Category: Hair Transplantation

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Transplanting Hair from Cadavers? – Balding Blog

Hello, I am a black female with a terminal illness and looking for answers/solutions to hair loss problems when i stumbled upon your site. Interesting. I read from you that it was unhealthy, unsafe and unethical to some to do transplants (unfamiliar with transplants) from animals, but what about transplants from healthy human cadavers (donors of course), or even healthy living humans.

Cadaver hair (or from living humans) would require drugs to prevent rejection, just like heart and kidney transplants. So although it would work, it is too dangerous due to the drugs required. Some anti-rejection drugs can increase the risk of infections, heart disease, and cancer.


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Norwood 4A Patient 10 Months Out of Surgery (with Photos) – Balding Blog

This patient came into the office this week for a follow-up 10 months after his hair transplant. His before photos show his Norwood 4A pattern and his after photos show the result of a single procedure of 2790 grafts. When I showed him his before photos, he smiled and said, “I really did not see it grow, but I guess it did. Can you give me my before pictures so I can show them to my mom? She told me not to worry, it was looking so good“. Now he can show her (and all of you) just how good. His smile was quite heartwarming.

Click the photos below to enlarge.

Before:

 

After 2790 grafts:

 




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70 Year Old Man Losing Transplanted Hair – Hair Loss Information – Balding Blog

Dear Sirs: am a 70 yr.old white male- have had many,many,hair transplants over the yrs.; were doing as well as expected until about (2) months ago – lack of volume, & just a general more thinning look -been using a good brand shampoos, Lanza products etc.,plus minoxidil “on occasion” – have started using Nioxin products, (2) wks ago, no results “as yet’- my medications include Xanax (hyptension), Symbicort “has corticosteroid”, (asthma), Lortab (arthritis), Testosterone shots “on occasion”

Question,is it possible one of my medications is the cause, or is there a cleansing “shampoo etc.” that may be of help. Regards

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I can’t say without a more detailed history and examination. In general, testosterone shots can accelerate androgenic alopecia. The medications you listed aren’t generally known to cause hair loss, but each person will react differently to a drug, so it could be a very rare side effect. I understand that you have had hair transplants in the past, but you may also be noticing increased native (non-transplant) hair loss which occurs in men your age (senile alopecia). If you had this, it would show up in the donor area as well. I would need to examine you.

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Repairing a Dent in the Scalp at the Hairline – Balding Blog

I have a severe scar beginning at my ( receding ) hairline. It is a prominent scar, probably 1 1/2″x 1/2 inch. Obviously no hair grows there and I cannot completely cover it. The injury that caused the scar also took a little “tissue,” meaning there is a slight indentation.

My question is this: Is there a procedure where someone could “reconstruct” the damage? Perhaps by taking a mold of the scar, a piece could be made and have hair implanted. And if so, could this “piece” be safely adhered to my head? I am open to suggestion as well. Thanks.

It would be best for me to see what you look like by sending photos of your hairline and the scar (reference this page). Scars at or just behind the hairline are relatively easy to fix with hair transplants. Sometimes the scar can be partly excised as well (though unusual), but without seeing it you have tied my hands. I have repaired many frontal hairline scars.


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Hair Loss InformationAfter a Hair Transplant, When Can I Stop Being Careful with My Hair? – Hair Loss Information – Balding Blog

Is it possible say after 4 months of the procedure to damage the hair grafts if you are kinda compulsive and don’t really like to even show that you are losing hair as in my case i didn’t have to much hair loss in the first place but don’t like to show that i am losing any at all by styling the hair downwards. spending like 10-20 minutes doing so basically what I am saying is that if the hairs are inplanted after the immediate post op 1-3 months is ok to be less careful after this period and is there any adverse way to affect the growth. Also when is ok to buzz ones head after the FUE technique is performed.

thank you very much

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Your hair transplant doctor should have told you this. Hair that was transplanted is considered permanent after a week or two.

Either you are an obsessive compulsive or have not been told the right information. You do not have to be so careful 4 months out from surgery. The point of the surgery is to have your own natural hair. Treat it as such.

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Doctor Offers 4000+ FUEs in One Session – Hair Loss Information – Balding Blog

Hi there… I am a female who has had a 1600 graft transplant using the strip method and am considering a second procedure of 1,000 grafts with a different surgeon. I am very concerned about shock loss, which I did have after the first transplant. Below is an extract from a doctor’s website. I would be grateful to hear your opinions on this.

Thanks

“[FUE] allows for the extraction of 4000+ follicular units in a single day session. Removing individual follicles with a microscopic instrument allows the skin to heal quickly and naturally. Patients receive greater freedom regarding hair styling choices and a diminished healing time, allowing them to return to the normal activities of life sooner.” [note: quote edited]

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Firstly, 4000 FUE grafts in one session without damage to the grafts during extraction is something that I simply don’t believe. I would have to see it and judge the transection rate under this surgeon’s hands. As for this doctor discontinuing the use of the strip harvesting method “due to its highly invasive nature” as his site states, well, this is more a marketing ploy than anything else. If the doctor could successfully do the amount of grafts using FUE that he claims, that’s great — but as I said, I highly doubt 4,000 FUEs can be done in one session with minimal transection rates. Plus, if you were to have this done, you would have to shave your head. I don’t know that most people would be prepared to do that. You’d have good reason to be skeptical.

In your case, shock loss will probably happen again. Shock loss in women often happens on the second and third procedure, but it usually grows back. Even the anesthesia can cause it in some women.

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Brain Surgery Scars, Burr Holes, and Hair Transplants – Hair Loss Information by Dr. William Rassman

Dear Dr. Rassman, I have two burr holes on my temples from an operation when I was a baby. My temples receded to a mature hairline whe I was 25 & the scars are now visible (I’m 32). I don’t suffer from hairloss & seem to have the same hair as my dad who still has a full head of hair at the age of 60 (temples slightly receded). I was considering a HT to get back to my original hairline & cover the scars. I was wondering if the holes in the skull underneath could be a problem during the operation. Is there any danger (I don’t know how deep the needles go)? Thanks!

I have performed hair transplants on many post brain surgery scars and burr holes. Skills in such a situation is critical in placing hair into scars or burr holes to be sure that it does not penetrate into the brain. If the normal hairline will cover it, then this is a wonderful solution to the problem.

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Hair Loss InformationNecrotic Tissue After 3rd Transplant – Hair Loss Information – Balding Blog

I had several hair transplants that went well, so I decided on a 3rd which led to necrotic tissue damage. The doctor told me it well be ok. i had 3 holes w/ necrotic tissue, which i would treat for several months getting worst. fortunately after 3 months, the holes got as big as a quarter and black. went to the emergency room, when they said this is your lucky day after removing the black. and 3 years and 4 surgeries later, i finally got everything corrected. now i have 3 bald spots in the front of my head. i use the dark particles to hide it. any recommendations. what to do besides surgery ??

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Necrosis causes the skin to turn black (it is called gangrene). I would love to know more details, like who was your surgeon and what did he/she tell you caused this? I might be able to help, but I’d need to examine you first. As you are in Los Angeles, you should consider paying me a visit in my LA office (no charge for the consultation). You can call my office at 800-NEW-HAIR (or 310-553-9113) to setup the consultation.

Necrosis was not uncommon in the early days of megasessions when the surgeons used large punches and too many of them. This did devascularize the scalp and parts of the scalp died. There were numerous reports published that condemned the procedure because of this risk, but as the world was trying to make up its mind on the risks, I had published large series of huge megasessions with not one case of necrosis in the recipient area. Eventually the doctors learned that small holes were critical to getting not only good growth, but no damage to the skin of the scalp.

There are non-surgical solutions, including Toppik, DermMatch, Couvre (all are concealers)… and of course, hair pieces.

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Lateral Slit Technique vs Choi Implanter – Hair Loss Information – Balding Blog

Dr Rassman can you tell me which of the following methods of follicle transplantation are better in terms of least trauma, fastest healing time and greatest density achievable:

1. Lateral slit technique
2. Choi implanter or similar needle type device

Also what density (per cm2) would be necessary as a minimum to stop scalp showing through on abald person. Many thanks and keep up the good work

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You are asking for me to compare a tool to a technique — something that is difficult to do. The key to fast healing following a hair transplant is in the size of the recipient wound not the instrument used and the direction the hair is placed in. The smaller the wounds, the better they generally are. Both lateral and vertical slits (techniques) or the Choi Implanter can produce very small wounds, but the success in growth depends upon the graft trimming and dissection from the donor strip. Many people cut the grafts too short for the Choi Implanter, because the very small size of the tool may not take a chubby graft… but these skinned down hairs may not grow as well.

With regard to your question about density not being see-through — well, that depends on many factors, including the character of your hair, the thickness of the hair shaft, and the color contrast of your hair and skin color. I’ve said before that a blond can lose 85% of his hair and not look thin (having low densities), while someone with black, straight, fine hair and white skin may look see-through at 50% of the original density (not unusual for this person to be Asian).

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Only the Frontal Hairline of My Transplant is Growing In After 4 Months – Hair Loss Information – Balding Blog

Hey Dr. Rassman. Just a quick question that maybe you can help me with regarding my recent hair transplant. I also will be making an appointment to see my doctor. I had 1200 grafts done mostly in temple area 4 months ago. At around month three I first noticed some regrowth now a month later I have longer hairs in that area, which I expect to become fuller as I get closer to the year mark. However, hair has only grown along the front line of what was transplanted. So I have a thin line of hairs connecting the front of my hair line to the sides, yet have a large gap between that and my regular growing hair. My question is, is this normal? Can hair grafts first grow in the front and take more time to grow in behind it? Is it possible that only the hairs in the front “survived” and the others aren’t coming in? I know at four months it is still too early to tell, but I thought it was odd nonetheless. Thanks so much.

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The most likely answer is that by the 8th month fully 80-90% of the hair should have grown or started to grow. I never draw conclusions at the 4th month and you are correct, some parts may grow faster than other parts of the scalp. Be patient and wait another 4 months or so to see the results.