Best hair transplant surgeon in the world

The International Society for Hair Restoration Surgeons gives out an award for the best hair transplant clinician every year. For its 27 years history, there are 27 winners (I am one of the award winners given the Golden Follicle Award) so look to ISHRS.org and find one that suits you in your country of origin. They are voted in by an entire society of over 1000 doctors world-wide.


2020-06-05 10:14:37Best hair transplant surgeon in the world

Best Hair Thickening Agent?

I am a 42 year old male with thinning hair both at the front & crown area of my head. Without entertaining hair transplants, what do you recommend to improve the appearance of my hair? What is the best Thickening agent/shampoo out there? Are there any products that actually work in your opinion? I used minoxidol years ago but gave it up quickly.

Thanks

There are many thickening agents/shampoos on the market and people respond differently to each depending upon texture, shaft thickness, the wave in the hair, and other factors. I generally tell people to buy a series of such products and then test what works best, or ask a hair stylist who works with such products daily and get a recommendation from them. Minoxidil does not impact the texture or shaft thickness from above the skin as thickening agents/shampoo will.


2006-01-13 12:01:13Best Hair Thickening Agent?

Best Hair Product Combo to Use?

Can I for instance use:
Propecia pills
Hairmax
Organic shampoo

All at once? What is the best combo? Your advice is appreciated. Thanks!

There is no “best combo”. I do not endorse any products. I only prescribe medication such as Propecia (finasteride 1mg), because it works. All others are “buyer beware” as far as I’m concerned. With respect to the Hairmax laser, I have written extensively on that topic (here).


2007-05-23 12:33:52Best Hair Product Combo to Use?

Best Hair Characteristics for a Fuller Looking Hair Transplant?

Hair characteristics plays a big role in the final appears of a hair transplant, but does any characteristics have more of an advantage than the other? If there were two men who had the same amount of grafts transplanted; one with relatively fine blond hair (that closely matches his skin shade) and another man with relatively course dark hair (that drastically contrasts his skin shade),who do think would have a fuller appears?

There are general rules I use to determine what a person will look like so I can help set expectations with my patients. Amongst the rules are:

  1. People with blonde hair and white skin, people with brown hair and brown skin, and people with dark skin and dark hair do well — in other words, less contrast between skin and hair color.
  2. Coarse hair works better than fine hair on a per hair basis, because coarse hair has more bulk to it
  3. Curly hair is better than straight hair as it wants to cover the scalp. With the African hair type, the hair that ‘mats’ covers bests
  4. The density of the hair will tell me much about how much hair can be moved. The more hair in the smallest area is obviously better
  5. The size of the balding or thinning area when compared with the donor supply tells me much about supply and demand

To assess the various elements, a very complex multivariate analysis would have to be done to really answer your question above, but the general answer is that in my hands (for example) it is experience and my artistic abilities that allows me to help you set expectations. Ask you doctor about your characteristics.


2010-09-03 10:11:09Best Hair Characteristics for a Fuller Looking Hair Transplant?

Best Diet with Finasteride and Minoxidil to Maintain Hair?

Hello Doctor,

I want to thank you for a great blog that I visit nearly daily. I visited your offices around 5 months ago and had a consultation with Dr. Pak, who was very informative and understanding. Since then, I’ve been on a daily regimen of Finasteride 1.25 mg/day but am going to wait until the follow up appointment before I make any judgments (superstition does that to you).

I have two questions. I already know that Finasteride does not completely stop hair loss. It just provides its patients an outlet for growing old gracefully (under my impression). Have you seen or heard of any patients who took Finasteride while also including Minoxidil in their regimen to maintain for longer than 10 years with good results?

My second question is how big a part does diet factor into the MPB process? I’m already exercising 6 days out of the week even before MPB hit me but diet (what kind of foods to eat) has always escaped me. I would like to know if there is any information a professional such as yourself can provide pertaining to what kind of diets would promote hair growth and what kind of diets work best in conjunction with Finasteride and Minoxidil to maintain hair.

I apologize for the long message and sincerely appreciate all the help you have given.

Best regards!

I believe that for some people, the use of both Propecia and minoxidil has value when used in combination, but that may depend upon a variety of factors including age, appropriate use of the medication, where the minoxidil is applied, and where on the head the balding is that you are treating. The crown generally does better with combined treatment compared to the frontal hairline. I have seen patients using both medications with good results after a decade of use.

I do not believe that any particular diet works better than another, provided that the diet is well balanced.


2010-04-22 12:30:52Best Diet with Finasteride and Minoxidil to Maintain Hair?

Best Dermastamp to buy?

Derma-rollers are something I’ve overlooked but seeing as how they’re so popular here I think I’ll give it a try. Thing is, I’m not quite sure how to tell if one is good or not. I did read that 0.5mm is the ideal starting size, used once a week, but other than that is there anything else I should know about? I’ve heard the titanium ones are better than stainless steel. Also, are the rollers better or worse than the derma stamps? I have large diffuse thinning, not just a local spot.

And does the brand matter? Any brand or model recommendations?

Microneedling is best done with a reciprocating needle device like the Dr. pen device, which has 36 needles and a depth of 1.25mm. Using once a week is the best way to go. You can hold it in a single area for a defined period, like 10 seconds, which delivers a known injury. This injury starts a healing cascade that brings in or activates the stem cells found in the upper part of the hair follicles or in the upper part of the dermis at a depth of about 1 mm.

Best Comb to Use on Thinning Hair?

What kind of comb is best for men’s hair…my hair is thinning. I was using Dupont Nylon comb — it is smooth and does not irritate. Then I switched to a Ace comb — it is ok, but after a few uses my scalp hurts. What’s best – nylon, rubber, or plastic…

Thank you.

I generally recommend the use of a wide tooth brush or comb and not tugging on your hair when you groom yourself. Rough handling of your hair will cause you to pull out weak hair that may be in the process of miniaturizing. Hair loss from a comb or brush is a mechanical problem. With respect to material: nylon, rubber, plastic, metal, etc… there is no real clinical difference.

Your Best Arguments For Fin (From Reddit)

https://www.reddit.com/r/tressless/comments/a23shg/your_best_arguments_for_fin/

I’m 20 years old and have been receding at my temples for the past year or two, and I’m not happy about it. There are no signs of it stopping. I think it is now passing the point of a “mature hairline”.

I’m very conflicted on whether or not to try finasteride because of my age and concerns about hormones and affecting things like facial hair development, sexual function, and god knows what else that DHT does. I only just turned 20. I think it’s early enough to catch and stop with fin, though.

I thought I’d do a post both here and in r/bald to get the “steel man” arguments from both perspectives. What are your best arguments/evidence for why finasteride is nothing to worry about? Feel free to go all out.

Thanks guys. Just trying to figure out the best option.

Dr. Rassman’s Comments: The risks of taking finasteride are low. There are many posts that discuss the sexual side effects that impact 2-4% of patients that take finasteride and for those patients, the problem is real, but for the other 96-98% of people who take it, they don’t have these side effects. On many of these Reddit posts, I see some wonderful results reported by this readership after using finasteride for a year and we have seen a significant number of young men reverse the balding. This reversal is probably temporary but getting your hair back or stopping the loss when you are young enough to enjoy your hair is priceless and probably worth taking the ‘plunge’.


2018-12-01 10:35:55Your Best Arguments For Fin (From Reddit)

Best age to do FUE?

I’m 31 years old. Last year people really started to notice my hair loss… I recently discovered FUE. I expect my hairline to further recede as I age. What age should I wait to – if I should wait – to start to seriously consider FUE (or similar measures)?

Hair transplants come in two flavors (1) FUE where the surgeon uses a punch like instrument to remove single follicular units ‘one at a time’ ( https://baldingblog.com/class-23-patient-just-5-days-after-fue-procedure-with-photos/ ), this is the surgery I pioneered worldwide, and (2) the strip surgery (often called FUT) where the surgeon removes a strip of scalp and they sews it closed. Both cause scarring, the FUE causes very small punctate scars and the strip surgery causes linear scars (usually just a fine line but sometimes these will stretch). You should ask yuour surgeon to allow you to meet some of their patients (we hold open house events monthly where former patients come in to discuss their experience and show off their work). At 31, you can do either type of hair transplant, just find a good surgeon. We offer Reddit readers 5% off plus we offer travel reimbursement programs for out-of-town patients.


2020-12-17 07:51:03Best age to do FUE?