Hair Transplant Question?

Is the transplant of single hair from the side of the head to the bald spots on top the current top solution?

You must be over 26 to have a hair transplant. The State of the Art is single follicular units, which are taken from the rim of hair around the side and back of your head which is permanent hair that does not get impacted by the balding genes. Each follicular unit contains (in a group of hairs) from 1-4 hairs each.

Using Herbal Essence Hello Hydration, and I Notice That My Hair Came off in Clumps Which Is Very Scary…

Hi, both my husband and I recently started to use Herbal Essence Hello Hydration. I noticed that my hair came off in clumps, which is very scary. It looks like ball patches on my scalp. Can tell me the hair will regrow?

You should clearly stop using it. Something bad is in the shampoo to cause hair loss in clumps. If it did not burn your scalp, the hair should return. You will know in a few months when the hair recovers.

Hair Transplant Surgery Risks

I am considering a hair transplant procedure, but I am nervous about doing the surgery. What kinds of things can go wrong?

Hair transplantation is indeed a surgical procedure, and there are risks associated with any type of surgical procedure. The degree of risk, however, is more tied to the type of anesthesia than the surgery itself. With the anesthesia being limited to local and sedation, rather than a general anesthesia, the risk is about the same as a visit to the dentist’s office, statistically a risk of death estimated at less that one in a million people.

Any time one has surgery there is the risk of something rare and serious happening, such as an allergic reaction to medication, or a blood clot to the lung, or even cardiac arrest. The best surgical facilities in the United States are certified for surgery by one of two independent agencies. Our facility is the only hair facility in the United States that is certified by one of these two agencies, ours is certified by the Accreditation Association for Ambulatory Health Care.

The thing that you have to remember is that hair transplantation does not penetrate any body cavities. It is really analogous to taking off a big mole or wart. In 15 years and doing over 10,000 procedures, I have never seen any of the previously mentioned serious things happen. For a hair transplant the surgical risks can be defined well enough. The types of risks that should concern you include: infections, bleeding, swelling, wide scarring of the donor area, nerve damage and poor hair growth. I have never seen any serious infections as the scalp has a wonderful blood supply which prevents and protects against these infections. It is very common to have a few ingrown hairs with localized infections in the first few months as the new hairs grow in, but this is cared for by just keeping the scalp clean. Sometimes ‘popping’ these pimples yourself works, and when we do it we call it ‘draining’ the cyst. Sometimes these ingrown hairs produce a wider infectious problem which might require an antibiotic. Significant bleeding at the time of surgery should not occur in the hands of a competent surgeon, there may be some small drops of blood the first night after surgery but it is almost always handled with a little pressure directly to the bleeding area. If that doesn’t stop it, a suture might be needed, but that is exceedingly rare. Swelling after surgery is common. The swelling may work its way down to the eyes three or four days after the surgery, but the use of post-operative steroids may be helpful at reducing or eliminating swelling. Swelling always goes away after a few days.

Scarring always happens when the skin is cut, but newer techniques of wound closure usually prevent that from occurring at socially detectable levels. The more procedures one has, and the more grafts that are done with each successive procedure may make for a slightly wider scar. Rarely do these scars become cosmetically significant unless one shaved his head and in that case, all such scars will be seen no matter how perfect the healing is. Nerve damage should not occur, provided that you are using a well trained and competent surgeon. Poor hair growth is also something almost never seen, but occasionally happens. If your doctor and his assistants are experienced, and the techniques they use are modern state-of-the-art methods, only rarely is growth a problem.

Your question is important, for we often forget that everything in life has risks. Driving may be more risky than having a hair transplant surgery.

Using Rogaine Foam After Hair Transplant

Rogaine FoamDr. Rassman, I was reading a reply to a question suggesting that Rogaine Foam is not a problem 3 months after the surgery, but I wanted to know how soon after the surgery I can start using the foam as opposed to the ointment. My second question is I recently got a hair transplant, I am 22 years old male, after reading through your blogs I have come to conclude that I was a victim of transplant “fraud” which is a shame because I got mine from an institution that boasts itself in being a pioneer in the field. I started taking propecia 3 days after the surgery and still till today (20 days post op) my hair is falling off like no other. How long will this ‘shock loss’ continue, it is really beginning to worry me because at the rate at which my hair is falling is unbelievable. I also read a post suggesting I can use a blow dryer on low heat after 10days but when I did I had so many hair fall off It was unreal. What would you suggest? is this normal? When can I start using a blow dryer without worrying about my hair falling at such a rapid pace.

thank you

It sounds like you need a second opinion. You can start using Rogaine Foam about 14 days after a hair transplant. Shock loss could be prevented in most situations with the drug Propecia started before the transplant is done. Shock loss will usually subside up to 4 months or so after it starts (hopefully much less). It sounds like you need a second opinion before you blame the surgical team that worked on you.


2008-08-29 15:17:42Using Rogaine Foam After Hair Transplant

Hair transplants in front and a hair system in back!

Started fin 14 months ago to maintain my hairline, but the crown has gone from zero thinning to a rats nest in that time, and I got to think about the next step here. My hairline is still rather acceptable for my age, so why not do a dense pack transplant on the hairline to bring me to a thick NW1, then just use a system for the crown? Won’t the Hair System last much longer be cheaper and be way easier maintenance?

I have done these combinations of hair transplants in the front and a hair system behind it. Most men end up getting a hair transplant once they see the value and the natural results from it. Hair systems are very expensive over time, far more than a hair transplant.


2019-05-01 07:38:35Hair transplants in front and a hair system in back!

HairDX Genetic Hair Loss Test System

Just wondering if you could speak about the HairDX test and whether it is useful to use for men who want to know how severe their future hairloss will be.

HairDXMy knowledge of HairDX is limited to what I can find on the Internet (not much outside of their official website and official press releases). Assuming HairDX works and does give you an accurate genetic testing profile, why would you want to spend $149 when you can get a free consultation with a doctor? I guess some people just don’t want to meet with a doctor at any cost. Furthermore, I personally base my medical and surgical recommendations on a physical examination, history, and a miniaturization study. I would have a hard time recommending surgery or medication (Propecia) for men who show no signs of balding, but do have a positive genetic test.

It is nevertheless an interesting test from a marketing and consumer perspective and as more genes are identified that contribute to the hair loss process (MPB), then this approach may help us find better treatments and possible cures for genetic hair loss.

Very rapid hair loss at 18, why?

Not even a chronic masturbation addiction could effect any sort of hormone levels or anything? Please help I am trying to figure out what caused me to start balding so fast at 18

Hair follicles have a biologic clock that kicks in Apoptosis (cell death) in those men who have the genes for balding. I have seen young men (not common) rapidly lose their hair and develop a Class 7 pattern by the time they were 20. Statistically, that is probably not you unless you take after a father who was one of those rare men when he was young. Frequent masturbation has nothing to do with hair loss

Hairline lowering surgical scar in a male (photo)

This man’s photos shows two problems. (1) above the scar, there are areas of balding which indicate that the scar will become obvious, and (2) the stitches were placed far back creating a railroad pattern which will (a) cause hair loss and )b) probably keep elements of this scar. This man will need a hair transplant to fix this once it is healed. Why would any man do this when a hair transplant alone would have solved his hairline recession?

Violin Spider Bite

This spider is also called the Brown Recluse Spider. It often hides in boxes that you store away the the basement. This bite can cause you to lose an arm or leg. The picture shows what the bite looked like and what the spider looks like. My wife saw the spider land on me one day (she has a photographic memory and acute vision) and tried to tell me before I wiped it off of my arm. Too late, the spider bit me and in a day my arm swelled but I did not get the necrosis shown on the picture on the left so I did not need surgical excision of the bite venom. This is a dangerous bite, but other than swelling and a fever, I did OK but it caused pain for about 3 days and it took a week for the swelling to go away. Some people have been known to die or lose an arm or leg from such a spider bit. This happened to me in Los Angeles, California but the spider is wide spread in the United States. The patient in the photo shows that a surgeon removed the area of the bite because the skin died (necrosis) and this surgery was needed.


2019-08-15 13:13:29Violin Spider Bite