Hair Transplantation – Page 153

January 17, 2007

Norwood Class 4 Patient — Is 2500 Grafts To Hairline Risky? – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassman….Happy New Year. I’m scheduled for a 2500 graft procedure with a “top doc”. I’m 32…norwood 4 with so so donor. Do you think it’s risky to do a 2500 graft procedure in the hairline at this point? My doc feels that even if I thin out in the back I’ll be fine

Norwood 4A This is what I do. One large session of 2500 or so grafts in a Norwood Class 4A pattern is about the right number. Be sure that you are taking finasteride (Propecia) prior to having the transplants. You need to keep what you have.

Good luck!

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January 17, 2007

Sex and Masturbation After Hair Transplant – Hair Loss Information by Dr. William Rassman

Doc,

I recently had 1500 graphs done and the surgery went great. I am a little concerned that I may have lost graphs though. I did not do any strenuous exercise the first week post op, but can having sex, masturbation, ect., after surgery cause graphs to fallout due to increase blood to the head. Please let me know cause I am very worried. Thank you.

I would doubt that you would lose grafts after 2-3 days from aggressive sex or masturbation. Have fun and don’t worry.

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January 16, 2007

I Had 2 Hair Transplants, Both Times Hair Didn’t Grow – Hair Loss Information by Dr. William Rassman

I had hair transplants twice, 1500 and 800. Each time hair grew for 8 to 10 months then most fell out. The doctor was in first year doing hair transplants. He said something is wrong with me. He said they should have grown. What do you think happen? Thanks

This does not sound kosher to me. If the new hair grew, it should have kept growing. Did it really grow? Did you lose native hair rather than transplanted hairs? You need a second opinion that you can trust.

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January 16, 2007

My Doctor Said Shock Loss After a Hair Transplant Will Regrow – Hair Loss Information by Dr. William Rassman

Hello,

Towards the end of November I underwent hair transplant surgery. Recently, I’ve been experiencing incremental hair loss and I’m becoming concerned. I spoke to my doctor and he said that additional hair loss or shock loss commonly occurs in post-op patients and that the lost hair will grow back in time. Well, after reading some of your blog entries it seems that my doctors explanation is conflicting. As such, I was hoping for your expert opinion in respect to my particular case. As background information, I’m 26 years old and I’m taking both Propecia and Rogaine. Thanks in advance for your help, as well as the informative blog.

As you are on Propecia (finasteride 1mg), you are taking the most effective step at preventing shock loss after a hair transplant. In young men, my experience has shown that shock loss is rare when the patient is on Propecia, but if it is the original miniaturized hair that you are losing, it may not come back. Hopefully, the new hair from the transplant will more than offset the hair lost from shock. I have no crystal ball, so you must wait out the regrowth cycle (3-5 months).

January 15, 2007

Hair Loss InformationMajor Scabbing a Week After Surgery, Not Sure How to Aggressively Wash – Hair Loss Information – Balding Blog

Hi, It has been 7 days since I had my FUSS procedure. I am pleased with the results, however i still have major scabbing, and blood clots on the receipient area. I have tried to search your website and previous answers to find out what how to aggressively wash the area so that the scabbing and clots are reduced, but I was unable to find any clear answers. I would really like the scabbing to go down in the next week or so as I have to return to work. Please help.

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This is a question you should be asking your doctor. Good cleanings after surgery must be started on the first post operative day. With major scabbing now, you run the risk of graft loss if you dislodge them at this stage (see Washing Scalp After Transplant).

January 15, 2007

I Want a Hairline Like Actor Jamie Foxx – Hair Loss Information by Dr. William Rassman

Hello Doc,

I was gonna ask you if you all could make my hairline like Jamie Foxx and if so about how much will it cost and can you all do as good a job as his surgeon did, assuming that he did have hair transplantaion surgery done to his hair line? Also how do i get in touch with you all?

It might be worth noting that there is debate on the internet (yes, it’s gossip) about whether Jamie Foxx’s hairline is his actual hair, or just a spray-on look. We’ve even discussed it before.

Yes, I can make such a hairline, but it would depend upon how bald you are. If I am to assume that you have an African hairline, then you should know that hair densities are generally lower in African hair (Caucasians have 2.1 hairs per mm square, Asians have 1.7 hairs per mm square and Africans have 1.3 hairs per mm square). I would be that Jamie Foxx has much better densities than other African males. The issue of producing such a perfect hairline reflect issues of supply and demand. If you have only frontal recession and it is limited, yes I would love to give you Jamie Foxx’s hairline if that is your desire. It will take more than one procedure. Cost estimates must be done in person after I examine you. You can call for an appointment to see me at 800-NEW-HAIR.

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January 15, 2007

Significant Amount of Small Hairs Growing 1 Month Post-Surgery – Hair Loss Information by Dr. William Rassman

Dr,

I know that after transplantation one can expect to start seeing growth after 2-3 mo. It is only one month post-op for me and there are a significant amount of small hairs already emerging. Does this mean that I can expect better than average results, or that the total amount of hair will just come in sooner.

PS – I am taking propecia. Thanks for your help doc

I am not sure what you are looking at. The transplanted hair appears to grow for the first few weeks before falling out in 95% of patients. In 5% of patients it grow and keeps growing. Be patient and wait. You will soon know what will happen.

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January 12, 2007

Facial Hair Growth Problems – Hair Loss Information by Dr. William Rassman

i’m 27 years old and i have problems in facial hair growth due to genetic problems. the male hormones are low, however i’m on hormone shots that i take every other week. however it doesn’t look like it does noticeable job with my facial hair which causes me a lot of problems (it makes me look like 17 years old), in addition to the very poor growth of the body hair. anyway my most concern is about making a facial hair transplant surgery. my question is about the cost of this surgery and also if the transplanted hair will be growing as if it was natural and how long does it take to do the whole procedure? thank you doctor. it’d be a great help if u answered my question as soon as possible. thank you again

Beard transplants (from the scalp to the beard area) should have some similarity of the hair character for these transplants to look normal. If your beard is coarse and the scalp hair is fine, then the difference may be too great for a normal look. Costs for hair transplants generally are priced by the graft. The cost would reflect the extent of the transplants and estimates would have to be done. Transplants from other areas of the body may not work, because of the short hair cycle of most body hairs. Pubic hair or underarm hair to beard might be a closer match for beard hair if your scalp hair is too fine to use for transplantation.

I would love to trade situations with you. My coarse beard makes a tug every morning when I shave and I do hate to shave. I guess life is not always fair. You may have to learn to live with your genetic situation if the beard does not grow out in the next 5 years or so.

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January 12, 2007

I’m Mostly Bald In the Front — Am I Still at Risk of Shock Loss? – Hair Loss Information by Dr. William Rassman

Dear Dr Rassman

Recently you replied to a young man who had a transplant with you that:

“More importantly, having surgery too early may actually accelerate hair loss and you may end up with negative (worse off) results”

Were you referring to shock loss? I am 26, and also considering FUE surgery, but in the front of my head where it is actually bald now. I was told that I am not in much risk of shock loss because of this, and that transplanted hairs will not be in between existing ones. Would you agree?

I dont want to make my hair loss worse, is there a chance of this even though I will not be going near my existing hair (which is actually quite full). Thank you for your time.

Any 26 year old is at risk for shock hair loss after transplantation. Propecia (finasteride 1mg) is your best protection against it. What you already lost may be permanent, but the remaining hairs and all of the miniaturized hairs that are still present could be lost. What did the mapping of your scalp for miniaturization show? That will define the hairs at risk. Even in areas where your ‘eye’ says it is full, there still might have 50% miniaturization in which these miniaturized hairs could fall out. You need to know the answer to mapping question for a fully informed patient.

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January 11, 2007

The Transplanted Widow’s Peak (with Photos) – Hair Loss Information – Balding Blog

If I have a hair transplant, I want to know if you can put back the Widow’s Peak that I had as a kid?

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Yes. See the photos of Extreme Makeover patient Marque below. The photo to the lower right shows a frontal hairline restoration with a widow’s peak, just as you asked. The photo at the left is before 2 procedures totaling 3455 grafts. When I create a widow’s peak, I generally do not like to make it ‘regular & tight’ and prefer to have some patchy elements to it, for it makes it look non-man made. Please click to enlarge.