Category: Uncategorized

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Why Might a Patient with 6000 Grafts Have a Thinner Appearance Than a Patient with 3000 Grafts?

Dear Dr.,
First of all thank you very much for the help you have given on this forum. I have had two HT operation 1000 FUE(1.5 years ago, worked very well) and 2000 FUT (3 months ago). My question is has to do with HT results and I would appreciate if you could answer;

  1. I saw pictures of more than 5K-6K grafts but has poor coverage/appearance compared to some 3K graft transplantation? Even, the pictures are from the same clinic. What are the reasons of this inconsistency?
  2. Most of the pictures show hairlines and first half of the top. How about the crown? Is it a common practice to leave crown bald? Is it because the budget or a bald person does not have enough donor for front and crown so has to select one?
  3. Does hair loss stop or decrease rate with the age? My lost started at age 26-27 with diffuse pattern now I am 31. A diffuse pattern goes till NW-7 or NW-6 or NW-6 with some diffuse hair still on top and crown?

Thank you very much.

Regards

Three months after a hair transplant should not produce enough hair to show any significant results. Wait a full 8 months to see the results of the second surgery.

  1. There could be a variety of reasons for that. Patient A and Patient B could have different hair color, skin color, hair characteristics, degree of balding, etc. Or it could be different techniques used (many clinics have damage problems with FUE grafts, for example). There’s just a lot of variables that could be the reason.
  2. The transplantation of hair in the crown does depend upon many factors, again including donor density, scalp laxity, thickness of the hair shafts, and the degree of balding. It may not be possible to transplant an entire head with a Norwood class 7 pattern of balding, but I have done it in patients with great hair qualities (see Patient ZU here, for example).
  3. Only about 7% of men go as far as a class 7 pattern, about 20% a class 6/7 pattern… and most of these men with the class 7 pattern have clear signs of it before the age of 30. You need to be evaluated by a doctor like myself or Dr. Pak that specializes in this field if your doctor does not answer this question for you.


2009-01-16 12:26:10Why Might a Patient with 6000 Grafts Have a Thinner Appearance Than a Patient with 3000 Grafts?

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Hypoandrogenic Reaction to Propecia

what are the questions one would ask a doctor if he wanted to be sure he wasnt having a hypoandrogenic reaction to propecia? what would a doctor check, or know to find this out?

im a 25 year old male and ive been on propecia for 15 months or so. Hair has thinned quite alot while on treatment, instead of second guessing myself and reading to many websites.

i just want a medical answer! thanks for the help doc!

You need to tell your doctor what you are experiencing. Testosterone levels transiently go up with Propecia as compensation to the impact of DHT blocking. Are you asking if developing breasts is a problem with Propecia? Your questions are not clear.

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Wig for the rest of my life

I’m already losing hair anyway. I have no issues committing to a hair system for the rest of my life especially with how good they look and how nice it’s been having one

Everyone makes choices. A hair transplant is complete freedom from worrying about your hair or going to the wig salon every two or three weeks for the rest of your life, plus, a hair system in a 7 year period is more expensive than a hair transplant and the costs go on and on. good luck!


2020-08-22 10:15:18Wig for the rest of my life

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I Am a 21 Year Old Female and I Want a Rounded Lower Hairline

I have a very square hairline along with a large forehead. I have heard that a forehead reduction can lower the hairline but that hair transplants would be needed as well to round the hairline out. Is it possible to round out the hairline with just a forehead reduction (by taking the forehead down/in more on the sides)?

This can only be created with a hair transplant. A hairline reduction surgery can lower it but not round it. I wrote a chapter in a bood on this subject here: https://newhair.com/wp-content/uploads/2018/11/phenotype-article-published.pdf


2020-01-31 15:20:47I Am a 21 Year Old Female and I Want a Rounded Lower Hairline

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Will an Early Class 3 Pattern of Balding Lead to Guaranteed Advanced Balding When I Get Older?

No, because hair loss is an inherited pattern. For example, if you inherited a Class 3 pattern (just the corners of the hairline), an early appearance will not lead to more balding elsewhere. This is why I like to perform a HAIRCHECK test when I see a young man because we both want some indication as to what is going to happen to him in the years to come.

How true is it that the sooner you show signs of hair loss, the sooner you will end up bald? from tressless


2018-08-03 06:27:42Will an Early Class 3 Pattern of Balding Lead to Guaranteed Advanced Balding When I Get Older?

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Will Hair Regrow After Cyst Removal?

I had 2 cysts on my scalp removed at Easter and one has healed quite well but the other has left a bald spot about the size of a 50 cent peice. The skin is more pink and shinny. Will the hair grow back? There doesn’t appear to be any re-growth? Should I be seeking some form of treatment? What can I do to look normal again? This is not a good look for a female. Thanks.

You’ll have to allow more time to see if there will be regrowth. Being patient is all you can do at this point. If after a year the bald area is still the size of a half dollar, then you might have lost hair permanently… and a very limited hair transplant would likely solve the problem.

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I Am Taking Dutasteride for My Prostate

I am a 53 year old male. I just came back from my M.D. and I told him I was having a issue with frequent urination. He prescribed Dutasteride. I have been taking 1/2 a finesteride daily for the past 4 years. My question is should I take both and if I stop the Finesteride will the Dutasteride help with my hair loss at that dosage.

In your situation, dutasteride will be all you need and there is no point to take continue taking finasteride along with it. I don’t know what dosage of dutasteride you’re on, though.

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Will microneedling harm a future hair transplant

Will microneedling be likely to impact on the ability to have successful hair transplants in future should they it be needed?

I don’t believe that microneedling will restrict any future hair transplant success. The depth of the microneedling is shallow compared to the hair follicle which ranges in size from 4-7mm in length. Microneedling rarely goes down any deeper than 1.5mm.


2021-08-21 10:35:51Will microneedling harm a future hair transplant

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I Buy My Finasteride at Walgreens, But it Comes from Israel

Hey Dr. Rassman,

I currently cut a generic version of Finasteride 5 MG, which I purchase directly at my local Walgreens. I keep reading on your site that you should make sure that you are getting what you pay for and should question the validity of across sea’s medication.

I did some research and I found out that Walgreens get’s their generic Finasteride 5mg version from a company called: Teva Pharmaceuticals US. Walgreens.com

I then googled that company and their generic Finasteride together and I found out the following: Teva finasteride

At the bottom I can identify that they are talking about my pill by it’s identification of being blue and having “93” on one side and “7355” on the other. But what I noticed was that the medicine is manufactured in Jerusalem, Isreal (By Teva IND) and then they send it to their Pennsylvania location to Teva US.

I called 3 different Walgreens and asked them about this drug and they assured me that it is FDA regulated and that I am getting what it says I am. I don’t think a company like Walgreens would allow bad medication to be sent in….but my question to you is if you would trust the validity of this drug because it’s being manufactured in Isreal?

Thank you for your time

Many drugs are manufactured overseas by good companies which subscribe to FDA quality manufacturing rules. Teva Pharmaceuticals is one of those companies. They’re one of the largest makers of generic medications in the world.


2009-07-30 09:52:14I Buy My Finasteride at Walgreens, But it Comes from Israel