Before Selecting a Hair Transplant Doctor, Do Your Homework!

Dear Dr. Rassman,

I wanted to share my thoughts with your readers concerning the selection of a HT doctor. I had several transplant sessions in the mid-1990’s. After many years, I find myself in need of a hair tune-up and will be scheduling surgery with Dr. Rassman this Fall.

I cannot stress enough that people do their homework when selecting a doctor. You only have so much donor area. When it is gone, it is gone. No amount of money can bring it back.

Through my research concerning HT doctors I have come to two conclusions. First, see a doctor that has been awarded the Golden Follicle award. This is voted on by their peers. Secondly, see a doctor whose primary specialty is hair transplantation. There are even winners of the Golden Follicle that practice other forms of cosmetic surgery. My reasoning is that I believe that HT is both surgery and art. The more a doctor performs quality HT, the better your results![/bq]

This is good advise. And you are correct in that hair transplantation is as much an art as it is a surgical procedure. This is a cosmetic procedure, afterall!

For more tips on choosing your surgeon, we put together a checklist of sorts that I encourage people to check out — Selecting a Hair Transplant Doctor.

Your Best Arguments For Fin (From Reddit)

https://www.reddit.com/r/tressless/comments/a23shg/your_best_arguments_for_fin/

I’m 20 years old and have been receding at my temples for the past year or two, and I’m not happy about it. There are no signs of it stopping. I think it is now passing the point of a “mature hairline”.

I’m very conflicted on whether or not to try finasteride because of my age and concerns about hormones and affecting things like facial hair development, sexual function, and god knows what else that DHT does. I only just turned 20. I think it’s early enough to catch and stop with fin, though.

I thought I’d do a post both here and in r/bald to get the “steel man” arguments from both perspectives. What are your best arguments/evidence for why finasteride is nothing to worry about? Feel free to go all out.

Thanks guys. Just trying to figure out the best option.

Dr. Rassman’s Comments: The risks of taking finasteride are low. There are many posts that discuss the sexual side effects that impact 2-4% of patients that take finasteride and for those patients, the problem is real, but for the other 96-98% of people who take it, they don’t have these side effects. On many of these Reddit posts, I see some wonderful results reported by this readership after using finasteride for a year and we have seen a significant number of young men reverse the balding. This reversal is probably temporary but getting your hair back or stopping the loss when you are young enough to enjoy your hair is priceless and probably worth taking the ‘plunge’.


2018-12-01 10:35:55Your Best Arguments For Fin (From Reddit)

Balding Blog – Dr. Bessam Farjo – Hair Loss Information

Dr Bessam FarjoDr Bessam Farjo graduated as a doctor of medicine in 1988 from the Royal College of Surgeons in Ireland. He spent 5 years working in the national health scheme (NHS) hospitals in Ireland and the UK training in the field of general surgery.

In 1992, he travelled to Toronto, Canada, and joined a training course in hair restoration surgery at the office of Dr Larry Fremont. He started practicing hair in Manchester later that year. In 1993, he co-founded the Farjo Medical Centre with his wife, Dr Nilofer Farjo, exclusively practicing hair restoration surgery and medicine in Manchester and London. They currently operate a busy practice to the tune of over 300 hair restoration surgical procedures a year.

In 1993, he joined the International Society of Hair Restoration Surgery (ISHRS) and has served on its Board of Governors since 2002. He was ISHRS President in 2007-2008, the first from Europe. He is one of a handful of doctors who have attended every annual meeting since the society’s inception.

In 1996, he co-founded the British Association of Hair Restoration Surgeons and served as President during 2002-2004. In 2001, he was granted fellowship of the International College of Surgeons and in 2003 fulfilled the requirements and passed the examination of the American Board of Hair Restoration Surgery (ABHRS). He has served as ABHRS Board Director since 2006.

In 2002, Dr Farjo was host, program chairman and congress organiser of the 5th Annual conference of the European Society of Hair Restoration Surgery in London, England. He served as Board Governor and Vice-President until 2005.

He is a registered member of the Institute of Trichologists (est. 1902) and has been a Board Governor and medical advisor since 2000. In 2006, he was bestowed with the title of Fellow of the Institute of Trichologists in recognition of contributions to the Institute as well as his involvement in the in research and field advancements. He is also the Editor the Institute’s Trichologist journal.

Other affiliations include member of the European Hair Research Society, Fellow of the European Academy of Cosmetic Surgery and Founder member of the Trichological Society.

He has to-date over 25 different hair and scalp presentations/publications to his credit at more than 40 different meetings, workshops and conferences around the world. Along with Dr Nilofer Farjo, he is the only British hair transplant surgeon recognised by his peers as regular educational contributor at international meetings and congresses. During the last few years alone he has lectured in the USA, Canada, England, France, Germany, Ireland, Italy, Spain, Austria, Switzerland, Egypt, Turkey, Mexico, Australia, Romania and Poland. In addition to his clinical work, he is involved in several hair research projects including collaborations with University of London, University of Bradford, Intercytex plc and Unilever plc.

See www.farjo.com for more details.

Besides Telogen Effluvium and MPB, What Else Can Cause Miniaturization of Hair?

I know what mpb and TE and CTE is but can there be other involvement with miniaturization of a follicle? Like toxins, emotional stress for a long period, extreme lack of nutrition etc.

Add to your list: aging (senile alopecia), a deficiency of various vitamins (vitamin A, vitamin B6, vitamin B12, beta-carotene, biotin, vitamin C, calcium, vitamin D, inositol, iodine, iron, magnesium, niacin, pantothenic acid, selenium, zinc), and a series of many autoimmune diseases.

The list goes on and on.

Benefits from microneedling didn’t last (photo)

To those who are just using Minoxidil and micro-needling only. I am just speaking from my own experience but eventually whatever gains you get from the two will not last, at least it didn’t for me. But I have continued to persist with it even though it continued to get worst. I am 39 and now starting on topical finasteride for the first time

I am not surprised that even if you got all of your hair back, once a single hair cycle completed (2-3 years) the balding would have returned to where it is now. If the topical finasteride fails and you want your hair back, a hair transplant is a sure thing for this type of balding.


2021-01-13 09:04:10Benefits from microneedling didn’t last (photo)

Best Hair Thickening Agent?

I am a 42 year old male with thinning hair both at the front & crown area of my head. Without entertaining hair transplants, what do you recommend to improve the appearance of my hair? What is the best Thickening agent/shampoo out there? Are there any products that actually work in your opinion? I used minoxidol years ago but gave it up quickly.

Thanks

There are many thickening agents/shampoos on the market and people respond differently to each depending upon texture, shaft thickness, the wave in the hair, and other factors. I generally tell people to buy a series of such products and then test what works best, or ask a hair stylist who works with such products daily and get a recommendation from them. Minoxidil does not impact the texture or shaft thickness from above the skin as thickening agents/shampoo will.


2006-01-13 12:01:13Best Hair Thickening Agent?

Best Comb to Use on Thinning Hair?

What kind of comb is best for men’s hair…my hair is thinning. I was using Dupont Nylon comb — it is smooth and does not irritate. Then I switched to a Ace comb — it is ok, but after a few uses my scalp hurts. What’s best – nylon, rubber, or plastic…

Thank you.

I generally recommend the use of a wide tooth brush or comb and not tugging on your hair when you groom yourself. Rough handling of your hair will cause you to pull out weak hair that may be in the process of miniaturizing. Hair loss from a comb or brush is a mechanical problem. With respect to material: nylon, rubber, plastic, metal, etc… there is no real clinical difference.

Best age to do FUE?

I’m 31 years old. Last year people really started to notice my hair loss… I recently discovered FUE. I expect my hairline to further recede as I age. What age should I wait to – if I should wait – to start to seriously consider FUE (or similar measures)?

Hair transplants come in two flavors (1) FUE where the surgeon uses a punch like instrument to remove single follicular units ‘one at a time’ ( https://baldingblog.com/class-23-patient-just-5-days-after-fue-procedure-with-photos/ ), this is the surgery I pioneered worldwide, and (2) the strip surgery (often called FUT) where the surgeon removes a strip of scalp and they sews it closed. Both cause scarring, the FUE causes very small punctate scars and the strip surgery causes linear scars (usually just a fine line but sometimes these will stretch). You should ask yuour surgeon to allow you to meet some of their patients (we hold open house events monthly where former patients come in to discuss their experience and show off their work). At 31, you can do either type of hair transplant, just find a good surgeon. We offer Reddit readers 5% off plus we offer travel reimbursement programs for out-of-town patients.


2020-12-17 07:51:03Best age to do FUE?