This is a patient I treated with a single surgery last year with 3,300 grafts. The after photo is on the left. He was thrilled with the results, and now he doesn’t think about his hair much of the time, which is the takeaway here.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
2019-01-23 05:52:272019-02-14 11:37:39What Classification of Hair Loss Am I Showing?
Have you looked at Scalp Micropigmentation? This is a great and relatively inexpensive solution to get the look of hairs on a closely shaved head. It is such a great illusion that I have had patients examined by 400 doctors who could not tell that the patient did not have real hair.
See pictures here: https://scalpmicropigmentation.com/bold-shaved-look/
2018-02-02 06:29:112018-06-26 13:47:30Class 7 Pattern of Balding at 23 and Very, Very Upset (Comments from Reddit)
What can be accomplished for someone with that low of a donor density and finer hair though? Especially if they’re like a NW7. Have you ever had such a patient with satisfactory results? I’ve seen your results on some NW7 patients and they are brilliant. But don’t those guys have a higher than average donor density?
Take a look at the second man in this post. He had super fine hair and had a Class 7 pattern. What we couldn’t get with hair, we got with SMP. Of course, in this situation, I would want to examine you in advance and make sure that you understood the risks and balanced your expectations with reality. I have found that men with fine hair generally understand that their hair is not great, so that they expect less but still can get good results as shown in man #s here: https://baldingblog.com/two-class-7-patients-treated-with-hair-transplants-and-smp/
2020-10-09 02:33:512020-10-08 06:53:55Class 7, low density, fine hair, what can be done?
This is Diffuse Unpatterned alopecia (DUPA) which shows only 5 normal thickness hairs which are labeled in the photo (1-5) and the rest are miniaturized. This comes from the donor area which almost certainly is see-through. Note that this is best seen when the hairs are cut short because they can be easily counted as you can see on the long hairs on the left of the photo. Anything over 20% miniaturization is DUPA if it is the donor area.
I just renewed my persciption of propecia for anther 3 months, but my dermatologist has added clobex spray for the burning and itching that I am experiencing in the areas that I am thinning. The only odd part is, during his exam he seas nothing like flakes, excess oil, or irritation. I would just like your opinion on the clobex and or your experience with it. Thanks for all that you do, and it was cool seeing you on John and Kate plus 8…
Clobex is a strong topical steroid and I generally save prescribing that drug until I try something more mild if it is for treating eczema. Ask your doctor what he is treating you for.
No! Clogged pores do not cause hair loss but there are many people who believe this and will want to sell you some product or service to unplug your pores. Rip-offs are commonly presented by those who promote clogged pores.
Hi Dr. Rassman,
I don’t believe this question has been addressed anywhere on your site. If I missed it, then my apologies.
I am a female who is 5 months post-op. In the past couple of days, I noticed 2 grafts “stuck” in my scalp in what had formed into a clogged pore. I could feel them when I ran my fingers through my scalp and it was obvious that they were just “there” – dead and not growing.
I gently forced them out and they came out easily. They certainly looked like the hairs I had transplanted. In other words, they were not “new” hair. Each graft had 3 hairs in it.
Is this normal or possible at 5 months post-op?
Was I wrong in pressing these things out of my scalp?
Thanks again, and God Bless you Dr. Rassman.
Some people do not shed the transplanted hairs and they are not the ones that grow. You are OK with what you did. Any hair that you remove will not damage what you have or any prospects of what you might get. Good luck. The new hair should be strong at the 8th month.
2006-09-12 13:39:152006-09-12 09:53:43Clogged Pore or Dead Graft at 5 Months Post-Op?
I have a scar on the upper side of the lip and I need to get a hair implant/transplant. I’m nearly 18 years old and I have a beard/mustache and the scar doesn’t help at all. Any help or advice will be appreciated
A hair transplant into the scar will completely hide the scar. This is an excellent solution. If the scar is small and you don’t have to grow a mustache or can’t because you don’t have enough mustache hair, then a highly specialized cosmetic tattoo called SMP can hide it. You can actually do have both SMP and a mustache transplant for the absolute best result, see https://scalpmicropigmentation.com/
https://www.sandiegouniontribune.com/business/biotech/sdut-hair-stem-cells-papillae-gnedeva-terskikh-burnham-2015jan26-story.html
This has been done before. I remember attending a lecture which described these cells put into mice and since the direction couldn’t be controlled, the mice all died from ingrown hair infections
