Author: Dr. William Rassman

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Considering a Hair Transplant and May Want to Shave My Head. Is FUE Scarless? (from Reddit)

The FUE is not scarless as it will produce some small, punctated scars. If the surgeon uses a small punch instrument, the scars will be small, but with a razor shaved head, the scars will show. We have performed SMP for patients with FUE or strip scars. Many of these people can now shave their head. I try to tell my patients that hair transplants don’t usually give back your original density, so a longer hairstyle works better than a shorter hairstyle since it will not reveal the lower density. To look at some patients who shaved their head with FUE and other scars, see here: https://scalpmicropigmentation.com/scar-covering/

Considering hair transplant from tressless

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Continued Thinning After a Hair Transplant

I’m thinking about a hair transplant procedure, but had some reservations about what happened if one continued to lose hair. The transplanted hair is supposed to permanent, so what happens to the rest of the hair on the crown if you get hair transplanted to the front hairline area? Does it stay and the rest of it go?

Assuming you are a male, have genetic hair loss, and you are taking Propecia (finasteride), then the hair loss should stabilize so that as you add transplanted hair you are gaining, not losing hair. Hair loss is a progressive process, arrested by finasteride in most men. Hair transplants in the front will frame your face and finasteride for the crown should stabilize or reverse the hair loss. Get you scalp mapped out for miniaturization to be sure of the diagnosis and then you can get a transplant if that is part of your Master Plan.

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Continued Balding After Hair Transplant

I have read a lot about mega sessions and micrografts, etc, and don’t doubt that they can produce satisfactory results if done properly. My question is: what happens as time goes on and balding continues in the untreated areas? I assume a patient would have to keep coming back every so many years to fill in the newly balding areas. How many times can someone go “back to the well” as it were. I am 43 years now, and have a receding hairline (especially at the temples). My concern is that when I am 60 or 70, I will look ridiculous with a perfect hairline but balding at the crown.
Thanks

This is a good quesiton which I have answered in many ways before. Generally the hair loss for most people tends to plateau after the age of 35, and by the time someone reaches your age, the final pattern can be estimated by mapping out the scalp and hair for miniaturization so that you do not play ‘blind man’s bluff’ with your hair. If you will advance to a very balding pattern, then some of the hair in that pattern will be miniaturizing now, so it will be easy to see under high powered imaging.

If you take drugs like Propecia, it has several advantages, including reduction of the progressive nature of the hair loss, and probably preventing prostate cancer. Both are desirable side effects of the drug.

In most men of your age, chasing the hair loss is unusual. It is usually more of a problem with men in their 20s who get a transplant, are destined to become very bald, and who do not take Propecia. With a good Master Plan, you should never look ridiculous at any age after having a transplant, providing that you have the conversation with your surgeon and he/she is honest about his/her answers and not a salesman going for the cash that is your bank account and wanting it to be in his instead.

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Contact Dermatitis and Hair Loss

Can you please help me? I have a contact dermatitis and have been picking it- is the hair loss permanent or temporary?

Can you also recommend a good dermatolgist and endorcolgist in London? We have bupa but my gp is not good with hair problems.

Thank you . I am very impressed with the time you give others with this awful, life destroying conditon

Contact dermatitis usually is not related to hair loss. However, you seem to describe a condition of compulsive hair-pulling (called trichotillomania) and it may be secondary to your contact dermatitis. Hair loss from pulling is often permanent if it goes on for any length of time. Fortunately if you stop pulling at it, your hair may still grow back. People who pull at their hair often have some obsessive/compulsive elements in their personalities and may require medications to stop the process.

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Should I Continue Taking Finasteride?

I have been taking Propecia for two months for aggressive male pattern baldness at age 23 (Norwood 3 approaching). It has restricted my hair loss. I want to continue the medication. I have normal morning erections, but my libido has decreased. I want to be on the medication for at least one year. This is a personal choice.

If you are willing to manage the decreased libido to maintain your hair, then by all means continue the drug.


2019-01-07 08:55:09Should I Continue Taking Finasteride?

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Contrast Between Scalp and Hair

Female – I have been thinning for years and as a result, have been bleaching my hair. My rationale is that this lessens the contrast between the scalp and the hair and makes the hair loss less noticable. Recently, I went to a new stylist who told me that my theory is false and that dark hair will make the hair less transparent and therefore less noticable. It’s been three days since she did my hair and I have to say that I think I was right. I think the new darker shade makes the hair loss more noticable. Am I nuts? Should I go back to being a blonde or should I stay a brunette?

When the scalp and the skin are closer in color (white skin and blonde hair) the impact of thin, see-through hair is less obvious. Styling with puffed-up hair styles are popular in women who also dye their hair to get a fuller look. That is more of a styling issue. Don’t worry, you’re not nuts. If you’re more comfortable with being blonde, I’d say you should go blonde. Go with what you’re comfortable doing, and with what you think looks the best.

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CoQ10 and Finasteride

Dear doctor, this site has been helping me and guiding me a lot about hair loss. I suggested my brother to start Propecia 3 years ago and with doctor’s prescription he started it and has really been doing very well. Propecia controlled his hair loss and he even got some reversal. He was very happy about it till 2 months ago, where he was prescribed COQ10 by one of his endocrinologist. He started reading all kinds of information regarding COQ10 interactions with finasteride and found this article.

He became so nervous about parathyroid tumor they mentioned in that web site. He is blaming me for suggesting such drug to him now. He has been taking Co-enzyme 10 since 2 months and is worried a lot whether the parathyroid tumour has already started. Please please help him with his anxiety. Do they really interact with each other? What is the solution for such problem.? Your reply will help him get rid of his anxiety.

The COQ10 interaction is news to me. Although I doubt a parathyroid tumor connection, if that is one of his worries, he should seek medical attention to calm his fears. Parathyroid tumors can be diagnosed if he has one.

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Copper Peptide Spray to Encourage Hair Growth?

Is there any truth that copper peptide spray can encourage hair that is dormant. Ive heard it reduces the time the hair spends resting. Thanks

In our experience and from what I know, copper peptide promotes wound healing, not hair growth.


2007-08-31 08:35:10Copper Peptide Spray to Encourage Hair Growth?

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A Convincing Sham To Grow Your Hair And Take Your Money

Many videos shows the promotions that try to tap the billion dollar market for hair regrowth. Unfortunately, too many young men fall for this and put out too much money and pin too much hope trying to do these impossible cures. I decided to post this in an attempt to let our readers know that there is no quick fix to the balding problem. The videos I have seen use a person with a convincing voice and a well written script to try to sell the naive viewer on some magical cure. Little bits of truth are used like DHT is the cause of hair loss, but that is not true of people who do not have the genes for balding who have lots of DHT and no hair loss. I’ve even seen such videos blame DHT for cancer of the prostate and suggested that if you stop your DHT, you can stop the hair loss, and prevent cancer. It is true, of course, that testosterone contributes to cancers of the prostate and that is why men with prostate cancer take medications to block testosterone or have their testicles removed if they get cancer of the prostate in order to control it. I saw a video recently that just wanted you to send $39 for their product. That is a waste or $39, so I would suggest that you donate that money to some good charity instead.