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I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like. Each patient is different because of hair and skin color. The lower the contrast, the less detectable it is, the grater the contrast the more detectable the ‘beard look’ of new hair is. This patient is 9 days after his surgery. His skin color is olive but his hair is brown so what we are seeing is his brown hair in the recipient area against his olive skin color and an FUE donor area that is one day post-op. Note that there is no crusting present in the recipient area and the FUE wounds are almost undetectable at one day.

I read this news story about the last eunuch in China, named Sun Yaoting. At only 8 years old he was castrated… and looking at photos of him before his death in 1996 shows he was clearly bald. I thought castration was the “cure” for hair loss, not that anyone should ever go that far of course. So what’s the deal?

Here’s the news story: LA Times
Here’s the photo of him from the cover of a book: Book cover

Assuming that the castration was complete, there at least two explanations that come to mind:

1. He had testosterone production from non-testicular sources. We known that women have testosterone and when they lose their estrogen support at menopause, they developing balding.
2. This may show the phenomenon called apoptosis (a cell that has reached the end of its lifetime) and that the hair in the “patterned” areas had reached the end of their life.

I haven’t read the book and don’t know if there are photos throughout, but I would love to know what he looked like at age 40, 50, 60. Was he that bald at 40, 50, and 60 years old? We only have scant facts here, and I tried finding other photos online but just came up with that same one used on the book cover.

Hair frames the face and a properly designed hairline that doesn’t look like a line makes all of the difference.

Have you looked at Scalp Micropigmentation? This is a great and relatively inexpensive solution to get the look of hairs on a closely shaved head. It is such a great illusion that I have had patients examined by 400 doctors who could not tell that the patient did not have real hair.

See pictures here: https://scalpmicropigmentation.com/bold-shaved-look/

I just can’t accept baldness. from tressless

There are over 500 clinics in Turkey bringing in over $1 billion per year. Of the 500+ clinics, over 90% are illegal without a doctor in the facility doing the surgery or the anesthesia. Many clinics perform multiple surgeries in a single large room, risking a cross-over of germs or even HIV from one patient to another. Production line hair transplants should be avoided as they are not bargains. Some of the good clinics with a good doctor do good work, but many of the clinics do variable quality work, many with infections reported by my European colleagues and deaths that are never reported. Just be careful and make sure that there is a doctor doing the surgery who has a good reputation.

If you have cobblestonning it may be related to the amount of skin that you had on the recipient grafts. Also you will find that this skin will be very sensitive to sun. I always trim off the skin when I transplant the beard or scalp so that I avoid cobblestonning and a significant skin disc which easily develops sun burn for the first year or two.

We have been using SMP (with our classic stippled pattern) and microblading, resulting in a nice effect as shown in this photo (before on top, after on bottom). This patient still has a very thin look, so to obtain a fuller look, he should get a hair transplant.

Before (Above), After (Below)

i have always have had a full beard- past year i am losing facial hair- i am getting bald patches and lines of missing hair on my cheeks and chin-what is this? is there anything to cure this? i would appreciate any suggestions.-thank you

You need to see a good dermatologist, as such bald patches may reflect conditions such as alopecia areata. It’s possible this could be stress related, or an allergy, or something else altogether.

I can not say much more without seeing you myself… but even if you saw me in my Los Angeles office, I would still want the opinion of a dermatologist.

Multiple injections into the scalp caused multiple abscesses and hair loss. Make sure you get to see an experienced doctor and not some unskilled doctor who is in the hair filed in it to make a buck! You may pay more heavily than with money for terrible work.