Hair Loss InformationTapped on the Head After a Hair Transplant – Hair Loss Information – Balding Blog

BoxHello Dr. Rassman! I am very grateful for the information that you provide for all of us trying to find legitimate ways to mitigate hair loss and for answering my questions in the past.

It has been almost three months since my hair transplant procedure and I am looking forward to the results. I do recall however that 3 days after my procedure, a friend of mine inadvertently tapped my head back then with a folded box. There was no pain, no bleeding occured and the force of the tap itself was lightly moderate.

My question would be: Could that tap may have affected the grafts in the recepient area that the box may have touched? I’m just concerned that that particular single tap (no taps or hits with any object have occured since then) may have affected any of the grafts that the box may have touched back then. Any input would be greatly appreciated. Thank you!

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As long as it was a single tap, and the box was folded, and the color of the box was brown… you should be fine. :)

In all seriousness, it’s common to be overly-worried about the results of your hair transplant since at just three months you’re probably not seeing growth… but a light tap on the head is nothing to be concerned about.

Hair Loss InformationPRP Treatment Still Unproven? – Hair Loss Information – Balding Blog

There is a doctor in Australia who is offering to remove some of your blood, centrifuge it and 30 minutes later inject the platelets back into your scalp to make your hair grow. I notice that Bioscor also has offices in N. America as well.

I am thinking of reporting this to the medical board, but I would value your input before doing so. Another rip-off for the gullible.

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PRPPlatelet-rich plasma (PRP) is used by some surgeons to speed up wound healing, and some hair transplant clinics have been advertising this as a way to speed up the healing along with promoting early growth. One of my patients is a dentist and he said he uses PRP regularly for his oral surgery patients.

I’ll rehash what I’ve written about this treatment in the past: the greatest issue stems from the fact that there are no controlled scientific studies showing PRP does anything of significance. I’m not saying it’s a useless procedure, but until there are proper studies done it does seem a bit gimmicky to me. I’m also not sure what the FDA has to say about the claims made regarding PRP treatments, and the NY Times had an interesting write-up about this earlier in the year — Popular Blood Therapy May Not Work.

As for the Bioscor company in particular, their Australia site advertises PRP treatments, but their US site doesn’t seem to mention anything about them. Maybe that site isn’t updated or they just don’t offer it in the States. However, the US site does talk about how the founder of the company apparently made a name for himself by selling his “all-natural” hair lotion that contains a “secret formula” of Chinese herbs. That’s all the site seems to be promoting. Even the most casual reader of this site should know how I feel about these magic hair potions with secret ingredients. I’m all for protecting trade secrets, but there’s no magical blend of vitamins and minerals that will make your hair regrow.

Hair Loss InformationTight Scalp, Scarring, and Multiple Strip Hair Transplants – Hair Loss Information – Balding Blog

Dear Dr. Rassman:

If someone has their donor scar from ear to ear but only one side (left, let’s say) is very tight, probably due to a thicker strip being taken from that side. If that person is considering one additional strip procedure with the best close possible, is it best for the entire previous strip to be excised, including the already very tight side? If so, can the excision on the tight side be very thin while being substantially wider on the less tight side?

Alternatively, can only part of the previous donor scar (on the right side in this case) be excised, such as the final 1/3 of the strip on the right side? What would be most desirable option and what would be an appropriate time to wait before doing the second procedure? The patient in the case intends to have the second strip procedure be the last one, using only FUE or FUE squared after that as needed if additional hair loss/thinning occurs with aging and needs to be taken care of.

Thank you in advance for your advice.

Best regards

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If the excision area is at least 6 months old, the laxity can be assessed. If the excision area is less than 6 months old, the laxity of the excision area will change the further in time you are away from the strip harvest. I never make an assessment of the donor area until at least 6 months have passed. As most second procedures are usually more than 8 months following the first one, this has rarely been a problem.

A second strip procedure puts a good burden on the surgeon to make judgments. If there is a large demand for more hair grafts at the second procedure, the degree of tightness will dictate what can be removed. I generally remove any scar along with hair if there is enough laxity and the width of the strip may vary depending upon the tightness of the scalp. Sometimes one side is tighter than the other so the strip width will be narrower on the tighter side.

The laxity issue seems to also vary with the individual. Most people will find that their scalp will return to its original laxity, but a small number of people will find that the scalp will become tighter with each successive procedure. In this later situation, the amount of scalp that can be removed will decrease with time. As the density also drops with each successive strip harvest, the combination does not bode well when both a tight scalp and a reduced donor density occurs in the same patient as measured 8 months following the first procedure. For those people with tight scalps, the FUE approach may be preferable to another strip harvest.

Some of My Transplanted Hairs Never Fell Out After the Surgery – Hair Loss Information – Balding Blog

Hi –

Is it normal for some, but not all of the transplanted hair to remain in the transplanted area? I thought that it was an either/or kind of thing — either you were apart of the minority of s that would retain all of the transplanted hair or all of the transplanted follicles would eventually shed. I am going on 5.5 weeks now, and probably 85% of the transplanted hairs have shed, but there remains some hairs here and there that have “taken root” so to speak and begun growing. Should I expect these to fall out eventually? I have never heard of doctors talk about some but not all the transplanted hairs falling out.

Thanks!

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For those that aren’t familiar, after a hair transplant surgery it’s common for the grafts to take root and the hairs to then fall out, with growth taking a few months to occur. A minority of patients (less than 5% is my unscientific guess) continue to grow the transplanted hair immediately after surgery.

I really have no way to know if you’re one of the rare patients that doesn’t go through the dormant phase following a hair transplant (it doesn’t have to be all-or-nothing in regards to immediate growth), and only time will tell if your hair will hold. In any case, keep your fingers crossed that the 15% of remaining transplanted hair continues to grow.

Propecia Before a Hair Transplant… and Does Stress Speed Up MPB? – Hair Loss Information – Balding Blog

Dear Dr,

Your Q and A’s are absolutely priceless in an industry where most people would not know where to start looking to gather info, so thank you for that. I have a couple of questions. I’ve read quite alot of your site now and have grasped most of what I need to know but would like to ask you about my specific case now if I may.

I am 27 and have been a Norwood 2 for 3-5 years and thought it was my mature hairline. But within the last year I had drastic life changing circumstances and alot of stress. That lasted to 4-6 months and I noticed I started losing hair around the temples(windows peak area) quite rapidly but in an even MPB fashion. I thought at the beginning it was stress induced but as it was happening evenly around both temples I thought after reading alot of your site that its just MPB getting stronger or whatever. Thus here are my questions!! :)

  1. Started Propecia and it is working amazing, from the first few days hair stopped falling out and every week it gets better. 1-2 hairs from a 4-5 day bedding wash cycle is all I get on the pillow now. I have been on it for 4 months now and obviously will continue for good, who knows what else will happen. But my Q is this, I want to get a hair transplant soon and fill up what I lost so I have all my hair back and keep the hairline I had which is windows peaks, which im fine with, suits my face and age etc.. But I was wondering. Do you think I should wait for 8 more months to see what Propecia can do before getting one or will it continue to improve wherever anyway in conjunction with the transplant?
  2. And secondly do you think in general stress really can speed up MPB evenly falling out like mine was? And if hair does fall out from stress does it ever grow back like it was before the event? Or is stress and MPB just to hard to diagnose other than on a case to case basis. Thank you so much for your time!

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I’m glad you enjoy the site and find it useful. Thanks for visiting and writing.

I usually recommend to young men like yourself with male pattern baldness (MPB) that are interested in hair transplantation to get on Propecia for at least a few weeks before going for a surgery as you want the drug to bind to the hair follicle tissue to get a protective effect. In some people, waiting even longer than a few weeks may have value in seeing the benefit of the drug over time when the hair loss is still early.

Stress can certainly cause hair loss, and in men that are genetically programmed to lose hair, stress can speed up that timeframe. For those without MPB, stress-induced loss might regrow… but for those with MPB, stress-induced acceleration of hair loss is unlikely to see any regrowth even upon getting the stress under control.

Restoration Robotics Still Looking for Participants? – Hair Loss Information – Balding Blog

I just found this ad online. They are still looking for participants for Restoration Robotics’ automated transplants.

See ad

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RobotYep, the ad is requesting participants for a paid research study in Colorado.

I have just had a personal viewing of the Restoration Robotics technology in my office last week and it is quite impressive. The robot only cores the grafts, then the doctor pulls them out by hand. They have not solved the placing problem for the inexperienced doctor that still plagues the industry.

Please note that the image at the right is not of the Restoration Robotics hair transplantation technology, but just imagine if it were…

Why Might My Transplanted Hair Appear Damaged After it Grew Out? – Hair Loss Information – Balding Blog

Hi. I received 1500 grafts 16 months ago. The transplanted hair has grown in very well but still remains damaged. It’s very dry and frayed, is this normal for it to still be damaged? By the way my hair is slightly over two inches in length.

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I do not know what to make of your description. Sometimes the transplanted hairs may look a bit different in texture, but they usually return to their natural state over time. So in other words, no… it is not normal for transplanted hair to appear or feel any different from the rest of your hair, but on rare occasions (or more often in the hands of a less experienced transplant team) the hair can be damaged during the time it is moved.

Not all hair transplants are the same, and I don’t know the exact transplant technique and methods used by your doctor. Possible damage (if that is why your transplanted hair feels different) can be caused by trauma from handling or being left open to the air for more than a few seconds when it is transplanted to the recipient site.

Styling a Partially Transplanted Hairline as Hair Loss Progresses – Balding Blog

I have a styling question for you dr. rassman.

I’m thinking of transplanting some hair in the side on the front of my scalp as it is quite thin on the sides. I’m worried if my center forelock hair becomes thin one day and the sides appear thicker, it will look awkward. If such a case were to happen do you think it is plausible to individually cut some of the transplanted side hairs very short to thin it out in such a way it blends with the center? I know its a strange styling question, but let me know your thoughts if this has been done before?

thanks

Hair styleI’m just trying to figure out if I understand what you want to do and what you’re asking me. Perhaps your terminology is off. I have to assume that when you say you want hair transplanted to your “sides” you actually mean the corners of the hairline… not the sides of your head.

As for styling, I’m sure something can be done… but you could also have a second transplant procedure to strengthen the forelock area again and complete the hairline. I think most patients would opt to having another transplant to the bald area at the hairline center (assuming that is how the loss progresses), rather than just giving up after transplanting the corners. If you want to find out the options for how you can cut your hair, you should talk to a barber or hairdresser.

I’d hope that any doctor that performed such a surgery on the corners of your hairline would inform you of the possibility that your hair loss could progress, and put you on Propecia to halt that.




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Transplanting Neck Hair into a Strip Scar? (with Video) – Hair Loss Information – Balding Blog

Hi doctors. I’m a big fan of your work and this site. Thank you for what you do!!

I just saw this video by Dr Umar using beard hair taken with the FUE technique as the donor into the line scar from the strip technique. I know how you feel about body hair transplants and I agree that the results from using body hair on front/top of the scalp generally look unimpressive, but what about using body hair densely packed into the strip scar? Even if the hairs never get too long or have a different growth cycle, its just being used in the scar.

I have a scar and it doesn’t bother me, but if I have the option to essentially eliminate the appearance of the line I might consider something like this. I wanted to get your thoughts about using body hair for this and whether one could use hair from another part of the body for the same thing (why not chest hair for example). Check it out:

YouTube video

Thanks again

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While I do have reservations about using body hair transplants, my biggest problem is when they’re used in the frontal hairline or top of the scalp. That being said, the use of beard hair to transplant into a linear scalp scar (from a hair transplant) is reasonable. The beard hair has a thicker hair shaft than most scalp hair and it would work well to fill in the scar.

I have used it on a limited basis, particularly when a plastic surgeon supplies me the beard skin after a facelift. The few cases I have done (one with FUE) have worked nicely.

As I mentioned in a past post, I cannot give an endorsement of Dr. Umar because I have not reviewed his work beyond what I’ve seen in YouTube videos. The video is impressive, though it is a bit long, so for those that don’t want to watch the whole thing just skip to about 2:30 to see how the linear scars disappeared.

 

 

I’m 20 Years Old, Taken Propecia for 2 Years — When Can I Get a Transplant? – Balding Blog

How many years of MPB does one have to go through before considering an HT considering the following facts: I started to notice hair loss at age 17 and now am 20. I have been using Propecia for 2 years now and it has maintained most of my hair (temples and crown have thinned out a bit since then but nothing cosmetically significant). My father and my grandfather are both NW6 and my uncles are mostly NW5-6. I have been losing my hair for almost 4 years now, how much longer do I have to wait before I go for an HT?

It is not about how long you should wait, but rather it’s more about building a Master Plan with your doctor to address this concern. A good doctor will always work off a Master Plan that you and the physician will create. Your questions will then be answered, because you will have a customized plan to meet your exact problem and address the rate of your hair loss. As you were already prescribed Propecia, stick with it and hope the results continue to be positive.

I don’t know enough about your current hair loss, but hair transplant surgery at 20 years old is not usually recommended. There isn’t a real minimum age for having this procedure, but we generally don’t do these in men under 24 years old, because the hair loss pattern is not clearly defined.

You can read more in these past posts about hair transplants in the young man:




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