Hair Loss InformationOne Hair Transplant Changed His Image (with Photos) – Hair Loss Information – Balding Blog

This man wore a hat as often as he could. He has some pre-malignant skin changes on his bald scalp and the hat provided cover for it. His comb-over was as good as he could get for non-hat coverage and he didn’t like the way it looked. What did he do for a living? He is a make-up artist with a 30 year career working in many big budget movies and TV programs. Because of his career, he was self-conscious about his balding look and his comb-over. He knows almost every actor in Hollywood so he feels for those who are balding. Now, he proudly tells those people that he had a hair transplant, trying to help them find a similar solution (when appropriate). He received 1496 grafts in a single session just one year ago. Now, wanting to be slightly greedy, he will probably do it one more time to thicken the front so that in a bright light it will look thicker. His willingness to come forward and let me tell his story shows the character of a self-confident man.

Before:


After:


16 Year Old Girl Wants Lowered Hairline – Balding Blog

Okay so, I am a 16 year old female and I have done constant research on lowering of the female hairline (which is very difficult to find, most sites only direct me to men with balding patterns) and I am desperate to know if there is any way to lower the hairline without grafts while still looking natural. Due to my high hairline, my forehead looks rather un-shapely. I envy those beautiful girls with such a proportionate face and wish that I did not have the haunting insecurities of my own. I have brought this up with family since I know I am very young for something drastic like this. Please help me. I appreciate your time and am looking forward to your reply. Thank you.

There are procedures to lower a hairline and this procedure is often done on women. It is a more complicated procedure than a regular hair transplant surgery so a standard hair transplant surgeon may not be comfortable performing it. Some (like me) are not uncomfortable doing it. Most of the doctors that perform these types of sugeries are plastic surgeons. I would consider performing the procedure on a 16 year old female, provided I see maturity, understand the motivation, the teen shows a normal and healthy mental state, and have parents who understand what the procedure is and what it means with all of the risks associated with such a surgery. In other words, I want to be a good doctor that does what is in the best interests of his patients.




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Norwood Classes vs Mature Hairline – Balding Blog

I am a 28 yo male who’s hairline has been receding at the temples since I was around 16 years old. It is now at around a Norwood 2/3 although there is very little recession at the front. I realise it is either slow mpb or a mature hairline from reading your very informative answers to other guy’s questions but I wanted to ask you whether its possible to recede to a Norwood 3 and remain there? I noticed miniturisation in the areas which have now receded but there doesn’t seem to be any further miniturisation. Also there is no hair loss at the crown area (yet!!)

Everybody is different! You may recede to a Norwood Class 3 and stay that way for the rest of your life. Your hair loss should stablize by your late 30’s. If you are still concerned about hair loss, you may benefit from seeing a doctor who can quantitatively record the miniaturization of your scalp hair and give you more information on its extent. If the miniaturized hair is only found in the frontal area, then you may be more confident that the hair loss will probably not progress significantly beyond what you have already experienced. On the other hand, if there is miniaturization in the crown or further back in the front (even it there is no balding at this time) then the prognosis may not be as good. In this later situation, the drug Propecia (finasteride 1mg) is the best way to arrest the process.




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My Hairline Was Too Low, So I Plucked Some Hairs – Hair Loss Information by Dr. William Rassman

When I was 19, I thought my frontal hairline was a little too low, so I unthinkly grabbed some tweasers and plucked out some of my hair from the left towards the middle of my frontal hair line (on more than one occassion).

Ever since then, my hair has not looked quite the same in that area and I occassionally experience a slight burning sensation there.

I am now 22 and am wondering if there is anything I can do to ease the burning sensation around there as well as encourage the regrowth of hair in that area. It just does not look quite natural and like it did before I did this plucking.

Have you heard of a situation like mine and do you have any specific recommendations for a situation like this?

I would really appreciate your help and advice.

Local irritation from plucking hair is common in people with chronic picking of their hair (trichotillomania), The hair loss from your frontal hair line is likely permanent, especially if you have transitioned from a childhood hairline to a mature hairline which is normal at your age. You should see someone like me (or find a doctor in your area at ISHRS.org) to determine a long term plan defining what to expect.

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Newly Transplanted Hairline is Uneven – Hair Loss Information by Dr. William Rassman

I’m a 49 yr old male. My transplant is a month old [editor’s note: not with NHI], and the only thing that bothers me is that the hairline is not even. It looks not receding enough on one side and too receding on the other. I’d rather have two receding sides. But that would mean removing some of the plugs? Is this possible and would the scars be very noticeable?

At a month, the hair transplants can not be removed. I would suggest that you wait out the period that it takes for full growth to occur. It will be easier to accept the lower hairline and move the higher one down to it, rather than the reverse.

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Fine Hairs at Hairline – Hair Loss Information by Dr. William Rassman

Dear Doctor,

Firstly, many thanks for your highly informative website which separates myth from fact!

I am a 21 (almost 22) year old male and I am a clear class two on the Norwood Scale.

I have also read several posts on your site, and my current hairline complies with your stated rule that the distance between chin and nose tip; and eye gully to hairline are roughly equal.

However, I wear my hair reasonably long, and have noticed that at the tip of my hairline, a lot of hairs are significantly shorter than those on the rest of my head, although their thickness appears to be similar to the rest. Could this be evidence of miniaturization or is this part of the normal hair growth process?

Furthermore, there seems to be quite a lot of “fluff” just in front of my hairline. Are these the remnants of previously healthy hairs?

Many thanks in advance for your assistance.

The shorter hair and the “fluff” in the front of your scalp just may be new hair changes in the hairline indicating a shift to the mature hairline. Although you did use one of my rules for measuring hairline location, please furrough your wrinkled brow. The childhood hairline touches the highest crease in your wrinkled forehead. The mature hairline usually is about 1/2 inch higher than that line. If these short hairs reflect the maturing hairline, shorter and either slower growing or non-growing hairs could explain everything you are seeing. Check for early signs of miniaturization in these short hairs and I suspect they will be miniaturized.

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Hair Loss Information10 Days After Hair Transplant (with Photos) – Hair Loss Information – Balding Blog

You have not shown a patient with black hair and light skin after a hair transpant. That is what I have and I need to know what I will look like. I am mostly balding in the front of my head. I can take time off work but i am planning my vacation for later this summer and want a transplant to coincide with it.

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This patient had 2571 grafts done 10 days before these photos were taken. His hair is black as is yours. Many of the hairs have already fallen out, as expected. They will regrow in 2-4 months on average. As you enlarge the photographs, please note that what you are looking at is a beard of hair where no hair existed 10 days before. Imagine what you would look like if you did not shave for 10 days. Click the photos to enlarge.




Hair Loss InformationIs There ANY Way to Restore Hair Non-Surgically?! – Hair Loss Information – Balding Blog

Dr. Rassman,

I have been impressed by your credentials and history as a leader in hair loss treatment and restoration. I’m a 22-year old who recently graduated from college. I’m engaged to be married on December 30th and, sadly, already experiencing initial stages of receding and thinning. I’m not currently financially able to have surgery and don’t really ever want to, but I’m just wondering if there is ANY possible way to restore hair non-surgically. I know Propecia and Rogaine can prevent/slow hair loss, but I’m interested in more than that – gaining old hair back.

You probably laugh at my ignorance – I’ve just started researching this and don’t know a lot about such things, but I’m curious and thought I’d try to ask around. Thanks for your help!

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I like to be scientific and establish solid baselines for planning purposes. Throughout this blog I say over and over (and over) again to get you hair mapped out for miniaturization so that you can help predict what may happen to you. You are correct in your assumption that hair transplants (particularly in the front) is the only way to put hair back. In the back, if the hair loss is recent I would hope that someone of your age may see reversal of some or all of the process. You are educated by schooling, now get yourself educated with regard to your health and your looks and take charge of it once you know it all. My website newhair.com and my book (available by download or free by mail) are places to go to get educated.

Hair Loss InformationHigh Forehead and the Rule of Thirds – Hair Loss Information – Balding Blog

I had a question concerning hair transplant. I am 20 and do not have an issue with balding yet, but I do have a larger forhead than I would like. Is there a way for me to be able to get my forhead to the 1/3 proportion of my face? I’ve always dreamed of not having a high forhead….i hate when people mention it…they say I have Dawson’s forhead from Dawson’s creek. I was planning on visiting your area. Is there a way you can help me while also making it look natural?

thanks

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DavidThe rule of thirds (1/3rd chin to nose, 1/3rd nose to gully between the eyes and 1/3rd the gully between the eyes to the hairline) does not apply to very many people. Although Michaelangelo made David according to the rule of thirds, I rarely have seen any man have those proportions. I measure these elements in every patient coming through my office so I am more than a casual authority on this matter. The normal proportion is equal distance of chin to nose tip and gully between the eyes to hairline. This is generally the normal male mature hairline, which is higher than the child hairline in most people (by 2/3rds inch). With that said, high hairlines which do not show this proportion can be treated and the hairlines can be lowered. What always worried me is that in young men like you who may have genetic balding (a 50% risk in most men), such a surgery may accelerate the genetic hair loss.

As you suggested, visit me at my office and let’s bond. Best way to deal with this problem is to command it and anticipate the future on a worst case scenario.

Hair Loss InformationBetter Hair, New Problem (with Photos) – Hair Loss Information – Balding Blog

This young man had two hair transplant procedures by yours truly (the first one was just over two years ago, the 2nd was 8 months later) to fill in his hairline and make it thicker. Now he keeps his hair short, but has a new problem. The hair in the frontal 2 inches is much thicker than the hair behind it. He does understand that cutting his hair short made this a problem that he did not have when his hair was longer, but now he wants more fullness behind the frontal 2 inches. It is a matter of supply and demand. We are now discussing his Master Plan on what to do and when to do it.

Update 6/29/2006 – I added some photos that got left out yesterday:

The photos below are before (the photo on the right is from immediately post-procedure, so you can see where the grafts were placed).




The photos below are after two procedures totalling 5,795 grafts. Click the photos to enlarge.