People Wonder What a Hair System (Wig) Looks like (Video from Reddit)

Reading the comments are about as interesting as the video. Most men don’t understand how a hair system works and this picture shows it well. Good hair systems are not inexpensive. Over the years, the cost for such hair replacements can run over $15,000. That is why so many people offer hair systems. The glue that attaches to the hair system you see here pulls out hair, so many people who use then become more bald over time from the traction of the glue that pulls out hair.

r/all Hair. from interestingasfuck


2018-06-26 13:16:59People Wonder What a Hair System (Wig) Looks like (Video from Reddit)

Couldn’t it be said that some people do no need so much DHT inhibition as others to fight balding?

I think that the response to DHT blockers is not proportional to the speed of hair loss in many people. I always use the analogy of a tug of war: the genes for hair loss pulling on one side and the DHT inhibitors pulling on the other side. The strength of the pull determines the effectiveness of the drug. The blocking effect is fixed while the pull for hair loss varies with your genetic makeup.


2017-08-03 14:50:48Couldn’t it be said that some people do no need so much DHT inhibition as others to fight balding?

Peyronies disease, the penis and finasteride

Several months ago, my doctor said I might have Peyronies disease because I bent my penis somehow. I finally have an appointment with a urologist next week. After reading your post about penile fibrosis and arguing with my mom that there is no proof Finastride caused my problem, I wanted to ask you how I can tell if Finastride caused my Peyornies or if due to injury? In my story below, I have evidence that it’s due to injury because I was injured. But what role did Finastride play?

My regimen before Peyronies was 1.25 mg Finastride (2x per week) + 5% Minoxidil. As you may remember me, I emailed you about my increased sex drive from low-dose Finastride and you said it has been reported by some of your patients. The week before my penis injury, I ejaculated 4-5x per day for around 1 week. I also felt extreme exhaustion during the second half of that week. The day of my injury, I ejaculated only twice and felt a pinching pain on my penis which signaled me to stop doing what I was doing. I also noticed my penis would not stand up straight when I laid down nor could I maintain a full erection standing up or walking. For the last 5 months, my penis lays on the right side and doesn’t point straight up like it used to.

Later on I noticed that I have a 20-40% degree bend on the bottom shaft of my penis. I’ve lost .5 – 1 inch in length and my girth is smaller. I lose my erection when I stand up very quickly and I can’t maintain it. My penis is also very sensitive to touch.

In the early weeks after my accident, I stopped masturbating for 1 or 1.5 weeks at a time, 2-3x. As the weeks went by, I began to masturbate regularly once every few days then 1-3x per day but with using very little force, almost like a feather. I wasn’t able to have a full erection, not only because of the bend in my penis but also due to fear and discomfort. My erections are a bit painful sometimes.

Around September of this year, I stopped taking Minoxidil and increased my dosage of Finastride to 1.25 mg – M-W-F, then to every other day. I noticed my penis erections because stronger, the strongest they have ever been. This might be coincidence becuse it was 4-5 months after my injury or it could be that I experienced increased libido from a higher dose of Finastride. When I initially started taking Finasteride a few years ago, I had an increased sex drive for several months so that’s why I think Finasteride helped strengthen my erections. However, my penis bend did not go away and my erection was still .5 – 1 inch shorter and smaller in girth.

Recently I have noticed a loss of sensitivity in part of my penis foreskin. This could be due to regular masturbating and how I masturbate. I’m afraid to touch the shaft of my penis so I only massage the foreskin and a small part of the top-shaft. I also recently woke up with a penis bent. Although, it is improving. I sleep very unusual position so that I don’t injur my penis. I sleep almost crossed legged so that I don’t attempt to squeeze my penis with my thighs when I sleep at night. This has worked well for me because I sleep on my backside.

As you can see doctor, I don’t know how to look for any evidence that Finastride caused my Peyronies, but that doesn’t mean it didn’t play role. Am I wrong?

What study can prove Finastride caused Peyronies? Do you think Finastride helped increase the strength of my erections when I took a higher dose? Is a low dose of Finastride (0.25mg) enough to cause Peyronies? I am in my early thirties.

There is no evidence connecting the penis abnormalities you spoke about with finasteride or minoxidil. You spoke about an injury to your penis which can cause the bend that is associated with Peyronies disease but no where else did you discuss the timing of your problems with this injury in a time-line fashion. Your visit with the urologist is critical and he should go over this careful history you put together. Finasteride is not a tratment for Peyronies disease but there are treatments for this that the urologist can recommend.

How do you pick a hair transplant surgeon that is not hit and miss? (from Reddit)

Hair transplant from tressless

As a hair transplant surgeon, I feel compelled to respond. If you do your research (Yelp, Realself) and demand to meet one-on-one with the doctor’s patients, the hit and miss issue disappears. We have held what we call Open House Events every month and have been doing this for 27 years. At these events, former patients come to help prospective patients understand the process and see their results. Talking and meeting with former patients have no substitute for building confidence in your choice of surgeon. At these events, we also have live surgeries for prospective patients to view and speak with the patients undergoing the surgery. Many times men bring their wives and girlfriends to these events making it even more beneficial. I realize that many of the readers of Reddit are not in Southern California to visit us during one of these open house events, but there are substitutes with good phone consultations and calling references, which are made available for newcomers.

Cutting Finasteride Tablets

I cut all of my pills the day i get my prescription refilled. Is this bad practice? Do the pills lose potency when exposed to air?

Yes this is a bad approach because the cut pills will absorb water from the atmosphere, and lose their value over time.


2019-11-22 15:29:43Cutting Finasteride Tablets

Plant Sterols Beta Sitosterol and Propecia

Hi Dr. Rassman , Please help me on this one .
I have been taking Plant Sterols 1000 MG. siad to contain 375 MG Beta Sitosterol per Tablet … combined with Generic Finasteride 1 MG. every DAY !

My Question is :
Can I combine the two i.e. Plant sterols and Propecia ( Finasteride )? Will that Harm my Health in anyway ? as Both are known to Lower DHT , so will that very Low DHT cause some imbalance in my Body ? Please Advice .

Let’s be reasonable here. You know better than to ask personal health and medication questions on the Internet. You really need to see your doctor for these issues. I am not your doctor and cannot give you medical advice. Baldingblog is a not a place to check for medication interactions.

Beta-sitosterol is a substance found in plants and I am sure you can find plenty of information on the Internet.
Propecia (finasteride 1mg) is a medication that needs to be prescribed by your doctor for the treatment of androgenic alopecia.

I personally am not too familiar with the use of Beta-sitosterol and it’s interaction with other medications. So I would defer this to your doctor.

Dairy from a patient who went to Turkey for his hair transplant surgery

I went to Turkey so what I am going to write about here is lengthy, I wanted to have the surgery performed by Dr. ‘X’ (I don’t want to use his name for legal reasons). The doctor’s team seems very well trained but clearly they were not well organized. They failed to discuss the procedure with me, despite promises over the phone telling me what I was going to get. In the US, they have an informed consent process, this was missing in my pre-surgical meetings, They treat me like McDonald’s serves its hamburgers, not as a patient.

I has my first surgery when I was 29. A local doctors promised me between 2500-3000 grafts, started losing my hair at an early age. When I was 31 I had a FUT surgery with a local doctor who promised 2500-3000 grafts. After the surgery I had a great deal of pain and only received about 600 grafts even though I paid for many more. The experience was so bad, I started to weard a hair system.all of the time or if I took it off, I always had a hat on my head,

I first contacted Dr. X and told him of my terrible experience with my first surgery, I sent him pictures of me without the hair system system on so he could see what I looked like. He told me that I was a Class 7 patient and over the phone, he told me that I was an excellent candidate for the surgery. I thought I had an excellent donor area and told him that it might take two sessions.He told me that he should be able to get 5000 grafts in the first surgery as I have an excellent donor area. I was very skeptical about the number of grafts as many other clinics were telling me that I would get only around 3000 or so grafts. I read other patient reports about Dr. X and they were good. Dr. X was one of the more expensive doctors so I felt that paying a little more would get me a great experience. He also promised me more grafts than any other doctor had promised me.

I slowly worked out the days for the surgery. Someone told me to avoid a Sunday as the clinic often understaffed or closed on Sundays.

My wife and I were met at the airport by a driver. He was very friendly and provided some information about the area and some places to visit before the surgery. He didn’t know what time I would be picked up the next day for surgery but said the the doctor’s office would contact me at the hotel in the morning. Even though they knew that my wife was visiting with me, they only provided me with a single bed. After a few minutes, they corrected that.

Things started to get disorganized on Monday. I wasn’t contacted by anyone from the clinic qme by 11:30, still no word about my surgery. They finally called me and told me that they would pick me up at 2:30. I was already getting nervous about the surgery because of my last surgery in the US. Now I had to wait until the afternoon and I did not know ehnen they would actually come for me. They did tell me that they were very, very busy. The driver came an hour earlier than they told me to be ready. The clinic was close to the hotel.

 

When I arrived, I was asked for immediate payment, I wanted to have a consult with Dr. X first to review and make sure that everything was acceptable. I paid the fee and was then brought to see the doctor.

He told me that because some of his patients missed flight in, they were working hard to keep up with the surgery load that day. I was worried that the people performing the surgeries working for that many hours on so many patients in one day, might be too tired. Would I get their undivided attention? Should I move the surgery to another day when the staff was not so overworked? The doctor told me that his staff would be fine and that they do this many surgeries every day. He told that some patients were only getting smaller, 2000 graft procedures, and as mine would be a larger procedure, they would have more time to work on me. He then told me that my surgery would be for only 3000 grafts and would be very fast. When I reminded him that he said he should be able to do 5000 he said that my donor area wasn’t that good and that I had limits on the number of grafts. This is an exact opposite of what he said in emails to me. I pushed the point and he said he would have to see what he could do as I had short hair and it was hard to tell. “Don’t worry”, he said. most people require 2 surgeries anyway. He traced his standard hairline on my head and I did not like it. I wanted it narrower. I asked if it would not make more sense to narrow the hairline coming forward so we could provide thicker density and more coverage in the rear. He reassured me again that I would be ok, ignoring my ideas on my hairline. Dr. X seemed very rushed and didn’t seem interested in answering any more of my questions other than to say this is what he does. They put me into a gown that was too small for me (I take a large size) and I asked if they had something larger and was told that they didn’t. I was then instructed empty all my pockets into a bag that they gave me and that made me uncomfortable as it included my credit cards and Passport. They also focused in on my cell phone insisting that it must be given over. I said no as my wife was was there and I needed to keep in touch with her. Once I spoke to Dr. X he agreed to let me keep it as long as I didn’t use it during the donor extraction period. They next provided some drugs for me to take. I asked what they were for and they did not understand my question. A lady had to be called in to explain what the drugs were for. They then shaved my head and we moved to another room to see Dr. X. He looked atthe scar from my pervious surgery. When I asked what the story was or if there was any concerns, Dr. X said he was just consulting with his staff. I asked what about and I was told nothing to worry about. As the patient I felt very much like I was in a meat market just being moved from one room to another. I had no feedback to my questions and I felt like it was just going along for the ride.

The Surgery went well. The injections weren’t painful and the gentleman he who preforming them was very good at his job. The extraction team and the implant team (two different teams) were good at their job. Dr. X came near the end of the extractions he told me he was leaving my surgery room and that there wasn’t any issues I was in good hands.

I also had a cocern that there was a complete lack of privacy during the surgery. Even my driver came into the room looking over the results. I was bored through the entire procedure as the only thing I had was Turkish TV and even the position of my chair was such that I could barely see the TV

I didn’t sleep much that night because of the position I was told to stay in. I wasn’t in pain or any discomfort.

The next day at breakfast I ran into several other patients. At 9:30am I was called to say the driver was there for me. I came down and there was 5 of us there. The driver brought us to a midsize car and wanted us all to get in. The driver noticed that it was going to be very tight and said he would be right back for me. I went back into the hotel and ran into another patient who was late getting down. Not sure how the driver planned to fit 6 grown men into a 5 seat midsize car. The driver was back and we were taken back to the clinic. All six of us were gathered in the reception area and this is where they took the dressings of us. We were then all huddled up to Dr. Maral’s office as a group and he provided instructions for post care. Several questions were asked of him and he quickly dismissed them with the statement “he hasn’t seen any need for it and that it was a waste of time”. Again it felt like we were just meat being processed instead of patients.

I asked about the timing for the transfer to the airport and I was told to speak with the driver as he would arrange everything. I spoke with him and he said I would be going with another gentleman as our flights were an hour apart. He was also traveling with his wife and I raised a concern about fitting 4 people plus driver and all their luggage into a midsize vehicle. I was told not to worry about it that it would all fit. I tried to explain that my wife and I had larger size baggage as we were going on to another destination from there. The other gentleman said his wife and him were in the same situation. We were told not to worry about it that it would all be taken care of. I did call the clinic back at the hotel and was told that I needed to send an email. I sent an email explaining my concern. Dr. Maral responded and told me he would arrange separate transfers for us and then went on to say “but please do me a favor and prefer another clinic if you go more sessions? or your price will be 1000000 euro”.

That night I spoke with several of the other patients and they all were promised more grafts then they received and were very unhappy with the communication. One of the gentleman said he was supposed to have his surgery on Saturday but they rescheduled it to Monday and they need to give their staff some time off. Of the 4 other patients I spoke with, all were promised above the 4000 and all received around 3000.

I’m not sure of the end results yet but I’m hoping for the best. I will be looking at a second session in the fall but I can guarantee I will be going with another clinic.

Maybe this was the perfect storm for the clinic and they were overwhelmed but I suspect this was not the case.

Polycystic Ovarian Syndrome (PCOS) and Hair Loss

hi im 23, female and for 3 years now my hair has gradually become noticly thin all over my head i have been told by a dermatologist my scalp is ok and that my hair has only thinned out due to stress but i feel its through dht, as my hair falls out from the root and regrows finner especailly the sides where it was effected first. my hair around the sides of my head to the back of my ears look near enough bald now even though theres hair there. please HELP i feel like i cant cope with my hair loss its effecting my life so much im highly thinking about taking propecia cause my hair is so important to me i dont wont to where a wig the thought of it makes me sick. please note i have polycistic overies and have been told that can cause thinning of the hair, i have also had alot of blood tests except dht which have all come back normal once again pease help me. regards kelly. x

ps, the loss of my hair has caused me to look so unatractive, and was applying to be a model but i now feel it can only be a dream. i wish and wish for a mirical every day.

Polycystic Ovarian Syndrome (PCOS) can produce some masculine hormonal changes, including hair loss on the scalp and hair growth in areas like the face (i.e. upper lip) and some body hair growth. You need to get your hair mapped out for miniaturization to outline just what is happening to your scalp hair, where on the head it is happening, and to what degree. Drugs like finasteride (Propecia) may work, but if you should become pregnant on this drug, there is a likelihood that your child will develop abnormal sexual characteristics like hermaphroditic changes. There is a report in the literature that women with PCOS and hair loss have been helped by finasteride, but be warned not to get pregnant if you go that route. The metrics obtained with mapping of your scalp hair will show the value of any treatment modality, therefore it is critical to get the measurements in hand before any treatment is started. With that positive note, you probably have genetic female hair loss which can impact the course of treatments as well, and just like men with hair loss and finasteride treatments, there are no guarantees that it can work. Any approach to this requires a really good doctor to manage your hormonal problems.

For more info on PCOS, see:


2006-05-17 08:31:25Polycystic Ovarian Syndrome (PCOS) and Hair Loss

Dense Packing and Transection Rates

Dr. Rassman,

In regards to hair transplants, I believe that you’ve written that around 25% of the original density can be enough to provide coverage, and that as the graft density of a HT procedure increases (above 40%?) the transection rate goes up and one gets diminishing returns, etc.

So, I was wondering how this relates to “dense packing” of the frontal area — how dense can the grafts be when you do this?

Thank you for giving so much information and comfort to people in need of it.

Every patient is unique, and their goals and expectations will be variable. For those who want high density, “dense packing” it is attainable, but as you state there are issues of the diminishing returns observed by several doctors who reported growth findings in dense packing studies. I believe your concern for transection of neighboring hair in the recipient site is valid and it may contribute to this diminishing return phenomenon. However, surgeons who know what they are doing rarely will produce transection in adjacent hairs in a second or third procedure. Transection in the first procedure is never a problem unless we are talking about remnants of ‘original’ hair that is present (miniaturized or not).

Transection rates in strip surgery occurs on the edges of the excised strip and this is estimated to be no more than 5% in the hands of the average surgeon. For FUE, on the other hand, the transection rate ranges widely depending upon the surgeon’s skills. The FUE must be done by the surgeon (not assigned to a technician) by law in all 50 states. That means that the surgeon should have the skill to do this, but my experience from seeing the results of many FUE surgeries suggests significant failures in the hands of many doctors. Although the Artas® hair restoration robot is designed to minimize transection (keeping it under 10%), the studies so far have not followed the damage as those grafts are manually removed from the scalp and handled by the technicians when moved to the recipient site. Just keeping the grafts exposed to air for 20 seconds will kill them, even though there will be no evidence that damage has been done (other than the graft will never grow hair).


There is also a perception of how one sees the density when more than 25% of the original hair has been transplanted. For example, if the hair is fine, much higher densities are needed than if the hair was coarse. In normal thin haired individuals, the hair is often ‘see through’ in bight light with 100% of its original density. Obviously, in order to produce more fullness with medium weight hair, the weight of the hair alone is not adequate to determine the see through nature of the hair as it depends upon other things such as the character of the hair and the color contrast of the hair and skin. In adding an extra 100 grafts to an area with 1000 grafts, the change will barely be detectable, while adding 100 grafts to an area with 200 grafts will certainly look fuller (assuming that both areas have comparable surface areas). In the end, if you are willing to have multiple surgeries you can theoretically incrementally replicate the original density.

Now if your question is about dense packing an area with just one surgery, there is a limitation of how close you can place the grafts based on the needle or blade that is used to make the sites. It is a matter of graft survival, as the grafts may be handled differently for dense packing. Again, here the skills of the surgeon is paramount. There is also the doctor’s art in making the surgery result look dense with limiting the harvested grafts to keep costs down. I am sure most doctors can dense pack, but if you dense pack ALL the grafts, you may not likely be able to cover the planned treatment area especially if the bald area is high. For reference, a square inch of a non balding scalp in an average person is 1250 hairs (or 650 grafts) in an person with average density! So the trick is to utilize the number of grafts you harvest to dense pack certain KEY areas and spread it variably in other areas to make it look natural and full. This is where the artistic skill (not the technical skill) of the doctor comes in to play.

If you want a simple answer to how dense we can pack grafts, it is slightly wider than the needle/blade we use (some of which are sub-millimeter).