Can I Have a Transplant Now, Then Redistribute Those Same Grafts Years Later?

I’ve been reading on treatments for months after realizing I’m beginning to express an NW3 pattern on my head. I’m extremely worried about how silly I will look like, when Propecia wanes and hair loss accelerates in my 50s and beyond, if I have a hair transplant at 30 and use up too much donor hair.

So to tone down my worries, I’m conjuring a kind of modification of the “Master Plan”; one which will involve a transplanting those follicles now, then having a scarce few of them re-extracted in my 50s, if the hair loss gets too bad, and re-distribute these to go well with the decreased density of hair. Would you do a FUE like this twice on the same follicles?

It technically can be done… but that would not be a good plan. Generally, when the Norwood class 3 pattern is treated, it should remain untouched. If you are smart about your hair loss treatment and use the drug finasteride (Propecia), then hopefully you can prevent your migration of the hair loss as you age. That makes more sense.

On the other hand, if you progressed to a more extensive pattern and stay with the hair transplants in the front/top, the results should always look normal.

I get that you’re trying to plan for a worst case scenario, but Propecia doesn’t necessarily just stop working for everyone. Some men might see the effects wane after some years, but I’ve had patients taking it for over a decade with great results. Besides, in 20 years there could hopefully (fingers crossed) be new treatments available.


2012-05-16 21:16:57Can I Have a Transplant Now, Then Redistribute Those Same Grafts Years Later?

My Son Has Been Losing Hair Since 18 Months Old

Hello Dr. Rassman.

My son began to lose patches of hair since he was 18 months old. Doctors say that can be due to stress or Alopecia Areata. His father was diagnosed with that a few years ago and he was also told that his own father had it too when he was stressed. My son’s grandfather and father recovered their hair, but they didn’t begin so young. I am extremely concerned about this. My son has also dark lines under his eyes and is a very picky eater. The only thing he loves is milk. My son began losing hair in his top right side, it spread down then it happened in the left side, after that he lost a couple of patches on the back of his head, and now, he lost a big patch in the middle of the frontal part and the last is on the top of his head… Please give me your advice. Thank you very much.

Alopecia Areata is found in family lines, like yours. The treatment of this disease must be done by experts who specialize in this. Check with a good Dermatologist for the appropriate referral. I have little to offer you via the internet for this problem.

Can I Restart Using Rogaine to Regain Lost Hairs?

Hello, I’m a 21 year old male who started using Rogaine at the age of 19. I was worried I was losing my hair because it is very prevalent in my mom’s family. After using Rogaine for over two years I decided to stop because of the irritation it was causing on my scalp. I stopped late last January and for the first three months I did not notice my hair count change at all, but in about the past three weeks my hair has been falling out by the handfulls. If this continues much longer I may be left with no hair at all. I have been using Rogaine again now for about a week and will continue, but do you think I will be able to get back in the large amount of hair I lost that was apparently dependent on Rogaine? Will reintroducing Rogaine to the follicles bring my hair back to what it was? thank you!

The only two FDA approved products approved for male pattern hair loss are topical minoxidil (Rogaine) and oral finasteride (Propecia). They both have limitations and work primarily by slowing hair loss than growing new hair. Only a small minority of men with genetic hair loss will experience great amounts of hair regrowth with minoxidil, while Propecia will show more predictable results in someone of your age. In your case, your genetic destiny may be catching up to you. It is doubtful that restarting Rogaine will regrow your hair, but Propecia, on the other hand, may reverse recent hair loss. Both drugs may slow the process of hair loss, but if you are genetically balding, Propecia attacks the cause of the hair loss and therefore is far superior. Get your diagnosis by mapping out your hair for miniaturization and with good measurement, you will be smarter about what is causing your hair loss and what benefits you may or may not get from doing whatever you choose to do.


2006-05-22 09:47:57Can I Restart Using Rogaine to Regain Lost Hairs?

Can I Tell If I Have MPB By Pulling?

I was wondering how to actually notice hair loss. When I was 25 I remember visibly seeing hairs in the shower and in my sink. Since then I have slightly receded but that is it. I am now 31 and I notice one or two hairs when I put gel in my hair and a few on the floor in my bathroom. I also notice I can slightly tug a few hairs out every once and a while. It just as easy to pull them from my sideburns as the top of my head. No one on either side (first and second generation) is bald in the back of the head. All related men do have recession and slight thinning (which I think is common). It looks like pattern 2. Is the fact that I notice the hair in my sink, tub and by pulling a sign of hair loss or MPB?
Thank you!!

No, you cannot tell if you have male pattern balding (MPB) by simply pulling on your hair. It is normal to lose 100 hairs a day. You may be able to see MPB pattern under a hair densitometer, which is a special microscope for the hair, by demonstrating miniaturization of hair. To make the actual diagnosis, the patterns of thinning and miniaturization can be mapped out for predictive purposes.


2006-07-18 12:27:14Can I Tell If I Have MPB By Pulling?

naNOx9 Supplement and Hair Loss

I was wondering if you could answer a question for me. I am a 26 y/o male who is very much into working out (running, weight training, etc). Unfortunately, I am in the beginning stages of MPB as well. I really have changed my whole life around to maintain the hair I have. That being said, I am very cautious about what I put into my body. I came across a supplement at GNC called naNOx9. I was wondering if you knew anything about this supplement, and if so…will it accelerate my hair loss or is it completely healthy? The ingredients are listed below….if you could answer this question for me I would really appreciate it. Dr Rassman, thank you for creating this blog…..I have gained much knowledge about hair loss that I would not ever know otherwise.

Serving Size 3 Caplet(s)
Servings Per Container 60

Amount Per Serving % DV

naNOx9 3520.00 mg **

L-arginine*-xanthinol nicotinate **

L-arginine-ketoisocaproic acid-yohimbine HCl **

** Daily Value (DV) not established

Other Ingredients: hydroxpropryl cellulose, Silica, Artificial Flavor, Magnesium Stearate, Microcrystaliline Cellulose, Croscarmellose Sodium, Polyvinylpyrrolidone, vegetable stearine, coating (Polyvinyl Alcohol, Polyethylene Glycol, FD&C Red #40, Talc, Titanium Dioxide, FD&C Blue #2)

Here is the link to the product as well:
https://www.gnc.com/product/index.jsp?productId=2486356&cp=2348700.2325087&parentPage=family

Thanks again Dr. Rassman!

Sorry, I do not know of naNOx9. For that matter, I don’t even know how to pR0noUNcE it. The list of ingredients are substantial and I can not attest to how one ingredient impacts another. You have to have faith in the product and the manufacturer and can not just look to a website for such assurance.

I’ll quote myself from a previous blog entry: Millions of dollars are spent on marketing supplements to a health conscious society and it gives a skewed perspective on our health and subliminally gives us the message that we need to take these extra supplements to make us better (lose weight, grow hair, increase our sex drive, build muscle, feel happy, get smarter, reverse aging). As long as things are not done in the extreme and it seems to help, there is nothing wrong with taking supplements. There is no hard medical science supplied which would support the majority of the claims.


2010-07-16 08:31:56naNOx9 Supplement and Hair Loss

Can Loneliness And Social Isolation Shorten A Person’s Life? Can Hair Transplantation Address This Problem In Some Men?

A recent paper published in “Perspectives on Psychological Science” indicates that people who spend less time alone and are less socially isolated might live longer and this has been found to hold in all ages of people. The study was done at Brigham Young University analyzing 3 million participants from a variety of health groups. The metrics included socioeconomic status, age, gender, and pre-existing health conditions and the study suggests that a lack of social connections presents an added risk. People with relationships had showed greater health.

Specifically, “the mortality risk is increased by 29 per cent for socially isolated individuals and by 26 per cent for lonely people. Individuals living alone have a 32 per cent higher risk of dying prematurely.” When one adds excessive drinking and smoking to the mix, the numbers may be worse. “In essence, the study is saying the more positive psychology we have in our world, the better we’re able to function not just emotionally but physically,” said Tim Smith, co-author of the study.

We see in our hair restoration practice, men who lose their mates. Many feel lost and some seek hair transplants to get their hair back with an anticipation of dating again, We see this with great frequency as men want to look more desirable, and appear certainly younger. Adding hair to a balding head, makes this happen. I distinctly remember three patients; one a 68 years old, who sat with his dying wife for 4 years as she eventually succumbed to breast cancer. He rarely socialized while she was dying. When she died he visited me and told me how difficult life was during those 4 years, but he loved her a great deal and appreciated her though the end. He was missing the hair in the front of his head and got, in just one session, terrific glistening silver hair. Once the hair grew out, he went on a cruise by himself and met a beautiful 29 year old Japanese woman and by the end of the cruise they decided to marry. He came to visit me two years later to introduce her to me. His smile was radiant. He told me that being alone, just was not for him. The second man was 86, and he lost his wife and thought he looked too old, so he got a hair transplant with great results in just one session. It did not take him long to find a new wife. At 86, there were more single, available women than men by a long shot so the hunt did not take long. I think that the women hunted him out. The third patient was 55, his wife left him and he refused to date until he got a hair transplant. After just one session, he came back and told me that dating was great. He met many women on the internet and loved the attention he was getting, but he did not marry again, at least not in the first year that his hair grew out. Maybe he could not find ‘Miss Right’.

In conclusion: Hair makes a man feel more confident, younger and more able to tackle the world of ‘available women’. It also has a major impact on careers. Many Hollywood celebrities that I worked on before they became famous, developed the confidence in themselves that boosted their careers. They often felt my contribution to their ‘look’ was one of the main reasons they made it professionally. From the article referenced above, it appears that maybe hair transplanted patients will live longer, who knows. Life’s value, a man’s confidence and maybe life’s length are related.


2015-03-20 09:33:07Can Loneliness And Social Isolation Shorten A Person’s Life? Can Hair Transplantation Address This Problem In Some Men?

Necrosis of recipient area in Turkey patients (photos)

Here are two photos which show two different patients who developed necrosis of the recipient area. These patients had their surgery in Turkey and will have to get wound care where they live. The area of necrosis will not grow hair. My clinic has performed over 16,000 hair transplant over 30 years with many doctors. We have never had a case of recipient area necrosis. I believe that these men had errors in their anesthetics that caused the problem. Turkey is no bargain when you don’t get a competent doctor doing your surgery. There are some very good doctors in Turkey and I doubt that the good doctors in Turkey get this complication.


2021-08-21 07:13:38Necrosis of recipient area in Turkey patients (photos)

Can My Traction Alopecia Reverse?

i’m a 15 yr old girl and i have traction alopaecia-i have really long hair and i’m not allowed to cut it so i braid it really tightly every day- if i change my hairstyle, will it grow back?

Traction alopecia may not reverse if it has been a chronic problem. Some hair may grow back, but there is no guarantee. If you are worried about hair loss from traction alopecia the best advice is to stop the offending cause (stop braiding your hair). Your circumstance may not be as easy as words of advice, but at the least do not braid your hair so tightly.