Author: Dr. William Rassman

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Could Transplanted Hair Fall Out? — Follow-Up

I was wondering if you could expand on your entry “Could Transplanted Hair Fall Out Months After a Successful Procedure?”

Does all of the transplanted hair fall out or just some of it? How long after the HT have you seen this occur? From what you’ve seen does it happen in younger or older patients? Most importantly can you re-transplant new grafts into the area? Would the same thing happen again or could there have been a mistake made during procedure?

I am not sure about your question. The newly transplanted hair usually falls out in a month or so after the surgery and it comes back 2-5 months after in waves of hair growth. Once you’re past the 7th month, everything should be stable and your transplanted hair should be there for the rest of your life. If transplanted hair falls out, it may reflect hair that was not taken from the permanent zone and in that case it may reflect an error from the surgeon.

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Could Transplanted Hair Fall Out Months After a Successful Procedure?

Dear Doctor

Is it possible that some transplanted FUs were rejected and (the respective hair) fallen some months or even years after a successful HT? I had an HT on a completely bald area. i had nice results, but i’m pretty sure the area looks thinner now than 8-10 months after the HT. My doctor says its my idea. I seriously doubt that. thanks for your time

On very rare occasions I have seen the “permanent” hair lost some years after a hair transplant. I don’t understand it, but I have seen this complaint. You are not crazy! You’re only 10 months out from a hair transplant — so how soon did you see the results that eventually disappeared?

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Could you imagine your hair transplant might look like this (photo)

Make sure that the doctor you choose is well credentialed and experienced. Always ask to meet some of the surgeon’s patients and then, if you meet someone like this, you know to run for the hills. Anyone can tell this is a bad hair transplant. This is a female whose doctor tried to create a rounded female hairline with mult-haired grafts in an even distribution without any sense of the needed quantity, the need for single hairs in an irregular irregular pattern in the frontal area and a shape that is normal appearing.

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Could There Be Hair Multiplication News at the ISHRS Meeting?

For all of us desperately following the advances in hair multiplication, do you think that any information would be available before the ISHRS annual meeting (September)in Alaska if discovered or is that venue the most likely outlet for bringing advances to the public? (So I can stop my daily obsessive searches.)

While anything is possible, if a company had a big announcement to make (such as hair multiplication being available to the general public), I doubt they’d wait to announce it just for the ISHRS meeting. These companies are usually looking for financial investors or commercial interest, so it wouldn’t necessarily make sense to hold back any good news just for an annual meeting of doctors. Now if a physician had a presentation for the meeting, that’s a different story.

Though new information could and hopefully will come out from the meeting in Anchorage, I wouldn’t expect a new hair multiplication procedure to be announced as available to the public this year. I guess we’ll find out in September.

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Could Supplements Have Caused My Sudden Hair Loss?

Hi I have recently been experiencing sudden hair loss. I am a 23yr. old male, and have always had thick brown hair. This past march I took some pro-hormone supplements (oxyguno) to help my workout program. At the end of May, I noticed my hair was alot more blonde in areas, and noticeable thinning in the front hairline. I immediately went to a physician, and he said it was probably the supplements I took. I also had two tough last semesters (both 18hr loads). My doc prescribed me some propecia & told me to take Rogaine. My hair began to shed really bad after starting the two medications. After about a month I decided to stop the Rogaine, because my scalp was itching and I was continuing to shed alot of hair.

My question is, do you think this was caused by the supplements? Also is I got back on the Rogaine do the shed hairs grow back? Also there is some MPB in the family, although this hair loss just seems too sudden.

I would doubt that supplements caused your hair loss. The stress you are apparently experiencing will accelerate the genetic process and it can happen in a relatively show time frame. I can’t say what Rogaine will do for you — not everyone reacts the same.


2009-07-16 08:55:12Could Supplements Have Caused My Sudden Hair Loss?

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Could You Stop Taking Finasteride If You Plan to Become Pregnant?

This is the directions I have been giving patients up to now: “You can stop the drug one week after your wife starts her period for a period of 2 weeks. If your wife has a normal 28-30 day cycle, then she will ovulate when you have a zero finasteride blood level, yet maintain enough finasteride in your hair to prevent withdrawal hair loss.”

UPDATE: Now there is some evidence that finasteride does cross into the uterus so the drug may not be safe, see here: https://baldingblog.com/more-on-finasteride-risks-in-pregnancy-from-reddit/ and here: https://baldingblog.com/responses-from-finasteride-can-cause-birth-defects-post/


2020-04-05 09:41:21Could You Stop Taking Finasteride If You Plan to Become Pregnant?

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Crackdown on Fake Propecia in UK (in 2007)

Note the importance of buying legit Propecia from a real pharmacy!!

Couple years old but a UK Press Release about fake Propecia rings true today.

Press release: Counterfeit medicines gang convicted

Thanks for sending this in. Yes, it is from late 2007, but it goes to show that counterfeit Propecia does exist and is a problem. One crackdown (no matter how large it was) in the UK doesn’t eliminate the problem altogether. Buyers need to use common sense when buying prescription drugs off the internet without a prescription.

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Counting Hairs in the Shower

I am not sure if you have been asked this, but could you explain the hair counting thing? Does counting the hairs that come out in the shower really tell you anything? Thats not really a good indicator of anything is it?

Counting the hair in the shower (hair by hair) would mean that you are likely obsessive about hair loss. It would be logical that if you are losing hair, the hairs lost in a single shower would vary by time of day, the vigor of your washing and massaging, the number of times you actually apply shampoo in a single shower, etc.. Generally all non-balding people lose about 100 hairs a day. If you see a change in number of hairs (a gross change) over a long time frame and keep all of the things you do constant, you may be losing hair.

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Could You Tell If I’m Going Bald Based on Hairline Photos?

I was just wondering if I sent you a few pics of my hairline do you think you could give me an answer to if I’m going bald or not?

We do not diagnose people on BaldingBlog, as that would be a poor practice of medicine. If you want to send in your pictures for me to post and comment on, feel free. If you want a virtual consultation, you can send good photos, I will look at them, and then established a dialogue with you over the phone.

In general, hairline pictures do not tell me much with respect to predicting the balding process. It’s kind of like sending a picture of your hand and asking me if you will have arthritis later on in life. I am not a fortune teller (or misfortune teller).

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Covid-19 and androgens with DHT blockers

In an interesting article in the Hair Transplant Forum by Nicole Rogers, M.D., has a review of the association of the existence of androgens in men who were infected with severe cases of Covid-19 suggested a relationship between the two. “This protease has a 15 base pair androgen response element, and in humans, androgens are the only know transcription promoters for the TMPRSS2 gene. The ACE2 receptor, which is also a route of COVID entry, is also mediated by androgens.”

Men with balding may have had an increased risk to the Covid-19 virus and severe disease. Women, of course, don’t have the androgens and it is possible that their estrogen protects them against the virus. There is also a suggestion that men who take androgen blocking medications like finasteride, dutasteride, Spironolactone, Enzalutamide and even canabidoil might help mitigate the severity of the disease. This is all hypothetical as there is no direct evidence for this in studies that have been done to date. The date has probably been collected but not looked at with this in mind.


2020-08-18 09:10:45Covid-19 and androgens with DHT blockers