Author: Dr. William Rassman

I have performed a HAIRCHECK test on this now 24 year old male with a receding hairline last year and then again today. His hair has shown stability and very little loss as the drug finasteride seems to be helping him hold onto his hair. I told him to return in a year for another HAIRCHECK test and to see if his corner frontal recession bothers him. A hair transplant is a viable option.

You need to sit down with a good doctor and get an examination that might predict your hair loss pattern. If that can be predicted (I often do this with the HAIRCHECK test), then your course after a single hair transplant might be anticipated. There is never certainty as I use the tools I have to give people the best assessment of their course over time. At our Monthly Open House events we have patients who had one or two hair transplant sessions and did not need anything after. If you come to one of these events, you can meet these patients one-on-one. The older you are when you start, the more predictable the risks, but if you wait, then you will learn to live with balding while you are younger, something most men who see me don’t want to do.

Considering a hair transplant but thinking about long-term commitments post-op from tressless

This is a wonderful result and shows the power of microneeding at maximizing the results of medication and cause such good growth. A microneedling maintenance program should be continued at least once a month and if you see hair loss, then increase the frequency of the microneedling. Stay on the finasteride and the minoxidil.

[If you have any questions, you can reach me at williamrassman33@gmail.com]

At 10 weeks, many of the grafts will have shed. This may give the appearance of gaps that may not be real. Wait until the 8th mont. By then, you will see 80% of the growth and know if the gaps are real or not.

I can now see through to the scalp in the back of my head, which looks like it is balding now. Will the hair grow back in the donor area?

After an FUE, the hair that was removed is gone forever and will never regrow. In African hair, the donor supply is numerically lower than both Asians and Caucasians by as much as 10% to 40% respectively. As a result, the limits for FUE are much more restricted in people of African decent. If you are a typical African American, then the limit for FUE should have been 1,400 grafts (see this link which explains this: https://newhair.com/donor-area/). You have what we call donor site depletion. Since you now have donor area depletion, the only thing that you can do, which works very effectively, is Scalp MicroPigmentation (see here: https://scalpmicropigmentation.com/scar-covering/).

You should get a HAIRCHECK test to find out if there is any loss that you can’t see in the top and crown area of your head. You need to know there is the possibility that you might develop hair loss elsewhere. I call this a Master Plan which every male having a hair transplant should have. You look, on the surface, to be a great candidate, but if the HAIRCHECK test reveals hair loss behind the hairline, it is something you MUST know (See: https://baldingblog.com/value-haircheck-bulk-measurements-two-patients-seen-today/)

This man used all of the approaches to regrow his hair including Finasteride, Minoxidil and a Dermaroller once a week with great results

It is impossible to know which of the three modalities produced such a nice reversal which seemed to have happened almost immediately after it started to get this hair length. It appears that the miniaturization reversed.

My first question is a bit strange. I’ve been on Propecia for about 3 weeks now. And I believe I am have a side effect, though it’s not what I was expecting. I don’t even know how this is possible, but my Libido has become aggressively, distractedly active, to the point it’s almost detrimental. I can’t even focus on basic tasks since starting it because I’m horny like I’m 13 again (I’m 30). I don’t know if this is possible or if anyone else has ever heard of this happening. My semen has also become very watery.

One of my son’s went on Propecia (Finasteride) and found an increased sex drive as you reported. The water semen is common. I think that this side effect (increased sex drive) is more common than most people think; however, we focus more on those individuals who have a reduced sex drive and this is the complaint we hear about.