Author: Dr. William Rassman

I consulted with this 30 year-old man five years ago. At that time, he had frontal hair loss and did not want to take the drug Finasteride. The HAIRCHECK instrument showed no crown loss but today, five years later, he lost 50 percent of his hair in the crown since the test was last taken. Because his hair is so curly, you can’t see the crown loss very well in the photos, but had he taken the drug Finasteride, I doubt that he would have lost the crown hair had he taken the drug finasteride. The HAIRCHECK instrument is very sensitive in picking up early hair loss. He will go on the drug now to see if there is possible reversal of the crown loss which happens at times, but until a year passes, we will not know. He will get a hair transplant in the frontal area where the lines were drawn.

My condition with “brain fog” was able to improve by lowering my dose to 0.5mg every day in the mornings. I still experience some mild effects upon initially taking the pill that taper off throughout the day. My question for you is, after a month of taking the medication and still experiencing mild side effects, would you recommend dropping down to 0.25mg or staying at 0.5mg and taking the medication before bedtime in the evening instead?

If you reduce the dose to 1/4 pill, it will still be half as effective as the full dose. Try it

I am a 24 years old guy with a clear cut norwood 3. My hairline receded obviously, I am not so sure about all around density but I guess the hair are thinner (cannot tell visually but it feels off). So it is pretty clear that I will follow my father’s pattern of balding which means I am headed to norwood 7. The thing is, my father only lost hair on top at 35-37. Also , he had an afro which means his density loss was hard to notice until it really advanced. My hair were always thinner than his, they are straight so I feel I might be noticebly bald faster.

Just out of curiosity, does on follow your father’s pattern and timeline regarding baldness? Would be nice to know if it is wise to look at when my pops lost his hair.

Some people do and some don’t, I just saw a man yesterday who has a very bald father and brother who were bald before they were 28, but he was like you with a Class 3 pattern at 30 years old. He was worried he might go like his dad, but I told him that very bald men are always bald by the time they are 30, so not to worry.

Thank you, so I have longer hair (shoulder length) I usually see that the strip or shaved fue area is somewhat in the middle of the back of head. I’m thinking of getting a minor procedure done as in just a touch up for the hairline. I’m estimating 1500 to 2000 grafts at most (this is based of my research and pics of other results)

My question is that I wouldn’t feel comfortable shaving my whole head, i know with the strip it’s just the area that is cut that’s shaved so it’s not as noticeable, but with fue could it be a lower shave on the head or i there a reason for such a central donor area? I’ve also hear that it’s best to do strip first then fue for later transplants as to keep the donor area in better condition is that true? Sorry for the bombardment of questions, but thank you so much for your time.

In building a Master Plan with my patients, I like to try to predict the final hair loss pattern my patient is likely to develop. Based upon that prediction, I often recommend strip surgeries for men who are likely to get advanced patterns of balding and FUE for those who either are unlikely to go that route, or are not showing it just yet but have frontal hair loss. Most patients who come in already have their minds made up as to what type of procedure to get. Make sure that you are not starting too young (https://baldingblog.com/need-master-plan-think-hair-transplants-photos/). With FUE you don’t have to shave the front or top of your scalp.

The nice thing is my great grandpa didn’t even need it. Since his stopped in a decent NW3 position. My uncles on the other hand, lost more over time. From what I can tell my uncles didn’t have crown loss, so I either have my grandfather’s or great grandfather’s hairline. My cousin has our grandfather’s full-on baldness. If I can get a clue as to how early it happened for him and in which pattern. I think I might be able to crack this.

You are going about trying to find out your final pattern of balding correctly!

I’m so fearful that I made a bad decision about having a forehead lift because I, too, am losing lots of hair from the top and sides of my head. I am 7 weeks out and panic struck because I am starting took bald around the incision. It looks like I have cradle a cap that is starting to come off and the surface is raw underneath. I’m using Silvadene on it. My surgeon keeps saying that it’s all fine, but I look horrible. The suture line has not healed yet. I do have a condition called Frontal Fibrotic Alopecia. Oddly enough, the hair transplants in the area are growing!

You are fortunate that the hair is growing since this disease can impact much of the frontal hair. Hair loss is not uncommon after any facial surgery in women.