Balding Blog

The best and only way to repair this donor area is with Scalp Micropigmentation, which makes it look like you have hair where there is none. This technique does not add hair, but will accomplish the goal of scar coverage and camouflage. These photos suggest that you had too many grafts removed by the FUE based upon your donor density. The hair that was harvested exceeded the areas of “safe” donor hair that is considered permanent. Considering that you received 5,000 grafts, very few people can support this magnitude of harvesting without donor depletion. This problem was 100% predictable. Your surgeon should have known better and told you to expect this type of balding in the donor area, unless your surgeon was greedy about making money from you or just plain ignorant.

“I am almost 1 year since my hair transplant and I am very disappointed with the results”. I have heard this before. Setting proper expectation that are realistic is critical between the doctor and the patient. From what this patient told me in his email, he did not elaborate why he was disappointed so I would assume that either he did not get the growth of the transplants (reflecting some time of procedural error) or that his expectations were not realistic and his result may have been what the doctor promised but not what he expected. I always recommend that the patient return to the doctor who did the work and discuss the result, the expectations, etc… If there was a failure of the procedure to any significant degree, the doctor should be honorable and MAKE IT RIGHT to the patient’s satisfaction. I would do that if I were the doctor.

Not only did he have hair transplants, but to make up the difference between what he needed from a donor area that would not support his hair transplant needs, we balanced it against Scalp Micropigmentation which, when combined with proper styling, gave him this look. He is a swimmer and would generally swim a mile or more each and every day. At one time, going in the water was a nightmare for him, because his balding showed. Now, he can be at the beach and freely swim whenever he wants. He just pulls his head back when he exits the water and his hair falls back just as shown in the first styling photo below

Thank you for making yourself accessable on the blog Dr. Rassman.

I’m having a peculiar issue with my hair. I shaved my head completely bald apx. 3 months ago to achieve a good baseline to monitor any future potential regrowth. My hair over my entire
head is generally about 1.5 inches long now. When I do see hairs that fall out in the shower or on my pillow they are strangely without question the same uniformed length(being about 1/4 inch long). Why is this so? or how can this be? They are always the same length, being much shorter than the majority of the other hairs on my head that are not falling out. They are however, no less thicker or thinner in diameter than the other hairs. Thanks for your time again.

We lose 100-150 hairs per day normally as the hair cycles. Considering that you cut the hair to equal lengths, then the ‘old’ normal hair that is shed will have the same length as the ‘new’ hair that is not shed.

I‘m from Germany and I suffer from hairloss. I was prescribed fin around 2 years ago. Recently it got worse and I went to a another dermatologist, since I moved places. He told me that he doesnt recommend taking fin and instead take Alfatradiol (apparently it has the same effect as fin but its topical?). Have you heard of this? The product is called Ell-Cranell. I cant seem to find a lot of studies.

Alfatradiol is a weak estrogen and 5-reductase inhibitor medication which is used topically in the treatment of pattern hair loss (androgenic alopecia or pattern baldness) in men and women. You might be better off with topical finasteride plus minoxidil as these are stronger medications.