Author: Dr. William Rassman

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Wolff-Parkinson White Syndrome and Hair Transplants – Hair Loss Information – Balding Blog

Hi, thank you for providing your blog as a source of information. I’m a 40 y.o. male and recently had an appointment for a transplant to correct some mild thinning in the frontal and temple area… approximately 800 grafts. I was literally minutes from the procedure when the doctor learned that I was diagnosed with Wolf Parkinson White syndrome as a teen and informed me that he would not continue with the transplant. From a providers perspective, is this the consensus of the industry as a whole or are there still transplant options available to me? Thanks in advance

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There is no contraindication to an outpatient surgery (such as a hair transplant procedure) for patients with WPW. Moreover, if you were diagnosed with WPW in your teenage years, I would assume you have had it treated with ablation. If you were not treated with ablation, I would think you should be followed by a cardiologist.

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I Can’t Believe One of The Results on Your Site is Real – Hair Loss Information – Balding Blog

I’m sorry, but I can’t believe that the following picture on your website is true. There’s no way a class 7 can have so much donor hair and have results like this.

Patient ZU

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It’s absolutely true. This was a patient model of ours for many years, coming to every open house event in my office each month to show off his wonderful result in person for anyone that wanted to take a look. He had above average donor density that allowed for the amount of grafts we were able to get. So yes, there is a way… because this patient is for real. We don’t play tricks with photos of patient results.

His sons followed in dad’s footsteps and they are transplant patients as well. We showed one of the sons here.

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Can Rogaine Regrow Hair from Traction Alopecia? – Hair Loss Information – Balding Blog

As rogaine is intended for hair regrowth and not to combat hair loss, can it be effective on regrowing hair lost from anything other than male pattern baldness, i.e. traction alopecia, or even a mature hairline?

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I wouldn’t expect Rogaine (minoxidil) to regrow either frontal hairlines or hair loss caused by traction alopecia. It’s possible that it could cause hair growth in areas where there wasn’t significant hair previously, though.

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Does Bulk Measurement Depend on Hair Length? – Hair Loss Information – Balding Blog

A question about the hair bulk measurement tool – surely it’s dependent on the person measuring having exactly the same length hair every time a measurement is taken otherwise it’s going to produce inaccurate results?

I mean, great if you know your hairdresser can cut your hair the same length perfectly each time you want to do a measurement but realistically that’s not going to happen unless you use clippers which most of us don’t want to do.

Or does it not work this way? Am I missing something?

If not, then I’d think that a camera would be a better way of judging hair loss.

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For the bulk analysis, you need to have an adequate length of hair (maybe 2 inches in length) so that the hairs can be bundled up and the bulk can be measured. Any adequate hair length will work the same, even if it is 3 feet long, because the measurement is made at about one to one and a half inches from the scalp. Think of a person bundling up a long pony tail. If you have more hair, the bulk of the pony tail will be much greater. As the measurement is limited to a point about one inch from the scalp, the longer hair will not impact the measurement.

We take a baseline measurement at the same coordinates of the scalp each and every time you return (12 months). If you cut your hair with clippers with a buzzcut style, you cannot do a bulk measurement. If you have gel or other products on your hair it will give a higher bulk reading, so we ask that there are no hair products on your hair when you come in for the analysis.

If your hair is very short, then we can always use a miniaturization study, looking at hair diameters at a microscopic level. Bulk measurement is doing it at a macroscopic level. These are all our attempts to measure an objective (not subjective) value of your hair status. The subjective measurement can be a simple before after picture of your head/face. The picture can be highly variable depending on lighting and angles. At NHI, we try to keep the angles and the lighting and the camera model, lenses, aperture, and external flash location as constant as possible.

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Hair Loss InformationI Have Slightly Thinner Hairs Growing to Full Length – Hair Loss Information – Balding Blog

Hi DR Rassman. Thank you for providing this very informative blog.

I’ve wondering about this and trying to find the answer on the internet for ages – sometimes when I rub my head in the morning I see some slightly thinner hair than my normal healthy looking ones. I went to the derm and did a miniaturisation test and had less than 10% miniaturisation. The derm said I am not balding, however when I see these slightly thinner hairs I get worried…

So I guess my question is do these slightly thinner hairs (intermediate?) grow on a non balding scalp? They grow just as long as my normal hair and are same thickness throughout the strand.

Thank you

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If you have less than 10% miniaturization and your dermatologist told you that you are not balding, I would stop worrying. Non-balding people shed about 100 to even 200 hairs a day. Perhaps you’re seeing hairs going through various growth cycles?

If there is any doubt, then have a bulk measurement of your hair done, which will show beyond any doubt if you are thinning or balding. If you have miniaturized hairs, those hairs will not grow at the rate or to the length of normal, non-miniaturized hairs.

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Hair Loss InformationMPB or General Age-Related Thinning? – Hair Loss Information – Balding Blog

How can you tell the difference between male pattern baldness and general thinning as you age? I am almost 35 and have no discernible signs of MPB other than a mature hairline (which appeared when I was about 19). However, I am convinced my hair is thinner than it used to be.

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Simple answer: There is a pattern to MPB. That is why they call it male “pattern” baldness and this is the classic male genetic hair loss.

There are other diseases that cause general thinning, including diffuse unpatterned alopecia (DUPA), senile alopecia, etc. You can have that diagnosis made for sure by comparing the bulk in different parts of your scalp. A knowledgeable doctor will add value in examining you.

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Did You Meet Dr Gho? – Balding Blog

Doctor,
A few months back you had mentioned an upcoming trip to Europe. You also said that you planned to meet with Gho to discuss his technique or whatever. I am just following up to see if the visit ever materialized? Many people would appreciate a blog update on that situation. ALSO- many people would like you to be the first doctor to offer HST in the United States!

thanks for your time,
anonymous baldy

When I said “on my next trip to Amsterdam” I didn’t mean that I was planning on going there right away.

I was hoping to talk to Dr. Gho at the recent ISHRS meeting in Alaska, but he didn’t attend so we did not have an opportunity to meet to discuss what he was doing.




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Hair Loss InformationCould You Tell If I’m Going Bald Based on Hairline Photos? – Hair Loss Information – Balding Blog

I was just wondering if I sent you a few pics of my hairline do you think you could give me an answer to if I’m going bald or not?

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We do not diagnose people on BaldingBlog, as that would be a poor practice of medicine. If you want to send in your pictures for me to post and comment on, feel free. If you want a virtual consultation, you can send good photos, I will look at them, and then established a dialogue with you over the phone.

In general, hairline pictures do not tell me much with respect to predicting the balding process. It’s kind of like sending a picture of your hand and asking me if you will have arthritis later on in life. I am not a fortune teller (or misfortune teller).