Dr Rassman, Your Hairline Looks Too Perfect – Hair Loss Information – Balding Blog

Dr Rassman I can’t help but notice you appear to have a very straight almost juvenile like hairline. Especially in the picture on the right hand side of the webpage under “about me.” Is this your original hairline? Or did you have grafts placed there? If it is indeed the result of a transplant, why do you warn/detract others from getting the same kind of straight hairline which you so proudly display in your picture?

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I suppose I should thank you for complimenting my hairline in a roundabout way. I have a classic mature hairline, just as I showed in the post Juvenile vs Mature Hairline — Am I Going Bald?. I have never had hair transplants in the front of my head, so I thank my 102 year old grandfather for passing on his frontal hairline. I am, however, completely transplanted in the crown where my balding spot was — and for that I look to my father.

I’ve posted both of these before, here’s a photo of my hairline and of my crown. Click to enlarge.

 

Norwood Class 3A Patient – 10 Days After Surgery (with Photos) – Hair Loss Information – Balding Blog

This Norwood Class 3A patient came in for a check-up 10 days after his hair transplant procedure of 2,000 grafts. The scabs are gone and the recipient area is very clean with no visible redness. I wanted to show this patient because I’m constantly asked, “What will I look like after surgery?” — and with proper washing techniques, this is a typical result. Please click the photos to enlarge.

10 days after hair transplant surgery:

 

Before:

 

Hair Loss InformationHair Transplant Failure (with Photos) – Hair Loss Information – Balding Blog

This young man had a hair transplant by a doctor who had done very few transplants on his own. He might have actually been this doctor’s first hair transplant patient. The procedure, which occurred around 5 years ago, failed after the doctor attempted transplanting around 1200 grafts. The patient was lucky (in a way) that the balding area was well covered by his existing comb-forward hair stying. His photos are below (click to enlarge) —

 

Doing modern hair transplants requires experienced doctors and experienced teams of people. Always check on the experience of your doctor. For more information about finding a good doctor and knowing what to look out for, please see:

Bald Spot Growing After Getting Hit with a 2×4 Years Earlier – Balding Blog

My boyfriend is 26 years old. When he was a teenager he was hit by his brother with a 2×4 on the back right side of his head. A scar was there after healing, but only about an inch long. A small bald spot remained there also. About 2-3 months ago we noticed a much larger bald spot there. It is about 2 1/2 inches across now. It is very smooth, there is no hair on it at all. Do you think he needs to see someone about this? I am worried there is something wrong. He just tries to forget about it and is hoping it does not get any worse. I cannot do that. What do you suggest? Thank you

The photo you sent is below (click to enlarge). Thank you for permitting me to post this.

 

If you or your boyfriend feel there is something wrong, then by all means go see a doctor. I viewed the photo you sent and I doubt a new bald spot like that can appear many years after a scarring injury, but it is clearly there… and there for a reason. What that reason is though, I couldn’t say. There are many other medical conditions that may be causing the balding, but a diagnosis-by-photograph is often very difficult to make. Unfortunately, my only suggestion is to have your boyfriend see a doctor for an in-person exam.




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Reshaping the Temples with Hair Transplants – Balding Blog

Dr. Rassman, thank you and your team for always having a very informative blog and website.

My question is about transplant to the temples… is it a good idea to reshape the triangle part of the temples? Or is it better to use the grafts for the hairline, etc? Do you have pictures of patients you’ve done temples to that you can share with us?

Thank you very much for your help.

Yes, we can reshape the temples! In fact, my surgery case today was reshaping a patient’s temples and sideburns. Here is an example of a patient with temple transplants. He had about 1100 grafts placed into his front hairline and 150-200 grafts placed into each temple.

The before photo is on the left, after on the right. Click the photos to enlarge.

 

To see more of this patient (including other angles), check out his profile in the NHI Patient Photo Gallery. Even more temple hair transplant patients can be seen here.




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Hair Loss InformationThe Damage Produced by Sun Exposure (with Photos) – Hair Loss Information – Balding Blog

This is a 70+ year old man who had blonde hair in is youth. He was a lifeguard for 15 years and constantly got sun burned. The price he paid for this sun exposure is monthly visits to his dermatologist with many, many skin cancers. Notice that his hair loss could not be worse, with hair not only in the front and top, but also the sides to just behind the ears. I suggested that he was not a candidate for hair transplants. You can see the many scars resulting for removal of his skin cancer. The message to take from this is to stay out of the sun and certainly be careful that you don’t get sun burned!

Click the photos to enlarge.

 

Use of DermMatch for Managing Thinning Hair in Women (with Photos) – Hair Loss Information – Balding Blog

This patient has classic female patterned balding with hair loss behind the frontal 1/2 inch. The thinning is worse in the frontal area and is more manageable in the top and back, but still thin and see-through. I have given this patient DermMatch, which is a cosmetic powder that colors the scalp and sticks to hairs to make them thicker. The contrast between hair and scalp is lessened with this product and when combined with good styling, products like this (see also, Toppik) can work to make the transparency of the hair less so. The photos below show how big of a difference a topical camouflage can make.

The photo on the left is before, on the right is after DermMatch. Click photos to enlarge.

 

Actor Joe Penny Shows Off His Repaired Hairline (with Photos) – Hair Loss Information – Balding Blog

Joe Penny, perhaps best known for his starring roles in hit 1980s television series Riptide and Jake and the Fatman or more recently his guest spot on the popular TV show CSI: Crime Scene Investigations and the Hallmark Channel’s Jane Doe TV movies, has agreed to let me show his results from a repair job started years back. Due to a variety of professional obligations, we were unable to schedule more work until about a year ago. When his old, ugly plugs from another doctor showed, I was reluctant for him to tell people that I was his doctor (even if only for repairs, because I did not finish the repair job)… but now things are very different as these two month old pictures show.

He tells me that on many occasions he’s overheard fellow actors talking about hair transplants, expressing fear of taking charge and doing something about their thinning hair. As Joe puts it, “It takes a great deal of courage to make the decision to get a hair transplant, especially when you see so many bad jobs out there in Hollywood. You get gun shy after making a bad decision and it took me some time to make the decision to fix my bad hair job. But now, when people talk about a hair transplant for their balding and struggle with the hair loss problem, they don’t look at me as an expert any more”.

Update 2/1/08 6:00 pm:

Joe just wrote to me. He did not know that I put him on the blog today, even though he gave me permission to do this over a month ago. This is what he said: “I want to thank you again for your kindness and your generosity in my case. The last procedure I had..even after seeing you a couple of months ago..has still continued to grow and thicken. Also the donor area…because of the expert surgical job you did… is so loose I cannot believe it! It is truly astounding to me. I mean…I new you were good but WOW! The results speaks louder than words. I have recommended several people to come and see you. I know that some of them have already come. They called me and were very angry at me, meaning…well the dialogue went something like this…”Why the hell didn’t you tell me about the NEW HAIR INSTITUTE BEFORE” My response was “I DID…YOU WERE NOT LISTENING”. They are extremely satisfied, as I have been for years. So I will keep spreading the word about the fantastic work you and you Doctors are doing at NHI.

After I received this email, I wrote to him asking for permission to use the above email. His response came in at 9:00pm and this is what he said: “Yes, you have my absolute permission to post my email. Please consider this communication as my acknowledgment that it is absolutely OK with me to post it. Not a problem Dr. Rassman. If there is a group oif men or if there is an open house going on at the office with people who are considering it and might feel a little shy or afraid of a surgery, just let me know and IF I, AM…AND IN TOWN….I WILL DO MY BEST TO ATTEND AT AN OPEN HOUSE!

Thanks You Doc,

Sincerely,

Your fan forever, Joe Penny
God Bless You And Keep You

Joe is not atypical for someone who has gone through a type of hell with the old type of hair transplant plugs done years ago. I am absolutely humbled by his comments. For as long as I have been in this industry, I have been pleased to be able to help men like Joe and there have been hundreds of them, but it is even better to put hair back on a new patient who would never have to experience Joe’s type of pain.

Click photos to enlarge.

After repair:

 

Before repair (scanned photos):

 

Hair Loss InformationPersistent Juvenile Hairline in Advanced Balding Man (with Photos) – Hair Loss Information – Balding Blog

The pictures below are of a man of Indian decent who lost most of the hair on his head, but kept his juvenile hairline intact. We see this rarely in European Caucasians and more frequently amongst people from South Asia. This particular man is in his mid-thirties and may get a good response from Propecia, as his hair loss has just appeared in the past 2-3 years. If he does not benefit from the medication, a hair transplant will be on his agenda.

Note that there was no hair transplant performed on this patient as of the time these photos were taken. This is his natural balding pattern. Click the photos to enlarge.

 

What is particularly important to note is that this juvenile hairline is just the exact same part that is generally lost in the Caucasian maturing hairline. Please compare the hairline shown here with the one from a previous blog, Maturation of a Hairline — Moving From Juvenile to Mature and imagine that one is just the reverse of the other.

Is There a Recommended Hairstyle After a Hair Transplant? (with Photos) – Balding Blog

Hi Dr. Rassman,
I am 33 years old former patient. I was wondering what kind of hair style you recommend for patients who have had a procedure done? I have great coverage in the front but it gets a little thinner towards the back which however, is a huge improvement from my balder self. I would love another procedure, but I have had two so far and I think I will have to wait financially to afford the third one. Until then…is longer on top better or is shorter better? I sometimes feel a little more “exposed” on top when I cut my hair short revealing thinner hair. I was also wondering about highlighting my hair for a thicker look? I have dark blonde hair currently.

Thanks and happy holidays

If what you’re asking is for hair style decisions after the new hair growth is starting, look to the photo galleries on NewHair.com to see all types of hair styles used by transplant patients. There isn’t one best way to style your hair. Some opt to keep the hair a little longer to cover thinner areas, but that is really a patient decision, not a doctor decision. In other words, I don’t really have any styling advice.

Since you have had previous procedures, you’re intimately familiar with how the recipient area looks immediately post-op, but I’ll use this opportunity to answer one of the most frequent requests I get from people — to see what a hair transplant looks like just days after it is done. Many are concerned that they will be a walking billboard for surgery, and understandably so. I tell these patients that if they had any hair in front, they could cover the hair transplants. Of course, each person is different and your redness level may differ from the patient below, but here are photos taken just 12 days after a procedure of 1,959 grafts, showing a patient who used his existing hair to cover the transplanted area (only one side is shown in these photos which reflect half of the total number of transplanted grafts he received). Note that when you zoom in on the photo, most of the hair has already fallen out (and will return sometime between 2-5 months).

Click photos to enlarge.

 




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