Joe Tillman shows his hair transplant results and discusses it in this informative video (from Reddit)

In the old days, the number of grafts per session were smaller so it often took more surgeries to accomplish these results. Today, it can be done in 2-3 surgeries and almost everyone can get these type of results. If their hair bank is poor, Scalp Micropigmentation added to the hair transplants can make up the difference. This is what an FUE surgery looks like when the surgeon is overly aggressive: https://baldingblog.com/wp-admin/post.php?post=20313&action=edit. This is the right way to go in two patients just like is shown in the Reddit video: https://baldingblog.com/difference-between-norwood-class-7-patients-with-photos/. I have known Joe Tillman (man in the video) and he is a tireless advocate for the hair transplant consumer.

Almost NW7 who had 9 hair transplants! nice results from tressless


2019-08-22 10:48:49Joe Tillman shows his hair transplant results and discusses it in this informative video (from Reddit)

Accidental Double Dose of Propecia

What are the possible negative consequences of accidentally double dosing Propecia? Taking Propecia every morning has been part of my morning routine for about a year now. The other day, I’m about to leave for work and blanked out on weather I had taken my Propecia pill before I got in the shower (my usual pattern), and so I took what might have been a second pill in one morning. Should I be worried, can I ruin the effectiveness of the drug that way? I’m a 30-year old male, been on propecia since May 2009.

Taking a double dose of Propecia will not harm you or your hair and you should not be worried. There are no negative consequences. For that matter missing one dose would not harm you or your hair either. We are all human and we make mistakes.

Also remember that many men take 5x the Propecia dose everyday for certain prostate problems with only a slight increase in side effects. In fact, research has shown that 5x the dose of Propecia prevents certain types of prostate cancer…. but taking more will not make your hair grow better (in case you were going to ask).

Actor Joe Rogan’s Hair Transplant?

Joe RoganI was listening to the Joe Rogan podcast and was really surprised when he mentioned that he won’t shave his head because he had a transplant a few years ago and has a scar. I always wondered why he DIDN’T have a transplant when I would see him on TV but was kind of surprised that he says he had one. Do you think he was misinformed as to what his eventual loss would be?

Your guess is as good as mine. I do not know the circumstance of actor/comedian/host Joe Rogan’s hair loss or the treatment he had. It’s possible that he had the surgery many years ago and had continued hair loss, but I really don’t know.

Someone might mention to him that we can treat his scar with either a scar revision or Scalp MicroPigmentation (SMP).

Kidney Stones and Hair Loss

hello doctor,
i’m a 27 yrs old Sri Lankan woman and have always had thin, fine and flyaway hair (no bald spots). In 2005, I went to Canada for a project and stayed there for a year. During this time, my hair fall was alarming. I came back to my home country in early 2006 and eventually learned that I had kidney stones, which could have been the reason for my hair loss. But that was a year back, and in the past 6 months I have become bald near the crown. I have been to so many dermatologist, but none are able to pinpoint a definite cause for my problem. One says it is telogen effluem, another says it’s just chronic dandruff, and an ayurvedic practitioner told me that it could be bcos of aggravated sinusitis. I am simply lost. Everyday I lost about 100 hairs. Please help… what should I do now?

You need to be examined by an expert. I would doubt dandruff, kidney stones, or sinusitis as a cause. Sounds like you have a problem that under good medical care, a diagnosis can be understood.


2007-03-15 14:18:32Kidney Stones and Hair Loss

Aderans Research Institute’s Presentation from Stem Cell Meeting on the Mesa

hello dr
what do you think about this video: YouTube

This is Aderans Research Institute’s presentation from Stem Cell Meeting on the Mesa (a stem cell conference) about a method of cellular hair regeneration that they’re calling Ji Gami. It was posted a few days ago, but the audio is extremely low and it is difficult to hear, so I’m not going to be able to comment on the actual content of the video. I’m just posting this for those that might have better speakers and some interest in their research.

I’ve embedded the video here:

Largest FUE Session?

Hi Doc,

I had a large FUE session 8 months ago with a reputable surgeon consisting of just under 3000 grafts with good results so far.

FUE is a hot topic these days and I would like to know what is the largest FUE session you have carried out on one person?

We did a surgery of 2800 follicular unit extraction (FUE) grafts in a single, very tedious session. We don’t routinely perform FUE procedures of this size.

Latisse MPB Trials?

Dr.Rassman,

I just came across Allegran starting trials with Latisse on patients with moderate MPB.. [article].

What was interesting to note was, some doctors prescribe Latisse as an off-label treatment for hairloss? What do you think of that regimen? Have you given it a try? Would it be acceptable to try that on patients who are on Finasteride and are not too bald (say NW 5)?

I am aware of Latisse (bimatoprost), which is currently FDA approved for growing eyelashes, and I’ve seen one patient who took it upon himself to try it on the scalp with no success. The dose is quite small for eyelashes and it’s quite expensive for treating the scalp, and I’m not sure what dose would even be necessary for the scalp.

I am also aware that there’s a formal trial to find out if it works for scalp hair growth, but at this time the question of how effective it is remains. I guess we’ll have some sort of idea once they release their phase 1 results next year (which is a study of 28 patients).


2010-12-16 14:13:51Latisse MPB Trials?

After I Had a Scar Revision, the Area Is Very Itchy

I had 3 FUSS transplants over a decade. It left a wide scar. I had a scar revision. It resulted in a liner revision line. However after the scar revision, 5 years later, I have bouts where the scalp area is really itchy. It ceases in a day and then restful for awhile

1. What causes this?
2. What can one do?

thanks for the tip and your powerful website!

You can try an over the counter hydrocortisone treatment in small doses 3 times a week or once a day, whichever relives the itching. I can’t say a scar revision and scalp itch are related — at least, it’s not something I’ve heard of before. If it continues, I would see a dermatologist.

As an aside, we are no longer doing scar revisions, but rather offer Scalp Micropigmentation (SMP) as the treatment of choice for scars. Most people who have scar revisions still have significant scarring, and SMP literally wipes out the appearance of the scar.