Category: Uncategorized

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I Want More Facial Hair

Other than a transplant are there any methods, creams, or procedures to increase facial hair growth? I know it sounds ridiculous but I am 100% serious. I’m growing my beard and its not growing in areas I’d like it to. Thank you

It’s not a ridiculous question, but I don’t know anything about you so I’ll have to generalize. If I assume that you are a young man under 25 years old (you didn’t mention your age), that would be typical of late onset appearance of beard formation. If you wait it out, your beard will most likely appear over the next few years.

I remember when I was 20 years old, my beard was thin and spotty. My father told me to wait and one day it would look like his (very scratchy, coarse hair). He also told me that one day I would wish it did not grow as heavy as his. Oh, was he ever right! That is exactly what happened and over the next 5 years, my beard came in heavy enough that my 5 o’clock shadow came in at about 1pm. Now I wish it never grew in, as shaving is quite the daily chore.

If you are over 25 years old, you might try Rogaine (minoxidil) and apply it to your face twice a day, but be careful you do not overdose the medication and develop side effects that are defined in the drug insert found in the product packaging. It’s not guaranteed to grow a beard, but you don’t really have many options for facial hair growth.


2011-07-11 08:01:06I Want More Facial Hair

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I Want to Make a West Coast Road Trip For My Consultation.

hello dr rassman, pak, and co,

I am a 33 yo male who may be travelling to the west coast in october and is considering trying to set an appointment for an honest opinion regarding options for my hair loss (if any). if one were deemed a good candidate for either the strip procedure or fue, essentially what is the time investment needed to be in the area for any checkup/followup/aftercare. is there a necessary follow up evaluation a few days or week post op? i ask this now bc if a master plan is suggested i would need to plan around a work schedule. i wasnt sure if a 2 week commitment is recommended to then allow someone to return to work without detection of the surgery. i would be travelling from the pittsburgh, pa area. if it helps i use couvre/dermatch and toppik concealers as part of my daily routine currently. ideally id return to using those products until any results showed from any procedure.I appreciate all you do on this site as well as helping restore patients self confidence. thanks in advance.

 

road

We would be glad to meet with you for a consultation. You can always make an appointment on line at newhair.com (Look on Bottom Right)

Many people travel from out of town to have a procedure in Los Angeles. In general you can set aside 1 to 2 weeks depending on your comfort level. Some people actually go back to work 1 or 2 days after surgery. The only follow up is the day after surgery. Every person is different. Many patients also use temporary concealers (Toppik) after surgery to disguise the immediate look after surgery.

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I want two FUE and one FUT

If a patient gets two FUE’s and then later wants to do an FUT, will there be a risk that the two FUE’s will deplete the donor hairs for FUT regions in the future? I am thinking of getting two FUE’s in Turkey and then later when I can afford it get a big FUT in America with maybe Dr. Lindsey in Richmond because I can stay with family near there

Suppose the patient is like a NW2 with a very large / dense donor supply.

In an ideal world, if you are going to do both FUE and FUT in separate surgeries, you are better starting with FUT because the reduction on donor density is less and the FUE will be more successful in harvesting more grafts. The reason for this is that the entire back of the head stretches, reducing the impact on the 3 inch high donor area with the first a large FUT session.

I generally like to put together a Personalized Master Plan for each patient balancing donor supply with the present and potential balding. You may be over-doing the grafting without such a plan. Be careful not to jump on the bandwagon with too many grafts harvested from the donor area and get a balding donor area.


2021-05-17 12:26:32I want two FUE and one FUT

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I Was Prescribed Beclomethasone Dipropionate

I had gone to dermatologist for the hairloss problem. He prescribed Finasteride along with Beclomethasone Dipropionate lotion. I want to know how does this Beclomethasone lotion function. Any side effects of it and for how long it has to be taken ?

Finasteride 1mg is for traeting androgenic alopecia (genetic hair loss in men). Beclometasone dipropionate is a corticosteroid that is used to treat skin disorders, like eczema or psoriasis… and is not usually used for treating androgenic alopecia. Do you have a skin disease?

Perhaps you should ask your doctor, since he/she is the one that prescribed it to you. I can’t give you advice on how much or how long to use a prescription medication, as I didn’t prescribe it and I don’t know what you’re treating.

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If a Transplant Was Successful, Could Some Grafts Be Rejected Years Later?

Dr Rassman

Assume one has a successful transplant. Is it possible for some of the yielded grafts to die or be rejected some time (even years) after the operation? I am not talking about hair loss, nor about grafts that are genetically doomed. I am talking about healthy grafts, from a safe zone, that are transplanted and bloom normally but after some time die. If it is possible what would the chances be and why would it happen?

If the transplanted hair grafts have successfully taken and have grown hair, they should last as long as the hairs from the donor area. Over many years some donor hairs may eventually fall out and die (senile alopecia) or experience a temporary hair loss (telogen effluvium/ stress related hair loss). If something like that would occur, then the transplanted hair will experience this same fate.

With respect to graft rejection, it is highly unlikely to happen since the transplanted hairs are your own (autologous graft). Your body will not reject the material from your own body in normal circumstances. Over the past 22 years, I have seen a few patients that reported loss of donor hair at about 5 years post transplant. I have no explanation for this, but the incidence is far less than 1% in my estimate.

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If I Have Little Hair Left at the Hairline, Would SMP Be Easy to Spot?

I have heard that scalp micro-pigmentation can look quite artificial if you have none or very little hair remaining on your frontal hairline. To what extent does it look artificial under the conditions I previously mentioned? Is it artificial to the point that anybody walking around with it can easily be spotted or is it more subtle (i.e you would really need to pay attention to the person)?

All of this is of course assuming that the head is either wet shaved or buzzed to a 0. I know it’s not perfect but with little existing hair remaining can micropigmentation still frame your frontal hair line in a somewhat natural and realistic way without catching the attention of every on-looker?

I don’t mind telling those I am close to but I wouldn’t want everybody looking at my head either. I’m 24 now, I still have a hairline but I will probably be totally bald (norwood 7) by the time I’m 30 or 35. I would just like to know and I don’t want to be pressured into doing it or anything like that.

If I understand your question correctly, you have lost much of the frontal edge of your hairline and want it put back with SMP. You seem to understand that if you have SMP done at the leading edge of the hairline where you lost the hair, that you must shave your entire head and keep it short. That’s the most important thing to know, and we call that the bold look on our website.

One should not be able to tell the SMP from normal hair, even close up, provided that the scalp is completely shaved. If you allow the surrounding hair to grow out too long, it will create an obvious change in depth that would make the areas with SMP look different. But if you keep it shaved, it will blend in just fine.

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If I Skip Propecia for a Couple of Weeks At a Time, Do I Increase My Side Effect Chances?

I travel abroad a good deal, often for long periods and for indeterminate periods, I therefore regularly miss my propecia intake for a couple of weeks up to a month every, for example 6 months. Am I increasing my chances of side effects or the drug becoming ineffective by doing so?

I do not believe you would be increasing the risk of side effects by failing to take Propecia for several weeks, but you may be increasing the risk of the drug not doing its intended job (of keeping your hair). Perhaps you should make a note to pack your medication on your travels.


2012-08-14 10:31:07If I Skip Propecia for a Couple of Weeks At a Time, Do I Increase My Side Effect Chances?

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If Minoxidil and Propecia Work Best in the Crown, How Can I Save My Hairline?

I am 33 years of age and my hair line has become considerably thinner over the last year or so. Apart from having a transplant what else can I do to prevent further hairline loss seeing as Propecia and Rogaine only work on the crown?

Also is it possible that hair loss occurs in stages that last a year or so and then slow down?

Hair loss can occur in stages, spurts of hair loss and then a quieter period. Frontal hair loss is difficult to reverse, but Propecia (assuming you have genetic hair loss) does slow the process down. I have seen many men who were losing hair rapidly in the front, then go on Propecia and see the hair loss stop. If they should stop the Propecia (some do for reasons that I do not understand) the hair loss picks up again and makes up for the time the drug was effectively holding the hair there. Get your hair mapped out for miniaturization and then consider the Propecia option, if indicated. You may be concerned about frontal loss today, but taking action with the drug Propecia will help you in the frontal area today. Crown loss can be thwarted as well.

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If Rogaine / Regaine Is Working, Would I Still See Daily Hair Loss?

Hello Doctor Rassman

I have a few question, I hope you can help. I have been on Regaine for 3 months and half now,my doctor has recommended me to use it after checking my scalp, he said im suffering from MPB. I have not seen much improvments or results, I still have a good hair density though..my hair line is still fine but its kind of receding.

At first and as stated on the regaine web site I knew that hair loss should be stopped by the 6th week of use, otherwise it may not be working. I still see hair loss every day and my doctor who prescribed me the regaine believes and as he told me on our last meeting that im seeing results and should keep on it. I dont know, Im confused.. my doctor believes I should not stop because its working and losing some hair everyday is normal and doesnt mean its not working. Therefore I have the following questions:

do you have any suggestions about my condition doctor??
do you really think I should not stop and keep on it??
and do you think losing some hair everyday is normal even if regaine is really working??

Bye

Unfortunately, I do not have suggestions about your condition, because I have not examined you and I do not know the condition of your hair or the miniaturization state. If you are already under the care of a physician, you need to see your doctor and ask him/her these questions. You need a Master Plan to understand what is happening to you and where you are in the process. This plan will take into account the way you respond to the medications and what medications to use.

So if you’re looking for me to give you direction, I really can’t tell you to stop taking it or even to continue taking it, because I have not examined you to know if there are improvements or not. You should never stop or start any medication without consulting your prescribing doctor. What I can tell you is that you will likely continue to lose hair if you have male pattern baldness (MPB). You can slow it down with drugs such as finasteride (Propecia) or topical minoxidil (Rogaine — now marketed in the UK as Regaine), but to see any results, you need to continue using it at least 8 to 12 months so you can not tell where you are in the hair loss process.


2007-11-28 14:31:35If Rogaine / Regaine Is Working, Would I Still See Daily Hair Loss?

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I’m 16 and Have Extremely Thin Hair, But Haven’t Noticed Any Hair Loss

Hey I’m sixteen years old (male) and I have extremely abnormally thin hair. My hairline is normal with no receding at all. The top is thin enough where I can see my scalp. The only way to describe it is that it looks more or less like skinny strips of no hair. That is not terrible but on the back of my head, it is as if I am balding because I have a gigantic strip of scalp going horizontally on my crown. I’ve been like this for about 8-9 years and I haven’t noticed any hairloss in that time because my hair has stayed the same. I had normal hair when I was a child though. My dermatologist prescribed olux-e, but it doesn’t do anything. Any help please?

Very fine-haired individuals always have a see-through look and the scalp can be easily visualized, especially under certain lighting. That is not a disease, it is just the way you were born.

If you think that this is not normal, see a good doctor who will judge what you have and make a diagnosis if there is something wrong with you. Perhaps the dermatologist you saw didn’t fully understand the issue you were having, as I don’t know why you were prescribed Olux-E unless you had psoriasis or some other skin condition.


2013-11-13 11:40:04I’m 16 and Have Extremely Thin Hair, But Haven’t Noticed Any Hair Loss