Author: Dr. William Rassman

These pictures show promising early results from microneedling and minoxidil in just 7 weeks. Longer term pictures will be better.

Topical finasteride and topical minoxidil should work well on the crown in many young men. Even the oral finasteride can get results like this.

I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like. Each patient is different because of hair and skin color. The lower the contrast, the less detectable it is, the grater the contrast the more detectable the ‘beard look’ of new hair is. This patient is 9 days after his surgery. His skin color is olive but his hair is black so what we are seeing is his black hair in the recipient area against his olive skin color. Note that there is no crusting present and these grafts will eventually shed over the next few weeks and then regrow in 4-5 months.

This man used a dermaroller for 8 months and as you can see the hair grew in much fuller.

Wonderful forum! I’m 73 yrs. old and I will have total knee replacement in a few weeks due to 50+ yrs of Martial Arts training/teaching. I had 3 transplants in 2002, 2003, and 2003 with good results, although experiencing some (senile alopecia). Any suggestions on combating potential hair loss from trauma/blood loss/meds-Percocet, etc? I took Propecia for years and have been taking 0.5 mg Dutasteride 3 times a week for 5 years with good results. Would Iron supplements help? Is hair loss from surgery permanent? Thank you much! I would do Arthroscopic if possible, but they would need to give a series of cortisone injections – a definite no.

Yes, stress such as any major surgery can induce hair loss. In men, it is often not reversible unless the lost hair is from a transplant as in your case. In women, it usually reverses.

For men, the older you get, the less likely that stress will cause hair loss. The hair transplants you had between 2002-2003 should not be impacted; however, if they are (very rare in men), then they always come back. The use of cortisone injections increases the risk of hair loss.

He lost his teeth but not his long beautiful hair!

Donald had his hair transplant 25 years ago and came to see me today. He volunteered to tell his hair loss history before the hair transplant and here it is!

“I started losing my hair it in9 my early 30s. Being as vain as I am I started looking for answers. The first thing I tried was this electrical comb that smelled weird and purple gas came out of it and they would rub it over my head every week with no results. Of course I was taking vitamins (supposedly) and minerals that were promoted to grow your hair back. There were even hair shampoos that was supposed to grow your hair back etc. I heard that Germany had top technology on hair transplant so I went to Germany. Everything I saw was insufficient and look like dolls hair (that was hair transplants). Then I heard about about a cure in Morocco, so I went there for some sort of cobra venom shots that grew hair so, but eventually I gave up. Until luckily I saw an ad Dr. Rassman had on TV. He was taking one follicle at a time and replacing it on your areas of baldness. Result was natural from day one. And I now have a full head of growing hair.”

Had Donald not hair a hair transplant, he would have a Class 7 balding pattern. The last picture shown is an old photo he brought to the office today taken 10 years before had a hair transplant. To make it look as thick as it does today, we did Scalp Micropigmentation a few months ago. This is something that many men should consider if their hair transplant is not thick enough.

The photos say it. I suggest that you note his hair styling.