Author: Dr. William Rassman

So it’s just fin and minoxidil foam. And I miss a lot of days with the foam. More than I should. I’ve only missed a few days of fin, so I think the fin is mostly responsible.

Clearly a good responder for finasteride

Your donor area may be over-harvested reflecting that either the FUEs were taken too close to each other for the density of the area, the punch was too large or your donor area could not support the number of FUE grafts you received. It is possible that the donor area is undergoing vascular shock loss. If this is the case, it might grow back in 6 months or so. If the area that is shown reflects the height and extent of your FUE harvest, then your surgeon took it too high and too low. You might want to get a second opinion.

this is my grandfathers brother. I don’t have a picture of his crown but from this picture could tell me please if he’s a Norwood 6 or 7? I’m praying you will say 6.

Without seeing the back of his head I can’t be sure but from the sides, it looks like a Class 7 pattern. You need a Personalized Master Plan with a good hair restoration doctor. White hair generally does very well with transplants, especially if it has a medium or coarse hair texture

It is difficult to tell if you have shock hair loss or over-harvesting of the donor area. Over-harvesting would be unlikely if your original donor density was normal as shown here (see: https://newhair.com/donor-area/). However, if your donor density was low, then 3000 grafts could have exceeded your maximum number of grafts that can be harvested. There is little you can do now but wait and see what you look like in 5 months or so.

Men shouldn’t get forehead reductions because of the risk of more balding or recession which would leave you with a scar in the front of your head. A hair transplant lowering surgery is the best approach to this problem

The loss of 120 lbs can cause any genes for hair loss you have to express more quickly. Don’t mess around with it and see a good doctor who specializes in hair. You need to get it addressed properly as hair loss in men is genetic and progressive. The earlier you treat it, the better.

Advice for a new balding guy! from tressless

When your original donor density is lower than average, 3000 grafts can be too many grafts harvested through FUE and this causes donor site depletion such that the donor area has a problem with a see-through look. The doctor should have measured your donor density before pushing large numbers of FUE grafts. For some people with very low donor densities, 2000 grafts could cause donor site depletion. It seems that in this situation, the surgeon could not get the entire 3000 grafts from the permanent zone, so the surgeon moved outside the permanent zone into the neck (which is not permanent hair) and possibly also above the permanent zone into another area that may sooner or later may bald. The only treatment for this is scalp micropigmentation, something we do all of the time. https://scalpmicropigmentation.com/ This technique can make your donor area LOOK normal but it will not put more hair there

The donor area has been significantly impacted by FUE, suggesting that your original donor density was significantly less than what the number of FUE grafts could have supported. Your doctor should have measured your donor area density prior to doing FUE. The limits on FUE is related to your donor density, otherwise it produces significant scarring as this photo shows. If the donor area remains see-through, you should get Scalp Micropigmentation to fill in the missing spaces.

I am seeing more and more men with an advanced balding pattern, reverse that pattern with microneedling as part of their routine. It is clear to me, that the microneedling has great value when done properly.

I have hesitation in prescribing finasteride in women who are pre-menopausal because of the risk of pregnancy which may be an unexpected or unplanned pregnancy. There is a direct relationship between this drug and sexual anatomies in the fetus