Category: Uncategorized

Body Dysmorphic Syndrome reflects people who have Body Dysmorphic Disorder (BDD). These people think about their real or perceived flaws for hours each day. They can’t control their negative thoughts, and don’t believe people who say they look fine since they think of themselves as deformed. Their thoughts often cause severe emotional distress and interfere with their daily functioning. They may miss work or school, avoid social situations, and isolate themselves. They even hide from family and friends, because they fear others will notice their flaws. We see this all of the time in young men with hair loss, and internet forums are replete with these men who are reaching out for help from peers, often without much benefit. Suicide is a common consideration, and when I see this from young men on hair loss forums (which I actively participate in), I often reach out to them. Here are two courageous young men who came forward to speak about it on Reddit:

Balding is the only thing I truly hate about myself from tressless

Being Ugly from tressless

What caused this and will they go away?

These “pits” are the results of the recipient site tools used by the surgeon. Small instruments usually do not produce these “pits”. Once you get hair growth, I would expect that you will hopefully not see them.

He sent me an email complaining that he couldn’t get a hair cut and had to live with this hair uncontrolled. I think he was bragging. I had performed 3200 grafts one year before.

 

4000 grafts are likely 60% or more of your donor supply. Have you considered what you would do if your hair loss pattern evolved into a more advanced balding pattern? If you are under 26, this is a significant question; however, if you are over 35, the risk of developing a more advanced pattern may not be substantial unless some male in your family line developed a later pattern of advanced balding. Who do you take after in your family line? Do you have a worst-case plan? I think 4000 grafts for a balding Class 3 pattern male is mal-practice.

Hello Doc,
I mapped my scalp for miniaturization (since no central European doctor or rocket scientist does). What I found was there was none in the front, crown, mid- anterior or top of my head, only as expected in my hairline corners. However, when I went further back at the temples, a narrow space between the sides and top of the head, going about half an inch to one inch further back than a Norwood 2 had also more fine hairs. (no recession up to there yet) This suggests Mpb, right?

Still I’m glad that after one year of hairloss it doesn’t look like I’m going bald soon, although at age 22 and a NW6 maternal grandpa one can not be sure (still all other male relatives are Class 1 or 2). I’m well aware that a self examination does not fully replace a medical one, so perhaps one day I’ll get it confirmed

After all, I wanted to thank you for your site, delivering infos, without which I would still not know about scalp mapping, mature hairlines or a master plan.

Thank you for the comments. While it may not replace a good medical examination, it is good to know that some readers can be empowered to take a proactive and objectively see the degree of thinning / miniaturization.

What you saw could suggest early MPB, but I couldn’t say for sure without seeing what you’re talking about.

I am starting to worry about doing damage by picking off my scabs. Is it OK to do that?

Absolutely, do not pick off the crusts from the recipient area as the grafts are attached to these crusts and when you pick or pull on them, the graft will come out especially in the first 2 weeks. An FUE is treated just like a regular hair transplant with regard to the recipient area, but the donor area has open wounds which require daily washing with soap and water. Within 3 days of surgery, you can resume full activities, heavy exercises if you wish. The recipient area requires daily washes as well to keep the recipient area free of crusts. I generally recommend and if you washed it properly, there will be no crusts on it, even the very next day. Use of a sponge which we supply our patients, a surgical sponge to fill with soapy water and press on the recipient area daily. By repeating this daily, all crusts can be washed off without any fear of losing grafts. IF any crusts are present, use a Q tip and dip it into soapy water, and roll it on the crusts and that will lift them off without dislodging them, but never rub them, just roll the Q tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in 7-10 days with daily washing.

Dear Doctor Rassman
My question concerns my eyebrows. I shaved them for some reason I cannot even comprehend myself. They never came back. What makes it so much worse is the fact that i am a man. It bothers me more than anything else in my entire life has. It haunts me from when i wake up to when i go to bed. I have two questions i guess.

1. First of all, i don’t know why but i really don’t want to have a eyebrow transplant probably because it is in fact considered plastic surgery and is considered weird by most people i have asked. Also the continual growing could become annoying but i am not ruling it out. If you yourself were in my situation would you in fact have it done? Are most of your patients honestly happy with the results?

2. Second i am 25 years old now and by visiting your site learned of hair cloning. this seems like a much better option obviously but i have yet to understand if it is only for the top of your head or could it be implemented in something like my eyebrows. what i am getting at is if they cloned eyebrow hair would it grow normally (not like head hair)? if it is possible to clone eyebrow hairs then would you wait? probably not from reading your other responses. either way i really want to do something about this.

thank you so much for your time and again what do you think my best option is?

I find it difficult to understand how shaving your eyebrows once would cause them never to grow back. Please see a doctor and get a good diagnosis. Maybe you have other medical issues that may cause the absence of eyebrows (such as alopecia areata).

Eyebrow transplantation is a very reasonable option for many men and women who do not have eyebrows (or have thin brows). Again, please consult with a hair transplant doctor for this. It is not my place to say if you should have surgery or not. This is purely a cosmetic procedure. If you think you will be a happier person for having more eyebrow hairs, then it is your prerogative. If you would like a private consultation, you can call my office (800) NEW-HAIR or (310) 553-9913 to speak to me or Dr. Pak.

At this time, cloning isn’t an option.

Overdoing self-manipulation (masturbation) converts too much testosterone into dihydrotestosterone(DHT). High levels of DHT overload the body causing baldness and possible prostate enlargement if blood circulation is poor in the prostate area causing a build-up of the compound. Reducing the frequency of your self gratification will help maintain low levels of DHT and avoid hair loss.

Im sorry Dr. Rassman but i study biology and im interested in hair loss and there is mountains of evidence to prove it. You dont even need evidence, its common sense. And heres why. If castration stops you from going bald, then anything that can get as close to the castration effect, to the point of almost castration such as no sex, masturbation, no erections, clearly DHT levels will be incredibly reduced.

Some people know just enough to be dangerous. Whether you decide to masturbate or not, your testicles will put out testosterone which will be converted to DHT. Nothing you can do short of real castration will stop that process and I am not recommending that you get yourself castrated.

If the way you love your life makes you happy, by all means do not masturbate as there is nothing in that act that is necessary for maintenance of your health. To everyone else, there is no connection between masturbation and hair loss. If you believe the old wives’ tales, I’m not going to change your mind. I haven’t been successful in the previous messages about this, and I doubt this will change your tune. I think that you have exhausted this subject.

I have just turned 27 and I am concerned about my hairline . I have never really given it much thought but then someone commented on it and I noticed it is a triangle shape. I am concerned that I am going bald but have heard of the term mature hairline. I have drawn in a line to show my highest wrinkle. I am thinking about getting a hair transplant as the hairline looks rather odd. My crown is fine I think ! I have attached photos which may be of use. There are no bald people on either side of my family which is why I find it strange that I could be.

Any help or guidance would be much appreciated.

If you are concerned about your hair line and considering a hair transplant, you should see a hair transplant surgeon. I don’t mean to sound obvious but there is not much I can say here. Balding occurs in the 20s for most men. From your picture there are two things happening: (1) your forelock comes down to the highest crease which indicates it is located where it was when you were 5 years old, and (2) you hairline on the corners is certainly receding upwards giving you a bizarre shape to the hairline that that makes it look pointed. If you transplant the frontal corners, you can move to a different hairline that better fits with your look. You are in your 20’s and that is when such frontal recession appears.