Category: Uncategorized

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Repairs Of Scalp Micropigmentation (SMP) Procedures

We continue to see patients who had SMP done elsewhere and found that they continue to be unhappy with the results. The work we have seen reflects an inadequate investment of time on the part of the people doing the process. The patients reported that they had it done over a two day period for a total of maybe 4-6 hours. When that is compared with what we do for a full head treatment, we frequently spend upwards of 20 hours per patient (over 3 sessions). One needs to compare apples to apples, and what we are seeing is grapefruits coming to our office.

The patient we saw today, came in after his SMP pigment almost completely faded. I suspect it is because the pigments used were temporary pigments, and like the patients discussed above, it was a relatively fast job with more widely spaced ‘dots’. The cost to the patient was less almost half of our fee, but then the process had to be repaired and redone again, driving up the total cost of the process. Think twice and be sure to shop the SMP service and absolutely demand that you meet patients that have had it done so that you can tell the different between ‘bull’ and fact.

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Does microneedling create new follicles?

Microneedling stimulates the release various platelets, proteins, growth factors, stem cells and new vasculature resulting in the formation of collagen and activation of stem cells which may produce hair along with the healing process.


2021-03-15 13:17:48Does microneedling create new follicles?

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Restoring the Moustache

A few years ago i had some stiches places on my mustache area and it left a scar and now hair doesnt grow in the places that the stitches were placed.

I was wondering if you know of any product, surgury or any other possible solution that could allow hair to re-grow in the spots that the scar is or in other words where the stitches were placed?

Hair transplantation is an ideal procedure to address the scar on your mustache area. At NHI we have even done entire beard/chin areas and recently for a patient who wanted to grow a goatee.

[Note: photo above is of the World Beard and Moustache Championships world champion, Willi Chevalier. Photo used for display purposes only, and not to imply that Mr. Chevalier had any restoration to his facial hair.]

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Does Propecia Maintain Regrown Hair At 10 Year Mark?

Hi Doctor,

I read in one of your posts, that people continuing on propecia for 10 years have been able to retain most of their hair. So are they also able to retain the regrown hair also or only their baseline hair??

Some men have great success with Propecia after 10 years, as it seems to hold onto the hair in many patients. Some men continue to lose hair progressively, making it appear that the drug slows down. The key is that Propecia, even at the 10+ year mark, is slowing the rate for hair loss.

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Resveratrol, Curcumin, and Hair Loss

Hello, i am slightly confused, i read how resveratrol can increase test levels, is this true and would it worsen my hairloss?

But i also recently read a contradictory study on the combination of resvaratrol with curcumin, which is claimed to help with hairloss. Do you think this is a posibility? An italian company were seeking a patent on a pill that contained these two .

Also i take finasteride, can the res/cur, affect the absorption of fin? I take fin in the morning.

Here’s what I just learned from Wikipedia —
Resveratrol is a chemical produced naturally by several plants (including red grapes). As suggested, it gives the heart beneficial qualities of red wine. Curcumin is found in Indian spice turmeric, which is a member of the ginger family.

So in essence (let’s cut out all the nebulous scientific names), you want to know if natural extracts from grape and ginger can be beneficial to your hair. There are THOUSANDS of these natural concoctions people have tried to help with hair loss throughout history. I really do not know if it will work, but in the end it becomes a “buyer beware” market and your experience with how your body responds is the final answer you need for you. In my opinion, I doubt it will have an impact on your hair, but more so on your wallet and time. I don’t know anything about the study you’re referencing, so I can’t really give you any insight into their findings.


2009-08-18 15:57:31Resveratrol, Curcumin, and Hair Loss

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Does Stress or Lack of Sleep Contribute to Gray Hair?

Hi Doc,

Is there anything (medicine or lifestyle related changes) that can be done to reverse or at least prevent greying of hair?

Does stress or inadequate sleep contribute to or accelerate greying of hair?

I can advise you to get adequate amounts of sleep to be healthy and figure out ways to reduce your stress, but that advice would not necessarily deal with your graying issue. Gray hair may be caused in whole or in part by genetics in your case.


2011-07-15 06:38:28Does Stress or Lack of Sleep Contribute to Gray Hair?

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RevitaLash as Hair Loss Treatment?

What is you opinion on the product Hair by Revitalash? Do you think it has potential as a hair loss treatment? I know you would have to be careful not to get it in your eyes.

This post gets two responses…

Response from Dr. William Rassman:

There is no proof that this product will work on scalp hair, although there are some doctors trying it with their own form of human experimentation. I will certainly let you know when there is a credible scientific study released. I spoke to a representative of the manufacturer and they are interested in learning if it has an effect on scalp hair loss but they have not begun testing it.

Response from Dr. Bessam Farjo:

Actually at the ISHRS annual meeting in Amsterdam 2 weeks ago, I (Dr. Bessam Farjo) presented some initial data from a study my centre is working on in collaboration with University of Bradford in the UK. Our work so far is on human hair in the laboratory, but there were encouraging results showing that Bimatoprost (the active ingredient in Latisse eyelash treatment) can make the hairs grow longer and faster and prolong the anagen (growing) phase. We also identified that there is a receptor for this compound in the hair follicles explaining its mechanism of action. Further work is ongoing and may in the near future result in a clinical trial that would show what value if any these medications have for scalp hair.


2009-08-04 16:25:45RevitaLash as Hair Loss Treatment?

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Does Very Fine Hair Mean I’m More Susceptible to Hair Loss?

hey dr. william.

I’m a 20 year old male who have chanced upon your blog only yesterday and i must say that i’ve learnt pretty much and benefited as far as i could from it. I became less paranoid upon reading on archives speaking of victims losing hundreds and even thousands of hair daily or over a few days. Currently, my problem has persisted over 6 months, well to my friends, this might seem over-reacting and a self-proclaimed problem. But i do have a few burning highlights and concerns as follow:

  1. my hair is naturally very fine for a male counterpart, does that make me more susceptible to hair loss expecially i’m only starting to keep my hair long?
  2. i have yet focus so much on my hair loss more than 7 months ago but only when i started to grow more hair, am i overreacting? i see a little bunch of hair -of about 10-15 each time i finish showering and about 10 after i dry my hair and maybe 5 after combing my hair. Are these considered normal?
  3. last but not the least of paramount importance would be, do i have to lose alot of hair to become bald, or another way of asking would be, if i do not have bunches and bunches of hair dropping, does that mean that i’m safe from balding? I’m safe from genetics influences as far as my paternal great grand father.

Note: i do have oil scalp, contributing to oily hair. What do you suggest dr. william?

I really appreciate your effort and time in giving my message a serious thought and god knows how many have you saved! Keep on going dr. william and i’m looking forward to your reply?:)

  1. Fine hair or very fine hair or long hair have nothing to do with balding. If you are balding it is highly likely that it is your genetics.
  2. You are focusing way too much on your hair. You can lose 100 even 200 hairs EACH DAY. Losing 10 to 15 is lower than normal daily hair loss.
  3. You are born with 100,000 hairs on the average, and you can lose about half that and still not look bald.

You should see a good doctor and develop a Master Plan for yourself. In that, you need to have your hair mapped out for miniaturization. It may even be that you are not genetically losing hair — wouldn’t that be nice to know?

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Rogaine and Dandruff

hello doctor,

My question is ive been doing both rogaine and propecia for almost ten years. All of a sudden a couple months ago i started to get some dandruff (mild case). i am now using dhs zinc shampoo. the dandruff is still there but im controlling it and its not too bad. should i stop using the rogaine as it may be causing the dandruff? and if i use rogaine having some dandruff will that cause hair loss? (i did see my dermatologist and he didnt seem to concerned about me having the dandruff plus using the rogaine)

Thank you for your time

Rogaine (minoxidil) can cause scalp irritation and give you flaking. The use of zinc shampoos like Head and Shoulders works to control dandruff, so you’re on the right path. You will not develop hair loss from the dandruff.

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Again the Donor Area Is Too High and Too Low (With Photo)

In these pictures, you can see the occipital notch on the scalp which is the bump about 1 1/2 inches above the bottom of the donor area which was harvested. To get numbers, for whatever reason, this patient will have non-permanent hair which will appear sometime in his future. The hair from this area is not permanent hair.


2019-02-20 08:53:35Again the Donor Area Is Too High and Too Low (With Photo)