Category: Uncategorized

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How to Find the Best FUE Doctor in North America? (From Reddit)

Hi there, my question is as above. I have been lurking/debating a transplant for a few years now. I am getting back into researching who is out there now as this year I have more of the means to acquire one. In your opinion who would be among the best for FUE in North America currently? I remember Rahal for example being a big name a few years ago but unsure now. Thanks!

Today, many doctors have learned to do FUE very well. The key to finding a good doctor is to find a doctor who cares about you, is willing to show you patients of his or hers and allow you to meet them so you can see, first hand, what the quality that he or she is so proud of and really looks like. I have monthly open house events where former patients come in to meet with new people who have never seen a hair transplant patient and have an opportunity to speak one-on-one with a former patient. We also allow prospects to come into the operating room (with mask on) to observe a surgery. I wrote the first article ever on FUE and started the FUE movement; however, despite these credentials, I tell my patients to judge the doctor not only on their technical ability, but how they treat you and their former patients.
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Stress Induced Hair Loss

I am a 57 year old male. Recently I have been under a lot of stress. Have been taking a topical testosterone ointment off and on, HGH injected of and on. Have noticed a great increase in hair loss lately. Have been taking Saw Palmetto as a DHT Blocker. Would I benefit from beginnning Propecia or am I too old to benefit from it. I am going to get a Hair transplant with NHI in the future but now just want to stop the hair loss. Thank you.

It appears that you have many reasons for hair loss (stress, testosterone, HGH injections). Clearly a good DHT blocker like Propecia will be far more valuable than Saw Palmetto which is very weak, if effective at all. Still, the combination of contributing factors may not be enough to stop the hair loss. Visit me and let’s talk.


2006-01-11 09:04:56Stress Induced Hair Loss

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My First Transplant Is Not Thick Enough (Photo)

If your first transplant is not thick enough because you want to keep your hair short, then a second hair transplant will easily double up the density. Only you can make that decision, i.e. is it worth doing?

no thick enough


2018-06-22 13:07:16My First Transplant Is Not Thick Enough (Photo)

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Styling without shedding

An interesting article that seems to significantly reduce shedding as it will contract the arrector pili muscle of the follicular unit. The authors are very credible

https://pubmed.ncbi.nlm.nih.gov/29193553/

How to buy it See https://www.intacthair.com/


2020-09-11 07:08:24Styling without shedding

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Folliculitis on Chest As a Young Teen — Now I Want Chest Hair!

Hello. I am a 19 year old male. When I was 16, I had a really bad infection on my chest (follicultis) which destroyed a lot of hair on my chest. Now that I am older, I am showing lots hair starting to grow, but because of the infection, its growing in clumps and patches, and looks HORRIBLE. Is there any sort of topical thing I can apply to my chest that can possibly restore these damaged hair follicles? A response would be GREATLY appreciated, sir.

You might try minoxidil. It should grow or stimulate hair growth on the chest. Give it a full 6-8 months before concluding that it is not working and use it twice a day. Chest hair can be transplanted from the scalp. I have done that before, but I would hold off on that until you are older (25 years old minimum), as chest hair is often delayed into the mid-20s and through the early 30s.

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Suicide Is Not a Solution for Hair Loss (From Reddit)

There are good solutions. Any thoughts of suicide suggest you should speak with a support network or seek professional help. Doctors can help you with hair problems so that the man in the mirror will be acceptable to you. If you are in the Los Angeles area, come see me. The consultation is free.

On the verge of suicide from tressless


2018-06-26 13:30:46Suicide Is Not a Solution for Hair Loss (From Reddit)

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Forelock Width?

I was just wonder something about the frontal area when it comes to the mature hairline. You give two measurements of where the corners and the front part of the hairline should be, but what about the size of the frontal area? I think you call it the forelock? How wide can it be or does it matter?

The central portion of the frontal hairline often has a forelock of hair that can be genetically independent of the surrounding hair. David Letterman has a strong forelock that lasted longer than much of his hairline, due to this genetic independence of the frontal hairline around it. It is just one of many unique traits in our appearance.

These forelocks tend to run in families and it can be quite small or even fairly large, depending upon the genetics of the individual. Also, these forelocks often are found low on the central hairline.

We posted on a similar question about forelocks and widow’s peaks a few years back: Forelocks and Widow’s Peaks

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Swelling in My Head After Hair Transplant

hello doctor..i come from greece and i had hair transplantation about 3 months ago..a few weeks ago i noticed that the area where the new hair was transplanted it started to swell and raise up a little bit..i went to see my doctor again (actually it was a clinic, specialized in cosmetic surgery) and they told me it due to the new hair trying to find their way out but couldnt…they used a needle to cut it open a little bit and cleaned it from the blood and pus that was gathered in it..when i asked them if that is natural they told me yes, it happens from time to time cause some hair get trapped and inverted but they told me the transplanted hair will grow normally after that..is that true? could the transplants have died because of that? im sick worried..thank u

If what you are talking about is a few cysts, this occurs in about 5% of patients and with proper soaks (or drainage) they should go away. Sometimes they need antibiotics. If the pus or drainage was any bigger than a drop, then you could be having problems. You need to trust a doctor to deal with this (in person), not someone like me over the internet.


2007-04-10 13:32:09Swelling in My Head After Hair Transplant

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Frontal Fibrosing Alopecia

What is frontal fibrosing alopecia? I haven’t heard of this before and I just read an advertorial that mentions that it is a cause of hair loss in women.

Link here

Frontal fibrosing alopecia (FFA) requires a microscopic diagnosis made in the hands of a good dermatopathologist. To quote the link you sent, FFA “can cause women to lose up to five inches from their hairline. If FFA goes undiagnosed, women can even lose hair at the sides and back of their head.” For more info and some photos, see DermNet NZ.

In general, there are two types of hair loss — scarring alopecia and non-scarring alopecia. Genetic (male pattern) hair loss is the non-scarring type. We usually do not perform surgery for those with the scarring alopecia, because as the name implies there is scarring and inflammation underneath that is causing the hair loss. So a hair transplant would not likely work because your own immune system can still attack the transplanted hair.

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Sylvester Stallone’s Hair Restoration

Dr Rassman,

As part of your occasional series discussing the hair jobs of celebrities, could you take a look at this (rather unflattering) article on Sylvester Stallone in London’s Daily Mail?

Link: Daily Mail

In short, he does look very good for his age — until you check out the closeup of his hairline. In your opinion, what technique is responsible for that restoration job?

Thanks for your time

Yikes! What I see in the link you sent appears to be a harsh hairline. Even with the limitations of the photos, I think I am able to see some of the older type of work, some large grafts mixed with smaller grafts — so in my opinion he looks transplanted. I have no firsthand knowledge and am basing this on Mr. Stallone’s appearance in this photo. The older (and larger) grafts are relatively easy to detect and reflects more than one surgery, one of which may have been done years ago, prior to the advent of the modern Follicular Unit Transplant technique that we defined in 1997 in the published literature (see links below).