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Transplanting a Norwood Class 2 to a Class 1?

Thank you for all of your informative hard work! I am currently a Norwood 2 & may be progessing to a Norwood 3. I was curious to see if you could post any pictures of patients who’ve went (w/ the help of FUT or FUE) from a Norwood 3 to a Norwood 2 & some pics of those who’ve went from a Norwood 2 to a Norwood 1. Thanks in advance!

Norwood Class 2
Norwood Class 2
 
 
Norwood Class 1
Norwood Class 1

Most people who are young and have frontal recession are experiencing the maturing hairline and are not balding. I do not transplant the frontal hairline in these patients unless there is a reason that it has to be done. I remember an actor who had a lead role in a daytime soap opera TV series. As his hairline was maturing, he got indications that they were going to phase him out of the show because they wanted a person with a juvenile hairline, as the daytime women that watched the show apparently had fantasies about very young men (I’m not kidding). In that case, I did move him back to somewhere between a Norwood Class 1 and 2 and his million dollar a year income kept him secure.

I do transplant women routinely who have lost frontal hair and want their hairline back. Typically, a woman is a Norwood Class 1 and so to answer your question, I’d like to point you to a woman’s hairline reconstruction, which is now a Norwood Class 1. See Female Hairline Restoration After Brow Lift. There is essentially no difference in the process. Creating a female or Norwood Class 1 hairline is not an easy chore. The surgeon must be very experienced when creating it due to the direction of the hair in the corners. Look carefully at your wife, girlfriend, mother, or sister’s hairline and note the direction of the hair in the corners — it flows from the center of the hairline to the temple prominences. That growing process along with the transition from one part of the frontal hairline to another must be done right, or it will look awkward and artificial. If you are an actor or top line male model, I might consider bringing you back to a Norwood Class 1. In other words, I’ll do it, but it’s rare and we must have a meeting of the minds when embarking on this process.

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Hair Loss from Mono?

Our Dr did a blood test on our 15 year old and it came back that she had mono. I had taken her to the Dr because of severe hair loss. She said the loss was from the mono and it could last up to 6 months. Have you heard of this before?

Illness is a cause of hair loss. Telogen effluvium (see eMedicine article) is what occurs in some people, though it is more common in women than men, and can occur after a bout with mononucleosis. It should pass with time, but this is something she should discuss with her doctor.


2009-02-24 14:46:18Hair Loss from Mono?

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Transplanting hair from one person to another

This is a common question asked of me over the 27 years I have practiced in this field. I did transplant identical twins hair, from one to the other with great success but they had the exact same genetics, so that their body didn’t know the difference between them or the hair from one to the other.

A paper was published in Korea that suggested a way to do this in people, but showed the results in mice here: https://m.koreabiomed.com/news/articleView.html?idxno=4920

Mice are very different than people, so I wound not rush to South Korea with your wife or mother to get their hair on your bald head. This is more a dream than reality.


2019-02-01 15:07:44Transplanting hair from one person to another

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Hair loss from weight loss, will it come back?

Probably yes, assuming that the hair is not those hairs with the genes for hair loss. Sometimes rapid weight loss accelerates the genetic patterns you inherit


2021-04-26 08:22:09Hair loss from weight loss, will it come back?

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Transplanting with Limited Donor Area

I have had several transplants over the last 20 years. My donor area is generally depleted and cannot support any large procedures. I have 1-2 very small (quarter size) areas that if some additional transplants were done only in these strategic areas my hair would appear much fuller. Considering the small amount of donor plugs needed could these be provided by smaller more random/scattered donor sites as opposed to the larger harvesting rows that are more concentrated in one area. Thereby minimizing the thinning effect we see in a typical donor area.

There is an art to making less hair look like more hair. I have many patients like you who have paid the price of the old antiquated procedures of the 1970s and 1980s. I have already written articles on the subject, but what I do for each patient is a one on one determination that takes the years of experience I have spent to develop the Master Plan for such person. Simply put, a good doctor, upon examination, should be able to determine the answer to your question.

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Hair Loss Lotions and Creams

dear Dr rassman
iam 26 years old and have been losing hair steadily since last few years. No one in my family is bald for that matter and now i guess my loss is pretty prominent. my question is do these hair loss creams really help.If so which one can be beneficial
thanks

There are only two medications that are known to work and to be safe for the treatment of hair loss. Propecia (finasteride) is a wonderful medication (oral pill once per day) for men only. Younger men or those with early hair loss in the back of the head often get reversal and hair regrowth. In most men, it prevents or slows the hair loss process. Rogaine (minoxidil) is the second medication and works in men and women, although it is not predictable. It is a topical medication and must be applied twice daily to get any effect.

There are hundreds of products sold over the counter and over the internet that make magnificent claims, but few if any of those claims can be backed up with any good science. Claims of FDA clearance are rampantly fraudulent. There are so many people looking for a magic cure and so many others looking to take advantage of them. Buyer beware!


2006-03-07 14:32:13Hair Loss Lotions and Creams

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Treating the sides and back of the head with Topical finasteride

I have diffuse and frontal mpb. I measured the thin hairs on the back and the sides with a digital microscope. Around 15-20% of the area is composed of thin hairs. I am on topical finasteride and min. My doctor didn’t say that I should apply the fin on the sides/back, but I think I have to. Do you think it is essential? I also apply min to all the scalp area.

It makes no sense to apply finasteride to the sides and back which is the area that balding usually does not occur. Also, if you use topical finasteride and spread it around your entire head (including the permanent zone around the sides and back of your head), enough systemic absorption might occur just as if you took the oral pill, defeating your goal to keep it topical. Normally the liposomal topical finasteride has at most an 18% absorption through the skin in the body while other non-liposomal finasteride preparations might have more systemic absorption.


2021-03-22 09:27:58Treating the sides and back of the head with Topical finasteride

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Hair Loss Started After Extreme Dieting, But Doctor Says It is MPB

I am a 18 year old male. I had lost 60 pounds with in 4-5 month period with restricting food intake and exercising 6 out of 7 days of the week. Ever since I had noticed more hair was falling out and it was getting thinner. Now Im starting to eat more I decided to visit the doctor. he sent me to the dermatologist and the dermatologist said I might have male pattern baldness or hair loss due to stress. He was leaning more towards male pattern baldness because he saw the middle of my scalp was more visible and thinning more and he thinks the weight loss made my male pattern baldness come ever earlier. surprisingly no one in my family, moms family or dad’s family had male pattern baldness. And before my weight loss my hair was very thick and strong. I really need some help should I go to another doctor to look at my hair loss problem? Any suggestions would be ever so useful please and thank you my friends.

Diets that tend to reduce a good, balanced nutritional intake of foods are known to cause acceleration of the genetic balding process. If it isn’t a genetic process, the stress from the malnutrition could cause the hair loss. But if you’ve already seen a doctor that suggested your hair loss appeared to likely be genetic, I couldn’t dispute that since I haven’t examined you for myself.


2010-04-08 11:41:25Hair Loss Started After Extreme Dieting, But Doctor Says It is MPB

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Trichotillomania-by-Proxy?

My neighbor is in his 50s with no known history of hair loss until about 5 years ago when he first noticed he was developing gray hair. He had his wife pull out every gray hair he could see daily, and it could’ve been as many as 20-30 hairs a day over the years! His daughter researched the condition of trichotillomania and does not feel he fits the diagnosis as the pulling was not done by him.

He claims he is not compelled or driven to have his hair plucked, and that as soon as he realized he was visibly thinning, he had his wife stop doing it. At that time he began to color his hair at the suggestion of his daughter. He states there has been no plucking for the past 2 years now and he has more hair on his head now than 2 years ago, when the plucking was stopped.

This sounds like maybe trichotillomania by proxy (like Münchausen syndrome by proxy, a well known phenomenon)… but I’m not sure that would fit either.

It usually takes quite a few “pulling sessions” to produce the traction required for permanent hair loss, often over years. So if his hair has regrown over the past 2 years, it sounds like he was lucky that the loss wasn’t permanent.

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Hair Mildew?

I keep hearing of “hair mildew”. I can’t find it anywhere on the net.

I was wondering what HAIR MILDEW is,exactly, how do you get it and what would be the symptoms? And, is there any cure for it or would you have to cut out all of your hair?

Thanks alot

I’m sure each of us has been near someone who doesn’t dry their hair, which can sometimes develop an odor to it. Perhaps that is what one is talking about with the term “hair mildew”. If this mildew is a problem for someone, using a hair dryer after a wash should eliminate the problem. I’ve never heard this term used before, though, so I’m just assuming this is what you mean.


2007-11-21 10:32:52Hair Mildew?