What If There Was an Unlimited Donor Supply?

If an unlimited supply of donor hair were available, could transplant surgeons give a patient the 200 hairs per cm squared that the average human head has or would a new tool smaller than the .5mm tool im aware need to be created to achieve this look?

I suppose you can achieve 200+ hairs per cm squared (which is about the average for a non balding Caucasian male), but I find most people who are obsessive with hair per square centimeter don’t understand the full story and are mislead by all the discussion groups on the Internet.

You can have 100 hair per cm squared and still look like someone with 200 hairs per cm squared, as this is not a numbers game. Furthermore, hair transplant is NOT about the numbers and density. It is about the art of creating a natural looking hairline with minimal number of hairs you harvest.

With respect to graft survival, there may be some issues of the grafts surviving such close packing in ONE surgery. Now 200 hairs in a square centimeter is possible with multiple surgeries to the same area… but again, numbers do not translate to how it looks overall.

Horrible side effects from finasteride

I was 2 months into fin and then got horrible ED and horrible horrible horrible brain fog. I was eating clean, working out, staying fit, and yet the brain fog was horrible. I quit the fin the past month and it finally has gotten a little bit better with a shit ton of adderall. I don’t want to loose my hair but also can’t be brain damaged like I felt when I was on fin. Anyone have any recommendations or other alternatives to fin? I’m 22 btw.

Men like you, at the first sign of problems with finasteride, should get off the drug. Of course, a conversation with your doctor is just as important.


2021-02-27 10:51:40Horrible side effects from finasteride

What is happening to my scalp and hair?

I would see a dermatologist. I suspect that you have developed Alopecia Areata but there are other things it could be. A Biopsy is needed, then followed up with appropriate treatment

 

 


2021-01-27 14:45:50What is happening to my scalp and hair?

How Can I Convince My Boyfriend To Treat His Thinning Hair?

Hi Dr. Rassman,

My question is simple, yet I need to have some advices on how to handle it. I am worried for my man. He’s turning 24 in a month and is having some, let’s say, noticeable hair loss on the side of his head. I’ve always thought it was just the way his hair was but his hairdresser told him lately that she felt his hair was not as thick as it was before and that he might be losing it. The problem with that is, even though he recognizes having a problem, I don’t feel like he’s ready to do anything about it. I’ve told him to talk to his doctor, but he haven’t done it yet and doesn’t seem to be willing to.

I know there’s not much I can do if he’s not willing to help himself but, what can I possibly say, on a medical side, to convince him to at least see a doctor? I know the younger you are, the better are the chances to have great results. In the end, all I want him to understand is that i love him and I don’t want him to suffer in the long run, like when he’ll be 30 and bald. What are the facts about losing hair at a young age that you could tell me, so that if he decided not to do anything about it, he at least knows where it would lead?

Thank you for your support.

Honestly, it is up to him to decide if he wants to treat his hair loss. If you can’t accept his thinning hair, I think the problem may be yours. Treating hair loss with medication when it is early will provide the most optimal results, but it isn’t your place or mine to convince someone to seek out treatment that they don’t want or aren’t ready for.

If your boyfriend wants to do something about it, he will. This is a cosmetic issue, not a medical issue.

What is the difference between shock loss and shedding

People who have hair transplants shed the transplanted hair and the grafts within the first few months. People with shock loss loose their native hair that remains not the transplanted hair. The native hair is often the hair that is miniaturizing and will eventually be lost


2019-05-01 07:40:54What is the difference between shock loss and shedding

How Can Someone With No Family History of Balding Lose Hair?

Hey I had a quick question,

I am sure this has been answered before but can you explain how someone with no history of balding on either sides of their family can go bald? And vice versa how someone whose entire family is bald can keep their hair their entire lives?

Thanks

Genetics should be studied back a few generations to outline the real incidence of balding in the family line. Balding can skip a generation or two. In some families, a child may be adopted and not be told, so the genetic line may not be pure. In any case, I hope you are not going to blame your grandparents for the balding you may be experiencing.

As for how someone can keep their hair with a great incidence of balding in their family — well, it’s just how their genetics played out.

Recapeen, FUE Plus & Lasers for Hair Loss?

As creators of the FUE method, I presume you know what the FUE Plus method is? There is a clinic in my country that claims to have been able to boost the traditional FUE method by using a smaller tools when inserting the transplanted hair. (1) They claim that the increase in density is miraculously high, but still the improvement is impressive. Do you know more about this? (2) A new hairloss treatment called Recapeen, has been realeased. The “engine” in this package claims to be the unique pollen extract the substance is full of. Comments? And finally, 3) What is the strongest reason why to spend money on a hairtransplant rather then a laser treatment?

I looked at the site referred to in your question. There is not enough information for me to judge what FUE plus is. When I purchase a bottle of shampoo and the company comes up with a new version of the shampoo they may add the term ‘plus’ to the name. The detergent market for washing clothes, made the most popular product in the early 1900s. That product was ‘Tide’. Then as they were improving the product, sales did not rise fast enough, so they came up with New Tide. The adjective NEW turned out to be the most popular advertising word in capitalistic history. Everyone came up with a product and then made up a NEW version of that product. I, knowing this, called my company the New Hair Institute and purchased the phone number 800-NEW-HAIR before anyone else thought of it. I was, at the time, an old fashioned marketing person, so NEW did it for me. The modern iteration of this is the term PLUS. I guess, if you did not invent FUE, then the best way to grab onto market presence is to invent FUE Plus, or at least the name. I respect the marketing brain that thought of it. The choice of doctors, of course, should have little to do with PLUS or NEW, but rather who you can trust to do the FUE on your head. Experience and judgments are critical to this choice and you sound (at times) like you are making such choices.

I did look at Recapeen and see that this miracle cure is listed with many other such potions and lotions on the respective websites. If Recapeen worked so well, one might ask why other products are listed there? I call it good marketing and diversification of strategies. Spread out well, and more people will get some part of the message. What are you really looking for?

I agree with you that hair transplants should be obsolete if these miracles worked, but then again, first I would want to see the studies and the scientific evidence that it works, because I am a cautious buyer. Every day that you chase the magical cure for balding is another day that you will continue to lose hair and progress further down the pattern of hair loss buried in your genetic cards.

With regard to laser treatments click here Low Laser Light Therapy for Hair Loss for more details.

How Do I Know I Didn’t Get Cheated on the Grafts I Paid For?

Hello Doc,

I had my first hair transplant 6 months ago in Texas and I received 1613 hair follicles in the frontal region (That’s what my Doctor claims 1500 + courtesy grafts). I lost all the transplanted follicles within first 2 months and I see few hair follicles growing in the sides.

From the day one I had doubt that I didn’t receive the number of follicles I paid for (1500). I felt I received only 1000-1100 grafts, My buddy did count the number of incisions made 2 days after the surgery. I also went to a hair transplant surgeon to get a second opinion but the surgeon refused to do the counting as he felt it was unethical thing to do. However he convinced me that I would have received the number of Grafts I paid for. He also told me the incisions are microscopic and I cannot count it accurately. As the days went by scabs started to form and I did my research by comparing the photos of people who received same number of grafts as me in the frontal region.

After all the research I’m still convinced that I didn’t receive what I paid for and I feel cheated. It took me great pain and sacrifice to get that surgery and I feel its not even worth it. I have decided to wait for few more months to see, how may hair follicles will grow and how far it covers my bald spot.

My question to you is

1) Is it normal to feel what i’m going through
2) Can someone count the number of incision/grafts accurately after the hair transplant ?
3) Lets say if I get a HT from you, How Am I insured that I receive what I paid for ?
4) Do HT surgeons really cheat ? or Am I just being paranoid ?
5) Lastly In case im really cheated , What Can I do ??

I don’t mean disrespect you or the HT surgeons community But I’m very disappointed with my situation. Please answer all my questions and relieve me from this confusion.

Thanks in advance.

I don’t know if it’s “normal” to necessarily worry about getting cheated, but I suppose that depends on your level of trust with the doctor.

On occasion, I have been requested to count the grafts for someone that wasn’t my surgical patient. I had one of my patients feel that he was cheated and took a professional photograph of his head the very next day. He had a large photo printed and placed pins in the wounds that he could see (in the photo, of course) and found that only 50% of the wounds were pinned after the analysis was done. So I managed it by showing him: (a) the count sheets of the 5 individual technicians who did the cutting of the grafts from the strip and we added them up together, (b) I had him come in to watch a surgery on his second day to see if he could identify the wounds in all lighting conditions with good photographs (he could not), and yet he watched us place the grafts to know that the counting process is intricate. He saw that there were two counts that were done simultaneously — one by me audited by an assistant working next to me as the sites were made, and one by the staff cutting up the hairs and grafts from the strip. I invested a great deal of time to address his concerns. I am not sure, to this day, if all of my efforts were successful.

In three people that came to see me to count their hairs and grafts on the 3rd-6th day after surgery, in two of them I found that the counts did not match up. One was off by over half of the amount claimed, one had 90% of what was paid for… and the third was on target.

On another patient, I counted the grafts and the hairs that grew 8+ months after the surgery (the man was relatively bald in the front and top where the grafts were placed) and found that many of the grafts did not grow to the numbers transplanted (about 2000 grafts out of 7600 graft he paid for), and the hairs in each graft had low hair counts. This was done under the assumption that everything on his head in the transplanted area were grafts. I had inside information on this last patient from one of the doctor’s technicians who claimed that this was far more common in that particular doctor’s practice than he could stomach, so he quit working for there.

There is little recourse for the patient if he feels that something improper has occurred, as an investigation would be difficult. I think that most doctors are honest and try to do their best when they deliver a service like a hair transplant or, for that matter, any cosmetic procedure. This, of course as I have said many times before, is a buyer beware issue, and each and every prospective patient should do their research before making a final doctor selection.

What Percentage of Men Get to Norwood Class 6?

I’ve seen that you say only 7% of balding men will hit stage seven on the Norwood Scale. What about stage six? Theoretical if there were no treatments would most men (93%) be destined for stage six on the Norwood Scale? And is whether or not you reach seven on the Norwood scale genetic?
Thanks

This is not an easy question to answer because of judgment problems in those that wrote the original charts. The best statistics I could find indicate that the Class 6 and 7 patterns in men over 50 years old are present between 23-30%. Assuming that the Class 7 pattern is 7%, then the Class 6 pattern is twice as common.

How do you find the best hair transplant doctor in North America? (From Reddit)

My boyfriend is balding and does not believe in hair transplant procedures. I’m looking for a top doctor/establishment in North America to have a consultation and hopefully change his mind about undergoing the procedure. Was wondering if anyone has any recommendations since I’m not sure where to start/go looking.

There are websites that rate hair transplant doctors including Yelp and realself.com. I always tell patients to check out the doctor’s experience and rule out doctors who sell their services through salesmen or saleswomen. For example, you can look me up here (resume and cv): http://newhair.com/doctors/rassman/ and you can check out my references on those websites. If you don’t want to travel, then check out the doctors in your area and see how they present themselves.


2019-11-08 08:57:58How do you find the best hair transplant doctor in North America? (From Reddit)