Category: Uncategorized

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I’m Not Convinced Hair Transplants Are Forever, Since Mine Keep Falling Out

I’ve had 2 procedures with a prominent surgeon for a total of around 3700 grafts. My first was at age 51, second 54. I felt I was a good candidate since the hair on the back and sides of my head was thick. My first procedure grew-in nicely but I had a lot of dry, itchy, flaking scalp issues. I began to notice thinning hair in the transplant area about 1.5 years ago. The 2nd procedure is still thickening up but I suspect it will thin as well in a year or so. I think this is partially due to my age since all my hair is getting thinner.

I’m not convinced HT’s last as long as the hype would like you to believe. I’m really concerned for guys in their 20’s going through this procedure expecting it to last a lifetime.

There are many patients who undergo hair transplant surgery in their 20’s and 30’s that still have a full head of transplanted hair in their 50’s. There is a small minority of patients who were never properly diagnosed and perhaps do not have genetic androgenic alopecia, but rather have another type of balding (such as diffuse unpatterned alopecia), that underwent hair transplant procedures that were not permanent. Or it’s possible the grafts were taken from a non-permanent zone.

When patients have transplants into thinning hair, the results are generally good for the first few years until their original non-transplanted hair starts to fall out (as they would have without the surgery) and those initial results become less impressive. This makes them think that the transplanted hair is falling out, as patients do not see (or were not properly informed) that hair loss is an ongoing dynamic process. Even with the native hairs falling out, the transplanted hair should be enough to provide a better overall look to the individual, as long as there was a proper Master Plan made.

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17 and losing hair

History: dad went beyond any point of regrow the by the time he was age 22, and my older cousin who is that same age is pretty much bald at this point (he went from all hair to no hair within 2 years) I didn’t even think I was close to being the age where I had to consider hair loss until my 17th birthday (may 2020) when my dad suggested I begin using rogaine preventatively. As soon as he said this I went and analyzed my scalp for the first time, and sure enough I was starting to go bald on my crown. I started the Costco/samsclub rogaine and have been doing that since then. It seemed to start actually working about 2 months ago and I’m pretty sure it has been effective

You need a personalized Master Plan worked through a good hair doctor who cares about his patients. This is far too important to mange by yourself. Read this: https://baldingblog.com/go-why-do-we-need-a-master-plan/


2021-01-23 09:05:3217 and losing hair

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I’m Suicidal Because of Hair Loss

Growing up my hair used to be an a big part of who I was (I had long hair), and although it wasn’t attractive, I always felt safe and confortable having a thick mop-head hair.

Now I’m 18 and I’ve been balding for a year and a half and not one day I haven’t thought about my hair. It’s getting worse and I know it’s not “that bad” (like my sister says) but I think I have dysphoria because it feels horrible, and I’m always conscious about hiding it, always. I don’t want to shave it because I have an ugly (thanks flat head syndrome) skull, but I’ll do it if it means I’ll stop thinking about it.

It depresses me to the point of suicidal thoughts, I’ve never felt this uncomfortable in my body before and I hate it. Literally considering wearing a wig, if I can pass it off, just anything, to make me stop thinking about it

If you are in Southern California, please visit me (no charge) and we can sit down and discuss your hair loss problem and what you can do about it. I believe that with proper planning, a man can keep his hair throughout his entire life, regardless of his hair loss genetics but that requires a Master Plan with a good doctor who cares about you. If you are not in the LA area, let me know where you are, and maybe I can recommend such a doctor for you.

Please consider taking to someone trained in assistance regarding your thoughts of self harm.

https://suicidepreventionlifeline.org/ tel:1-800-273-8255


2020-06-04 20:29:06I’m Suicidal Because of Hair Loss

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Image And Cause Of Hair Split Ends

Split ends reflect drying and trauma over time. The longer hair ends are the oldest part of the hair shaft and that is why we see the greatest damage at the ends. The trauma is caused by sunlight, blow driers, hot rollers, rubbing too hard, hacking it with dull scissors, back brushing, using a metal comb with fine tines, perming, bleaching or coloring, putting rubber bands around the hair and the use of various hair sprays. The use of good shampoos and conditioners help keep the hair in better shape. Once the cuticle cracks or breaks and the cortex is damaged, only a good hair cut (which removes the damaged hair) will allow you to get the healthy hair look you want. These pictures show the complexity of a hair shaft, with many layers, each of which can be damaged permanently if you don’t take good care of your hair. Look to the right side of the photo and see a still intact hair shaft so you can see if someone had a hair cut and used a good shear to cut this hair a bit shorter, the end will be clean and not irregular.

Microscope Images

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19 with hair loss and in a panic (photo)

I’m 19 and went to a doctor about my hair and he refused to give me finasteride. What can I do? I am very depressed about this situation.

Find another doctor! Connect with me at williamrassman33@gmail.com and we can talk and I will prescribe it if indicated. You may not be balding and just maturing your hairline but I can work with you on this over the phone to find out what it is that is bothering you.

 


2021-05-13 21:45:5919 with hair loss and in a panic (photo)

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2 months on finasteride & minoxidil (photo)

This is an amazing response to finasteride and minoxidil in just 2 months suggesting that the stem cells were responsive to the 5 alpha reeducate blockade from finasteride.


2020-10-08 07:37:112 months on finasteride & minoxidil (photo)

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In the News – Balding Men 32% More Likely to Have Coronary Heart Disease

Snippet from the article:

Men going thin on top may be more likely to have heart problems than their friends with a full head of hair, according to researchers in Japan.

Their study of nearly 37,000 people, published in the online journal BMJ Open, said balding men were 32% more likely to have coronary heart disease.

However, the researchers said the risks were less than for smoking or obesity. The British Heart Foundation said men should focus on their waistline, not their hairline.

Read the rest — Male baldness ‘indicates heart risk’

This paper was actually based on meta-analysis of more than 850 existing observational studies, and it found that vertex balding (not frontal hairline balding) lead to an increased heart disease risk.

Whether there is anything to it, I couldn’t say… but coincidentally (or not), I had someone ask me just last week if having a hair transplant into his crown would reduce his risk for coronary disease.


2013-04-06 10:50:54In the News – Balding Men 32% More Likely to Have Coronary Heart Disease

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2 years on minoxidil and finasteride (photo)

I often tell my patients that it takes 1-2 years to maximize the drug finasteride even with the addition of minoxidil. This man had the patients to hold the course.


2020-11-04 08:37:352 years on minoxidil and finasteride (photo)