This shows the proper use of a concealer to produce the appearance of a good looking ‘full’ head of hair.
Has anyone used this hair spray from Hair Cubed before? It looks super impressive and the application seems a lot easier than in the case of hair fibers. from tressless
2020-02-12 11:37:242020-02-12 11:37:24Use concealer to produce a full head of hair (video) from Reddit
Hello Dr. Rassman,
With regard to future donor density/yield, what is the better option:
Several small strip procedures or one very large procedure?
What I’m basically asking is which one would be more detrimental to your donor supply for future transplants (possibly affecting laxity)?
I have to speak in generalities, something that I do not like to do as every situation is different. Generally speaking, the less the number of surgeries the better for the donor supply, but as larger and larger sessions are tackled, the surgical team is as critical as other items such as donor density and laxity. Each surgery has a built in waste factor (I estimate it in a good doctor’s hands at about 4-5% in a strip surgery) so two surgeries will produce more waste (a relatively small amount of waste). In the hands of a surgical team not designed for very large sessions (over 2000-2500 grafts), the larger session might cause a longer surgical time, more time for the grafts to be out of the body, and more time for dessication (drying of grafts causing graft death). Longer surgeries require more anesthesia and a skill in managing the anesthetic requirements is critical for larger sessions. In the rush to keep pace among the field’s leaders, many groups try to offer larger sessions (3000-5000 follicular unit graft range) even though they are ill prepared for this service. Some groups dishonestly sell these larger sessions and do not deliver on them, yet do charge for them… causing a fraudulent transaction (more common than most doctors will admit to, i.e. “It’s the other doctor, not me!”).
You were right to ask about the future donor supply. Very large sessions may reduce your donor supply very significantly when they are done, so it is good to understand what the session will do to the Master Plan for the patient. Running out of donor supply could be a critical error if it is done in one session. Look at today’s 12:31pm post (2 down from this post) and look at the real donor supply. Any hair taken outside this rim of hair is not permanent so if the doctor goes too high or too low, you may find out in the long term that what you received is not permanent.
How soon after a transplant procedure can you resume using cover ups such as, Couvre or GLH, until your newly transplanted hair grows in?
Thank You!
The use of Couvre and other scalp coloring agents, which tend to be powdery, can be safely used after the scabbing is gone. Scabbing is gone as early as 1-2 days on the short side, and 5-9 days on the long side. The difference between the short and long side reflect two controllable variables and one non-controllable one. The controllable ones are (1) size of the wounds, the smaller the wounds the shorter the healing time, and (2) the washing technique used at the surgery, the end of the surgery and the next day or two after the surgery. Good aggressive washing gets rid of scabs (in many of our patients) in a day or two. We offer hair washes for all of our patients after the surgery and as often as they feel that they are helpful. Patients are rightfully afraid to be too aggressive with the wash, out of fear that the grafts will be washed out of their recipient site. The non-controllable variable is the patient’s individual and unique reaction to the surgery. Some patients tend to exude more ‘transudate’ from the wounds (the yellowish fluid that brings blood-coagulating elements will often form scabs) and some patients may have microscopic bleeding at the wound site after the surgery (forming clots). All of these scabs and clots can be washed off the next day with properly administered washing techniques.
After the scabs are gone, these powdery agents can be used until the new hair wipes out the need for them (usually 5-8 months after the surgery).
This is a college professor who saw a new man in the mirror with this single hair transplant procedure of 2415 grafts. He has fine hair, which often takes more than one session for a completely full look. He told me that no one ever noticed the transition in his appearance, because the change was so slow.
Approximately 2/3rds of the transplants were placed in the first 6 inches of the hairline, which was moved forward, and some grafts were placed in the frontal part of the crown area.
Click photos to enlarge.
After (2415 grafts):
Before:
2011-10-24 14:02:512011-10-23 16:35:18Hair Transplant Results of Man with 2415 Grafts (with Photos)
Dear Dr. Rassman,
My question is: might minoxidil work for a bald spot caused be trichotillomania? Is this worth a go? If so, have you heard of the product ‘Kirkland Signature’ who are a cheaper alternative
to Regaine?Many thanks.
Trichotillomania produces hair loss from traction, which can kill the hair follicles that are under constant attack. Once they die, I would think that the follicles can not be brought back to life, and as such, I would not expect that minoxidil will have a benefit in the areas where balding is produced from trichotillomania. I have heard of the Kirkland brand, which I believe is just a generic minoxidil.
I read a doctor’s web-site and he said his hair transplants did not produce scars in the donor area. Is that possible?
The FUE technique is often called a “scar-less” surgery, but that is misleading. Instead of the linear scar with conventional strip harvesting, FUE produces punctate scarring (pin-point scars about 1mm or less in size). If a doctor would state either in an advertisement or on his/her website that they perform scar-less surgery, any doctor that did this in California, for example, would violate truth in advertising rules and could be disciplined for use of such language by the Medical Board of California. Every time the skin is cut, no matter how small the cut it, it will produce a scar. FUE scars can be seen easily when the scalp is shaved or clipped closely and doctors use many ‘punch’ sizes which will impact the size of these punctate scars.
2009-12-02 10:34:322009-12-02 12:03:22Hair Transplant Without Scars?
I used the Hairmax Lasercomb for 6 months or so. I expected major new growth but saw nothing to that extent. The only thing the product really did was make my remaining hair appear healthier. Overall i don’t know what to think of the Lasercomb. From what i’ve read it doesnt seem to target DHT or regrow the long lost hair lost due to DHT. “It is only to be believed to promote healthy anagen hair growth” (From hair follicles that have not been damages from DHT im guessing?). So wouldn’t the LaserComb be great for newly transplanted patients?
I’m two weeks post op. My grafts are securely anchored and the transplanted hairs are shedding, would it be safe for me to use the lasercomb and how effective would it be?
I don’t think that the LaserComb would produce any harm to transplanted hairs. I doubt it’ll be “great” for them, but if you’re happy with your hair health on non-transplanted hairs, by all means…
2009-05-01 08:34:432009-04-30 14:27:14Using the LaserComb After a Hair Transplant
I’m a 36 year old male with no visible hair loss…..yet. For around 6-8 months now I’ve been following a very lax hair washing routine. I had a girlfriend who had adopted the wash less routine in an attempt to achieve healthier looking locks. Apparently her stylist told her it was the latest trend. She used dry shampoo powder and only washed once a week. At the time I thought it seemed perfectly logical so I too adopted the routine. After we broke up I carried on with the same hair hygiene but with less dry shampoo washing and more and more infrequent regular washing. For the last 4 months I’ve been going on average between 7 and 12 days without a shampoo. It gets greasy and a little itchy but I often wear a hat so aesthetically it doesn’t look bad. Recently my new girlfriend noticed that my head “stank“. When I told her that I was on this infrequent washing trend she told me that it was a terrible idea and that it was proven that non-washing leads to hair loss. Of course I was freaked out and started doing some research on in. The internet is awash in conflicting information but it seems that some doctors believe that sebum build-up can have a negative impact on hair growth and that it can even plug follicles and cause permanent hair loss. On top of that, non-washing is known to cause bacteria growth, inflammation and irritation, which in turn leads to hair loss. Oh, and there’s the old “wearing a hat” thing as well. Now I’m confused and becoming convinced I’m either showing signs of thinning or have done damage to my hair that will manifest itself in hair loss later down the road. As of now my only signs of negative impact are a dry flaky scalp, plus some itching and irritation. Your professional opinion on this whole infrequent hair washing thing would be greatly appreciated. Thank-you.
You do not need a professional opinion.
If you want to keep your current girlfriend, consider maintaining clean hygiene and washing your “stinky” hair.
The frequency of hair washing has nothing to do with genetic male pattern balding.
Bacteria and fungal infection from poor hygiene can cause hair loss.
I am 17, male, and have been loosing the hair in the front of my head for about a year and a half now. I do believe during that time I had used a hair product I was allergic to, as I had a sore scalp in some ares. But I have discontinued it’s use, and was wondering:
- how normal (or not normal) it is to begin having a receding hair line at 16 years of age?
- being a vegetarian, could it be a nutritional deficiency?
- in other answers, I have seen you mention “normal ‘maturing’ hairline development”, or something of the sort. What IS a ‘maturing’ hair growth pattern?
- could masturbating or not exercising affect that, and if so, in what way?
My best advice for you at this point is to see a doctor who can develop a Master Plan for your balding problem and work with him/her, as hair loss is a serious business.
2007-12-11 14:32:342007-12-10 11:33:12Vegetarians, Nutritional Deficiency, and Hair Loss
The problem I see may be more than just missing areas of hair because the hairline is too ‘regular’ and does not reflect a random placement of grafts. Also, the grafts in the frontal hair line are multi-haired grafts when they should be single hairs. A thick 1/4 inch layer of single hair grafts creates a transition zone in front of any thicker hairline, so it does not appear like a ‘line’. Your transplant, is, unfortunately detectable and needs to have a transition zone built in front of the multi-haired grafts, so that nobody can tell you had a hair transplant.
2018-04-02 06:16:112018-06-21 10:01:02Is My Hairline Too Harsh? There Are Also Many Missing Areas That Need More Hair. (Photo)
