Balding Blog

Dear Dr. Rassman,

How is this possible? I’ve noticed this celebrity whose entire forhead is bald except for a little stubborn patch in the middle. It doesn’t make any sense. How can the entire forhead go bald while a little patch remains? Does not DHT miniturize all the hairs? Here is the picture of the celebrity below and another picture I found with a gentlemen who has the same pattern.

Celebrity – John C. McGinley

PG.com patient

I’ve been asked about this before, and I always point to David Letterman, who has a persistent forelock and hair loss around it. This is a genetic trait (shown well in your photo references) which is common in some families. I see it quite often.

I am 44 years old so this is an important question for me, “How important is Propecia post-FUT?”

Finasteride is less important because shock loss is less of a problem following hair transplants in a 40+ individual; however, the value of finasteride also includes slowing progression of the hair loss process. Your call. Many times, I go forward with a hair transplant on a 40+ man without finasteride on board.

I’ve been using finasteride and minox for years and it saved my hair. Ofcourse I am happy with that, but comparing it to earlier, when I was super obsessed with my hair, it seems less important today. Do you think you’ll continue treatments for a long time, even into old age, or at one point not really care anymore?

I just did 3000 grafts on a wealthy and successful businessman who actually didn’t want to do the hair transplant; however, his best friend who I transplanted last year, looked so good, he got pressured into it by this friend. Now that the surgery is over, he told me this story and also told me that the procedure was a delightful day away from his pressures at work and home. He was happy that he did it.

In my experience, with thousands of hair transplants under my belt, I found that 100% of the men who underwent the transplant, found that they felt better about themselves when they look into the mirror, regardless of marital status or independent wealth.

Background: I took fin for a month starting in March 2019. During this time, among many other sides, I felt pain in my breasts, but I didn’t stop as I thought it would go away on its own. A month later, I had large, permanent gyno. Even after that first month, it took a few weeks for the “hard lumps” under the nipples to form which made me think it would reverse itself with discontinued use of fin, but it did not, and I developed unmistakable pointy nipples with hard gyno lumps under them.

I’ve now been taking zinc supplements for 2 weeks, and my gyno is getting a lot better. The size is still larger, and the breast matter is still under the nipples, but the shape is starting to go down and they’re less puffy/pointy or feminine. I’m wondering if this is permanent or if this will go away once I stop taking zinc. The brand I got is the regular amazon essentials brand.

Not good to continue with finasteride if you have gynecomastia as it only gets worse. You might consider switching to oral minoxidil

I have had hundreds of thousands of readers on baldingblog.com over the years and received significant positive feedback. I believe that when doctors, in particular, open themselves to the public, there is a great value to dispelling myths and bringing the truth forward. Too many people react to hair loss with ignorance. Reddit has also been a significant positive force for educating the public from peers and even people like me. Some great references have appeared and I have found myself educated from being a Reddit participant.

How good does the donor area have to be to achieve that amount of coverage with the amount of hair loss he started with taken into account? Does the patient have to have a very dense donor area or would just an “average donor” area be enough?

An average donor area will work fine. A medium hair shaft or thicker hair shafts produce more fullness per graft than a fine hair this is important. It is not unusual for a fine haired person to have a second hair transplant to get more fullness

I had a How good does SMP look? Also see: https://scalpmicropigmentation.com/ You can judge for yourself. Every ‘hair’ on his head is actually a tattoo.