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Can You Place Grafts Between Growing Full Hairs?

Dear Doctor Rassman,
I have very full hair on my head, pretty long, but the forehead starts getting lighter. Also in between I do not like that it starts shining through and becomes thinner. Is there a chance even to put grafts in between of the growing full hair just to make the appearance even fuller? Also I would like to think about working on the receding hairline.

I appreciate your coming back to me and remain with kindest regards

It is hard to answer your question, because I do not know what you are seeing. If you get your hair mapped out for miniaturization we might know what it is that you are seeing. Is this the early stages of thinning genetic hair loss? Without quantifying the miniaturization, I can not help you.

Generally, placing transplanted hair next to healthy hair does little damage, but it is possible that you could damage any hairs that are miniaturizing. Most people do not ask for more thickness if they have their normal hair with its full bulk present, so I am going to assume that you are miniaturizing in the area you want to thicken up, which would change my answer to your question as yes, your miniaturized hair can be permanently damaged from a transplant that is done without regard to a proper Master Plan for your hair loss.

We commonly see hair transplants done in “normal” hair areas. This occurs when a doctor ‘sells’ a transplant to make money and places transplants on the entire head when only a part of the head is bald. Unfortunately, I see this done too often, even in Los Angeles. The other day, I had a patient come to see me who maybe needed 800 grafts, but he was sold over 3000 grafts at another clinic, which was transplanted over a year ago. To make matters worse, of the 800 that should have been placed in the frontal hairline to thicken it, less than half of that number grew there. The other 2200+ grafts were put into other parts of his normal scalp. Other than the loss of his money charged for the unnecessary surgery, there was no damage to the normal transplanted hair throughout his head. Again, my motto is: Let the Buyer Beware!


2007-03-26 18:37:02Can You Place Grafts Between Growing Full Hairs?

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Can you photoshop the hair transplant in advance?

I had a hair transplant done a few years back with a top doctor and am happy with the results. That said, I wish the hairline was a bit lower and straighter. I am considering getting another one to fix this.

Right before my first procedure, I met with the doctor briefly to discuss where the hairline was going to be. I was surprised by how un-sophisticated this part was. He just drew a hairline on, showed me a hand mirror, I said lets make it a little lower, and he did and that was it. However, its very hard to imagine what the hair is going to look like and what that hairline really means in terms of how it fits your face and features.

Thus, what I would really like is for some sort of computer simulation of where the hair is going to be and what its going to look like when its grown out, from all angles. Do any practitioners do this? And if not, what is the best way to do this myself, so that I can communication it to the doctor prior to my next procedure?

Some doctors use photoshop or some special software imaging system, but most have stopped because the photoshop illustration did not reflect the final result and it left the doctor with some liability. The reason for this is that if hair is fine, medium or coarse, the hair type makes a world of difference in the hair transplant. The thinnest result of course will occur with fine hair and the best results with coarse hair and the software doesn’t do justice to these distinctions.

An experienced doctor can work the final hairline with you on the day of the surgery. After thousands of these, I have to say that I don’t remember anyone who complained about their final hairline from my work. Experience is the best teacher.

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Not Hair Loss News – Can You Knock Some Brains Into Yourself?

In an issue of Scientific American, a young 10 year-old boy was knocked unconscious one day by a baseball. After the accident, he could recall the “exact day of the week for any date after the accident and could remember the weather for each day since the trauma”… along with “minute daily events”. Another example of a victim of a brutal mugging in 2002. He began seeing images and was able to sketch them on paper. His images reflected ‘fractals‘ a mathematical repeating pattern. This is called an “acquired savant Syndrome”, a near genius level of brain function that appeared after the injury. This syndrome can appear after a blow to the head or some brain insult.

Many of the affected people can develop the ability to create poetry, paint or play a musical instrument where there was never a talent for this before. Some researchers and experts in the field think that there is a ‘genius’ switch in the brain and are looking for ways to be able to turn it on. I want to volunteer for this type of experimentation. I wish I could knock this type of ‘brains’ into the crazy people in this world who just don’t get the basic value of life and would rather make war than appreciate all of the beauty on this planet for the short time we will be here.

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Can you help me with a diagnosis?

I have been suffering from an undiagnosed case of hairloss for almost two years now. The thinning occurs only in front of the ears in a circle around it and slightly on the nape. No thinning crown and my frontal hair line has been stable for years. No cases of hair loss in my family. The thinning started about two years ago and hasn’t really changed (for better or worse) since then.

I’ve been to FIVE different dermatologists and none could tell me ANYTHING. “Ive never seen that before”, “I can’t help you”, “It’s probably not what you think (male pattern baldness)”

The trichogram that was taken has showed no signs of male pattern baldness on other parts of the head. The results did not show anything suspicious. Tests for nutrient deficiency also didn’t show anything, but that’s been a long time ago so if you have any specific nutrients under suspicion let me know. I do not respond to Minoxidil. A two-times-daily treatment of nine months brought no growth whatsoever.

The Trichogram should have shows a high degree of miniaturization in the area behind your ear in the photo. You could have Diffuse Unpatterened Alpopecia (DUPA). Send me the photos taken for your trichoscopy for the entire donor area and then I will give you an opinion and possibly a diagnosis


2019-05-01 08:20:43Can you help me with a diagnosis?

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Can You Have Hair Loss After Stopping Propecia For Three Weeks?

I have a question for you.

I’m taking finasteride 1mg now for two years and my hair improved a lot.
Now with exams and very busy schedule I forgot to make an appointment with my docor. I now have one in three weeks. But now i’m afraid i’ll lose my hair again because i’m out of finasteride for three weeks.

Is it possible i can lose a lot of hair in three weeks?

catch up

It is possible that you can lose hair after stopping Propecia for three weeks. It generally takes longer for “catch up” hair loss to occur. Catch up hair loss is basically the loss of your native hair that benefited from the use of Propecia.


2015-09-05 22:56:10Can You Have Hair Loss After Stopping Propecia For Three Weeks?

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Can You Harvest 5000 Grafts At Once? I Just Want One Surgery. Mega Session.

Can You Harvest 5000 Grafts At Once? I Just Want One Surgery. I don’t want to come back for another surgery.

If you are familiar with New Hair Institute and Dr. Rassman’s (founder) work, he is the doctor who started the “Mega-Session” 3000+ grafts hair transplants back in in 1995

See Link: https://baldingblog.com/wp-content/uploads/pdf/mp-1995-megasessions.pdf
Being able to provide a 5000 graft surgery has TWO factors.
1) Man power and the expertise to coordinate such a surgery. * We have this and we have been doing it since 1995
2) Patient’s donor area and scalp laxity has to have the supply. If YOU don’t have (A) high donor density with (B) good scalp laxity no surgeon can harvest 5000 grafts
You must also understand that a high number of graft harvest just means more scalp that needs to be “cut out”. There is no secret magic surgical technique about this fact.
A 5000 graft surgical scar will be FIVE times LONGER than a 1000 graft surgical scar. This means you will have an ear to ear surgical scar. A scar over and past your ears.
As a reference, a typical 2500 graft surgical scar is mostly behind the ear.
Unless your scalp is loose as a Shar Pei Dog, a 5000 graft scar will be past over your ears.
dog
It is my hope you can appreciate the technical aspect of a hair transplant surgery. If you can understand this, you will be a better informed patient to participate in your own surgical planning.
Our philosophy has always been having a MASTER PLAN before you undertake the hair restoration journey. https://newhair.com/procedures/fut/master-plan/
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Can You Get More Grafts from Strip or FUE Over a Lifetime?

Many thanks doctors for providing help to all of us!! Your blog is very interesting.

How many grafts it is possible to extract from a caucasian male with an average donor supply over the course of his life? Does it make a difference whether it is a FUE or strip? 9,000?

This is a debate among many hair transplant doctors themselves. In my opinion, you would get the most number of grafts and hairs with the strip procedure over a lifetime to make an overall cosmetic difference. FUE (follicular unit extraction) grafts can sometimes have less hairs per graft than those harvested using the strip method. So over a lifetime FUE grafts may produce less coverage.

For maximum harvest in a theoretical scenario, you would maximize the grafts with the strip then use the FUE method when the donor area is more limited.

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Can you get an increased sex drive on finasteride?

I feel like the opposite of the known side effects have happened to me. I’ve been on fin for 70ish days now. Got some minor temple regrowth, so I think its working. No sides except now I’m more horny than usual and can jerk it at least 2x a day when before fin I was usually a 5x a week kinda guy. Anyone experience similar? I can only find online info on decreased libido.

Yes, some people (one of my son’s is on finasteride) had a prolonged increase in his sex drive.


2021-02-01 08:45:59Can you get an increased sex drive on finasteride?

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Can You Explain Hair Loss from Amphetamines?

On a molecular level, how do ampetamines cause hair loss and how can this drug induced hair loss be halted or reversed? Thank you for you time.

I really do not know the answer to your question. My previous posting reflected what is known by the manufacturers of the various amphetamines and from others that have suffered from this hair loss side effect. I am sure that the answer is intricate and related to many other factors in those particular people taking the drug.