI. I visited the office again to watch a procedure being done. I went to three NHI Open House events to meet as many patients as possible. They clearly had nothing to hide. It was then that I fully respected Dr. Rassman’s decision not to perform my surgery right away. He encouraged me to approach my hair restoration as a lifelong plan. After all, we’re not dealing with an infinite supply of donor hair here! Every graft is critical!

The morning of my first surgery, Dr. Rassman, being acutely aware of my financial situation back then, took a moment to inquire as to how I saved up the money in such a short period of time.

“That was easy, doc. I moved out of my apartment, put my belongings in storage, and slept in my car for a few months. That dedication is deserving of two egg salad sandwiches and a hot fudge sundae, right?”

“You’re serious?”

“Yep!”

After three months of checking the mirror for any sign of hair growth, the first evidence was revealed! I was told to basically forget that I had surgery for the first few months since it typically takes that long for the new hair to begin growing. Yeah right. I was in front of the mirror every day without fail. The waiting definitely was the hardest part!

Ten years, two surgeries and approximately 5500 grafts later, I’m happy to say that I no longer think about my hair loss. The hairline has been lowered and the temple regions have been moved forward, resulting in a completely natural looking frame to my face. The barren wasteland is now a thriving metropolis thanks to the New Hair Institute!

NHI is family. They don’t sugar coat anything, and they ensure your expectations are realistic. For that I am forever grateful.

A Patient From 1993 Surgery

This patient came in today to ask for Scalp Micropigmentation to make his hair appear thicker. It was a pleasure seeing him today. He still remembered the upbeat environment that the surgery was performed in 22 years ago! In addition, he sent a friend after he had it done.

This patient had some old plugs prior to meeting me which I camouflaged at the time of the 1993 surgery with great success. We discussed the ‘standard of care’ for hair transplants at that time and I may have been one of the few doctor who did not perform plugs then (I never performed plugs), something that he knew and appreciated. Today, we still see patients with the old plugs and I love to help them deal with it. After he has his Scalp Micropitmentation done, I will share his ‘after’ picture with you.

A Patient’s Hair Transplant Done by a Non-Physician

You can see that this man had a poorly designed Scalp Micropigmentation procedure with a straight hairline, and then a hair transplant on top of it. Much of the hair appears to have failed to grow. It was done at a bargain price.


2020-03-10 12:57:27A Patient’s Hair Transplant Done by a Non-Physician

A New Drug for Hair Loss, NEOSH101 by Neosil

Hello and thanks so much to you and your colleagues for creating this wonderful resource.

I recently read an article about phase II results of a new experimental topical hair loss treatment called NEOSH101 by a company named Neosil. The study includes statistical results, but I am not sure how these results compare to those of mainstream solutions such as Finasteride. Assuming that the results are true, how does this treatment stack up?

Please see this link for the info: https://www.sys-con.com/read/319216.htm

If the link is dead please search for NEOSH101 in google to find the press release. Thanks

There’s some information at these 2 links:

This is a drug in early clinical trials. Time will be needed to see if its value is as significant as finasteride or minoxidil (this comparison with minoxidil is in process at this time). I am encouraged by such clinical research and hopeful that it will be better than minoxidil.


2007-01-12 10:25:42A New Drug for Hair Loss, NEOSH101 by Neosil

A Month After My FUE Procedure, My Surgeon Prescribed Minoxidil

Hi Doc Rassman,

my compliments for a fantastic webpage. I’m a 39-year old male, had FUE 4 weeks ago on the front of my head. So now after 4 weeks, my surgeon has prescribed 5% Minoxidil solution to be applied twice a day on the transplanted area and the crown. (Not on the sides and back he said)

From your blog here I understand that this needs to be applied lifelong? And if I stop,then whatever hair has grown/ strengthened will also fall off. In this event, is it advisable to start the minoxidil? I have already had a transplant, so is there really any need for this solution?

If I want thickness in certain areas, I can always use hair concealers like Dermatch and Toppik.

What are your thoughts about this assessment of mine?

Thanks for your help.

Once you start the medication it is generally recommended that you take it indefinitely. If you stop, the gains you see from the medication will go away. Using topical concealers is up to you.

I’m not sure how big your hair transplant procedure was, so I don’t know if the medication may be beneficial. Why don’t you ask your doctor what the Master Plan is?

A Month After a Hair Transplant, I Had Major Stress

About four weeks after getting a large hair transplant I had a bit of a major shock to my business which caused a good deal of panic. A lot of adrenalin rushes, flight/fright, etc., off and on for a few weeks. Pretty constant. The worst has passed, but I am wondering if these adrenalin surges hurt my new implanted grafts’ growth chances. I know it is a vasoconstrictor, but assume that the grafts were secure and alive after 10 days or so.

I don’t have a definitive answer, but I would guess that your emotional stress would have no significant impact on your hair transplants particularly since it occurred a month after your surgery. It’s going to be a case of wait and see.

A Letter From A Patient

Dear Dr. Rassman: Yesterday, the first of 3 session for Scalp Micropigmentation at the New Hair Institute was pretty remarkable. Under the guidance of Dr. Rassman and Dr. Pak, the technicians, Christine and Leonard, delivered tens of thousands of precise ink dots that in the end look like stubble.

Along with multiple hair transplant that you, Dr. Rassman delivered 22 years ago, hopefully I’ll end up with a head of hair that has the appearance of rich, full density.

Today’s 7 hour session was like being on a mini-vacation in a comfortable lounge chair, music in the background, and light, easy chatter with the technicians. I felt embraced and well take care of.

Thanks again.

A Hair System or SMP, what should I do?

22 y/o here with rapid mpb. i’m already too far gone for a hair transplant to look halfway decent so am looking into some alternatives. i rocked a buzzcut last year and thought it was ok but for my wildly receeded temples so smp has caught my eye but there are also some incredibly good hair systems out here. ideally, i want to not have my hair bother me anymore and have a frame to my face for my 20s! what do you reckon?

There is a huge difference between a hair system which requires annual maintenance, daily maintenance and social adjustments to get what looks like a full head of hair. With good hair systems, the look is a good as if you never lost hair, just like with a good hair transplant. With SMP, however, you have to determine if you want the look of a shaved head of hair with no actual hair. It has the advantage of minimal maintenance once it is done, but it is not hair. The good news is that if you have SMP done, you can always switch to a Hair System or a Hair Transplant. It is a personal choice.


2020-11-05 16:36:39A Hair System or SMP, what should I do?

A Hair Breakthrough May Not Be The Breakthrough That it Seems To Be

https://www.pressreleaserocket.net/the-aesthetic-surgery-journal-publishes-groundbreaking-study-on-nape-hair-for-fue-hair-transplantation/328237/

 

Use of Nape and Peri-Auricular Hair by Follicular Unit Extraction to Create Soft Hairlines and Temples: My Experience With 128 Patients

Background Hairlines and temples can look unnatural due to coarseness of the safe donor area of transplanted scalp hair. Although the thinner caliber of nape and peri-auricular (NPA) hair would be ideal to create softer hairlines, they have not been used mainly because of concerns that they are nonpermanent.

Objective We assessed the outcome of NPA hair transplanted to hairlines and temples in selected patients.

Methods During November 2006 to November 2011, follicular unit extraction (FUE) transplantation using NPA hair was conducted in 128 patients following a shave test involving the visual evaluation of hair density and caliber of shaved head donor areas. The test was used to determine permanent versus nonpermanent donor areas. A questionnaire was sent to patients to assess satisfaction with their restored hairlines, with a follow-up questionnaire sent to those who initially responded.

Results Three-quarters of patients are good candidates for use of NPA hair to the hairlines and temples based on the shave test. Of 128 patients transplanted, 71% responded and reported a mean overall satisfaction of 8.3 (scale, 1-10). Patients saw full hair coverage at the recipient area at a mean of 9.6 months after surgery. Nineteen patients reported lost grafts. Thirty-three patients responded to a second survey and reported a mean overall satisfaction of 8.5 at an average of 4.6 years after surgery; only 5 (15%) new instances of graft loss were reported.

Conclusions Soft, natural-looking hairlines can be created in select patients using NPA hair as a donor source by FUE hair transplantation.

These are just my (Dr. Rassmans’s) opinions (regarding the Press release which may be more exaggerated than he original publication as one reader rightfully points out):

Taking neck hair, which is often finer than scalp hair, has problems with it. These problems include:

(1) more prominent scarring occurs in the neck and the neck area is very visible so such scars will be detectable as punctate scars

(2) neck hair is often not permanent hair as scalp hair is, so if one transplants the frontal hairline with these finer hairs, they may disappear with age.

This is a warning to those who see this press release. They must know the risks associated with a neck hair donor area.

Actual article is posted here: https://asj.oxfordjournals.org/content/early/2015/09/22/asj.sjv137.full?ijkey=X8GZ55Qz4zRGY4J&keytype=ref