30 Years of hair loss progression

These are pictures of Donald Kendall, President of Pepsi. The last picture was taken 7 years before his death at age 99. There are 30 years between these photos. When comparing these photos, it is evident that hair loss is progressive with age providing that you have the genes for balding. My maternal grandfather died with his juvenile hairline still present at the age of 102 which clearly shows that he didn’t have the balding genes.


2020-09-21 13:30:0630 Years of hair loss progression

Interesting Double Whirl in the Crown of the Head

These are very rare and require that the surgeon, when they are present and the area is going to be transplanted, reproduce this double whirl. Most people have a single whirl either on the left or right side of the crown. Take a look at yours.

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I Had 3500 Grafts 3 Months Ago, Why Is My Donor Area Soo Thin? (Photo)

The donor area has been significantly impacted by FUE, suggesting that your original donor density was significantly less than what the number of FUE grafts could have supported. Your doctor should have measured your donor area density prior to doing FUE. The limits on FUE is related to your donor density, otherwise it produces significant scarring as this photo shows. If the donor area remains see-through, you should get Scalp Micropigmentation to fill in the missing spaces.

Interviewing Dr. Rassman, Part 1 (Video)

We put together a short video series for this site that showcases a little of the history of the innovations made at the New Hair Institute in the field of hair transplantation. This video does have some potentially graphic images of an FUE procedure (grafts being removed, there is a little bit of blood) — so please be warned if you’ve got a weak stomach.

I hope you enjoy part 1 of 3 below:


2006-05-04 15:52:57Interviewing Dr. Rassman, Part 1 (Video)

4 months finasteride and microneedling

I am seeing more and more men with an advanced balding pattern, reverse that pattern with microneedling as part of their routine. It is clear to me, that the microneedling has great value when done properly.

Is Aderans Completing Phase 2?

hello dr
i think Aderans is very close to complete phase 2 and begin with the last phase which is phase 3

this is the link: Aderans Research Reaches Major Milestone in Phase 2 Clinical Study Enrollment

From the release — “Aderans Research reached a major milestone this month with the completion of enrollment in one of its key Phase 2 clinical protocols.”

I don’t know that they’re all that close to completing phase 2, based on the info in this press release. It says they’ve completed enrolling participants for phase 2, which sounds like it could still be pretty early in the phase.

4 months on finasteride (photo)

4 months on finasteride. You clearly have growth starting up. Hair grows at a rate of 1/2 inch/month so in a few more months you will see a nice contribution to your hairline


2021-07-26 10:36:324 months on finasteride (photo)

Is Facial Hair Growth Related to DHT?

I always had little facial and body hair until I was about 20. Now my facial hair grows faster and thicker. Coincidently my hairloss is much worse then before and itches a lot more. Is facial hair growth related to DHT fluctuations do you think?

I believe that DHT is one of the hormones that stimulate our male sex characteristics, like voice change, beard and chest hair, and hair loss in the unfortunate men who have the ‘genetic hair loss’ curse. I have seen in very rare cases some patients that have disappearance or decrease of body hair with Propecia use.


2006-12-04 07:50:37Is Facial Hair Growth Related to DHT?

4000 FUE grafts and now balding in the back of the head

Some doctors just push numbers to make money when they do FUE grafting. I believe that this is such a case I picked up on the internet which shows some patient victimized by too many FUE grafts. The only options to treat this is with Scalp Micropigmentation, a tattoo for the donor area something we do all the time. Overharvesting to make money, is as immoral as a doctor can get. This was a woman who from the pictures, did not have much hair loss and fully 80% of women have miniaturization in the donor area which will absolutely cause this problem, This picture is one months following the FUE surgery and I suspect that there will be little growth and she will be bald in the back of her head.


2017-05-12 11:59:164000 FUE grafts and now balding in the back of the head

Is Hair Transplantation a Slippery Slope?

hi there . my question is why every time i have had transplant work done it has caused the hair around the transplanted hair to permantly go to sleep or fall out. i have even met doctors over the years who stopped doing tranplants for this reason.it seems like a slippery slope getting transplants done. thanks

I do not understand what your situation is, so before I dive in, let me make some general observations and pass on particular messages that I feel are relevant.

  1. I don’t like the idea that you used the term ‘every time I had transplant work’. Why is there so many times? That is not the modern approach used today and something that I would not want to hitch my wagon to. Was your work started many years ago? How many procedures did you have?
  2. Hair loss in previously transplanted hair is very, very unusual. Generally its incidence is 1 in 500 people who may temporarily lose previously transplanted hair. For men, hair loss in non-transplanted hair often does not grow back if it is well along in its miniaturization process. In women, it usually grows back when it does happen and it is present in less than 10% of women transplanted.

What you are describing in non-transplanted hair is a well known phenomenon called shock loss after a transplant. In men, it only happens once, usually after the first transplant on young men not on the drug Propecia. This can be minimized by taking Propecia and it does not happen to all patients who undergo hair transplants, particularly men over 40. Hair loss may also have occurred even without a hair transplant if there is an accelerated phase of hair loss, or the hair transplant may have just accelerated it (again, more common in young men not on Propecia). It is very troubling to me that the doctors you met have stopped doing transplants for this reason, because it signifies that they do not know the intricacies and the physiology of the hair transplantation process. Or there is possibly other factors that you’re not mentioning.


2006-03-24 09:12:33Is Hair Transplantation a Slippery Slope?