Hair loss and conversation with Dermatologist – Value of communication

The Dermatologist told me I could take Rogaine for 4 years and I would keep almost all my hair for the rest of my life. I would even get better results when I use Finasteride with it. I’ve never heard about this 3/4 year cycle and then the hair loss magically stops, any idea what she meant? The appointment was very short, about 5 minutes.

Hair has a 3 year growth cycle. Drugs like finasteride impact both the length of this cycle as well as the quality of miniaturized hairs that are present during the growth cycle. Rogaine does not impact the growth cycle but does stimulate new hair growth in some people. For young men, finasteride is a better treatment for hair loss that minoxidil. It sounds like you did not get all of your questions answered.


2020-07-09 13:54:28Hair loss and conversation with Dermatologist – Value of communication

Transplant Hair Is Growing in Curly….But I’ve Never Had Curly Hair Before?

6 months post transplant. Hair has been growing in for 2 months now. Got transplanted hair put on both temples and lowered hairline slightly. Left side temples and lowered hairline hair is coming in as expected. However, on the right side, the hair is growing in curly and is off-putting. I had a follow up with my surgeon last month and she couldnt explain it. The barber who has been cutting my hair says the hair needs to grow longer for it to straighten itself out. His thinking is that the hair is at a weird/short length which makes it curly. But I have never seen my hair be curly like this. There have been times in my younger yrs where I buzzed my hair, and my hair was never curly at a short-length, it was always straight still.

Is this just part of the “growing-pains” of the transplant hair? Will it eventually sort itself out over next couple hair cycles to be my normal straight hair? Or perhaps the technician screwed up during the procedure and angled the hair wrong?

This happens with some (rare) transplant patients. I have seen this consistently in the same patients who had more than one hair transplant, but I would say that the common change is more wavy hair, less curly and very rarely kinky.


2020-03-24 09:55:39Transplant Hair Is Growing in Curly….But I’ve Never Had Curly Hair Before?

Hair Loss During and After Illness

a month ago i was very sick from pneomonia, fever of 105 f. i was taking high doses of ibuprofen (800mg) and antibiotics. while i was sick i noticed scalp hair and eyebrow shedding. a week after the illness i went to the dermatologist, the dermatologist told me that the hair loss was related to my illness she said that it will go back to normal. its been a month and i still losing scalp hair and eyebrow hair. my hair loss is moderate.

Is it normal to lose hair during illness and continue shedding hair after i recover from the illness? Thanks for the time.

Hair loss from physical and emotional stress can be temporary, but it can take months for recovery. Usually it takes about one year. I am assuming that you are a female. If you are a male, a return to your pre-illness state may not occur if your genetic balding process was triggered.


2009-11-23 09:23:45Hair Loss During and After Illness

Transplanting a Cowlick?

Out of curiosity, is it possible to artificially create a cowlick using transplantation? Have any patients ever asked you for this?

Yes, creating a cowlick is possible. I have done a few of them, but it is rarely asked for. Many men hate their existing cowlick.


2011-05-06 07:31:08Transplanting a Cowlick?

Hair loss from hair treatment (photo)

Some background: I’ve gotten perms 1-2 times a year for the last 9 years to try to increase volume for my thin hair. I got a root perm done in November but my scalp felt like it was burning so I decided to stop them altogether.

Now I noticed my scalp has been pink (thought it was a sunburn at first but it’s been 3 weeks and no flaking or changes) and I have this bald spot around my hair part. The hair around it is so thin and sparse if you look close. I changed my hair part to cover it up but I’m worried the hair loss is irreversible. I’ve been noticing also that I lose a lot of hair in the shower.

I ordered a silk pillowcase after a friend recommended it, and I currently use sulfate and paraben free moisturizing shampoo from Costco, OGX biotin & collagen conditioner and Aveda invati advanced scalp revitalizer spray but I’m not sure if it’s helping.

I thought initially it was from stress but this is way worse than anything I’ve experienced before. Any input or recommendations would be appreciated. I’m wondering if I should go to a dermatologist or change any of my hair products.

Hair treatments used to color hair can cause chemical burns to the scalp and kill off hair. If that happened to you, it will not get better. The best treatment for a permanent loss like is shown here: https://scalpmicropigmentation.com/gallery/smp-for-women/ Permanent burns can happen with a variety of hair treatments, using any bleaching agent in particular.


2021-09-16 10:54:11Hair loss from hair treatment (photo)

Transplanting Hair from the Back of the Head to the Sides of the Head

Hello Dr. Rassman,

In researching hair transplantation, I have been unable to find an answer to what seems to me to be a pretty basic question: Can donor hair be relocated to the sides of the head? If so, would this be an option for me?

Here is a rundown of my situation: I am not sure what my pattern is, but I have lost a good amount off my hairline and the front 1/4’s of the sides of my head. The back of my head is pretty full, and the back 3/4 of the sides and area beyond the hairline on top are also relatively full.

Thanks so much for all your nice work

In men, hairs from the back of the head are considered permanent. This is the donor area in hair transplant surgery. You can transplant it anywhere on the body and it should grow. Thus, you can transplant hair from the back to the sides.

As to what you are referring to as “the sides” remains to be seen, as I do not know what you are exactly describing. If you would like a consultation you can always email us at hairdoc@newhair.com with photos.

Hair Loss from Testosterone Replacement Therapy?

Dear Dr. Rassman,

I have been under the care of an anti-aging doctor for two years. I have been taking testosterone (TRT). I have had hair transplants 10 years ago. I have been recently experiencing
more hair in my comb. Can Testosterone replacement cause transplanted hair to be lost?

Testosterone replacement may cause androgenic alopecia, but it should not cause hair loss in the permanent hair that was transplanted from the back and sides of your head (these hairs are not affected by DHT). You may be experiencing hair loss from your native non-transplanted hair.


2007-09-24 10:36:16Hair Loss from Testosterone Replacement Therapy?

Transplanting to Increase Fullness

My girlfriends and I don’t think that they have hair loss problems (at least not yet), but we would LOVE to have fuller hair so that we wouldn’t need to use hair extensions (which I assume all the celebs use because no one has hair like that!). Could transplants do this for us too?

It is important to understand that many of the accoutrements that adorn our bodies arose from our more primitive, less sophisticated past. The use of wigs date back to the Egyptians in the years between 4000-300 BC. They were used extensively by men and women. The Greeks were the first to popularize wigs and braids and they began the long torturous route to hair styles that cycled in popularity for the next few thousand years. In the middle ages (1200-1400 AD), single women showed their health and vitality by demonstrating full heads of hair, much of it coming from animals. Once married, only the husband could see the head uncovered, so it was the young single, female that had to appear healthy and capable of producing healthy children. As the populations started to concentrate more and more, the disease tuberculosis, took its course on the malnourished females whose heads were uncovered, so advertising ones health required hiding (1) a thinning head of hair with a wig or with braids and (2) the absence of significant body fat with clothing. Sexual attractiveness and a healthy appearance were inextricably linked. Paintings since the late renaissance, show women with much abundant body fat and full heads of hair. As tuberculosis is blind to socioeconomic conditions, the successful artisans were engaged by wealthier clients to create the illusion of health with abundant hair and lots of braids. As the hair became thicker, it hid elements of the face that may have reflected the signs of illness or malnutrition. Braids became common place and the use of wigs and other hair extensions remain part of our cultural heritage.

Now to directly answer your question, no, hair transplantation should not be used to increase the fullness of a normal head of hair, but the use of hair extensions and other such devices come with a price. That cost can be hair loss caused by the continuous pulling that these devices produce on the hair as they are attached. Hair loss from such attachments (Traction Alopecia) can be permanent. My advice to you is to respect your hair and watch carefully for any signs of Traction Alopecia.

Hair loss is now very rapid at 34, will dutasteride fix it?

I’ve seen a lot of your messages on reddit being very helpful for people combating baldness. If you have a moment I hope you could help me with a small question. In my mid 20’s I noticed my hairline begin to recede and went on Finastride. It seemed to work great. My hair recession slowed down significantly. However, when I turned 34. I began to notice my hair line was receding again. I’m aware that drugs like Finasride, more or less, just slow the process down. But I was alarmed at how quickly my hair seemed to be receding all of a sudden. It was like the drug simply stopped working. I panicked and with some research I found that Dutasteride was an alternative that’s been shown to be slightly more affective. So I switched, from 5MG of Fin(quartered) to 0.5 of Dutasteride. That was approximately 10 months ago and my hair continues to recede and thin, at what feels like an alarming pace. So here is my question. Have I made a huge mistake in switching? Will I lose all the hair that I kept on Finastride even though I’ve switched to Dutasteride? I thought that if Dutasteride worked it would keep the hair that Fin was holding back. Or perhaps there was no slowing these effects any longer, whether it was Dut or Fin? I don’t know what to do. Thank you for your time.

A hair transplant is a better option. Dutasteride will probably not reverse this problem at your age and with your history with finasteride.


2021-06-09 09:33:29Hair loss is now very rapid at 34, will dutasteride fix it?

Treating DUPA with Dutasteride?

has there ever been a case in which somebody with DUPA (Diffuse Unpatterned Alopecia) has responded to dutasteride after trying propecia (finasteride)?

I have very little experience with Avodart (dutasteride), but I have seen some patients with Diffuse Unpatterned Alopecia (DUPA) respond somewhat to finasteride. In theory, dutasteride should be better than finasteride, but clearly the side effects are substantial with dutasteride (decreased sperm count, impotence, decreased libido). Unfortunately, we do not know a great deal about DUPA and what causes it.


2008-05-29 09:41:24Treating DUPA with Dutasteride?