Author: Dr. William Rassman

My hair stopped shedding about 6 months ago. When I’m in the shower now I get maybe 1-3 hairs on my hands between shampooing and conditioning. However, my hair definitely looks thinner at the crown and temples than it did a year ago.

My question is: Even though I’m not shedding, can the miniaturization process still be occurring and causing me to lose hair?

Here are my stats: -48 years old -noticed thinning at crown about 12 years ago

• hair is now visibly thin at crown and temples. You can see scalp through the hair.

• started shedding just over a year ago when urologist prescribed a testosterone booster and an AI. I quit taking them about 11 months in when I noticed shedding (10-12 hairs when I shampoo’d). I quit the meds and shedding stopped 4-5 months later.

• I eat healthy, take a men’s multi vitamin and shampoo with biotin and nizoral.

• I haven’t tried finasteride or min yet because I’m scared of the side effects.

Yes, you can experience miniaturization without shedding.

Here is a hairline I repaired and created a Brad Pitt hairline in one surgery: https://baldingblog.com/repair-of-hairline-transplants-photos/ We do this all of the time, see here: https://newhair.com/before-and-after/hair-transplants-men/#results

The dot size is controlled by the operator (hold time in the skin and how deep they were placed) as well as their skills and the size and needle configuration in the hand piece of the device; however, many of the dots spread because of the size of the pigment particles themselves dictate the spread. The new laser tattoo device has even more precise control over it, if the operator is not as skilled and doesn’t have the years of experience, see here: https://newhair.com/wp-content/uploads/data/docs/pubs/Tattoo%20Pigment%20Delivery%20with%20a%20laser_final.pdf

I feel like the opposite of the known side effects have happened to me. I’ve been on fin for 70ish days now. Got some minor temple regrowth, so I think its working. No sides except now I’m more horny than usual and can jerk it at least 2x a day when before fin I was usually a 5x a week kinda guy. Anyone experience similar? I can only find online info on decreased libido.

Yes, some people (one of my son’s is on finasteride) had a prolonged increase in his sex drive.

Can You Harvest 5000 Grafts At Once? I Just Want One Surgery. I don’t want to come back for another surgery.

If you are familiar with New Hair Institute and Dr. Rassman’s (founder) work, he is the doctor who started the “Mega-Session” 3000+ grafts hair transplants back in in 1995

I have a question for you.

I’m taking finasteride 1mg now for two years and my hair improved a lot.
Now with exams and very busy schedule I forgot to make an appointment with my docor. I now have one in three weeks. But now i’m afraid i’ll lose my hair again because i’m out of finasteride for three weeks.

Is it possible i can lose a lot of hair in three weeks?

It is possible that you can lose hair after stopping Propecia for three weeks. It generally takes longer for “catch up” hair loss to occur. Catch up hair loss is basically the loss of your native hair that benefited from the use of Propecia.

Yes, it will take a lot of grafts but the beard can be significantly made fuller

I had a hair transplant done a few years back with a top doctor and am happy with the results. That said, I wish the hairline was a bit lower and straighter. I am considering getting another one to fix this.

Right before my first procedure, I met with the doctor briefly to discuss where the hairline was going to be. I was surprised by how un-sophisticated this part was. He just drew a hairline on, showed me a hand mirror, I said lets make it a little lower, and he did and that was it. However, its very hard to imagine what the hair is going to look like and what that hairline really means in terms of how it fits your face and features.

Thus, what I would really like is for some sort of computer simulation of where the hair is going to be and what its going to look like when its grown out, from all angles. Do any practitioners do this? And if not, what is the best way to do this myself, so that I can communication it to the doctor prior to my next procedure?

Some doctors use photoshop or some special software imaging system, but most have stopped because the photoshop illustration did not reflect the final result and it left the doctor with some liability. The reason for this is that if hair is fine, medium or coarse, the hair type makes a world of difference in the hair transplant. The thinnest result of course will occur with fine hair and the best results with coarse hair and the software doesn’t do justice to these distinctions.

An experienced doctor can work the final hairline with you on the day of the surgery. After thousands of these, I have to say that I don’t remember anyone who complained about their final hairline from my work. Experience is the best teacher.