2020-09-03 02:58:352020-08-25 04:46:047 months on finastetride, minoxidil and microneedling
I don’t believe that topical finasteride is superior to the oral finasteride. From what I have read, the question has always been, ‘Is it as effective to the oral finasteride‘.
2019-10-10 04:17:022019-05-01 08:17:17Is topical finasteride superior to oral finasteride?
Doc, I can fly. Is that a side effect of Propecia? Reading your blog makes me laugh, because it seems like everyone blames every single bad thing in their life on Propecia. Propecia has allowed me to keep a full head of hair and I have had zero side effects from it.
Thanks for sharing your experience. I think you’re right — I have definitely noticed a lot of blame pointed toward this medication. Not many men will write about the positive benefits of Propecia, as they use the medication without any problems and go on with their lives. It’s those that feel they’ve been wronged that become the most vocal.
The side effect risk from Propecia is in the range of 1 to 2% of the men who take it. Those 1 to 2% are the most vocal, along with possibly another 10% of men just need a cause to rally behind, like the building bandwagon against Propecia.
dear doctor rassman.
i am in a bit of a confusing state. i had a transplant with a reputable doctor in canada 9 months ago to restore the hairline and provide some coveredge on the top and not the crown (i was a norwood 5).
i had roughly 3600 grafts, mainly focusing on the hairline. 9 months have past and i can say honestly that im not impressed. whilst i see an improvement on the top of the scalp, the main area which is the hairline is unexceptional. from temple to temple, it still looks like a receded hairline and the surprising thing is, its just the hairline area which is from temple to temple and approximately half an inch in lenght i.e. hairline lenght (temple to temple) x half inch which has shown no improvement. its extremely thin and whilst i can feel some stubble in various regions there, i honestly think that for 9 months, it is unexceptional. my head is visible through my hairline and anyone can say that i am balding.
i have been imforming my doctor on regular basis and he says i should wait a full 12 months before coming to a conclusion. i have not been satisfied with my hairline for the past 9 months, is there any hope that the next 3 months could make a difference?
At about 9 months you should have 90% of your results in. You might get a second opinion if your doctor is not being responsive. Some rare people have slow growth, but usually by 9 months, much if not most of the hair should be growing. An expert doctor will tell you how many grafts are growing. 3600 grafts is a lot of hair moved — you must have been fairly bald.
If you email me some before and after photos and point out the areas that were transplanted, I might be able to help you over the internet. Be sure they are good quality digital pictures (various angles will help) and please reference this post when sending.
Hi Doctor, I have been taking 1 mg of finasteride 13 months my hair has become very weak and fine, and still losing hair every time it grows it’s more fine and weak also hair loss at the back of head and facial hair also weak and fine, should i stop this medication? your help would be greatly appreciated thank you.

First and foremost, I am not your doctor so I cannot advise you on your medical treatment. I can tell you that genetic male pattern balding (MPB) is a condition where there is no cure. Propecia is a medication that helps slow down the process. Everyone responds to medication differently. Follow up with your doctor for a recheck and come up with a Master Plan on your treatment goal.
Dear Dr. Rassman,
I started losing my hair after using hair gel at the age of 15 and now i am 19 years old. i lose hair from the top of my head and from the sides, is there anything that i can do to stop the hairloss. also could you tell me please if i could get a hair transplant from the NHS in england for free, because the hair loss has caused me to become very depressed and a hair transplant would solve my depression.
Hair loss is not from hair gel. If your loss started around the time you started using gel, it’s a coincidence. I doubt England’s National Health Service (NHS) would just hand out hair transplants because you wanted one. Genetic hair loss is found in roughly 50% of all men, so your case is not unusual. To halt the hair loss, you should talk with your doctor about the genetic process and a prescription for Propecia if your doctor believes it is genetic in origin.
2009-06-17 11:35:162009-06-16 12:11:22A Free Hair Transplant Would Solve My Depression
Hi I’m a 25 year old male and i have a patch of hair on the side of my head that has never grown in… It is approx 2 inches above my right ear, and it is about 3/4″ to 1″ in diamater. I am not asking about hair loss because my whole life, the spot has been there. I can’t get my hair cut certain ways as this spot makes me very self-conscious. My question is: Would i be able to benefit from a hair transplant even if there was no hair in that spot to begin with? As far as I know, there has never been hair there
This sounds like an ideal case for hair transplantation. So the answer is simply, yes. Follow the rules set up here on how to select a hair transplant doctor. With today’s techniques, you won’t even know that you even had a bald spot with the right surgeon and team.
2006-09-20 08:35:302006-09-19 09:26:37I’ve Had a Bald Spot My Entire Life
“The waiting is the hardest part.” – Tom Petty and the Heartbreakers
If my chronicle of hair had a theme song, that 1985 hit would be it. But let’s go back in time and set the stage.
When I first met Dr. Rassman, I had $2500 saved up to populate the barren wasteland known as my forehead. “If I could just lower my hairline 3 inches, all would be right with the world,” I thought. I had everything in place prior to my first consultation with NHI. I knew the day of the week I’d want my procedure, what movie I’d watch during the procedure, and what lunch — an egg salad sandwich — I’d be enjoying during the procedure. The stage was set. And then…
“I’m not going to do $2500 worth of work on you.”
“I’m sorry, what?”
“Your goals require approximately four times that much hair, and I’m not going to put you in a position where you MUST come back for more work. You must approach each procedure as a stand-alone procedure, not something that will leave you incomplete and dissatisfied.”
“Dr. Rassman, the other three places I met with said I could move forward and have a procedure with $2500.”
“If they can show you one patient, just one, who lowered his hairline that much with $2500 worth of work, then proceed with them. My experience tells me the math doesn’t add up.”
I walked out of the NHI office that day thinking, “That’s the most interesting and somewhat irritating business model I’ve ever encountered. He won’t take my money?”
So began my true follicular education. I read all the peer-reviewed journals published by NHI. I visited the office again to watch a procedure being done. I went to three NHI Open House events to meet as many patients as possible. They clearly had nothing to hide. It was then that I fully respected Dr. Rassman’s decision not to perform my surgery right away. He encouraged me to approach my hair restoration as a lifelong plan. After all, we’re not dealing with an infinite supply of donor hair here! Every graft is critical!
The morning of my first surgery, Dr. Rassman, being acutely aware of my financial situation back then, took a moment to inquire as to how I saved up the money in such a short period of time.
“That was easy, doc. I moved out of my apartment, put my belongings in storage, and slept in my car for a few months. That dedication is deserving of two egg salad sandwiches and a hot fudge sundae, right?”
“You’re serious?”
“Yep!”
After three months of checking the mirror for any sign of hair growth, the first evidence was revealed! I was told to basically forget that I had surgery for the first few months since it typically takes that long for the new hair to begin growing. Yeah right. I was in front of the mirror every day without fail. The waiting definitely was the hardest part!
Ten years, two surgeries and approximately 5500 grafts later, I’m happy to say that I no longer think about my hair loss. The hairline has been lowered and the temple regions have been moved forward, resulting in a completely natural looking frame to my face. The barren wasteland is now a thriving metropolis thanks to the New Hair Institute!
NHI is family. They don’t sugar coat anything, and they ensure your expectations are realistic. For that I am forever grateful.
Suicide? Whatever is wrong, I can fix. Contact me (wrassman@newhair.com).
I have often reached out to young men who are thinking about suicide because of hair issues, often caused by a bad hair transplant on an immature male who didn’t do his research. I am aware of two suicides over my career on patients who have called me from out-of-state and had bad hair transplants. On both occasions, I reached out to the parents of these men, established some help for them, and after their son’s died, they both called me to thank me for reaching out to them. I was not the operating surgeon on these two cases.
I have been thinking of suicide after terrible hair transplant in Turkey (update) from tressless
2019-01-21 04:35:212019-02-14 10:47:36I’ve Been Thinking of Suicide After Getting My Hair Transplant in Turkey (From Reddit)