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I have a Class 2 pattern and want a hair transplant

I would say I’m a NW2 and have been looking into getting a hair transplant, preferably FUE. I have a consultation scheduled in a couple weeks but was just hoping anyone with experience could tell me what to expect regarding the cost. My temples are thin but not too noticeably with my hair style. My front hairline is just kind of uneven as well. I’ve been on Fin and Minox for over a year and I have had progress but I think it has plateaued.

If you are really have a Class 2 pattern and especially if you are under 25 years of age, it probably relates to the maturing of your hairline and not balding. A hair transplant would not be good in that situation. Send me photos to iwilliamrassman33@gmail.com and I will tell you if you have just a Maturing hairline


2021-02-21 16:53:28I have a Class 2 pattern and want a hair transplant

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I Had No Hair Loss, But Tried Rogaine and Now My Hair Is Different

Hello! I would like to ask a question about rogaine. I have understood that sideeffects like change in texture and color may occur. This is rare but it does happen according to the information i have got by reading about rogaine. Now I haven´t had any signs of hairloss but I tried it for a while anyway. Stupid I know but that I already know. What I don´t know if this is the same as what you describe as DUPA. You see since I quit rogaine after using it for a month the texture and color changed slowly the following six months. Now more than half of the hair is lighter not as dark in color as before and it grows in a different direction and I have a mix of thin and thicker hair. Could that be that all my hair is changing to a different density? It´s ok I can accept my stupid mistake but do you think it´s DUPA where it´s an ongoing process created by rogaine where the density is decreasing more and more like DUPA. Or do you think I just got a new density and that´s it case closed? I would really want to know if I will keep my hair since there is no male pattern baldness in my family or if rogaine started a DUPA process. ´Please if you could make time to answer this question that is so important for me I would be very greatful.

I have heard no similar history, so I couldn’t begin to guess at what you are experiencing, especially over the Internet without an exam.

You need to be examined by a professional. If you have diffuse unpatterned alopecia (DUPA), it will show on the mapping of your scalp hair for miniaturization.

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I Had My Hair Permed Twice in One Day, Now Its Falling Out!

I am 24 years old female. I had my hair permed in August and I started losing my hair after a month. before the perming I had very healthy virgin hair.(nothing done to them ever no coloring nothing).I am very worried about my hair I am loosing every day and they just fall without my touching them. I am getting split ends as well. Another thing they had to perm my hair twice because it did not work first time at all. please tell me what do you think is going on

You may have damaged your hair with the perms, or maybe it is just a coincidence and you have some cause of hair loss that requires a doctor’s examination. Unfortunately, there’s not much I can do for you without an exam. Female hair loss can be quite difficult to find a cause for. I suggest you make an appointment to see a dermatologist in your area.


2007-11-21 09:34:21I Had My Hair Permed Twice in One Day, Now Its Falling Out!

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I had my Gynecomastia surgically treated, Can I now take finasteride?

Taking finasteride seems to have little effect on recurrence in patients with alopecia who have undergone surgical treatment of gynecomastia. Surgeons may recommend continuous finasteride therapy in patients with alopecia who wish to take finasteride after the surgical treatment of gynecomastia.


2020-11-10 06:30:33I had my Gynecomastia surgically treated, Can I now take finasteride?

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I Had My FUE Done Over a Year Ago and It Is Still Not Fully Grown

Hi Dr

I went thru my fue 15mths ago. Today i am still feeling some stubbles (transplanted graft) on the recipient area. These stubbles do not seems to be growing. Is there a possibility that newly transplanted graft stays as stubble – do not fall off neither grow out and become healthy hair? Or am i just a slow grower?

While it is possible, is highly unlikely that you will start finally seeing growth at 15 months. You should have seen most growth at about 6 to 12 months following your surgery.

More importantly, the new hair growth will not appear as coarse stubble (like a beard). It’ll start off fine and grow as the months go by. Sometimes the stubble can be remnants of the original hair grafts that never fell out, but are just stuck in its place. You can test this by having someone find these stubbles and pulling on them with tweezers… or if you can reach it yourself, you can do this yourself. If the stubble is a dead hair shaft (old leftover follicle from 15 months ago), it should slide / slip right out.

The implication of this is that the surgery may have been a failure. Have you talked to your surgeon for a follow-up since your procedure?

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I Had Multiple Hair Transplants and the Hair Fell Out After 5 Years

Had my first transplant (flap rotation) at age 19 in 1985 (big mistake). Continued to bald behind flap and put up with stares from strangers until 2005 when had 3000 fue put in front and behind flap. Grew out well, no stares, felt pretty normal, life was great.

Problem April 2010, nearly all 3000 fue fell out after 5 years of growing, all in about a 6 month period. Back to being stared at. September 2010 had another 3000 fue (2000 scalp 1000 beard) put in front and behind flap by same reputable FUE surgeon. Grew out well again, but now starting to fall out and started getting stared at again.

Had blood work done but all clear for thyroid, lupus, iron etc. Have used 2.5mg Proscar for many years and not changed regime. Not on any medications known to cause hair loss. Getting very desperate as no donor left for more transplants. Any ideas on what could be going on ? Any advice much appreciated. Thanks.

There is clearly something going on and you need to address your issues with your surgeon.

I sound like I’m a broken record, but body hair / beard hair does not follow the same growth cycle as scalp hair and it is not considered the standard in hair transplant surgery. I have seen many failures of body hair transplant patients performed by doctors all over the world.

Some surgeons use grafts from outside of the donor area, and FUE grafts taken from the non-permanent areas can fall out, as this may be genetically triggered and accelerated. For clarity, the permanent zone is 2 1/2 inches high and can be measured above the notch on the back of the skull and around the sides of the head.

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I Had High Levels of Depression The Same Week I Had FUE

Greetings Doctor,

I recently had an FUE procedure that involved 2,500 grafts, about two months ago. I’m a bit concerned as I went through some personal matters that caused high levels of depression; all within the same week I had the procedure.

No grafts popped and the scalp healed well, however is it possible that due to the depression, that it could affect the outcome? Is it a possibility, that I developed Telogen effluvium and caused some of the grafts to become void?

I’m just concerned as this procedure costed a pretty penny. Thank you for your time and patience, Doctor.

Why are you not asking this question to your surgeon? Have an open line of communication with your doctor, especially in the months following your surgery.

An FUE procedure of 2500 grafts is a very high number of grafts for anyone and I am always cautious when I hear patients having those numbers. In the end, only time will tell how your outcome will be. At least take some comfort in the fact that depression and emotional stress will not impact the growth or outcome.

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I had a forehead reduction surgery and thinned out the side hairline (Photo)

Sometimes when a woman has a forehead reduction surgery, or even a face lift, they could develop thinning of the hair on the corners and/or the sides of the hairline. If this is a recent surgery, I would wait a full eight months to see if the hair comes back. Shock loss in women is often reversible on its own. If it does not get better in a year, this area can then be transplanted to make it thick again.


2017-08-09 08:37:23I had a forehead reduction surgery and thinned out the side hairline (Photo)

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I Had an Iron Deficiency, When Will My Hair Regrow?

(female) I lost a lot of my hair due to an iron deficiency, after 2 months on iron pills it stopped falling. Now 5 months after it stopped falling I still have no noticeable regrowth. When do I start to worry. Do I need more Iron to get it started. I am at 31 which is in the normal range 20-160 thanks

If you corrected the problem, you will have to wait a full year to find out if the hair loss will reverse. It may not, but in a year with good nutrition, you will probably know.


2006-10-27 07:25:34I Had an Iron Deficiency, When Will My Hair Regrow?

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I Had an Increased Libido from Propecia and Then Months Later I No Longer Have Morning Wood

Hello doctor,
I’m 23 years old, I started losing my hair at 22, became very depressed and immediately sought out a transplant. I’ve seen a dermatologist in my area who is qualified for transplants and tells me I’m too young and my hair thinning is not so bad to even consider surgery. I was prescribed Propecia 1mg daily, and like some of the previous questions I’ve read, I’ve experienced an increase in libido for a short period of time. Its now month 9 on propecia and I no longer have the ‘morning wood’ and am experiencing decreased sexual appetite and desire. I am going off of propecia immediately, is there anything you can recommend for my situation?

Propecia can cause sexual side effects in 1 to 2% of the men that take the drug. If you are one of them, you need to inform your doctor and consider your options (including stopping the medication, which I guess you already did). It’s interesting that you had an increase in libido followed by a completely opposite effect months later. Did you notice any hair regrowth while you were on the medication? Have you talked with your prescribing doctor for a follow-up lately?

Besides Propecia, the only other FDA approved medication I recommend is Rogaine (minoxidil), but I really cannot give you an specific recommendations since I do not know you and I have not examined you in person. I can only give you general factual information. Whether you’re a candidate for surgery is also something I can’t tell you without an examination and more information about your hair loss. At 23 years old with early loss, I would usually recommend trying medications before opting for a surgery.