Hair Loss InformationHow Do I Know I’m Getting the Amount of Grafts I Paid For? – Hair Loss Information – Balding Blog

Here’s a question I’m sure many prospective patients have asked before: How does a patient verify that he’s getting exactly the amount of grafts he’s paying for and that they aren’t being divided to artificially bump up the count and thus increase the cost of the procedure? Are we just going on blind trust or what?

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Most important to ask, “Does the count of grafts correspond to what you are buying?”

  1. There should be an accounting system in place at the doctor’s office and you should have the opportunity to ask to see it. Any honest doctor will be proud to show their graft accounting system working in your situation. I just had a patient the other day who had surgery and wanted to know just what you asked. He came in to the surgery of another patient (with permission of course) and was shown how the accounting system worked to guarantee that what he was quoted was actually given. I also showed him his count sheets. Although he was shy to ask, he clearly felt better after seeing it.
  2. Is the number of grafts artificially inflated to make money for the doctor? Some doctors divide their grafts into sub-follicular units. For example, a 4-hair graft could be divided into two 2-hair grafts, and a 3-hair graft or a 2-hair graft could be divided into 1-hair grafts. In this situation the graft count would climb while the hair count would be the same. This is a problem in my industry, unfortunately. I have been quite outspoken about this problem in the past.

It all boils down to trust. If the doctor is open to questions posed by his/her patients, then this builds a trusting relationship. To be as completely blunt as possible, if you don’t think you can trust your doctor to not ‘screw you over‘ with the amount you’re paying for, you probably shouldn’t trust that doctor on almost all counts, let alone to give you the results you’re looking for. This is just another reason why doing research is very important in making your doctor selection. Also, see The Truth About Cheap Hair Transplants for more.

Transplanting Transgender Patients – Hair Loss Information by Dr. William Rassman

My younger brother (32 years old) is undergoing a sex change operation. He’s on the hormones and going to the doctors, and i’m not really sure what is involved but the family supports him. My question is relating to the genetic hair loss that runs deep in our family in almost all of the males (our dad, my cousin, me, my brother). He started to lose his hairline before he began his transition and i think it is quite rare for a woman to lose the hairline, right? Right now he wears a wig, and he’s going to have enough challenges with closed minded people that i don’t want him to have to deal with something like hair that he can probably take care of with a hair transplant. What do you recomend? Thank you for your time.

When men become women, they bring with them whatever male patterned hair loss they had. As such, looking like a female is not possible without either a wig or a transplant. The reverse is also the case if a woman becomes a man. Exposure to high doses of testosterone will precipitate a male pattened loss if the person has the genetics for genetic balding. In this situation, their balding genetics were protected when they did not have testosterone and were a woman, but that protection is lost when the sex is switched. Transgender patients may be candidates for hair transplants if their balding can be diagnosed as genetic hair loss.

What Will Take the Place of Hair Transplants? – Hair Loss Information – Balding Blog

What and when do you think will take the place of traditional hair transplantation?

Thank you for any comment or answer.

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The theory, in answer to your question, may be some form of cloning, cell manipulation, genetic transfer or magic drug. Possibly we will identify some substance, stem cell, genetic alteration or the like that will be more acceptable than traditional hair transplants for the balding man.

When I started in the field of heart surgery (1966) we were just learning to replace heart valves in diseased adults and fix the broken hearts of children born with heart defects. It was a glamerous thing to fix the broken heart and for doing it, some doctors thought it would make them rich, so either for the glory or the money, many, many surgeons became heart surgeons and eventually most of the defective heart valves and hearts got fixed, leaving surgeons with nothing to do (possible bankruptcy or even to become a family doctor, whichever was better). Then we learned that we could re-vascularize the heart with veins taken from the leg and save lives, and the new bonanza happened again. The unemployed heart surgeons were feasting one more time until they caught up on the backlog of blocked heart blood vessels to repair. Then, a shift appeared (away from the heart surgeon) with the new ‘invasive’ cardiologist who became part of a new feast and the era of cardiac catheterization was born, shifting the work from the surgeons to the new bread of surgical ‘like’ cardiologist. Many heart surgeons found themselves unemployed again. One day, we will find an easier way around the cardiologist’s catheter and possibly this new break of cardiologist will learn to adapt or fall into the unemployment lines, just like the heart surgeons of yester-year.

When the day comes that hair transplants will be replaced with a needle injection into the scalp, doctors like me may be unemployed. One might think that any doctor can inject magic potions into the bald scalp of men for profit. As with Botox, they will. Personally, I do not believe that I will be unemployed for years yet as I do not believe that hair transplantation is going to go away anytime soon. If you are balding, ask yourself the following question: Am I willing to wait for years, possibly decades, for the best solution to hair loss and remain bald during my youth and most productive years just to avoid a simple surgery?

Hair Loss InformationHair Robot Funded in UK for Hair Cloning – Hair Loss Information – Balding Blog

The excitement continues on the possibilities of cloning hair from special cells located in the hair follicles of healthy hair.

The company says:

We take cells responsible for hair growth, multiply them and then inject them in the head. We tease out the cells responsible for growing a new hair… The hair is taken during a 30-minute operation under anaesthetic and replanted three weeks later after the cells have had time to grow.

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The process for harvesting hair from the permanent zone is performed today using my Follicular Unit Extraction technique. If this is to be done on a larger scale, my patented instrumentation (of which, Dr. Jae Pak is co-inventor) will be employed (see USPTO.gov).

One license for this patented technology has been sold to a California robotic company which is presently attempting to automate the entire hair transplant procedure.

Update: Here’s another article about this — BBC News

22 Year Old Just Had a Hair Transplant – Hair Loss Information by Dr. William Rassman

I am 22 years old male and i have nearly lost all my hair keeping in mind its genetic in my family but i think it happened too quick to me. I started experiencing hairloss at about 17. now i have had a hair transplant done (at age 22). what will be the best thing i can do to prevent losing anymore hair?

One more thing is my transplant Dr told me that my transplanted hair will fall in 1 2 months and then regrow again, but the transplanted hair have already fallen (14 days after the surgery) with the dried out skin. please advise me on this thanks

You should be relating to your hair transplant surgeon face to face, not to an internet source like this for your reasonable and unanswered questions. The fallout you experienced is normal. Hair from the transplants should grow in 3-5 months.

To prevent hair loss, any 22 year old should be on Propecia. If your doctor did not put you on that drug (generic name is finasteride) then I might consider that to be malpractice (in the United States), as hair loss in a young man is progressive and often rapid after a hair transplant in someone of your age. For the man in his 20s who has a hair transplant and are not on that drug, the hair loss will almost always accelerate as you suggested that you have already experienced.

I am concerned about hair transplants at the age of 22. Did you seek out second opinion? What is the Master Plan for the long term? You and your doctor need to lock that plan into place, or you may feel abandoned if your hair loss progresses. Peace of mind is in proper planning and good communication between you and your doctor is as important as good surgery. Please arrange to meet with your doctor and get a long term plan from him/her that you can use as you get older. Find out what he expects will happen to you. You need to know that information, for it is critical to your future.

I Had a Temple Transplant, But Left Side Hasn’t Grown – Hair Loss Information by Dr. William Rassman

i did a temple transplant a year ago, the left side hasn’t progressed at all. it is just light red, but no hairs. on the right side it has grew alot but it is still a bit red. how is it that i can’t see any progress at all on the left side?

You should speak with the doctor who did the surgery. At a year out, there should be full growth and no discoloration of the skin.

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I Want to Have More Chest Hair – Hair Loss Information by Dr. William Rassman

I’m a 48 year old man with a very fuzzy belly and sparse chest hair. I’d like to make the set a bit more balanced, especially between my pecs. Will minoxidil make the hair on my chest denser?

You can try minoxidil, but be careful not to overdose yourself, as it is a hypotensive agent and it will get absorbed into the body through the skin. Hair transplants work well for transplanting hair from the head to the chest — and it is medication free. With hair transplants on the chest, the hair should last your lifetime.

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So, What Should I Look for In a Doctor? – Hair Loss Information – Balding Blog

Hello, I am a 27 year old male who is seriously considering a hair transplant in the begining of next summer. My concern is to make sure I find a good surgeon. Do you have any other surgeons that would reccomend. Maybe, its just yourself and whoever works with you.

What should somone look for?
Are there any new technological breakthroughs to look for?
What can I do to make sure my scar is not very bad? I always wanted to get a fade again. Maybe Im just dreaming but in getting a fade, the side of the head is shaved and the scar would be present.

I have thinning along the middle of my head and a clear receding hair line. I now shave my head to conceal it.

My last question, is how long does it take for it to look and feel normal after and a transplant. Also, how long should my hair be when I go for a consultation?

Thanks for your time

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I wrote a book on these very subjects (with Dr. Robert Bernstein), so rewriting it for this blog would just be too time consuming. You can request a copy of the book and I will send it to you or to any of my readers that want a copy. Or, even easier, the text of the book can be downloaded in PDF format here. Also, I posted a blog entry just a couple weeks ago that may be of interest to you — How to Tell if You’ve Found the Right Hair Transplant Doctor.

With regard to your other questions, thinning along the middle is an unusual presentation of genetic balding, but I have seen it. You need to get your hair mapped out for miniaturization to determine if there is genetic balding or not.

A person who has a hair transplant will feel normal (no pain in the back of the head at all) usually within 2 weeks or less. I generally like people to keep their hair long for the consultation, because I want to understand the impact of balding in a styled hairline. Sometimes thinning hair looks full when it is styled or longer.

Electrolysis to Make Transplanted Hairs Finer? – Hair Loss Information – Balding Blog

Couldn’t electrolysis be used to make transplanted hairs finer? I have mostly folicular transplants however I noticed that they are still courser and darker than my native hairs. Couldn’t electrolysis be use to make them lighter in texture and finer in contrast? Thanks for your response.

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In theory, if the electrolysis damages but does not kill the hair, it would become finer. I would think that this would be a difficult or near impossible thing to achieve.

Hair Loss InformationHair Transplant for Severe Alopecia Areata Sufferer? – Hair Loss Information – Balding Blog

I am 52 years old, male, and since about 18 months ago I have severe alopecia areata but only in the top of my head, not on the hair line, sides or back. My dermatologist says a hair transplant will not work in my case, that it will fall shortly, etc.What is your opinion?Isn´t there any hope for me on any kind of transplant?

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Alopecia areata can be transplanted if the disease has been inactive for 3 years and shows a negative biopsy for active disease during that period. For those who I have transplanted who met that criteria (very few people), the disease had not returned, but this is a real risk even when the disease is inactive for 3 years.