Your hair loss questions, answered daily.


Many men want a beard or a goatee. They want to know how to promote beard hair growth. Unfortunately beard hair is a separate genetic trait much like male pattern balding. If you were not born with the genes for beard hair growth, you can’t grow a beard. Some try Rogaine with minimal success. One other method would be a hair transplant surgery using scalp hair. The following is a video showing the process.


What are the best options for improving my transplant scars so that I can wear my hair shorter?

I had strip done 10 years ago with DR .xxxx (for privacy name omitted)

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There is no universal answer or solution. Some try scar revision surgery. Some try FUE to scars. Some try SMP to scar. My Scalp MicroPigmentation reviews have been very positive. See the results on the video.

Scalp MicroPigmentation and hair transplant FUE Review of this patient’s Experience on his scalp scar and hair restoration.


So my hair is thinning in the front and I would love to find a product that I can use everyday for styling that makes it look good?
Right now I use dry shampoo and I style that way but it’s drying out my hair… I wouldn’t use gel or hairspray because it makes my hair look oily which makes me look even more bald. I would love a product that keeps hair in a style but also looking dry so it looks more full.
Thank you so much in advance.

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Many men and women use Toppik, Dermmatch, or similar concealing products to thinning hair. Scalp MicroPigmentation is a permanent concealer. The some of these women had Scalp MicroPigmentation as well as hair transplant surgery.


I see you posted about this website before – It recommends treating hair loss by using the muscles at the front and back of the head to move the scalp back and forth.

I know this is unscientific and likely ineffectual. But I actually discovered how to do these exercises as a way to self-treat tension headaches and scalp tension, before I read the website or had any hair loss.

So my question is, might such exercises have any impact at all on miniaturizing follicles, particularly those being treated with minoxidil? I still like to moderately exercise my scalp in this way during the day (when no-one is looking, of course) but wonder if there might be some negative cross-over effects to moving about the scalp and follicles?

On the flip side, scalp exercises seem to be recommended to help loosen it prior to hair surgery?

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Someone put the time and energy to put together that information.

From a medical point of view, scalp exercises will not grow hair or help miniaturized hair.


I had a hair transplant by fue technique and as to be expected I did start shedding around the 2nd week point. However, when I inspect the shedding hairs I noticed that some of the transplanted hairs that shed are short and some are longer. Is it normal to have different lengths of transplanted hairs? Or does that mean something that isn’t a good sign?

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It is normal to have different length of transplanted hairs. Doctors usually trim the hairs before FUE. Doctors are not the best hair stylists or barbers so they may have not trimmed your hair perfectly even.


I m thinking Smp for my strip scar.can it be done without shaving?

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Yes we do this everyday at New Hair Institute. See the video and the reviews:

RealSelf Patient Reviews of Jae Pak, MD


I have a question about temporal hair peak, my temporal hair peak in my left side has disappeared whereas the right side temporal hair peak is still ok, thus it makes an asymmetrical looks. It does not bother me since the temporal hair peak is not as important as baldness, however, I just want to know that does loss of temporal hair peak indicate the onset of hair loss on my scalp? And will my right side temporal hair peak follow the loss with my left side? Cheers

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Your description of asymmetrical temple peaks are relatively common. It is one of many examples that humans are not perfectly symmetrical. It does not signify the onset of hair loss.


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?

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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.


Dear Dr Rassman,

I thoroughly enjoy reading your blog and you have become something of an inspiration to me. Not only due to your career success but it seems like to me you have a great aura! I am due to study graduate medicine at the age of 30, nervous.

I am probably a NW2-3 and on Propecia. It is regrowing my hairline the past year I have been on it. I was looking into a FUE and the surgeon was talking about DHI being advanced? I am a bit concerned now regarding exactly what it is and how it differs from traditional FUE. Online there is such a mix of information I am not sure what to believe.

So I was hoping you could advise me on its merits. I couldn’t find much information using your search function.

If I could, I would come to you but I am not based in the States :(

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Follicular Unit Extraction (FUE) is a method of harvesting hair with a circular instrument one hair follicle (graft) at a time. Many doctors or clinics have their own technique and call it something different. It is partly marketing and partly something unique to their own practice. What doctor or clinic would not promote themselves as “The Best”?

The FUE or harvesting method is only part of the surgical process. The most important part of surgery that is often not mentioned is the IMPLANTATION process and the FINAL RESULTS.

You can have the most sophisticated harvesting FUE technique but it will not mean much if your final results are sub-par.

A bad hair transplant result is like herpes. It’s for life!


Hello doctor
Hope you are doing fine…
I am a 40 years old lady and always had thick densed hair.
But since july’14 I suddenly started losing hair. I was devastated when doctor said it Will take 3-4 months to stop… I was losing 100+ hair.I got my blood test done and my DHT and dhea was high. So doctor gave me fincar 5 mg daily and aldactone 50 mg twice daily. After 3/4 months hair fall reduced to some extent but never came to normal. But I was feeling little better.. my hair fall from December’14 till march’15 was arlound 50/60 on average with little fluctuation on and off. though 11 months back i used to lose just 20/30 hair a day.

In my march’15 report DHT, testetrone and dhea all was normal so doctor asked me to reduce aldactone to 25 mg twice daily and take dutas. 5 daily…

But after reducing aldactone my hair fall increased again… SO I STARTED TAKING ALDACTONE 50 MG TWICE A DAY AND DUTAS DAILY

BUT SINCE 26th JUNE 2015 my hair fall again 100+ on hair wash days

LAST 45 DAYS even non hair wash days i am losing 100 hair.
I am so devastated and can’t stop crying…

Read your article so felt like seeking your help..

i switched to dutas from fincar in april and my hair fall increased from june… is it due to dutas?

if i stop dutas and switch to fincar now will it cause more shedding?





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I see the desperate undertone in your email. You are under the care of a doctor and you need to follow up with your doctor for treatment. The Internet is a great source of general information and NOT a place for personal medical treatment.

There is one thing I must stress that you should ask your doctor about: Finasteride or Dutasteride is NOT meant to be taken by women.


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