I wrote about it here: https://newhair.com/wp-content/uploads/2018/11/phenotype-article-published.pdf If you read the chart on page 318, the widow’s peak (6%) can start in boys ages from 5-10 and 36% in boys 10-15. That means that loss of the juvenile hairline can start early in life, as early as 5 years of age.
2021-07-02 01:16:472021-01-23 08:19:06I had a Window’s peak when I was 12, why is that?
Hi, I am a 23 year old with a receding hairline. I have been losing hair for over a year now. I recently had a unilateral orchiectomy following my diagnosis for testicular cancer last month.
I was wondering if the operation will help me in anyway with my hair loss. Could having one less testicle have an effect on my DHT levels and my hairloss? I have been on Propecia for 3 months now and am hoping that the medication and surgery will help me out a bit.
When a man has one testicle removed, the remaining testicle will enlarge and increase its output of testosterone to compensate for the missing testicle.
I had a FUT procedure done when i was 22 and regret the experience deeply. I am now 36 and although somewhat comfortable with losing my hair at this stage in my life, I am left with a terrible ear to ear FUT scar. I have seen some SMP results of hair transplant scar concealment and believe this may be what i am looking for to finally put my transplant procedure behind me.
Would you be able to recommend specialists in this area? I am in South florida but would be willing to travel if it meant a better result.
I generally don’t trust most of the SMP providers in the marketplace because there is a general lack of understanding of the basic principles of the SMP process and it shows in their results.
2019-10-25 03:04:332019-10-24 10:06:08I had a strip surgery when I was 22, now I’m 36 and regret that decision
You have a Norwood Class 3A pattern of balding reflecting significant frontal recession. There is no such thing as a minor hair transplant as you should have put the hair back where it belongs and tackle the transplant the right way so you don’t have to maintain your recession. Any doctor who did a minor hair transplant just made you into a hair transplant addicted person who will have to finish what was started sooner or later because if you lose hair behind the hair transplant you will have an island of transplanted hair, a bald area and then the hair behind it that is yours. Your call of course to finish what you started.
2021-01-08 02:49:152021-01-08 07:30:20I had a small hair transplant to hold my frontal area (photo)
Hi Doc,
I have been taking Finasteride for about a year and a half now and within a few months of starting the drug I noticed that the hair on top of my head was getting thinner. I am 37 and have extremely slow hair loss since the age of nineteen, so after research I figured it was the “propecia shed” amd that it would grow back within a few months. Well, that was eleven months ago, and it still has not been restored to what it was before starting finasteride.
Anyways, I was hoping you could give me some advice on what to do. My doctor just basically said that all I can do is try Rogaine, but there are many reasons I don’t want to use it. Is there anything you could recommend by chance?
Thank-you
The only medicinal treatments I recommend for treating hair loss are minoxidil and finasteride, as they are the only ones proven to work.
I’m not sure what I can offer you advise-wise, considering you’re already under the care of a doctor and I don’t know anything about your medical history. You took finasteride because your hair was thinning — so is it possible that you were just a non-responder and your hair loss would’ve been progressing to this point even if you hadn’t taken finasteride? Did you have any additional stress in your life that could’ve caused it to occur?
Dear Dr. Rassman:
I don’t know whether or not you’d be interested in this message. Nevertheless, I would be interested in your reaction to it …
I was a patient (age 34 at the time) of yours in August of ’94. You transplanted about 2,000 grafts from the back of my scalp to the top of my head. My overall reaction was that the density wasn’t near enough. And there was no way I could afford a second trip through the mill.
While I thought the newly transplanted hairs themselves looked okay, I concluded that your procedure fell far short of my expectation. To be blunt, my head resembled a coconut. So I ended up going to a company that provides rather costly “hair systems” (the gentle term for wigs). They look great – full and natural. It’s an ongoing “expense” that’s become a part of my life. But I thought of you the other day.
The idea of finally just shaving my head and being done with the high cost of masking my hair loss crossed my mind again. So when I took another good look at the white scar that traverses the back of my head from ear to ear, I dropped the shaven head idea.
Maybe when head tattoos are commonplace, I’ll put one right over the scar; a picture of a “bald eagle” or something.
Your reaction to this would be appreciated.
Thank you, sir.
Thank you for contacting me. I had the opportunity to review your photographs and your medical record. Hair loss is a progressive process and it is clear that the communication between us failed. I care about my patients meeting their expectations (first being sure that these expectations are realistic) and following up with a good Master Plan to follow the hair loss over time. I did this in 1994 as well. A single hair transplant procedure of 2000 grafts may have filled in some of your thinning, but it was not enough to cover the complete hair loss pattern that probably evolved. As hair loss is a progressive process and your pictures showed that you were in the process of losing hair at the time of the transplant, clearly you were a moving target. I must have failed to explain that process to you. Drugs like Propecia (finasteride) were not around in 1994, so unfortunately, in those days, I worked with a handicap watching helplessly as people lost their valuable hair over time. As you may know by experience, hair transplants (without the protective effects of drugs like Propecia) can accelerate the hair loss and even produce shock loss, which means that the hair loss process probably accelerated.
I can suggest that you arrange a visit with me and let’s discuss your present status and your goals. There have been many advances in managing scars if that is your main focus today. Nevertheless, I do care and the best I can do is offer my advice and reconnect with you again after all of this time. My office can be reached at 800-NEW-HAIR. Please do give us a call so that my staff will be able to get your next visit arranged.
2007-09-24 15:33:322007-09-24 15:33:51I Had a Procedure with You in 1994, But Wasn’t Satisfied
Hi i notice my hair is ” kind of ” thin in the crown area. I went to a hair therapist “hair club” and the guy showed me a micrograph of me scalp and on the crown it shows a grey picture with little dark circle surrounding my hair. then he showed me a pinkish picture of the hair in the back without the dark circle. He is saying the dark circle is causing my hair to thin. He keep claiming it is genetic but no one on either side of my family or whoever has thining hair. All i heard from him the whole time the moment i step in the store before any analysis, is that im thining. And toss me those hair loss solution for 3000 a year. I have a feeling he just trying to make me buy his product see that im only 20. I dont wanna judge him but he dont look like a honest guy from how he talks.
PLz give me some advice thx.
I am going to assume he did a miniaturization study and if he did, he should know how to read it. You are young and may have male pattern baldness (MPB), but this question should have been answered by the miniaturization study. I would recommend that you see another physician for a second opinion.
If you are having early thinning in the crown due to MPB, then you would likely be an excellent candidate for Propecia. This is the only FDA approved oral medication for treating hair loss. There are thousands of products out there touting hair restoring capabilities, but outside of the ones that contain minoxidil (marketed as Rogaine), none of them really work. Minoxidil is a non-prescription item and many fancy sounding hair loss treatments you see on store shelves or television infomercials will contain this. Save your money and see your doctor about a prescription of Propecia if you are truly experiencing MPB. Good luck.
This is my story. I went to Dr. [name removed] because my front was thinning more than the rest of my hair. The doctor recommended 2489 grafts in the frontal 1 inch. He lowered my hairline because he said it was the sexy look and at 26 years old, that was a good look. After 9 months, the hair in the front was still very thin so the doctor told me to have another transplant. I purchased another 1804 grafts which did not appear to have grown out after another 10 months. I went back to the doctor and he told me that I needed more grafts. The area that he took the grafts from was very, very thin after the second transplant. I did not feel comfortable with this recommendation, so I went to another doctor to get a second opinion. He told me that I have DUPA and that the entire hair on my scalp was thin and see through. My scar is very visible. This second doctor told me that I should not have had the surgery and that I was in a bad place to do anything but wear a wig. So I went to a wig place and the wig was totally unnatural. The hair on the top was thick, the side hair was not covered by the wig and looked transparent. What do I do? Is there a place to complain about my surgical care? Do I go to a lawyer and if so, how do I find a good lawyer?
It sounds pretty clear that by having Diffuse Unpatterned Alopecia (DUPA), you were never a candidate for surgery. Hair transplant surgery in men such as yourself is a disaster and no you will probably always show this deformity. It seemed that the doctor must have needed your money and did not care about your welfare. First of all, I would like to see you, possibly get pictures from you so that I could ascertain for myself if you had DUPA. I would try the use of dutasteride (only if you really have DUPA), which would be an off-label use of this drug. I have seen some men with DUPA get a response from finasteride, but high doses of dutasteride may have value. The problem with this drug is the issue of sexual drive and low sperm counts from its use. These would be things we would have to talk about and you certainly should not consider having children anytime soon if you try this route.
Your recourse includes:
The courts are generally not victim-friendly when dealing with hair transplants, because they do not see significant damages so the monies collected in the few cases that went to court have been pretty low. For the readers out there, please keep in mind that the doctor you choose should be ethical, honest, and competent. Try to identify the larceny in the doctors before you bet your appearance on someone you don’t know and can’t research.
I would be happy to help you, but we must first somehow meet.
2007-11-08 15:33:002007-11-08 15:54:44I Had a Hair Transplant, But I Have DUPA!
There are always small nerves cut during the making of the recipient sites which cover a wide area of the frontal hairline. These nerves usually stop bothering most people within the first month, but sometime people feel the numbness for many months. These nerves will eventually heal and stop bothering you, just be patient.
2020-08-05 03:18:422020-02-11 08:19:13I had a hair transplant and I have numbness in the front for the past 4 months
I had a hair transplant about seven months ago. It was performed April 5 2009. I had been cutting my hair all this time because I am in the military. but started to grow it out the last two weeks. but it still looks funny. What I mean by that is when it grows it doesn’t match the rest of the hair. the back hair is more full, and the front looks like stitches. Is this normal after seven months? How long do I have to let it grow to make it match the rest of my hair?
I do not know about your hair transplants or how the procedure was performed. I do not know what your expectations were or if you were given realistic expectations. So I really cannot comment on what you are experiencing. Keep in mind that not all hair transplant procedures are the same. The doctor and the team you chose can either produce great results or substandard results, depending upon their experience and skills. It is not like shopping for a car.
The best advice is to follow up with your doctor. Sometimes it can take a full year for 95% of the growth to be evident. At 7 months, I would expect 60-80% growth.
2009-10-14 12:34:162009-10-13 11:13:32I Had a Hair Transplant 7 Months Ago and It Still Doesn’t Grow Right
