Author: Dr. William Rassman

This man took finasteride for 3 years and has a wonderful full restoration of his original mature hairline

 

2020-09-24 02:26:532020-09-24 09:35:593 years on finasteride (photo)

Very nice growth from using finasteride. You can even see the new hair growing at the hairline in the second photo. Keep to the plan and growth can only get better. You must be sensitive to this drug

Amazingly sensitive young man who had unusually fast response to microneedling plus finasteride and minoxidil. Over time it will get better and better

 

2021-04-01 02:23:262020-11-24 13:26:403 months on finasteride, minoxidil & microneedling (photo)

Nice early reversal. I doubt that, other than the forelock, the rest of the frontal hairline may not grow in. The forelock is genetically coded differently than the rest of the hairline.

There are many comments I could make here. There are teams of technicians working on a case of your size and if any of them had less skills than others, the grafts placed by the less skilled technicians could have caused this problem. There are many technical nuances in a hair transplant and any of them could have caused this problem, so speaking with your doctor is a good idea, at the least to get the feedback you need.

2017-12-08 06:43:252017-11-19 15:44:301 year after 3000 FUE graft surgery and I am unhappy (photo)

Great results from minoxidil, microneedling and finasteride for just 3 months. No disrespect here, but is some of what value we see the result of longer hair and styling or is it all new growth that makes the difference?

2021-07-01 01:38:222021-06-24 13:34:173 months minoxidil, microneedling and finasteride

This is a 21 year old male who used only finasteride and minoxidil with very nice reversal of the corner hair loss

2020-09-04 03:27:292020-08-23 15:30:543 months on minoxidil and finasteride (photo)

Hi Doctor,

A lot of questions on here about initial shedding after a transplant, but my question is regarding transplanted hairs shedding years later, due to the natural hair growth process.

I noticed my transplanted areas have become thinner over the past couple of months. It has been almost 4 years since my surgery. It is well known that the hair growth cycle for hair is between 3-4 years, then they shed to make room for new hair. I was wondering since all transplanted hairs are relatively growing at the same rate or time period, should we expect periods of thinness every 3-4 years when these hairs are ready to shed again? In other words going through a shed similar to your first initial shed before the hairs started growing again. I hope my question makes sense.

Transplanted hair is permanent for most people. In the recipient area, the surrounding non-transplanted hairs may not be permanent and you will continue to lose those hairs. Years after a hair transplant you may be noticing the non-transplanted hairs falling. This is assuming there was non-transplanted hairs mixed in with the transplanted hairs.

If your hairs were transplanted on a completely bald area of your scalp and you are noticing shedding, this is not considered normal. It may regrow if you are experiencing telogen effluvium, which is a temporary hair loss that can occur at any time… or you could be one of those rare people who lose transplanted hair. I always look at the permanent zone when someone asks me about hair loss in the recipient area, in case they are losing donor area hair. Whatever happens to the donor area will happen to the recipient area. For example — in elderly folks, there is a condition called senile alopecia which reflects thinning of the hair throughout the head, including the donor area.

In a very rare instance, you may actually be experiencing permanent transplanted hair loss which I have seen possibly a dozen times in my 20+ years in practice. I don’t remember a cause of this to ever have been pinpointed in most of those patients and I wonder if I should be biopsying them when I see that problem, looking for diseases like diffuse alopecia areata.

Very nice early result from minoxidil alone

2020-09-01 03:29:532020-08-03 12:34:263 months on minoxidil

This man is clearly sensitive to the medications and the microneedling