Cleft Lip, What Shall of Do?

I have a scar on the upper side of the lip and I need to get a hair implant/transplant. I’m nearly 18 years old and I have a beard/mustache and the scar doesn’t help at all. Any help or advice will be appreciated

A hair transplant into the scar will completely hide the scar. This is an excellent solution. If the scar is small and you don’t have to grow a mustache or can’t because you don’t have enough mustache hair, then a highly specialized cosmetic tattoo called SMP can hide it. You can actually do have both SMP and a mustache transplant for the absolute best result, see https://scalpmicropigmentation.com/

Cole’s FIT and BHT Procedures

What are your opinions on the techniques and procedures of Dr. John Cole, such as his FIT procedures which he acknowledges was developed from your FUE. However, the FIT is allegedly an improvement. Also, what do think about his claims regarding Body Hair Transplants. I know you have made previous comments regarding BHT’s. However, I am asking specifically about Dr. Coles procedures regarding BHT.

FUE and FIT is exactly the same procedure, with some technique variations. There are a number of technical ways to do it and FIT is a proprietary brand name developed by Dr. Cole to show some unique identification for him. Body hair transplants are new with not much validation from other doctors. There are only a few patients with any history to the process and we do not know much about success rates in, let’s say, 100 patients overall. I am not surprised that they may work, but body hair is limited in numbers, usually growing as a single hair unit although there are some two-hair groups. The hair has a different character than scalp hair, but Dr. Cole’s claims have no real science with them, although I am not saying that it is not true, just not proven scientifically. I would not jump into it just yet. It is, in my opinion, still an experimental procedure.

Over a Week After Surgery, My Donor Area Is Still Sore

Hi Dr Rassman
I had a procedure done, it’s now day 8 post surgery, and I get my staples out in 2 days. The donor area is still a little sore but not to bad. It’s mainly when I put pressure or sleep on back of my head, and some of the scabs are coming off now. I would like to get some exercise and go surfing.

Should I wait a little longer? Is it normal to feel a little sore in the donor area 8-10 days later? Is surfing 11 days post-op too strenuous, or could the ocean water cause infection? Of course I would take it easy and certainly wash my hair right after.

Thank you Dr. Rassman for your blog and reply

Since you have staples, I’ll make a wild assumption that you had the strip method surgery, in which case the wound should not be soaked for easily 3-4 weeks after a surgery. If you had a surgery using the follicular unit extraction (FUE) technique, then you could probably go surfing. The wounds are not strong at 10 days, but at about 3-4 weeks, around 70% of the final healing strength will be present. I’d keep waiting.

Comment from reader on stopping finasteride

I figured I would offer my opinion here since the reader asked for a reply from somebody who had a similar experience and the response doesn’t really answer the question. I used Propecia about a decade ago and developed general sexual dysfunction (not just ED) that continues to this day.

Unfortunately nobody can provide you with the reassurance that you say you desperately need. You won’t know for sure if the side effects will be permanent unless you stop taking the drug. The doctor highlights that you risk “catch up hair loss” which provides an incomplete picture to the decision you need to make. On the other hand, if you continue taking the drug you risk “catch up side effects” because the side effects can get worse than they are today. You need to think about what is most important to you and how much you value your general health versus your hair in order to make a smart decision. There is uncertainty in making a decision like this which is stressful but the right decision is different for everybody.

In my practice, when a new patient goes on finasteride and has sexual side effects, I tell him to stop the medication. I have them report back to me about their sexual side effect which usually goes away within a month or so. I have not seen any patient tell me that after stopping the drug, the side effects continued.

Hair Loss InformationAccutane – Hair Loss Information – Balding Blog

I began to lose my hair in the frontal region of my head, shortly after beginning to take accutane. Is there any thing that will help?

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Hair loss from Accutane is a known side effect. First you must weigh the options of stopping the Accutane. Your doctor should be able to help you make the right decision. The lost hair may return, so you need some time to observe what happens. If the hair does not come back within 8-12 months, then you might need a complete evaluation with a doctor like me, who specializes in hair loss.

I have previously discussed Accutane on my blog, which can be found below:

Concealers, Two Great Products: Toppik and Dermatch (from Reddit)

This is an extensive overview of two great products for men and women who need to camouflage their hair loss. The products are very different in the way that they are used.

From my patient population over the years, I found that each person has his/her favorite. https://www.gll-getalife.com/the-best-hair-loss-concealers-toppik-dermmatch-results

 


2018-06-21 13:23:17Concealers, Two Great Products: Toppik and Dermatch (from Reddit)

Medications for Diffuse Unpatterned Alopecia – Hair Loss Information by Dr. William Rassman

Hello. I am 24 year old male, who believes I am suffering from diffuse unpatterned alopecia. My hair is thinning evenly over the top and the side of my head to from the classic horseshoe pattern of a Norwood class VII. I have been taking Propecia since January and i do not believe its working as the thinning has progressed. My dermatologist did not seem to concerned and told me to continue taking it for the full year before asking for any other options. Are there any other effective options available? I have read about Avodart and minoxidil, or the possibily of a chemical imbalance, but I do not know if they are effective for this condition.

I believe that DUPA can be reversed with Propecia. I see this in about half of the patients who are taking it. For those like you, it may be worthwhile, after trying Propecia for a year, to consider Avodart, but I have said many things about this drug which you should review.

Considering hair transplant. Would hair fibres and hairspray every day/two days for 10 years be harmful?

Inert hair fibers like Toppik do not cause harm to the hair. Hair spray does not do damage provided that when you style your hair that you don’t tug your hair as tugging on the hair can pull out the hair at its roots and in the long term cause permanent hair loss and/or hair damage


2019-12-16 06:28:39Considering hair transplant. Would hair fibres and hairspray every day/two days for 10 years be harmful?

I Am Only 20 Years Old And I Am Losing My Hair Rapidly.

I’m 20 year old male from the England and I have rapid thinning hair loss on the top of my head and slightly on the back. It’s all happened over the past two months, I spotted a slight gap in my hairline and was getting a little scared about it. I started counting the hair after washing to see if I was losing it. It was only about 20-30 and rapidly its been increasing to 50 then 100 and now for the last 5 weeks its 150 to 200 everyday. It itches a lot through the day, I’m starting to get dandruff (which I’ve never had before) and my scalp is becoming clearly visible, especially under bright lights. When I comb my hair I lose about 10 per area of my head including the sides and back. I went to see my doctor 4 weeks back and he said there is nothing any of us can do to stop it. I started Propecia a week ago in fear that if I don’t do something now I will lose it forever, the hair loss is still around 150-200 a day though. I know its no miracle worker but if my hair loss doesn’t stop now I fear it will be gone in two months. Its totally destroying my life and its making me completely depressed. I would provide photos but I think I’m the only 20 year old who doesn’t have a camera

Thanks for the great blog and I hope to hear from you soon, Thanks

Wow !!!
That is something !!!
You must be the only 20 year old without a camera (even on a phone) !!!

On a serious note, you should think about getting a camera.

With respect to hair loss you may be experiencing, I am glad you were able to see a doctor and you have a treatment plan. The doctor should perform a ‘HAIRCHECK’ on you for measuring your hair bulk. This is the most accurate test available to follow changes in your hair and hair loss across the board. Aside from that, I really cannot help you much other that give you a generalized fact that genetic male pattern balding starts in your 20’s, even in teens as early as 14.
There are medications such as Rogain and Propecia to help. There are also procedures like SMP and hair transplant surgeries which can help but there is not one thing along that will solve your hair loss problem. A good Master Plan is important, especially if you are in your teens or 20s as the wrong approach can be disastrous. There are too many horror stories about young men who took actions too early, like hair transplants in your teens or early 20s.