Category: Uncategorized

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Yesterday, this man had 4090 grafts

This man had his hair wash this morning. There was no crusting on his head. I recreated his natural swirl which doesn’t show up well in these photos. The tape was placed to minimize any swelling that would follow a procedure of this size (which would otherwise produce swelling in the forehead and possibly the eyes within 3 days of the surgery). He slept well and drove in this morning feeling completely normal and pain free. He will now starting doing his own washing. That is not blood you are looking at below his head but a flower on his shirt. I told him that he could begin exercising in two more days.

The third picture was taken a day 6 and as you can see he looks much better. He is having no difficulty washing his own hair and has resumed full activities

 

 

 

 

 

 

 

 

 

 

 


2020-02-25 16:07:25Yesterday, this man had 4090 grafts

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I Have Female Hair Loss and Was Told to Wash My Hair Every 3 Days

Hi,

Recently at age 31 I have been diagnosed with female pattern baldness, although both of my parents have a lot of hair. I was told to wash my hair every 3 days because i lose a lot in the shower and then brushing it. My scalps starts to get really itchy after 2 days and then i shed a lot of hair, why is that so? I do not have psorasis and scalp seems to be in good condition. Is it cause I have too much dht? Also have you heard of any good results with laser hair treatments?

I have not heard of or seen any good results with laser hair treatments. In my opinion laser hair treatments do not work.

Washing your hair less will not cause you to lose less hair unless you are rough in the wash. There is no relationship between washing hair and hair loss. You can wash your hair as you like. Your itchy scalp might be looked at by a local dermatologist.

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I Have One Testicle, so Is Finasteride Still an Option to Treat My Hair Loss?

Hi doctors,
I’m 30 years old and i lost one testicle when i was 18. So now i thinking about my options to stop hair loss. Is finasteride for me? I know about some side effects of fin and i’m worried, but with only one testicle is it still safe for me to start it? Or am i in for more dangers than others?

Anyway i will definitely talk about it with my urologist before i start (if i start), just looking for more opinions. thank you

Finasteride is likely still an option for you, though your prescribing doctor will have to make the call on that. I don’t know what your hair loss situation looks like. You certainly aren’t automatically ruled out from taking Propecia (finasteride 1mg) because of your one testicle, as the safety of the medication has nothing to do with the number of testicles you have.

I would schedule that urologist appointment to at least get some more advice. If you are concerned about testosterone or other hormone production from the testicles, I would guess that your one testicle puts out as much testosterone as two testicles to compensate.

If you are concerned about side effect potential from finasteride, your risk isn’t any higher or lower than the rest of the population (less than 2% will experience some side effects). I’ve written much about the side effects before over the years.

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I Have Thick Hair, But Not As Thick As 10 Years Ago

Hi Dr. Rassman, I am a 43 year old musician and I am very lucky to have thick shoulder length hair. However, although still thick, it is certainly not as thick as it was 10 years ago, and I am beginning to notice some slight thinning at the crown and although my hairline is still low, some very slight thinning there too. My question is, should I use Rogaine preventatively? Is it better to start Rogaine at the very beginning of what might be a problem? Will I see benefits from Rogaine if my hair is still thick? Or at 43, have I likely escaped a serious hair loss problem and just take some vitamins or something? Thank you so much for your help.

To me, thinning hair either represents a change in hair thickness (possibly aging) — something we see when a baby becomes a young child, and then often when a young man takes the turn into puberty -or localized miniaturization in the areas where you notice the hair being not quite as thick as it previously was. To make that diagnosis, as I have said before, you need to get your hair mapped out for miniaturization and then the microscopic analysis will be clear as to what you are seeing with your eyes. In men, miniaturization is best treated with finasteride (Propecia), not Rogaine (minoxidil) as the drug of first choice. I now have an office in Newport Beach, and since you indicated that you are in Orange County, why not get your hair mapped out and find out that is happening to you?


2006-08-25 13:43:44I Have Thick Hair, But Not As Thick As 10 Years Ago

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I Lost My Job, I’m Stressed, and Need a Hair Doctor!

hello, I have been under stress. Lost my job and trying to make ends meet. I dont know where to go to ask someone if im going bald and since I lost my job no insurance. I feel like the hair in my growth pattern (top of my head crown area) is getting rugged and coarse. Very wirey for lack of a better word..

I wear a hat but not tight just getting really nervous… Please just tell me a quick something!!

Sorry to hear about losing your job and the stress that goes with it. There’s not much I can tell you about your hair loss though, because there’s not enough info available to me to give much help. It’s almost like calling an auto mechanic and saying, “My car is having problems. How much would it cost to fix it?”

In the great majority of men, hair loss is caused by genetics. Stress can exacerbate that loss. The textural change in your hair could be the hairs miniaturizing, but I don’t know what you’re feeling and I’ve not examined your scalp myself. The hat you’re wearing isn’t the cause… I know that much.

If you’re concerned about your hair, see a doctor. If there’s no free clinic in your area, try a hair transplant doctor that offers a free consultation (they’ll know hair loss). Check ISHRS.org for a hair doc in your area, but please note that not all doctors offer free consultations, so be sure to ask when setting up your appointment.


2010-09-24 12:41:35I Lost My Job, I’m Stressed, and Need a Hair Doctor!

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I Pick off the Scabs from My Severe Scalp Flakes, Now I see Hair Loss

Hi,

I have a problem of severe flaking, scabs, and an itching scalp. I am a picker so i often pick off the scabs, thinking that the dandruff will go away. Now I have a bald spot where I’ve been constantly scratching my head. It also seems I have hair loss in other areas as well. I’ve also moved from Canada, US to Jamaica. I am also under a lot of stress.

THe last time I was under severe stress and I had relaxed my hair and put a weave in I had extreme hair loss and extreme large flakes. Although my hair has grown back and my dandruff was under control and almost gone, I have had permanent hair loss around my hair line. I used to have braids in my hair for 7 years..so i think it was from that. That hair loss incident happened when i was 19. Since then I have worn my hair natural without any processing. I am 25 now. I am concerned.

The bald spot at the back center of my head – is it permanent? HOw can I stop scabs? how can I stop dandruff? If it is a stress trigger from high cortisone levels in my body what can I do to normalize this? Is it my diet, exercise? Please help? What can I do to restore hair loss?

Picking skin flakes is an OCD-like condition called dermatillomania (for pulling hair it is called trichotillomania). This picking produces traction alopecia, so there is little doubt that this is what is happening to you. If you stop picking and the hair returns, then you’re lucky… but if you continue to pick at it, the hair loss you are experiencing may become permanent. Braids can also cause traction alopecia. The solution may be simply get rid of the braids and stop picking (that might be easier said than done, though).


2009-05-07 10:08:17I Pick off the Scabs from My Severe Scalp Flakes, Now I see Hair Loss

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I Scrubbed Off Part of My Mustache!

I seemed to have damaged a small area of my mustache, and I’ve waited 6 months and the hair hasn’t grown back.

I was using 1 of those luffa (loufa) facial scrub pads, and went across my mustache, when I looked at the pad, I noticed complete hairs on the scrub pad, and the bottom tips of them were wait. And now there is a clear small bald spot in my mustache to the point that, I’ve decided to shave my mustache completely off. It just looks ridiculous with that patch missing.

My question is, is the area forever damaged, and what can be done to regrow the hair. My wife misses my mustache as much as I do.

If your mustache does not come back in another 3 months, the only way you can get it back is to transplant it. Hair transplantation works well in facial beard defects. At that point, you can make a trip to my LA office (you indicated you weren’t too far away) for a free consult. I’d give it some more time though to regrow on its own.

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I Stopped Using Minoxidil — Too Late To Restart?

I used Minoxidil 2% for about two years, then -through bad advice — stopped using it for about 4 months now. I just started realising the reoccurance of my hair loss. I will re-start immediately but am wondering if it is too late and whether I will lose all the hair that had regrown during the past two years?
Thank you very much.

Hair that is being lost or miniaturized, or new hair that grows from the drug does get minoxidil dependent so when the drug is stopped, the dependent hair often falls out. Minoxidil is thought to increase the length of the hair growth cycle, but can bring on new hair where there was none. If the hair fell out upon stopping the minoxidil, then a new cycle must kick in and that might take months. I would hope that some of the hair will return to the level before you stopped taking minoxidil, but I can not give you the assurance you are looking for.