Month: January 2023

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A Good Hair Transplant Made Great (with Photos)

Once you have a follicular unit transplant (FUT), if the procedure was done with care, there is no question that the results can’t be detected in any casual encounter, or even on close inspection in most circumstances. Yet with that said, there is still a difference between patient results that go beyond the characteristics of (1) hair shaft thickness, (2) hair character, and (3) hair color.

Let’s take a look at a patient who had two hair transplant procedures. The patient is Dr. Jon Perlman, the well-known Beverly Hills plastic surgeon that has been featured on ABC’s television show, Extreme Makeover. After his first session, he had good results that nicely framed his face when his hair was groomed. But on close examination, his hair was somewhat see-through. Dr. Perlman has very fine hair, so the bulk of each hair shaft was lower than average. By undergoing a second procedure, the bulk was doubled and the results shown in the pictures below say a great deal about the change he experienced. He was more-than-satisfied after the first procedure and thrilled after the second one. A good transplant became a great transplant.

Sometimes patients will tell me something like, “I don’t want it too thick and I am afraid if I put too much hair there, it will look unnaturally thick.” In all of the years of doing this surgery, I have never, ever had a patient who told me that I had made the hair too thick in a single session. We have seen many of our patients (initially satisfied, but wanting more hair) receive another transplant and become transformed back in time to their youthful look. By performing NHI’s pioneering dense packing procedure, we can increase the density of hair in a single procedure, often reducing the number of procedures needed to obtain results like the one shown here, but when the hair is super fine (like the example below) then two sessions may be needed. For many people, hair is like money — the more you have, the better it is.

Click the photos to enlarge.

Before and After 2 procedures (2890 grafts total):

 

For more photos, click “read more” —

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Before (left) and immediately after surgery (right):

 

After 1st procedure (1529 grafts):

 

After 2nd procedure (1361 grafts):

 


2011-02-03 13:24:30A Good Hair Transplant Made Great (with Photos)

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A Free Hair Transplant Would Solve My Depression

Dear Dr. Rassman,
I started losing my hair after using hair gel at the age of 15 and now i am 19 years old. i lose hair from the top of my head and from the sides, is there anything that i can do to stop the hairloss. also could you tell me please if i could get a hair transplant from the NHS in england for free, because the hair loss has caused me to become very depressed and a hair transplant would solve my depression.

Hair loss is not from hair gel. If your loss started around the time you started using gel, it’s a coincidence. I doubt England’s National Health Service (NHS) would just hand out hair transplants because you wanted one. Genetic hair loss is found in roughly 50% of all men, so your case is not unusual. To halt the hair loss, you should talk with your doctor about the genetic process and a prescription for Propecia if your doctor believes it is genetic in origin.


2009-06-16 12:11:22A Free Hair Transplant Would Solve My Depression

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A former patient of mine came in to see me today (photo)

He asked me if I knew how he selected me as his surgeon some 20 years ago, so when I said no, he went on to tell me the answer. The day he came to my office, he recognized two of the most famous producers in Hollywood sitting in my lobby. He knew that I would then be his surgeon, a decision he never forgot. He had two surgeries with me totally 4025 grafts. He send on his four best friends to see me as well. The hair they got from me makes them happy today, 20 years later. I tell my patients that you don’t want to take chances with results, because when happens to you everyone will see for the rest of your life. You don’t want to (1) have it failed to have it redone, (2) to have it done poorly so that others can tell you had a hair transplant, (3) have it done without a future plan so that as the genetic hair loss progresses, you don’t have enough hair left to follow the loss as you get older. His before and surgical pictures are show here as well

 


2019-10-26 11:20:23A former patient of mine came in to see me today (photo)

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A Few Years Ago a Bald Spot Appeared at My Hairline…

A few years back I lost hair in a small area on the front of my scalp. My hair has not thinned anymore or anywhere else. Just this one spot on the front on my scalp, almost like a receding hairline but only one one side? What could it be?

You need to get a good doctor to look at it. There are many things that can cause a single spot of hair loss and a good dermatologist should be able to make that diagnosis for you.

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A Few Weeks After Switching from Finasteride to Avodart, I Saw Major Shedding

Hello Doctor,

My question is: Ive been taking proscar 2.5 mg for a while with good results, after some time i felt that it wasnt working that good anymore. Regardless, one day i visited a local hair surgeon and after a brief talk about surgery the discussion moved on to hair medications, which he told me that i should switch to avodart (which he’s taking as well) so i did.

The first few weeks was awesome, after that i am experiencing major shedding which continued for the past 2 months (i’ve been on it for 2 1/2 months) so i dont know whether to switch back to finasteride or wait to see what happens with the avodart?

Honestly, you need to ask your doctor. This is a prescription medication that I did not prescribe to you. I can’t tell you whether you should switch between medications. Sorry.

avodart, dutasteride, finasteride, propecia, hairloss, hair loss

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