Man comments on November 2nd post

Nice post on your blog. I’ve always wondered why some people’s HT don’t always take.
Questions this brings up:
– should one go to a dermatology clinic instead of a doc to get this done?
– perhaps in the same way one can take fin to mitigate shockloss, would it be wise to take corticosteroid pills say leading up to and after a HT?
Just trying to gauge how to put this information into practical use 😀
Thanks again! Love your work!
This patient is referring to the post: https://baldingblog.com/?s=ishrs+pearl. All good hair transplant surgeons should know how to do trichoscopy and perform it in their offices to analyze the hair and scalp. Such an examination will pick up diseases or suspicion of diseases like LPP or FFA. Steroids should not be taken blindly.

5 Months After My Transplant, Nothing Has Grown In and Now I’m Losing Hair All Over!

Hi Dr. Rassman,

I find your blog to be incredibly informative and helpful to those with concerns after their hair transplants. I decided to undergo a transplant exactly 5 months ago as preventative maintenance. 1,700 grafts to fill-in the thinning top portion of my head. I still have hair on my head, but under direct light you could visibly see through to my scalp. I followed my doctor’s instructions and had no major issues after the surgery.

At 5 months, the incision scar is still pink and I have occasional pimples on the top of my head (with what seems to be a noticeable increase in grease on my head). Also, after the surgery I had shock fallout. But it seems that ever since my surgery for the last five months my shedding has been consistently increased. Not just from the top of my head, but all over (sides and back). I have yet to see any growth from the grafts. But I have noticed white streaks in my hair. I have pitch black hair, and there are now random strips of white developing throughout my hair (I had never had white hair before the surgery). Is it possible that the shock of surgery would cause some of my hairs to begin to turn white?

And I’m also concerned at this point that my grafts will not grow in and that I will continue to get thinner and thinner since my fallout has increased. Thank you for your input and advice.

In my practice, we never recommend a hair transplant surgery for “preventive maintenance”, mainly because most patients would not likely see much of a result as they continue to bald and run the risk of being worse off. There is also a good possibility that the surgically induced hair loss might make it look worse, something we call “shock loss”.

If you are really losing hair on the sides, maybe something else is going on like diffuse unpatterned alopecia (DUPA). Shock loss doesn’t usually cause hair to fall out from the back and sides of the head. White hair does appear with stress on some people, but I really do not understand the cause. It sounds like you need a good doctor to talk with and be examined by. Perhaps the surgeon that did your transplant would be a place to start.

In general it takes about 6 to 8 months before you can see results and I tell my patients that most people can see 80% of the impact from a hair transplant in 8 months. You should notice growth beginning about now and see improvement in the next 3 months. If you are young and had the transplant without taking the drug finasteride, and assuming that your preventive hair transplants were not really needed, then you will most likely not have as much hair as you did before the transplant (based upon what you are saying here). Hopefully though, over the next 3 months you’ll see some gains.

5 months finasteride (photo)

This is a great result in a patient whose hair was very sensitive to finasteride and got a great result.


2020-04-29 14:04:545 months finasteride (photo)

5 months on finasteride & Minoxidil (photo)

This is a terrific result from the use of minoxidil and finasteride after 5 months of use. This man restored his hairline on medication alone


2021-02-24 07:45:265 months on finasteride & Minoxidil (photo)

5 Weeks After My Hair Transplant, I Think My Scar Is Going to Be Too Obvious

Hi,

I had 3050 grafts taken from my donor hair to create a hairline and add density to frontal area. so far so good, but 5 weeks after surgery and my first hair cut ( just blending in etc ) i have noticed that the donor hair area does not match up and its very obvious that i have had a procedure! now im worried that too many grafts were taken from certain areas at the back and It looks like Im going to have a constant “horse-shoe” shape on the back of my head! please tell me this is normal and it will grow and blend in to the rest of my hair

Your doctor should have described what your scar will look like and how wide it may be. Many doctors and patients forget to address the potential scarring from hair transplant surgery. Some believe that only a strip procedure can leave a visible scar, but even a 3000 FUE surgery will leave a significant series of scars (3000+ dots).

It’s also possible that perhaps you just got your hair cut too short, and that is why your scar is visible.