Will Female Donor Hair Fall Out? – Hair Loss Information by Dr. William Rassman

Is it true that female donor hair that is transplanted does not become permanent and may eventually fall out of the transplanted area whereas male transplanted hair will never fall out?

Whatever happens to the donor area will happen to the transplanted hairs in their new location. Female genetic alopecia is often diffuse and when it progresses, it impacts the donor area with miniaturization that is progressive, so you will see that impact in the recipient area for donor hair as the miniaturization progresses. In most men, the donor area is spared from miniaturization, so when this hair is transplanted into the recipient area it reflects that stability seen in the donor area and is not lost. In other words, men have that ring of hair around their heads (often called the permanent zone), whereas women aren’t going to necessarily have that same permanent area.

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Hair Loss InformationPricing Out a Hair Transplant is Not Feasible Without an Exam – Hair Loss Information – Balding Blog

I’m on Norwood III vertex scale. The hairs on my crown are very thin so that the circle is noticeable already. Can you do transplant on this case even there are still thin hairs, or just prescribe me with either propecia/minoxidil? Honestly, I don’t want the latter because I want a permanent solution. I can only pay cash. How much is your estimate for my case?

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CalculatorWithout pictures I can not really tell you what it would take. If your donor density is low, fixing the crown may not be in your long term interests so pricing it out is not the way to go. Have you mapped out for miniaturization to try to determine the degree of balding you may find yourself with down the road on other parts of your head? Assuming that you do not have frontal balding now (could be age dependent) early crown loss can be treated successfully with finasteride (Propecia) alone. In the young man, the crown loss can reverse after taking the medication for a year or so, so maybe you can get away without a hair transplant.

Too many men just want the problem fixed, as that is a man’s way to manage a problem. Why would you not fix a broken car once and for all? But your head is not a broken car and hair loss is progressive in all men, so there may not be such a thing as a fix for the problem. Most important is that the hair donor supply is limited, so you must keep an eye on your donor supply as you receive more and more transplants. I have seen too many men just run out of donor hair with poor planning. Pricing out a transplant therefore, is a balancing act between short term needs and long term planning.

The frontal component for hair loss varies, depending upon how far advanced it is. Grafts for the front can range from 800-4000 in numbers, depending upon the findings on the examination. Pricing is usually done by the graft for most hair transplant surgeons.

I’m on Camera Daily So My Hair Is Extremely Important to Me! – Hair Loss Information – Balding Blog

Is a hair transplant possible even if the person still has enough hair to pass as not being bald?

My main concern is that I am a local television personality and on camera everyday. I have been receding and thinning since I was 18 (Im 24 now)but through very strategic hairstyling I am able to cover it to some degree. However in the last year the balding process has been picking up and it is becoming harder to manage. From reading your past questions, I know you don’t advocate what one reader referred to as a “preventative transplant”, but looking decent and having hair can effect my job. What would you recommend in this case?

Thank you

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TV CameraYou don’t have to be completely bald to have a hair transplant. I can’t say whether you’re a candidate without examining your hair (or lack thereof) first, but if you’re losing hair and require strategic styling to manage it, it might be worth a trip to LA to see me.

Los Angeles sports reporter Steve Hartman went right back on TV not long after his procedure and no one could tell he had a hair transplant, but he had natural cover for it. I have had two people I remember who were on national TV (primetime on their own specials) who had transplants. One person was on TV just one day after a hair transplant and the other was 6 days out from the transplant… and nobody could tell. Again, I would have to see you before I could give you my opinion on your ability to hide the transplant easily. Many of my patients do go out into the public (lawyers, judges, executives) and in select cases where they are not very bald, they can get away with a one day turn around.

Haven’t Seen Much Growth 7 Months After My Hair Transplant – Hair Loss Information – Balding Blog

Hi,

I had a hair transplant about 7 months ago and I really have not seen any major improvement. I had the transplant of the hair line. What has happened is that some of the transplanted hair never fell out and has continued to grow but I have seen no regrowth where the transplants shed.

Is this a failure or will it still grow.

My hairline is still a little red.

Thank you

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At 7 months, you should see growth from the transplants. It sounds like it’s possible that your transplants grew in right away (seen in 5% of patients), but you may have experienced shock loss in the surrounding hair, leaving you no better off than before you started. As for redness, it should’ve subsided months ago. I don’t know enough about your procedure (number of grafts, hair type, technique used) or your skin type to be able to reflect on the persistent redness or if the transplant was a failure or not. I would discuss your concerns with the physician that performed the surgery and use the pre-operative photographs when you discuss this with him/her.

Hair Loss InformationHair Plugs in the Modern Era (with Photos) – Hair Loss Information – Balding Blog

ToothpicksThis patient received 250 grafts just a few years ago (not from me, obviously). He knew things were going wrong when the doctor put wooden toothpicks (which could leave behind splinters) into the recipient sites which were made on his head. He overheard the staff chuckling at how he looked. He told me that before selecting his original doctor, he researched the field over the internet and had a few doctor consultations. He selected the original doctor because he was promised a great result and he believed that promise. As the hair started to grow, he became very self conscious and progressively depressed. Going out into social situations made him uncomfortable, even just going out of his house (something he rarely did once the grafts started to grow).

Cosmetic surgery of any type reflects people and their innermost feelings about themselves. I wonder if doctors understand how substandard cosmetic surgery like this can impact a person’s life. This nice young man’s life was in ruins and his fear of going to still another doctor who could possibly do even more harm, did not drive him to learn how to correct the problem until very recently when he ran into us on the internet. First, we spoke over the phone and then he set up a surgery with me and flew in. When I saw him this week, he was frightened with flashbacks of his original horrific experience

Just to be sure everyone is clear — the photos that are shown below are of this man’s substandard work and an example of what a doctor could do if he/she does not use state of the art hair transplantation technology. The term “hair plugs” is still incorrectly used for the modern technology we invented, but the lingering images (reinforced by patients such as this) are hard to abandon. Looking at the results that were once commonplace, one can clearly see that referring to this old technique as “plugs” is not out of line. Fortunately, I took steps to correct the appearance of these plugs by coring some of them out and transplanting more hair to fill in the entire frontal area. All of the plugs that were removed were cut into follicular units, and then re-transplanted into the scalp. I expect that he’ll be much, much better off after this first procedure with me of 2600 grafts grows in, which was done this week.

Here are the photos of his pluggy look referenced here (click to enlarge):

 

Is It Unusual For Patients to Travel Far to See a Hair Doctor? – Hair Loss Information – Balding Blog

Hey there Dr. Rassman. I’ve been reading through your site here for a few months after I noticed some thinning at the front of my hairline. I’ve been on Propecia for over a month now and I feel better about the situation but obviously have not had any results yet. The reason I’m contacting you is because, frankly, my hair is very, very important to me and it’s hard for me to effectively convey that to my primary care doctor. Is it unusual for patients to travel cross country to seek your treatment or would I be better off finding someone here in Memphis? I am not in a current financial situation that would allow me to come see you but some day I might really want intensive care for my hair. I can tell by reading your material that you are wise man who cares about people. I would appreciate any correspondence and advice you have to offer.

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TravelOur practice is not a typical hair restoration practice in that a good number of our patients do travel a long way to see us, though more than half of our patients are local to California or surrounding states. For those patients who are not local to one of our offices, you can set up a “virtual consultation” with us to get an initial opinion. Some things can be managed without a face to face meeting, but we often direct those potential patients to at least have a phone call. We encourage the use of photographs to help us understand the problems at hand. Hair is very important to our audience and many of those we do a virtual consultation with over the phone have developed questions from reading this blog. If you’d like to request additional info or setup a consultation, check here.

With just a month on Propecia and without knowing more about your hair loss situation, I couldn’t begin to guess if you’re a candidate for hair transplant surgery. Hypothetically though, you should choose the surgeon that can best fits your needs and that you feel most comfortable with. I wouldn’t suggest basing your decision on convenience. For those coming from out of town for surgery, we do offer a travel program.

Does Transplanted Hair Grow at the Same Rate as Non-Transplanted Hair? – Hair Loss Information – Balding Blog

I realize it takes two to five months for newly transplanted hair to appear, BUT once it appears does it grow at the normal rate of a one-half inch a month? Or does it grow slower?

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It should grow at the same rate, but not all transplanted hair starts growing out at the same time. In general though, the transplantation process doesn’t cause it to grow slower than non-transplanted hair.

Hair Loss InformationSince When Does Platelet-Rich Plasma Need FDA Approval? – Hair Loss Information – Balding Blog

I read your last post about PRP but now several well establish hair transplant doctors are now offering the procedure with positive results. In addition, this doesn’t need to be FDA approved because it’s from your body to your body. I actually had this done yesterday. Let’s hope this turns out to be a good thing for hair loss.

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PRPThere have been various reviews by different doctors on the use of platelet-rich plasma (PRP) and few of those that used it are convinced that they have seen benefit. This technology has been used for bone grafts, especially by dentists. It drives up the costs of the procedure and proof of safety and effectiveness with regard to hair transplantation is not at hand. Any claims of safety or effectiveness do fall under the purview of the FDA, although the FDA is too busy managing its other problems to become involved in what individual doctors offer and claim with regard to this process. It is a complex process with many variables depending upon the doctor’s style. A patient’s blood must be harvested, separated from the cell portion (red and white cells) and then used in some manner to get it to the transplant.

Some doctors inject it into the scalp, some soak the graft in the PRP before implantation into the body, and the process must be carried out with impeccable sterile techniques (managing this process is not something normally found in a hair transplant practice as these procedures are not done with true sterile technique, but rather clean techniques). Can you imagine an infection that arises in a patient who underwent such a treatment? I know that my malpractice carrier would not approve as they may look at it as human experimentation (falling outside my policy coverage).

I Met a Consultant and Was Told I’d Meet the Doctor on the Day of My Hair Transplant – Hair Loss Information by Dr. William Rassman

I have been considering a hair transplant for some time now and after having recently moved to Austria, I decided to have a consultation in Vienna. I was told that the procedure, in my case, would require between 800-900 FU’s and that the total cost would be 7,300 euros. As I am new to this and have not had the opportunity to meet with any other clinics, wanted to know if this price is exorbitant or fair and what is the quality of the clinic’s work?

Also, I did not meet with the doctor during my consultation and was told that I would meet the doctor on the day of the procedure shortly before the transplant. Is this normal? I would have felt more comfortable speaking to the doctor during the consultation than a rep/sales person.

Many thanks for taking the time to answer this.

I personally believe that not meeting with a doctor and getting surgical recommendations from a consultant (AKA “salesman”) is just plain wrong! Ask yourself this question — why would you trust a salesman to diagnose you (which only a doctor can do) and accept his recommendation of a treatment plan? That’s ridiculous! Would you have heart surgery that way? If you can’t meet with the doctor before the day of surgery and get his opinion, I’d look elsewhere.

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My Transplanted Hair Never Grew, But Also Never Fell Out – Hair Loss Information by Dr. William Rassman

Hi,
I had a hair transplant about 7 months ago. What I noticed is that the transplanted hair which never shed has remained but I have yet to see any other growth. The hairline looks sparse and not what I was told that they would achieve, which is thickness. Can the transplants still develop or will I expect to see no more improvements.

Thank you

At 7 months after surgery, I would expect to see most of the growth. Wait a few more months and if there’s still nothing, then ask your doctor what went wrong (I am taking what you said at face value).

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