Does Dr Rassman Think He Is One of the Best Hair Transplant Surgeons in the World?

Dr.Rassman, this question may sound ridiculous and from looking at your replies to many questions on this blog it seems you are a very modest person. My question is, would you say you are the best hair transplant surgeon in the world. you have the most extensive collection of before and after photos which i must say have not failed to impress. also i have looked on hundreds of other sites and they dont have even half the amount of photos you have., or (evidence) as i say. John lennon once said ‘we are the greatest band in the world and the greatest songwriters, we have had more number ones than any other artist’, what i think he is saying isnt arrogant he is simply saying that they have more number ones than any other act. as you have the best results and more results than any one else would you say for arguments sake you are at least one of the best hair transplant surgeons.

I don’t mean to toot my own horn, but the International Society of Hair Restoration Surgery (ISHRS) awarded me with the 2004 Golden Follicle Award, which reflects what the doctors around the world may think about me. Only about 14 physicians have ever received this award in the history of the society. Our hair transplant organization has outpatient surgery facilities which are certified by the Accreditation Association for Ambulatory Health Care (AAAHC), which is a national accrediting agency for outpatient surgery facilities and holds these facilities accountable to a known standard of care. In the field of hair transplantation, there is no requirement to build a certified facility, but I have been adhering to this standard for the past 10 years and every three years or so, we get a physician reviewer who comes in to judge the standard of care, the outcome of our work, the infection incidence, the accident status, and the things that go wrong. If we have not met some minimum standard, we do not get the accreditation. Few hair transplant centers in the United States undergo this process, because it is a difficult standard to meet and the cost to adhere to their requirements on quality cost us well over $100,000/year. Even with this high cost, the comments of the reviewers guarantees that we are constantly observed and criticized to help us improve our quality of care. I generally tell those patients who are considering us to be their doctors, to check out any doctor that they are considering for such national certification. Our facility and our standards are the best and it is backed up by the accreditation of the AAAHC. What I’m getting at is that we strive for the best, and if people see us as the best, then we’re doing our jobs.

I thank you for your direct question, but although I like a pat on the back as much as the next guy, what I see, read, and hear from patients at our monthly Open House events (which we have been holding for over 15 years) says it all for me. I love the people side of this field… the doctor/patient interaction from the patients I meet. The diversity of my patients is what stimulates me to work, to listen, and to help them, and that is what makes me what I am, whatever it is.

Recreating hairlines

I would like to get this hairline back with a hair transplant. I think the issue is graft angulation or hair direction and also maybe density, but I really want to know how to describe it and understand it and if it can be made “right”.
Most men I know would kill for that hairline, but this is not practical when you have extensive balding. In this photo, there is no recession. In fact, depending on this person’s age, the hairline is yet to mature. If he is under 29, that transition may yet happen. Concerning replicating that hairline in a hair transplant, I do this routinely in women, but we shoot for a mature hairline as the targeted goal in men. I have rarely done this on men with that position or shape; however, I remember one man who was 20 years old and had a million-dollar contract for a daily soap. They told him that his maturing hairline would not make him the sex icon they needed, so I created it on him as his case was unique. He kept his job. Creating this hairline takes more hair, and in balding men, it is not a good idea to put such a lot of hair up front but rather give an age-appropriate mature hairline shape, saving hair for future donor hair for future balding. I wrote an extensive article on hairline shapes; see article here: phenotype article published

 

Does Finasteride Cause Hypothyroidism?

Propecia(Finasteride) cause hypothyroidism? I am on propecia for more than 2years now. My TSH is elevated in the last one year. I would like to know if Propecia has any impact on the thyroid glands. I do not have any symptoms of hypothyrodism. I am planning to go off propecia now. Appreciate your reply.

There is no connection between thyroid function and Propecia.

RegenePlex

Update: November 15, 2006

To comply with a letter I received from this product’s lawyer requesting that this review be removed, I will simply direct your attention to Google if you wish to find more information.


2006-11-16 15:23:34RegenePlex

Does Finasteride Stop the Hairline from Receding?

Would you agree with the results of this article?
Link: Finasteride in the treatment of men with frontal male pattern hair loss.

Also, even if it doesn’t promote regrowth, does Finasteride at least stops the hairline from receding further?

The results of that 1999 study you referenced says: “There was a significant increase in hair count in the frontal scalp of finasteride-treated patients (P < .001), as well as significant improvements in patient, investigator, and global photographic assessments. Efficacy was maintained or improved throughout the second year of the study. Finasteride was generally well tolerated.

Based on what I’ve seen in my own practice, I do agree with it for the most part. I believe Propecia can slow down or stop the frontal hair loss in those genetically prone to frontal recession. It does regrow hair in the frontal hairline on rare occasions, but it has shown to work much better in the crown.

Removing Brain Surgery Scars?

Hey. I’ve had brain surgery back in 2000 and an additional one in 2004. I have a scar on the front of my scalp going from my right side of my head to the top of my forehead. Its not from left to right but almost there. And I have some kind of missing spot on the back of my head. I dont know where that came from. But I was wondering if u had any suggestions on getting hair to grow inside my scars so I have no noticible scars?

We (NHI) have been treating scars of all types on the scalp with hair transplants (especially brains surgery / craniotomy scars). The process is as simple as a hair transplant on the scar itself.

The entire process may take more than one procedure to fill in the scar, as hairs are transplanted directly on the scar and may not fully grow. Whether or not the scarring remains noticeable will remain to be seen. I wouldn’t want to make any wild promises without seeing you.

Does Hair Miniaturize Even Without MPB?

Hi.

If you are losing hair for a reason that isnt MPB will you still have miniturisation?

i.e does miniturisation in the front mean that it is MPB, or could it still be to do with thyroid, low immune system etc?

Thanks

Miniaturization of the hair may occur in many conditions where hair is thinning such a thyroid disease, malnutrition, and even old age (as the hair character does change in some older people). It means that the hair ‘generating machinery’ is shutting or slowing down (e.g. age the growth cycle may slow down and shorten). We actually see the effects of miniaturization as the hair is more ‘see-through’ and that is what most people call hair thinning.


2007-02-06 10:42:23Does Hair Miniaturize Even Without MPB?

Repairing Plugs

I had a hair plug transplant back in 1989 when I was in my mid-20s and desperately worried about going bald. My own hair is now thinning around where these were placed and they are beginning to show. I also have a scarring at the back of the head from the donor site. Is there any way back from this big mistake I made (the original treatment was for three sessions but I only had one after I realized fully what i had let myself in for). I’m now not bothered about being bald as such, so long as i can have a natural look. However, I am worried about these plugs (I did have electrolysis on them a few years back; is that the answer?). There is also the problem of the donor site. I can’t cut my hair short because the ‘holes’ would be exposed. Is a strand-by-strand hair transplant on a hair plug donor site possible? Is there any way of solving this??

Most of the tens of thousands of men who had these procedures prior to the early 90s are in exactly the same place you are in. We have developed techniques to fix these which I would recommend that you read in our publications in medical journals, particularly Art of Repair, Part 1 and Art of Repair, Part 2 . These articles and other material that can be seen on the NHI site have great illustrations of folks like you with similar problems. There are some wonderful solutions, but totally undoing the mistake may not be one of your options. If you are in California or near New York, we can arrange for you to be evaluated. Otherwise, look at the hair society website ISHRS.org for the names of doctors in your area that may be worth investigating. If you would like to send me photographs, I would be willing to give you an opinion. If you want to take me up on this, send photos and write to me at the email address on the Contact page.

Restoring Pubic Hair in a 70 Year Old Woman

what can you tell me about restoring pubic hair in a 70-year old female?

At NHI, we’ve transplant hair to the pubic area in many women for whatever reasons they have. In a society where most young women are trying to shave or wax or laser off their pubic hair, we see older women requesting pubic hair transplants, as hair in the public area may tend to disappear with age in some women. As such, we do about 3 to 5 cases a year.

The last patient we performed pubic hair transplants on was a 60+ year old lady. She just called me a few weeks ago saying that the hairs have grown in and she is very happy with the results.


2007-12-17 16:42:29Restoring Pubic Hair in a 70 Year Old Woman