Do People Get Hairline Transplants Knowing Hair Loss Could Progress? – Hair Loss Information – Balding Blog

Dr. Rassman,

My frontal hairline has been thinning for sometime now and I was doing a bit of research on the internet on frontal hair restoration. And I see a lot of people go through this procedure. Do most people go with this procedure knowing/assuming their frontal hairloss/receding has stabilized or do they stay fully committed to getting more if their hairline recedes further?

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Many of my patients have hairline transplants. Actually, the great majority of my patients that have hair transplants have hairline changes! I always caution the young men (under 25 years old) that many hairline changes occur with maturation of the hairline, which is often mistaken for early hair loss.

The most important thing we need to determine (a very important discussion between the patient and doctor) is how far the existing (non transplanted) hairline may recede in the future. We must plan for this and the patient must understand its consequence of possibly needing further surgery. This is what we refer to the Master Plan.

Donor Area – Hair Loss Information – Balding Blog

I have a question about the donor area scar. It seems like most donor area scars begin over the ear and proceed to the back of the head. Wouldn’t it be better to remove the donor hair from the nape of the neck where the skin is more elastic and the scar would be less noticable? Is this a viable option? Thank you

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Your theory may be valid, but the hair on the nape of the neck is not considered permanent hair. Let’s assume that hypothetically the hair at the nape turns out to be permanent — you’d still run into the problem of scar visibility. A wound scars readily at that location. Many men like to keep their hair short and faded (cut short) at the nape of the neck, so having a scar there would really be a problem for them.

Finally, most donor area scars do not begin over the ear (at least not my patients).

What Can a Woman Do To Help Her Hair Transplant Grow? – Hair Loss Information – Balding Blog

I have had a HT 10 days ago and wondered as a female what else i can do to help the hair i have grow apart from minoxdil. What foods can i eat and will hairmax and biotin work? Is aloe vera good to put on the scalp as it helped with the transplant pain.

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There is really nothing you can do to make your hair transplant grow (this goes for both men and women). If the hair transplant was a success, then only time will tell. Women’s hair transplant surgery is a bit different then men’s for a number of reasons, with a main one being that the donor hair for women may not be permanent like it usually is for men.

I’ve written about Hairmax many times before (I assume you mean the LaserComb) and here’s a post about biotin that you may find interesting. I don’t know what kind of surgical techniques were used during your procedure, so you should be asking your surgeon what he/she recommends you do going forward.

Hair Loss InformationHair Transplant at Temples Resulted in Hairline Thinning? – Hair Loss Information – Balding Blog

Is it common to experience hair thinning as a result of shock loss? I ask because I recieved a transplant at my temples a few months ago and suddenly now my hair in the front is thinning as well as my hair at the crown.

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Temple vs CornerIn general, thinning hair in the front and crown sounds like male pattern baldness. I am confused by your description of the temples and wonder if the area you’re referencing is actually the corners of the frontal hairline, which is commonly confused terminology. See the photo at right for clarification.

Regardless, shock loss would be mostly limited to the near the recipient area, which in your case may include the hairline… but I wouldn’t expect the crown to be associated with shock loss if your surgery was just in the frontal area (corners or temples). In other words, it sounds like a coincidence to the surgery and is more likely just the progression of your hair loss.

Not all hair transplants are the same. I don’t know anything about your hair loss history, age, or any knowledge of the surgery you have had done. Please follow up with your doctor to address these concerns.

Can I Remove Scalp Scars I Got From a Car Accident? – Hair Loss Information – Balding Blog

(female) I have a couple scars on my head from a car accident when I was around 4 years old, and I am now 21 and was wondering if there are any ways to get rid of these scars? One is about three inches in length and the other is about one inch. The hair has never grown back, and I would love to wear my hair down but cannot because the scars are then very visible.

About how much would a procedure cost to fix this problem? Thank you so much for your help, you have no idea how much I appreciate it!

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Langer's linesHair transplantation works well for scars. I would imagine that a transplant would be in the $3000 range. We would, of course, need to evaluate you first and then a quote can be offered.

Removing the scar may not work well if the scar falls outside of the directions seen in Langer’s lines, which are lines that “correspond to the natural orientation of collagen fibers in the dermis and epidermis” (source).

See if your scalp scars are in line with Langer’s lines. If so, this would imply that they might be removable. The image at right is a quick view, and you can see the larger version here.

I Wish I Found Out About You Before I Got Hair Transplants Elsewhere – Hair Loss Information – Balding Blog

Doc, I appreciate this site so very much and all you’ve done to help us guys going bald.

Even though my results from a hair transplant 2 years ago look fine to me, I’m still suspicious that I got all 2300 grafts so I can totally understand why people are skeptical about their doctors. I wish I found out about you before I had my surgery.

Anyways I just wanted to drop you a line to say thanks

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Thank you for your encouraging words. I also wish you had found out about us first. The purpose of this site isn’t to direct people to NHI for surgery (though if that happens, I won’t complain), but rather, to inform and assist the millions of people out there that are losing hair.

Some of the more common complaints I’ve received via email lately from folks regarding their surgery have been:

  1. The doctor did not do the surgery and only came into the room for 10 minutes or so
  2. I believe that he did not give me the number of grafts I paid for
  3. The hair never grew out and it is now almost a year after the surgery

I get comments from people questioning their doctors and looking to me for help, but I wasn’t in the room when your surgery took place and there’s only so much I can do via email without seeing you. Remember, don’t be afraid to question your doctor if you have any concerns. Some of these patients ultimately come in to see me, but they somehow never got our message on how to choose a good doctor. I realize any surgery can be a nerve-wracking experience, particularly an elective cosmetic procedure, but you should always do plenty of research and meet with the doctor before the surgery to feel some level of comfort and establish trust.

So for those of you thinking about hair transplantation, please check out this featured 3-part article about selecting a hair transplant doctor. It includes a checklist of sorts, along with a bunch of links for further reading. We’ve written nearly 9000 posts at this point, and that article is one of my favorites.

Hair Transplant Into a Thinning Area? – Hair Loss Information – Balding Blog

Hello doctor. I wanted to know if you have to lose all your hair first in a certain area before u can get a transplant or can you transplant hairs in an area that has vellus or thin hairs still there, but wouldn’t there be shock loss?

Take care

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There could be shock loss if you’re not taking finasteride first, but that is the risk one takes when having a hair transplant in a thinning area. Transplanting in a completely bald area obviously won’t have the same risk factors, because there’s no existing hair to succumb to shock loss.

My Doctor Didn’t Oversee My Hair Transplant Surgery – Hair Loss Information – Balding Blog

i had a hair transplant done just a short while ago. I traveled a long way to have this doctor do it due to his high reputation as one of the best. My initial consultation with him was not even 3 minutes & he did no use any device that shows hair density. i had already been committed due to his requirement of a non refundable deposit in advance.

On the day of surgery he spent not even 15 minutes to do incision of 2400 FU Grafts. The only other time he came back was late in the afternoon to give me another 400 FU grafts incision. what really concerns me is that how he could not even once come back to check what is being done or how things are going the entire day. In the initial consultation he also told that i have extremely thin hair but i ended up getting more than 2800 FU Grafts, a lot more than what i was supposed to get. Is there anything to be concerned about here other than obviously so little caring or is this typical for any doctor to only do incisions & let his assistants do all the rest w/o any checking at all?

i wish i would have known about you before choosing this doctor & all i would have traveled would have been less than a very short distance. i was also told that i can do another 2000 grafts next year but i doubt if i will go back to someone who ended up spending not even a total of 25 minutes altogether for everything from consultation & doing a total of 2800 grafts.

Another concern even though i want to believe that i really got the number of grafts that i was told, but is there any way to determine or guess by an expert like you having trained eyes that i really got the number of FU or anything close to that? It will be just for my own curiosity & not anything else.

Thanks in advance for your reply.

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SurgeonI feel bad for your experience. I try to advocate for the readers and patients, but ultimately the burden is upon you to choose the doctor you feel comfortable with. It might be a little late, but read this post on Selecting a Hair Transplant Doctor.

During the procedure technicians place the grafts, but the doctor should have been in the operating room to make the recipient sites and remove the strip from the donor area (if that is the technique used). If he did not do this, then he broke the law. There are some doctors who routinely break the law with regard to allowing a non-physician to create recipient sites, but it sounds like he was at least there for creating the sites.

At this point, all you can hope for is good results. It is very unfortunate that you don’t trust your doctor enough to believe you got the number of grafts you paid for, but we have offered and performed many second opinions for patients that need counts done. What I mean is, I have consulted with patients such as yourself and attempted to count every single graft placed, but that would likely be too drastic at this point.

At the least, you can start out by asking the clinic for your complete operation sheet, which should have all the hair and graft counts written down. Be aware that not all doctors or medical groups may have this or provide it for you, but also know it is also your right to obtain your medical records (by law). Good luck.

Hair Loss InformationHow Fast is Shock Loss… and Could Hair Spray Cause Hair Loss? – Hair Loss Information – Balding Blog

Hello Dr.Rassman,

I really enjoy coming to this site and I really appreciate you trying to help us baldies out there.

What i want to know is, If you use hairspray on hair that has a lot of sebum buildup and dandruff in the hair and around the hair follicle can you experience more hair loss and death to hair follices?

My other question is regarding shock loss. How fast do the hairs fall out due to shock loss, is it right away as the surgery is occurring or couple months after?

I know u have mentioned before that you need to be completely bald in a certain area to receive a transplant otherwise there will be shock loss to the existing hairs even if you are taking finasteride. So does that mean when u first get a hair transplant to the balding area where finasteride didn’t save the hair, would u have to come back for a 2nd procedure because the area of the head where finasteride did save the hair would die eventually because of shock loss after the surgery?

I hope you can get a chance to answer these few questions. Thank you for a wonderful site.

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Spray canHair spray, dandruff, or sebum do not cause hair loss. Genetic inheritance causes hair loss in men for the majority of cases.

Shock loss happens from the “shock” of the hair transplant surgery on the nearby hairs that are just barely holding on (those are programmed to eventually fall out anyway). It happens within weeks after surgery.

I do not believe I have ever said you need to be “completely” bald to receive surgery. The key point is that there are risks and benefits of surgery that need to be evaluated for each individual. This is where a Master Plan comes into play, as each and every patient is different. Patients should not be having 2nd surgeries just because they had shock loss from a prior hair transplant surgery. It wouldn’t make sense to have a surgery just so the groundwork is laid for follow-up surgeries.

Hair Loss InformationHair Stands Straight Up After Transplant – Hair Loss Information – Balding Blog

I had a procedure of 3000 grafts placed in the front and now 8 months later, the hair that grew out stands straight up like toothpicks coming out perpendicular to the scalp. Can this be fixed?

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ToothpicksThe direction that hair grows after a transplant is determined by the transplant surgeon. Some doctors place the hair straight upward reaching for the sky like you reported, while others place them in a radial direction so that the hair looks like the spokes of a bicycle wheel. Some hair restoration procedures (like those of flaps), have hair that grows 90 degrees off pointing to the side. In all of these situations, the transplants or flaps permanently point the direction of the hair.

These are tricky repairs and most of the time the repairs are not able to correct the entire directional issue. I would advise setting up a consultation with me or a good hair transplant doctor in your area with lots of experience (I’m not sure where you’re located) to ascertain what, if anything, can be done to correct the problem.