Author: Dr. William Rassman

I am 6 months and 10 days after my second hair transplant and I am very satisfied with the result, I am starting to behave as if I had not done a transplant seeing myself very well, so I am no longer taking the typical precautions, for example today I have taken sun and unfortunately I have not put sunscreen on the head nor cap. The sun was strong enough today and I took it for about 2 hours, I am now seeing that a red blotch has formed on the upper part of the forehead just before the hairline, but NOT on the skin, that is right where the hair starts. skin, in that point, looks white perhaps because there are so many hairs now that have protected the head from the sun. This red stain on the upper part of the forehead clearly scares me a lot now though, even if it doesn’t burn. I am reddened in that point but I don’t feel burning. The questions I wanted to ask are: at 6 months, a possible sunburn of this type can make my hair fall out: the hair regrown until now with the second transplant? Or could it compromise the growth of future hair?
I would like to understand if at 6 months I can behave as if I had not done a transplant or if there are still precautions to take, thank you very much. I hope in your answer

Don’t worry. Just be more careful in the future to use a hat or a skin blocker. The skin from the transplanted hair came from the back of the head which never saw sun, so this skin has to get used to sun over time, so take it easy and use a blocker to allow the time for a transition.

This is a wonderful result from finasteride and minoxidil used for 6 months

Frontal reversal is less frequenty than crown reversal. Nevertheless, this man achieved almost complete reversal of his frontal hair loss suggesting that the loss may have been more recent.

The only way a hair transplant is normal looking after it is performed, is to transplant the natural growing groups that hair normally grows in, in their anatomical groups, i.e. the follicular Unit. The average Caucasian averages about 2.2 hairs per follicular unit and the typical human has approximately 50,000 of these follicular units on their entire scalp. So if the average hair count per follicular unit is 2.2 hairs/follicular unit, then the typical Caucasian man has approximately 110,000 hairs on their scalp. For the typical Asian, the follicular count remains at ~50,000 but the average hair count per follicular unit drops to 1.9 hairs/follicular unit for a total hair count of ~95,000 hairs. This is an average, but the range could be wide ranging from 75,000 hairs – 120,000 in any given population.

This is a picture of a 6 hair follicular unit (rare in most people) but worth showing because it shows new hairs in their growth phase. Notice that two of the hairs are shorter than the other four (marked with arrows). These are new anagen hairs growing into this follicular unit increasing the visual hair count by 1/3rd from 4 to 6 hairs. That means that possibly a few months before this follicular unit was excised, it probably had only 4 hairs that were visible. The two new anagen hairs arose from stem cells within the follicular unit. It is likely, that if we allowed this to grow (and were able to follow the hair count in this follicular unit over a year or so), the hair count may actually drop as some of these longer hairs (terminal hairs) may actually turn into their sleep phase (telogen).

This is a terrific result. This shows that the use of minoxidil with the injuries created by the dermaroller and the healing that follows, produced these results.

The pictures are not comparable but projecting the benefits is not difficult because the end results are outstanding. To get that much length, the hair must have started to grow almost immediately after starting finasteride

This is another outstanding result in a young man who took finasteride and used minoxidil for 6 months

Fantastic responder. I was suffering from insomnia as well and I couldn’t get tired for the life of me so I started taking Vit D and noticed my quality of sleep improved dramatically. I could only sleep in 2-3 hour chunks before suffering trying to fall back asleep again. With Vit D I am dead asleep for 7-9 hour chunks of time. I also noticed my hair grow a “teeny” bit thicker in the two months before trying anything else, and that lead me on the road to growing my hair back and finding other options. That’s when I added finasteride and microneedling to my routine. The small gain I got from the Vit D, became a massive gain with finasteride and microneedling.

Again and again we are seeing results from 6 months of microneedling and I suspect as in this man the addition of minoxidil helps move it along. Possibly if he keeps it up, it may get better and better. This man said he got a good result on his hairline. I am surprised that he didn’t get more growth on the crown.

These photos show the gradual regrowth of the hair at the hairline on finasteride and minoxidil over a 6 month period of time