Author: Dr. William Rassman

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.

 

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/

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]

I’ve done a lot of research on here. I love how I’m not the only one dealing with this. Father went bald at 22 and my grandfather is bald as well.

I noticed hairloss around my sophomore year of highschool. Pretty mild crown bald spot. Had a person come tell me my crown had no hair and that I should move it. Little did I know there was nothing to cover the spot with.

I have very curly hair from my mothers side. I took a lot of her genes from some reason but it seems like the big gene I took from my father is hairloss. Around a year ago I started to use Shea moisturizer curling cream since again I have curly hair. I didn’t realize that the curling moisturizer itself was doing something to my hair until I stopped using it during quarantine. My hair started falling out quite rapidly. ALOT of dandruff which it itched a lot not sure because it was amount of showers I was taking or what. Then again still unsure. I never went outside during this period so my body was all over lol. I returned back to Cantu curling and my hair looks a lil better after a week I don’t know if there’s something in the cream that helps my hair. Anyways besides the point.

I knew I was going bald. My hairline has be receding. There’s nothing but single strands of hair across my hairline that was once there. The top of my head is also. I can pretty much see a lot more of my scalp. But the back of my head has perfect hair. I want to try fin. I’m not to worried about the whole beard and facial hair issue. I have a thick full beard at 18 and seems like I’ve hit the peak of my puberty I guess you can say. I see there’s a lot of side effects going on with ED and stuff then again I’ll just stop taking it if it’s severe. I wanna get this discussed with a doctor first but I would like to hear from the other teens here since I know there’s much more commenting then posting.

-how was fin treated you ? -how bad are the side effects if so how long did they last? -should I really take this at this age?

If your father went bald at 22 and you get his genes, the only possibility to hold on to your hair is the drug finasteride. Men who get a Norwood Class 7 by their mid-20s have never been studied with finasteride at an early age like 17-18. With the HAIRCHECK instrument, the diagnosis may be much easier when the hair loss first starts along this path, possibly as early as 18 years old. This type of balding is aggressive so the treatment with finasteride has to be timely and consistent.

Although I do not see your eyebrows lifted to show the wrinkles on your forehead, I believe that you have a Classic Mature Hairline. This is what I achieve with a hair transplant and my patients who get it are thrilled.

This is a real problem for the few men that have permanent erectile dysfunction claimed from the drug Propecia, made by Merck.

The problem that they will face in court will be two-fold:

1. Can they prove that they have Erectile dysfunction at all and is it related to this drug?
2. There is a normal frequency of Erectile Dysfunction in the normal population.

Quebec court approves class action lawsuit linking erections and hair loss medication from tressless

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/

I just can’t accept baldness. from tressless

This patient had 2,900 grafts a few years ago and stopped in to show me what he looked like. The before and after are remarkable. His hair is brown, straight and of medium thickness. He has seen a remarkable change in his self-confidence and the man in the mirror looks good.

I would like to believe that this Class 5A patient achieved a complete reversal of his hair loss on finasteride and minoxidil use over a 5 month course; but I can’t believe it because the hair growth to long hair alone can account for the change in this picture. This man, if he wants to be fair, needs to show comparable hair cuts and comparable views.