Hi guys –
I wanted to share an article about sexy bald women in sci-fi that you might be interested in: the 4 and a half sexiest bald women in sci-fi.
Here’s the link: Hairlossgeeks.com
Personally, I thought it was a bit of positive fun about a pretty serious topic for your readers. Hope you guys enjoy it!
Thanks!
There are absolutely bald women with sex appeal… but the blue skin would turn some heads.
Hi, what countries are the best for hair transplant? Trying to debate whether to find HT center in india or go abroad. Cant seem to find one here and its not easy getting centers to let us interract with patients as most patients want their confidentiality.
Also, in your website you mention it may take about 6000 hairs for a class 6 to get coverage. Does this mean full dense coverage?
I would be biased to say the best hair transplant surgeons are in the United States as a whole, but I am sure there are great doctors spread out all over the world. Look at the patient results and meet patients. Most patients do want confidentiality, but we have open house events every month where past patients come in to meet with and talk to prospective patients… so it’s not impossible to find live examples if the patient is really pleased with the work. With an ‘open door’ policy, that means that anyone can come in, even if there were patients who may not be pleased with their results. In 20 years of doing open house events, there has never been an unhappy patient showing up at our ‘open house’ events.
As for the second question — you will never get a completely full dense coverage with ANY hair transplant. It is mathematically impossible! Hair transplant surgery is basically moving your existing hairs around, so the density will never be full as it once was. For a Norwood 6 patient to get good coverage, about 6000 grafts is what is typically needed. Sometimes more, sometimes less. It also depends on many variables such as your hair texture (fine, medium, coarse), hair character (straight, curly, wavy), length (long, short), color contrast (between hair and skin color). These subtle factors all contribute to the results of a hair transplant. So while we strive to create the illusion of full density, it simply can’t be as full as it once was because those hairs are gone.
Hi Doc,
I’m 39 and have a Class VI balding pattern. Tried propecia a couple years ago for a few months but stopped due to side effects. Am I too old to try it again or should I give it another shot? Would I need to take it before a HT (to avoid shockloss) and for how long before?
Oh, by the way, why are most HT docs balding?! You would think that if the procedure is so good, they would get it done first! I mean, just look at Dr. Farjo!!!
There is no specific age limit to when you should or should not take Propecia. Your doctor can give you a better assessment based on YOUR specific goals and issues. You do not need to take the medication in order to have a hair transplant, but it is often recommended. You could take it temporarily if you have shock loss concerns.
As for why some hair transplant doctors are bald, we’ve answered this before here. Some doctors, such as my good friend Dr. Bernstein (who is a great hair transplant surgeon), are bald. For some it may be a personal preference, for others it could be that they simply weren’t candidates for surgery.
Im 20 yrs old guy and 2 weeks ago I saw the hair in my left temple looked fine. It’s thinning out really fast and I dont know what’s wrong. My hair in the left temple is thinning fast.I noticed this after getting head and shoulders. I used a comb to scrub my head with H&S (I tried to clean something out of my head) Could this be the cause? My temple thinned in a 2 week span. Also I notice I have about 2 scars in my left temple now.
Shampoo isn’t going to cause scars on your head. It’s possible that you had the scars, but they were covered by surrounding hairs and not noticeable.
If by “temples” you mean the corners of the hairline, the loss you’re describing sounds like a maturing hairline (particularly at 20 years old). Many people call the hairline corners the “temples”, even though the temple peaks are actually the points between your hairline and your ears.
Hi Dr. Rassman,
I understand that exercising may increase the amount of Testerone and possibly DHT. For someone concerned about hairloss what level of exercise is recommended? Personally I am on propecia, and I dry to drop a couple of pounds.
Normal exercise has nothing to do with hair loss or DHT that causes hair loss. If you wish (or do not wish) to exercise, do not correlate it with hair loss.
Dr.Rassman/Dr.Pak,
Is it possible for you to provide a step-by-step guide describing the procedure a patient would undergo during a first consultation at NHI, please – are there particular requirements a patient should consider in preparation for such a consultation (e.g. hair length, washing instructions, medical records, etc.)?
Thank you.
During a consultation, we get to know the patient, understand their personal issues about hair loss, and recommend possible treatments. That is it!
It’s not all that complicated, if you think about it. You come to see us because you are losing hair. We examine the hair, measure the hair density, look for any microscopic patterns which may not be obvious (miniaturization study). If your hair is long enough we can do bulk measurements. But most of the time (for men) the balding is obvious and thus the reason for the visit. So we mostly talk about options and educate the patient. We actually spend a good 30 to 45 minutes on the first consult on most patients. Some more, some less. And while we often think about charging a fee for the amount of time we spend with the patient, we decided the first consult will remain free for a while, at least.
As a final note, at NHI you see the physician (Dr. Rassman or Dr. Pak). You will never see or be screened by a sales man or an associate or any other version of a middle man. Getting a doctor’s opinion always reflects your best interest and because there is no sales personnel involved in the process, there is no motivation for commissions that will be earned for a successful sale. We encourage prospective patients to come to our Open House events which are held monthly. In this way, you will know that what you see is what you are going to get. Nothing is hidden.
Hey Doc,
Hope you’ve had a good new year! After my last question to you, I was pretty convinced I had nothing to worry about with my hair… however, there’s this part that concerns me.
I’ve been told that this is a natural parting, so I would just like confirmation that it is?
Link: Photo 1This is my hair wet, which doesn’t show this ‘parting’ or whatever.
Link: Photo 2When my hair is dry you can see a slight parting towards the top of my hair, in front of my crown.
Link: Photo 3Does that look like a parting to you? Feel free to post any pictures again, if this question does get published.
Thanks.
I appreciate you allowing us to publish the photos.
If you are worried about hair loss (possibly seen in the first picture with your hair standing up), then you should come and see a doctor who can measure your hair bulk to determine if you are losing your hair. I can’t confirm if it’s just the way your hair parts, but I do notice a well combed hairstyle that does much to cover the suggestion of thinning in at least one of the pictures.
whats the thoughts on scalp reduction? is it a good option a doctor wants to do 3 reductions on my crown area. is this now common practice ?
As the famous movie quote goes: “Run, Forrest, Run!!!”
Scalp reductions for treating androgenic alopecia (AGA) or male pattern baldness (MPB) is in my opinion horrible and NOT a common practice in modern medicine. I try to be neutral most of the time, but on this point I would strongly believe a scalp reduction is a bad idea… and three of them would be three times as bad.
I was using Minoxidil for over two years and never experienced any problems.However,lately I used it applying too much and not leaving 12hrs in between the applications.I developed side effects:chest pain and tightness.My question is how long those side effects will last and if I will be able to start using Minoxidil again?
Kind regards
With respect to chest pain and tightness, I would see your doctor or go immediately to your nearest emergency room. Your chest pain may not be related to a side effect, but a serious medical condition such as heart disease. While chest pain is an associated severe side effect of minoxidil use in some cases, this should be taken very seriously.
doctor rassman what are your thoughts on merck pulling propecias website down? there are articles all over the web.
is there a chance that propecia will be off the market? that sucks. so many of us use it with good results and no side affects
I’ve been sent links to articles about the Propecia site being pulled down, but the few I’ve seen were actually just cleverly disguised advertisements for a class action lawyer. We posted about that site being down a couple weeks ago.
Now I don’t know Merck’s intention (as I am not part of their inner circle), but I would be really surprised if Propecia is pulled from the market. I know there are some people beating a drum about it, but consider this — the 5mg dose of finasteride (Proscar) will always be available as a prostate treatment, so even if Propecia (1mg dose) went off the market, one could switch to 1/4 of a Proscar pill daily. Proscar has many generics in the marketplace and it is used in benign prostatic hypertrophy.
When Propecia goes off its patent protection, many manufacturers will produce the drug at the 1mg level. I realize there are already generic 1mg producers for some markets, but those pills aren’t legally sold in the US yet. When that patent expires late next year, I can’t say that Merck will continue to produce Propecia as the prices come down due to competition from the generics. But either way, finasteride will still be available.
