Author: Dr. William Rassman

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2 Weeks After My Hair Transplant, I See The Grafts Growing

Hello Doctor,
I have undergone HT 2 weeks back with 2 sessions of a total of 5000 grafts done. Till date, I don’t see a single transplanted hair being fallen out. Instead, I see them growing in length. Is this something to be worried?

I’m wondering why would you worry if you are seeing something positive like growth? You must have had a great donor density to get out 5,000 grafts in two sessions.

In general, most people see what appears to be graft growth in the first 2-3 weeks (it is actually the hair in the graft being pushed out of the scalp). As this is actually the shedding process of the hair which is going into telogen, most of the transplanted hairs will fall out in one month. Either way, follow up with your doctor as he/she can better assess your post operative course and progress.


2011-09-13 15:47:432 Weeks After My Hair Transplant, I See The Grafts Growing

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I Am 19 Years Old And I Am Balding Like My Norwood 5 Father.

I’m 19 and play college football. My Dad experienced hair loss around my age and was a Norwood V by the time he was 30. His hairloss was gradual and then slowed way down.

I have a lot of stress right now because of playing football and tough academics and I broke up with my gf. It seems this is accelerating some of it. But, I try to calm myself down. What would you recommend me trying to take for now? I will get a transplant or something later after I play college. I just need to get through another 4 years!
Thanks in advance.

As you are finding out hair loss is genetic. In general many men who have the trait of Norwood 5/6/7 patterns will have the pattern show in their 20’s. It does slow down in their 30/40s.

If you want a medical treatment, you need to see a doctor to explore your options such as taking Propecia or Rogaine. It is the only two medication that work. Shampoos, vitamins, and products you may find on the Internet despite the great advertising persuasion, does not work to stop or regrow hair. At best it may be “good” for your hair in terms of keeping the hair’s shine and body.

Other options would be simply shaving! Bald is beautiful (or handsome)… as they say.

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19m already on dutasteride for over a year and starting oral minox soon.

You can see my progress on dut in my other post. Visited a dermatologist who prescribed me 2.5mg oral minox (perks of living in los angeles is that doctors take cosmetic concerns seriously) . will be taking it everyday, monitoring blood pressure weekly. Made this post because there isnt much info on oral minox on the internet. I will continue to update you guys in the coming months.
The dose you are on is a bit high with a high risk of complications. Half the dose is better, so speak with your doctor. Taking both drugs at the same time may help some people as the mode of action between the two drugs are different.


2021-01-04 11:19:1019m already on dutasteride for over a year and starting oral minox soon.

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19 Year Old Female with Receding Hairline

I am an almost 19 year old female and I have a high forehead. I was coloring my hair the other day and noticed that I have a receding hairline. I also noticed that there is ‘new growth’ but it is very blonde and there is not enough of it to cover the areas. I have also smoked for three years and have been under quite a bit of stress lately. Will it continue to fall out? Is there anything I can do to stop it from doing so? Thank you so much for your time and consideration.

High hairlines in some women are normal genetic patterns, like the size of your nose and other facial proportions. If you really have a high hairline since you were much younger, then there are things you could do for it surgically.

Some women with the genetic hair loss genes can lose their hair in response to stress and when the stress is over, most regrow their hair. What you are describing, however, is not clear for me to make a diagnosis. I always tell women with hair loss to get checked out by a doctor and be sure that there are not medical causes of hair loss. The most common include hypothyroidism, genetics, hormonal imbalance, pregnancy, anemia, crash diet and oral contraception pill. In your case, smoking does not help your situation, but it is not the main reason for your hair loss. Otherwise, every smoker would be bald. Cigarettes have many chemicals which are toxic to your body and may assist other factors to induce your hair loss. Smoking may lead to less blo0d supply to your scalp which may lead to weakened growth of hair. I recommended that you visit a dermatologist and your primary care doctor to evaluate your hair loss and run blood tests to find out the cause of your hair loss.

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2 months on finasteride (photo)

This young man is an excellent finasteride responder and should continue on this drug for the rest of his life. If he stops it, he will lose all that he gained.


2020-07-13 07:38:012 months on finasteride (photo)

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1mg vs 5mg Finasteride for Hair Growth

Has there been any studies that have shown any increased hair growth taking proscar 5mg daily vs propecia 1 mg daily.

The 1mg dose is just as good as the 5mg dose for treating hair loss. This was determined when the drug company (Merck) did effectiveness testing. I am sure you can get it from the FDA. For urological problems, the 5mg dose is more effective. The question is really about how much finasteride binds to the hair follicles themselves. We know for prostate problems, that there is different binding dynamics than with hair follicles. I am not familiar with any study that directly compares the 5mg dose to the 1mg dose, but I would suspect that like any bell curve, the 1mg recommendation applies to those individuals in the center of the bell curve and that some people most certainly would be better with a higher dose, possibly worth trying if the 1mg dose is not adequate to meet the needs of the patient’s problem. See Pattern-Baldness.com for more.

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2 months finasteride, minoxidil & microneedling

In just two months, this young man stimulated early hair growth that can only get better over time. It is always amazing how quickly microneedling accelerates the growth process. Of course, we never would know if it would have grow without the microneedling, but with the huge number of men who presented these results, one has to believe that the three approaches (finasteride, minoxidil and microneedling) are intertwined.


2020-12-31 17:23:432 months finasteride, minoxidil & microneedling