Category: Uncategorized

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Terrible crusts on recipient area 3 days after hair transplant (photos)

I saw this photo on an internet site where the patient asked how his recipient area looked and why the cracks where there. Clearly the doctor never told the patient how to take care of the recipient area. This poor man will have to walk around for almost a month with this ‘cake’ on his head and he will not be able to go out in public without a hat on his head. Compare the patient with the caked crusts to one of our patients who had proper washing (on the right). Below is our washing process for readers who do not want to get cake on their head.

Post Operative Recipient Site Care: 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. There should be no crusts present even on day one if the washing routine below is followed. 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 the use of a sponge and supply my patient with 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 crust 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


2020-07-02 07:58:18Terrible crusts on recipient area 3 days after hair transplant (photos)

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17 Year Old Wants Hair Transplant

I am a 17 year old male. When i turned 13 I dyed my hair about 5 times, and bleached it once. The following year I began to lose my hair. You can see my scalp on the back of my head, not greatly, but very noticablly. The hair on top of my head is very thin now, and u can almost see through to my scalp. My hair has stopped falling out since then but the damage has been done. I have been to several doctors, and dermatologists, they all say it’s hereditary, since my father is bald. My questions are, if the hair loss is hereditary why did I start losing my hair at such a young age? If my parents and I consider hair transplantation am I guaranteed to have a full head of thick(er) hair? If we decide to have the surgery should I start taking Propecia to prevent any future hair loss? I would love nothing more than to have a full head of thick hair again. This has been a very stressful situation, being in my prime teen years, and entering my junior year of high school in September. I would greatly appreciate it if you respond to my message. Thanks for your time!

You are almost certainly too young to have hair transplants. Wtihout seeing you and examining you, I can not really understand what your hair looks like throughout the scalp. Seeing through the hair to the scalp means that you hair is probably very, very fine. This is a common look, something that my generation called a towhead. I would not be surprised to hear of balding in your family as 50% of men in their lifetime do have some form of balding. Some of your hair loss may be the results of the chemicals you put on your head when you were young. Before you start on a treatment plan, please read Miniaturization: Critical to the Master Plan for Hair Loss and develop a Master Plan for your hair. I can not really advise you without seeing you.

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Testicle pain on finasteride

Is it a common side? It’s been a couple of days since I started taking finasteride, and my left side feels tense and slightly painful. Any similar experience?

If the testicle pain continues, go back and see your dctor as this drug is known to cause the problem in some men but also there are other condition that cause testicle pain in young men that requires an examination by your doctor.


2020-02-20 09:53:39Testicle pain on finasteride

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Does Eating Oysters Raise Testosterone Levels?

Doctor I read that oysters raise testosterone levels. Can a person who has genetic balding lose more hair by eating oysters?

ANSWER: I doubt that there is an association between balding and eating oysters. Balding is hard grained in your DNA. Only taking steroids by mouth, could accelerate balding. I would doubt that any reasonably good food would impact hair loss as it is just the genes that dictate your balding status.

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Hair Loss Is Tied To Many Other Systemic Health Conditions

A recent article in the International Journal of Cardiology showed that baldness is tied to Heart Disease (coronary artery disease, the metabolic syndrome,hyperinsulinemia,insulin resistance. higher cholesterol, higher triglycerides, and higher systolic and diastolic blood pressures (high blood pressure). The article summarized 31 studies involving 29,254 subjects with alopecia and found these relationships. They pointed out that such measures such as weight loss, smoking cessation, and other modified risk factors should be the way patients fight for their health.

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The Dangers of Medical Tourism: What It Is and How It Can Impact You

The following post is by UK-based physician Dr. Bessam Farjo:


Written by:
Dr Bessam Farjo, United Kingdom
Dr Bessam Farjo
United Kingdom

I recently came across a poll on newbeauty.com, which reveals that one in four Americans would consider having surgery if it wasn’t so costly. With this in mind, it’s not surprising that people seek a lower cost option and consequently consider having surgery in a country where it’s cheaper. While the discounted price tag may be very appealing, there are some important things to bear in mind when it comes to having surgery abroad.

The same website outlines some of the dangers associated with medical tourism. It describes how it can be difficult to check if a foreign physician’s credentials are genuine, suggesting that the International Society for Aesthetic Plastic Surgery is a good place to start. It also flags up that you may not be covered by your travel insurance if something goes wrong in another country. Another issue concerns recovery, which can sometimes take longer than expected after surgery and there can also be a danger of clotting if travelling by plane.

Similar considerations apply to our own field of hair transplant surgery. The website of the International Society of Hair Restoration Surgery provides a list of members as a reference not necessarily recommending anyone in particular. It is down to the individual patient to do their due diligence whether online or in person.

There are clinics that try to take advantage of potential patients who consider surgery at home too. We’ve seen a growing number of men come to us after opting for surgery via an offer on a discount website such as Groupon or KGB deals. These ‘deals’ are usually limited to 1,000 grafts which is only around 2,000 – 2,500 hairs. To anyone with a significant amount of hair loss this would be nowhere near enough to provide a suitable result.

The small print in these offers often dictates that only one discount is available per person, meaning that anyone requiring further treatment would have to pay the full cost or more likely, above the odds.

There certainly are some serious dangers involved with having surgery both abroad and at home and I would strongly recommend considering these should patients be tempted by low-cost surgery options. As always, I must stress the importance of thorough planning and research when contemplating any type of surgery, make your decisions based on what’s right for you, not on the price it costs.

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Learn more about the author of this article, Dr. Bessam Farjo, on his BaldingBlog profile or at his website.

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Dr. William Rassman’s Comments:

    I can speak to having surgery in the United States, Canada or Europe. The issue of recourse comes up. What recourse do you have if the doctor misrepresented himself (or herself)? Or if there is medical malpractice involved in the delivery of the surgery? Or if the “doctor” really isn’t a doctor?

    I know the laws in California are made to protect the patient at all times, and California lawyers are waiting enthusiastically to represent those who are harmed. The legal recourse in many foreign countries may not be there, which means that if you become a victim of the surgeon, there is little you can do about it. This, to me, is a good reason to have the surgeries in the United States, Canada or European countries that have strict laws that control doctors’ licenses and the way they use their licenses.

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Percentage of Men Who Experience Male Pattern Balding (MPB)

Hello, I was hoping you could clear up something regarding the percentage of men who go bald or experience thinning.

I’ve read that only 50% of men are bald by 50, but I’ve also heard that the American Hairloss Association did a study that found 2/3 of men are bald by 35, and 85% of men are thinning by 50. These statistics seem in conflict with each other.

Does the American Hairloss Associations study reflect the percentage in ALL men, or just American men? Websites I’ve been on are inconsistent on which one it is. If you could clarify, I’d appreciate it.

To my knowledge there isn’t a landmark study of epidemiology or the prevalence of male pattern balding in men. Male pattern balding is genetic and it follows a “pattern” as the name implies. Thus by the definition, a slight front corner recession of a Norwood 2 could be termed a mature hairline which is not “balding”. However, when most people hear the term balding they assume a full Norwood 6 or 7 type of balding. The Class 3 pattern reflect the early corner recession in a maturing hairine (see: HERE)

I often write that about 50% of men have the genetic make up to have some type of balding (Norwood 3 to 7). I often write about 7 to 8% of men are Norwood 7 (completely bald with only a 2 1/2 inch rim of hair around the back and sides of the head). It is also understood most male pattern hair loss may begin after puberty, but most men start their balding process in their teenage years to their late 20s, and by the time you are in your middle age 40-50 you would have an established pattern of balding (or no balding). You will find these numbers may be variable depending on the source as you suggested.

The American Hairloss Associations on the website claim that by the “age of thirty-five two-thirds of American men will experience some degree of appreciable hair loss (I doubt this statistic), and I believe that by the age of fifty approximately 50% of men have significantly thinning hair” not the 85% suggested by the American Hairloss Association. I do not know where these statistics come from. Furthermore the term “thinning” can also mean gradual change of the character of the hair as one ages that is not genetic balding (just more fine hair evolves). Men who never go bald will have some thinning as they age but they will not go bald or show a “patterns” of balding as depicted in the Norwood scale.


2014-12-11 09:18:17Percentage of Men Who Experience Male Pattern Balding (MPB)

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The Lion’s Mane

Sir, my age is about 23 years i am the student of information technology where hairs are the main part of human personality which make a man live and active every here. when ever i use to set with my friends and compare my hair i feel some shame. My hair are falling with a big speed what should i do.

I use the metaphor that hair to men is like the ‘lion’s mane’ is to a lion. It is what creates his majestic look. You are like the lion, and are confronting a real problem- that your age and your hair do not conform with the overall image that the world expects. At your age, I understand that confidence in your appearance does count for your ability to feel comfortable with others. The shame you feel is clearly not of your making but you feel it nevertheless. None of these feelings are abnormal behavior and I have seen it in many men of all ages-from all walks of life. No one wants to look old and our society has been less than fair to the balding men out there, many times cruel.

There is good news for people with hair loss. The drug Propecia can slow, stop or possibly reverse hair loss in young men and it has been on the market for 8 years with good results reported by millions of men. I would advise you to seek out a competent doctor in this field (your dermatologist or family practitioner), then seek his advice. I am certain that this drug will help most young men with hair loss, but you need a diagnosis and you need a doctor to manage you. If you are in California or New York, you can make an appointment with me or one of my associates (see newhair.com) or if you are not near by, visit ISHRS.org where other doctors who focus on this field can be found in your area.

Most 23 year olds are not good candidates for hair transplants for it may be too early, but the future is bright. Good luck.

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I Want To Wait To Take Propecia Until After I am Married

i am a 24 yr old sikh male living in the uk. up until the age of 18 i had long uncut hair but then in 2003 i cut my hair. my hair has always been thin in texture from a young age. at first when i cut my hair it seemed to be quite thick on top and didnt seem to concern me too much. however after a few months of getting it cut i began to realise that a lot more of my scalp was visible, particularly in well lit areas.

so in following summer of 2004 i shaved my hair off completely in hope that it would grow back thicker which was really a waste of time. by summer 2005 i had realised that my scalp was a bit more visible than before so then i made the decision to start using rogaine. this seemed to work at good effect and by jan 2006 i had grown my hair a bit longer and had a new style cut. my hair appeared to be a lot better than before and a lot of people did notice. this however may have been due to the new style as well. but by summer 2007 i began to realise that my hair was appearing to be thinner again and i also noticed that at my crown the balding area had increased. the fact i have got a double crown does not help appearance either. so in late december 2007 i decided to switch rogaine for a private minoxidil 5% containing MPG. this too at first appeared to have made a slight improvement, and is a lot easier to apply than the rogaine. however by now in may 2008, i am still not to happy with the density of my hair. i went to a trichologist late last year, he advised me that i should not consider a hair transplant until i am least 25 and that i still have a bit too much hair for a HT. he advised me to take propecia, however i am scared of using the drug due to all the reported side effects. i would be willing to use the propecia, preferbly in a few years and after marriage! both my mother and fathers family have cases of hair loss, my father is bald apart from the hair on his back and sides. both my sisters have fine hair aswel, but they have a full head of hair.

i have seen pictures of hair transplants on patients who have diffused thinning and this would be my preferred method of sorting my hair out, however i am aware that i need to consider the long term instead of the short term. can you please give me some advice on what to do? thanks.

I don’t know what I can say that hasn’t already been said on this site —

I’m not sure I quite follow the logic about waiting until after marriage to start Propecia (finasteride 1mg). The side effects from Propecia occur in less than 2% of men and most claims you read about on the Internet are unsubstantiated. Without seeing your hair, I couldn’t tell you if you’re a transplant candidate, but if you’ve already seen a doctor and were told that surgery was not recommended, I’d listen to him. You could’ve very easily gone to someone that would’ve taken your money and performed a surgery on you just to appease you. I don’t know which doctor you went to, but by not doing surgery on you, he likely did you a favor. You are, of course, entitled to go to another doctor and I’m sure eventually you will find a surgeon that is more than willing to take your money.

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