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Possible to Change the Angle of Hair Grafts?

Hey Dr. Rassman,

Appreciate all you do on the blog as well as answering my questions in the past. I had a less than desirable result from a HT procedure to say the least. Make a long story short, if I ever need to get one again, which I will since I have small gaps on my head still, I will be visiting your office before.

The grafts that did grow, which was on the low side, are coming in at all different angles and growing in different directions than both the other grafts and of my current hair. When I mentioned this to my doctor and the dissatisfaction of my results, he mentioned that it might be possible to change the angle of the grafts with a new tool? Is this possible to your knowledge? If not, is there anything I can do or this is just the way my grafts will grow forever? Also, do you ever have any open houses in the New York area?

Thanks so much.

It is unfortunate that your grafts were placed at poor angles and your results are questionable. Your story of a bad procedure result illustrates the fact that hair transplant is for LIFE and you should do your research of the doctors and see their work first hand before going ahead with the surgery.

There is no tool or technique that will change the direction of your hair. I suppose you can individually excise them one by one and try to re-implant them, but that could potentially cause more damage, trauma, scarring, and failure to grow. Plus why would you place more trust and risk a poor outcome from the same doctor who already put the hairs in the wrong angle? You are a brave man!

I don’t have offices on the east coast any more, but Dr. Bernstein does have open houses in his NY office.

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Is It Possible to Have a Hair Transplant Fail Because of a Medical Condition?

There are many dermatologic diseases that will kill transplanted hairs. Most of these diseases have signs that are present, either obvious ones like alopecia areata or subtle ones like Frontal Fibrosing Alopecia. These diseases are easily diagnosed by a doctor who is an expert in this field or a dermatologist who specializes in diseases of the scalp. The key is to have the diagnosis made in advance, something that an experienced hair transplant surgeon will always look for.


2018-06-26 12:58:30Is It Possible to Have a Hair Transplant Fail Because of a Medical Condition?

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Possible DUPA

This man wanted a hair transplant and came to a colleague asking for one. If his donor area was examined under a hand microscope, it would show either very low density or DUPA. In either case, he would be an unlikely candidate for a hair transplant.


2020-11-04 08:46:19Possible DUPA

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Is It Possible to Bald Without Shedding? (from Reddit)

Yes, some people can recede without balding. This means that their frontal hairline may work its way back to blatant frontal balding without loss of hair elsewhere. However, sooner or later, many men will develop balding elsewhere on their scalp. If it bothers you a great deal, then a hair transplant (an FUE) can solve the problem.

Is it possible to bald without shedding? from tressless


2019-02-20 08:26:25Is It Possible to Bald Without Shedding? (from Reddit)

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Good Positive Finasteride side effects

Started Fin 2 weeks ago. Side effects:

  1. Increased libido (which the wife loves)

  2. Increased confidence

  3. More energy

I’m thinking these are probably just from the feeling of actually finally doing something about my hair loss. I used to get anxious multiple times per week thinking about the fact that I’m losing my hair. I was worried about fin sides after reading the posts on here, but I’m so glad I finally took the plunge. Instead of worrying about the hair I’m losing, I feel a sense of control and confidence. No negative sides at all so far.

I have heard this quite a few times.


2021-02-18 08:29:18Good Positive Finasteride side effects

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Poor Washing Produces Terrible Crusting (Scabbing) and Is Difficult to Hide.

Doctors should take charge of the post operative care instructions by teaching patients how to wash their hair on the very next day after surgery. By not teaching the proper technique, patients (like the one in the photo) will have to hide either under a hat or at home for a month until the crusts come off.


2018-12-01 08:44:05Poor Washing Produces Terrible Crusting (Scabbing) and Is Difficult to Hide.

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Poor Mustache Transplant (photo)

This man had a mustache transplant with the hairs placed pointing in the wrong direction. To fix this, each graft will have be removed and replanted


2020-12-07 09:45:53Poor Mustache Transplant (photo)

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I Have Very Poor Growth After a Year. What Should I Do? (Photo)

By this time, I would have expected more growth than you are showing now. I recommend that you go speak to your doctor. In the discussion, your doctor should address the number of grafts that are growing, what you and he expected, and see if you can arrive at an agreement on expectations. If there is a failure of some of the grafts to grow, the doctor should make it right, especially if it was only on one side of your head, which indicates that the person placing the grafts on that side may have damaged them during the placement process.


2018-09-14 09:32:20I Have Very Poor Growth After a Year. What Should I Do? (Photo)

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Polycystic Ovarian Syndrome

i have pcos, i have hair loss in the front of my skull, there are still some left but only a pathetic few. what should i do , i used to have this long black great hair. can i get it back.. thank you for your time.

Dr. Robert Bernstein (Hair Restoration Surgeon in New York) was kind enough to supply a thorough answer to this question for you…

Polycystic Ovarian Syndrome (PCOS), originally called Stein-Leventhal disease, represents a number of conditions where ovulation is inhibited and, as a result, the ovaries become cystic and secrete more androgens than normal. The most significant of these androgens is testosterone, but other related androgens such as dihydroepiandosterone (DHEA) may be produced as well. Testosterone is converted to a hormone called dihydrotestosterone (DHT). If women have a genetic predisposition to balding, this hormone will cause the follicles on the scalp to shrink (miniaturize) and eventually disappear.

There are a number of treatments for hair loss related to PCOS. The first is the drug finasteride. Although not FDA approved for women, finasteride blocks the production of DHT (this is the same medication that has been approved for treating hair loss in men under the name Propecia) and thus will decrease or reverse the process of miniaturization. Weight loss (if this is appropriate) may also be helpful as this will decrease the body’s production of testosterone. Spironolactone, a diuretic, blocks testosterone and can also be useful. Finally, birth control pills, because they contain estrogen, will lower testosterone in the blood stream and thus decrease the amount of DHT produced. Please remember that these treatments should only be used under a doctor’s supervision.