My Hair Grows Differently After Brow and Face Lift – Hair Loss Information by Dr. William Rassman

If I may piggy-back on the previous inquiry regarding loss of sensitivity of the scalp and hair loss. 3 weeks ago I underwent a brow and face lift and now the top and sides of my head are totally numb. I also cannot get my hair to lay the way it did previously…it’s like it’s developed a totaly new growth pattern and new cowlicks that make the hair impossible to manage… My surgeon says it may take 3-4 months for the feeling to come back. he can’t comment on my hair except to be patient. Is this sort of development to be expected? What should I do?

Your doctor is probably correct. You must wait this process out. If it does not get better, then be sure to speak with your doctor further. Brow lifts can cause changes in hair growth because of scarring and the pull on the existing hair, reduction of thickness of the hair shaft caused by blood supply problems, and the inducement of genetic changes that may be programmed and not ‘expressed’ without the brow lift. There are probably other factors, but I do not believe that anyone knows them all.

In the News – Eyebrow Transplants – Hair Loss Information by Dr. William Rassman

There’s a new article about transplanting eyebrows, and features quotes from myself and my colleague Dr Bernstein, and contains before and after photos of an eyebrow patient of mine. Here’s a snippet from the story:

Throughout the country, follically-challenged and over-tweezed women (and some men) are discovering a new solution to their eyebrow woes that does not involve tattoos or makeup pencils.

Eyebrow transplants accounted for just 3 percent of all hair transplants in 2006, according to the International Society of Hair Restoration Surgery, but they grew by 35 percent over the previous two years and appear to be gaining momentum

Read the rest of the article here — Transplant perks up fading eyebrows

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Proper Medical Evaluation Before a Hair Transplant Saved My Life! – Hair Loss Information – Balding Blog

Dear Dr. Rassman:

I wanted to let you know that I am coming along nicely after my recent procedure; and how appreciative I am of your and the entire NHI’s staff’s courtesy, kindness and care. I also wanted to take the opportunity of alerting the general public as to the necessity of proper medical evaluation prior to any procedure. As you recall, I presented to you about 9 months ago; with a past medical history significant for cardiac disease. Your recommendation was that I have this more carefully evaluated before we consider hair restoration. Within some weeks, I was on an operating table receiving what was literally a lifesaving procedure. If it hadn’t been for your clinical instinct; I might not be here at all today; let alone in my soon to be more hirsute state!

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Doctors should be responsible for the entire patient while the patient is under his/her care. I always take a personal interest in my patients and I’m happy to have helped!

Surgical Hairline Lowering Is Not Permanent? – Hair Loss Information by Dr. William Rassman

I have read in a couple of blogs on the web that the surgical hairline lowering procedure is not permanant -ie. in 10 years after the procedure, the skin can stretch back and pull the hairline back to its original position. Is this true?

It may be true. Many brow lifts (just the reverse of hairline lowering) will stretch back. As we get older, the skin loosens and stretch-back may occur to some degree.

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Dissecting Cellulitis of the Scalp – Hair Loss Information – Balding Blog

I am a family medicine resident finishing up my last year. I unfortunately have a condition which I discovered doing my own research called Dissecting Cellulitis of the Scalp. It is horrible!!! This is a rare condition that usually affects black men in their 20’s. It is a very painful, cosmetically disfiguring disease that I have dealt with for about 4 years now. I have tried all of the antibiotics and medical treatment that you can think of and have seen many dermatologists that in my opinion, are not really aware of how tough this is to treat. I have read some studies that state that Laser therapy has been used with some success and others that state that complete scalp excision is successful. Of course, I don’t want my whole scalp taken off, but I am willing to try Laser therapy if it really has good results. At this point, I am really ready to try anything. If you are familiar with this or can even refer me to someone who is, I would really appreciate it.

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This is a rare condition and as you said it is very difficult to treat. Before going as far as having surgical excision of your scalp, I found a case study in which they had success in treating recalcitrant dissecting cellulitis with Nd:YAG laser. The study was published in Dermatologic Surgery in August 2004, Volume 30 Issue 8, and was written by Eric C. Parlette MD, Nathan Kroeger, EVictor Ross MD — Laser Treatment of Recalcitrant Folliculitis Decalvans.

Unfortunately, I can’t post the text here and the publisher charges a fee to view the text, but it may be worth looking into. Good luck.

Could a New Breakthrough Mean Using Hair Transplants from Another Person as a Donor? – Hair Loss Information by Dr. William Rassman

Dear Dr. Rassman,

I understand that hair cannot be donated from another person, yet why is it possible that organs can be?

I was reading an article today, Doctors Report Transplant Breakthrough, that mentions the possibility that organ recipients could one day not have to take anti-rejection drugs the rest of their life. If this prove to be true, can hair transplants from other people be a reality?

Unless the genetics are a perfect match, any organ that is transplanted (including hair, which is an organ) has until now forced the patient to take drugs to knock down the rejection process. The reason that a hair transplant works is that each person is his own donor and therefore has perfectly matched genetics. The drugs that you take for controlling organ rejection from a heart or kidney can kill you, but not having a heart or a kidney will kill you anyway. Rejecting hair from another person won’t kill you… just leave you bald and it it 100% certain that the hair from another person will reject.

The five patients in this article all had kidney transplants and were on anti-rejection medication for a period of time and have received marrow from the donor. I would not want to be the first volunteer for such procedures, and the relationship between these patients and a potential to harvest hair from others are decades away.

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Hair Loss InformationHow Long Can I Expect Female Hair Loss to Continue After Gastric Bypass? – Hair Loss Information – Balding Blog

(female) I know this has been asked before regarding hair loss and gastric bypass surgery but I have not seen my specific questions answered. I had VSG surgery the end of August 07…I started losing a lot of hair in December…it is January now and even more hair is coming out then it was in December. I have even ordered some hair extensions because the loss is so great.

My questions:

1. How long can I expect this loss to continue?
2. Is there anything I can be doing to promote hair growth or to prevent any further hair from coming out?
3. I am doing everything textbook..taking all of my supplements..getting in 70-80grams of protein in daily…taking my vitamins and just recently started taking Biotin 5000mcg daily.

Thanks and hoping not to go bald here 🙂

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You must be careful that you have a good diet. Gastric bypass produces weight loss… and weight loss with dietary changes may keep your hair down. This may be the price of the surgery. I don’t know that the hair loss will get much better quickly. Only time will tell.

Hair Loss InformationBody Hair Transplant – A Case of 100% Failure – Hair Loss Information – Balding Blog

I saw a patient earlier this week who had a well known surgeon place hundreds of body hair grafts into a bald area of his scalp about two years ago. This surgeon is one who promotes his body hair transplant procedures quite heavily, particularly on various websites and hair loss forums. No, I won’t name names (do your research and you’ll probably figure it out). There was 100% failure for the body hair to grow. Yes, a complete disaster. As one might expect, this patient was quite angry because he spent $11,000 and had great hope for this procedure, as he was depleted of donor hair from the back of the scalp.

Those looking to use body hair to transplant into their scalps should strongly consider other options if they are available, as this is not the first time something like this has occurred. I’ve read various reports and have heard quite a bit about this level of growth failure before.

Respectfully, the patient has requested that his photos not be published here.

Gastric Bypass Surgery Coming Up – What Can I Do to Keep My Hair? – Hair Loss Information – Balding Blog

(female) Hi. I am a pre-op for gastric bypass surgery. I understand that hair loss is a common effect of gastric bypass surgery. Is there anything that I can do now to get ready for this? I have thin hair to begin with. Is biotin helpful? Thanks.

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Hair loss and weight loss go hand in hand. Speak with a dietician to come up with the best balanced diet for you. You may suffer from hair loss as long as the weight loss continues, and as this is a consequence of the surgery there may be little for you to do once you focus on your best diet through professional help.

100% True Sterile Aseptic Hair Transplant Surgery? – Hair Loss Information by Dr. William Rassman

Greetings;

We all understand and trainned under sterile surgical technique. We know the importance of asepsis in every surgical procedure. We also have great understanding why the we can do our Hair Transplantation procedures under “Clean Technique”. EX. Vascularity of the head, local immunity, ect.

MY QUESTION IS THIS:

COULD WE ACTUALLY DO 100% TRUE STERILE ASEPTIC HAIR TRANSPLANATION SURGERY?

Thank you for your inquires and your advice.

More power to all the world of Hair Transplant! Give it up to the Hair Transplant Technichians.

Since we are working with hair, one can never really create the type of sterile field one does in an operating room. The presence of hair suggests that bacteria are present. The key is to get the bacterial count down to a very low, acceptable level. The use of hair washes with either Betadine or Hibiclens the night before and morning of surgery is the best way to reduce bacterial count to manageable levels. Even in the operating room, bacterial counts are never zero, as it would require autoclaving, something that would kill living tissue.

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