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I Consider a Hair Transplant Best To Get Hair

What If the Donor Area Is Not Particularly Dense Though?

I always measure the donor area density and total supply and then match the donor area to your ‘worst’ case possible hair loss. I always create a Master Plan individualized for each patient so that they always know what is going to happen to them. This is critical in hair transplantation because both doctors and often patients rush to use up all of their donor hair before the balding pattern is complete, leaving the patient stuck with an incomplete job.


2020-02-21 06:12:48I Consider a Hair Transplant Best To Get Hair

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I Clipped Some Hairs for a Homemade Miniaturization Test

Would alternating between different shampoos help stop hair loss?

Also, I recently did a homemade minaturization test. I clipped some hairs from my donor zone, and they were thicker than the hairs I clipped from just above my crown. Is that a sign of MPB?

Clipping your hair in different areas will tell you just how much miniaturization you have. The donor area should have the thickest hair, but if you do not have male pattern baldness, the same hair thickness should be every other place (front, top and crown).

As hairs miniaturize, the thickness in some of the hair shafts is finer. This creates a see-through appearance if there is enough miniaturization present.

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I Chemically Relax My Own Hair and See Hair Loss

Hello. I am a 42 year old black female that is experiencing hair loss. I am wondering if this is due to me chemically relaxing my hair myself. I do have a low thyroid condition that I take medication for daily. Could this be contributing to my hair loss. It seems to be getting worse. I recently permed my hair but I burned my scalp pretty bad. Will my hair grow back? Could you give me any suggestions of products to use that might help? Thank you

Chemical damage and thyroid conditions can both contribute to hair loss, and there’s no way for me to try to pinpoint the cause via email. Try stopping the chemical use on your hair and give it a year or so to see if there is improvement. The hair could regrow, but it depends on the severity of the burn. At this point, all you can really do is wait it out to see.

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I Changed My Finasteride Dose Based on What I Read Here and Saw an Increase in Hair Loss

Hi Dr. Rassman,
I am 19 years old and have been on Proscar for the last year. My hair loss has begun quite slowly but it is somewhat noticeable around the temple area. Obviously it is hard to tell just how much hair I have saved or whether it has slowed the progression at all. However, in the past few weeks I have altered my dosage and believe it has caused a slight increase in hair loss.

Originally my doctor suggested a 5mg pill cut in half and taken every second day, but after reading your answers here about how long the pill lasts in the system I reassessed with the doctor and decided on a 5mg pill cut into four and taken every day. Seeing as this only changed three weeks ago, do you think it is purely coincidental?

If there is one thing I want all readers to understand it’s that you need to establish a relationship with YOUR doctor, and obtain and resolve your medical issues with them. I’m glad you talked to your doctor before changing the dosing, but if you do have issues you should contact that doctor for his/her take on it.

In general, Propecia (finasteride 1mg) taken every day is used for the treatment of androgenic alopecia (genetic male pattern hair loss). Many men cut the generic finasteride 5mg into four parts (since cutting it in 5 equal pieces is very difficult). Other doctors may have their own opinion and treatment regimen, but the recommended dose is finasteride 1mg taken every day.

Finally, it takes several months before you see any effects (benefits) from finasteride. I occasionally read emails and comments where someone notices some change in their hair (loss or gain) after several days or weeks, but that is unlikely. So what you’re seeing may just be coincidental.

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I Can’t Take Propecia, I Don’t Want to Bald

Dr. Rassman, what approach do you take with young men who are not able to take Propecia. Do you never do transplants in them? Do you sometimes do transplants? I am a norwood 2 going on a norwood 3. I am considering getting small transplants to keep up with my hairloss starting in about a year when I will be 23 years old. Is is a bad idea? Going bald is not an option for me, so its either transplants or a system.

I hope you read the blog entry from last week where a patient whom I did not recommend getting a hair transplant was not happy with my recommendation and got a hair transplant from another doctor. Now he is worse off and more bald because he lost more hair due to shock loss.

I would not normally recommend a hair transplant to a Norwood class 2/3, but every patient is different and it would be impossible for me to give you personal medical advice without a person to person consult. You may be a Norwood 2/3 now but without a good exam and a good medical history, there is no way of knowing what Norwood class you would be at the age of 50 (this is where the Master Plan comes in). If you have miniaturization in the areas behind the frontal corners (like the top and crown of your head), then it would be suggestive that you are in for a lot of balding in your future and fixing a Class 2 pattern may not be good timing just now. Alternatively, if there is no miniaturization in the rest of your head and your family history does not show advanced balding, then maybe with the right doctor / patient relationship, a hair transplant could be considered. I am not excited about the idea of doing a hair transplant on someone with such a pattern and at your age, because the pattern of your future hair loss is not going to show up for another few years.

I would also question why you are not able to take Propecia.


2006-05-09 12:46:18I Can’t Take Propecia, I Don’t Want to Bald

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I Can’t See Much Difference Between Avodart and Propecia

i like to know if avodart is better treatment then propecia? i’m taking avodart for 8 months and i cant say that i see so much different….

Avodart (dutasteride) should be reserved for those who do not respond to Propecia (finasteride). It is an off-label use, which means that the FDA does not authorize Avodart’s use for hair loss. In most people, the difference should be non-existent, but for the few who are unable to get Propecia to work, Avodart may have an advantage as it is a more powerful DHT blocker.

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I Can’t Handle Propecia!

Hello Dr. Rassman,

This is without a doubt the best hair loss site on the web. I have learnt a lot over the last year or so. I really hope you can find the time to answer my questions.

I am 28 and have noticed that my hairline has receded on either side of the widows peak and even the widows peak looks thinner and see through now than it did 3-4 years ago (when I believe the changes started). I can feel my hair has thinned in a norwood 3a pattern although this is not noticable to others yet.

My question is regarding propecia. I have tried to take it but no matter how little a dose I tried I had the same side effects (low libido and erectile dysfunction). I tried 1mg daily, 0.5mg daily, 0.5mg every other day and 0.25mg daily but just could not adjust to it. What would be your suggestion for me and others in my situation as I would really like to try and combat the hair loss? I have been using minoxidil but is there anything else I can do as I really can’t handle propecia?

Also with regard to balding patterns you have said that the final balding patterns become evident for young men that start losing their hair early but as mine started at 24-25 when would you expect my final pattern to be evident as it is not obvious yet but I can only guess at a Norwood 3a as the hair still feels very thick past this point?

I would really appreciate if you could take the time to answer my questions. Thanks

Compliments will get you a long way with me, but not long enough to solve your Propecia (finasteride) problem. While I don’t know how long you were on the medication before each of your dosing changes, you could just be one of the men who just can’t tolerate even a small dose. Minoxidil is likely your only other option, aside from perhaps a hair transplant. You indicated that you’re in the UK, so I’d get yourself followed by a good doctor like Dr. Bessam Farjo, who is located in your area.

It’s really difficult to say when your final pattern would be evident without any real history to look back on. Unfortunately, I can’t give you any kind of realistic estimate on when your hair loss will stop.

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I can’t go to work looking like this and my boss won’t allow me to wear a hat, what do I do?

You should have washed off these crusts on the day after surgery, but now that they formed, you will have to wait a full 12 days before trying to wash these crusts off by leaving the shampoo on for 10 minutes at a time. Once these crusts are water logged and it is past 12 days, you can gently rub them off. Repeat twice a day until the crusts are off.

The patient on the right has 3250 grafts 6 days prior to shooting these photos. Notice, all you see is a small beard growth and he went to work within a day of the surgery. This is the way it should always be.



2019-10-16 10:17:22I can’t go to work looking like this and my boss won’t allow me to wear a hat, what do I do?

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I Can’t Get Propecia in Dubai

hi there
just an update i had a consultation in London, i was told that due to my age i was likley to lose more hair, we have already established that. I was given the option of just having my hairline restored, and think about having the crown area’s filled in, at another 2 -3 years time when i will be at least 25 and my pattern hairloss will be evident as to what way it is declining towards. My gp will not precribe propecia to me, as i told you i am located to Dubai do you think i could purchase it over there. My plan is to try propecia for 6 months or so and see what happens. although hairline is more important to me, i know propecia can restore that, then what can propecia do for me on a realistic level. Is it guarnteed to work for everyone or it is a chance of luck and variency? Is the drug relatively safe i mean the drug will be stored away, but as a user i can still handle and pick up kids cant i? please tell me the best option , and if propecia works where am i likely to see results on the scalp?

You are 23 years old and it is not good medical practice for you to transplant early hair loss. You should take finasteride 1mg for one full year, then reaccess your situation. It works in young men to reverse hair loss, slow down the hair loss, or(3) stop the hair loss. Why rush doing hair transplants? You have your whole life to live and a wrong decision now will impact your whole life.

Propecia is safe and it will not impact anyone else by simple touch. Generally, you can buy Proscar or generic finasteride 5mg and cut the tablet into 4 pieces, taking one piece of a pill each day. Generic finasteride is available in practically every country that has men with prostate problems, UAE included. I am not sure why your physician will not prescribe it — you should ask him/her why.

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Ran out of Dutasteride for 5 days. What Is My Risk For Not Taking It?

Dutasteride has a long tissue fixation period lasting a good month, so missing a dose for 5 days is not an issue. Also note that the blood half life for dutasteride is 6 days, which means that half of it was in your blood when you stopped taking it. For the few men when I prescribed dutasteride, I advise taking it just twice a week because the half life is so long.