Your hair loss questions, answered daily.


Is it possible to transplant my pubic hair to my scalp?

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Yes. You can harvest donor hair from any part of your body, which include the pubic region.


You talk about masterplans… it seems to me that the only way a surgeon can transplant a hairline without it looking terrible in future is if a surgeon checks and finds that the area behind the transplant is never likely to go bald..

My question is whether when looking at someones hair… (e.g. a person in their early 30’s), under a microscope, would areas which are destined to eventually go bald always show up as miniaturised or is it possible that they will look completely normal but later in life still go bald?

I am just trying to understand how I hairline transplants can work long term, particularly for corner hairline recession.

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Your questions is well founded on the principals of long term planning or a “Master Plan” when considering a hair transplant surgery.  We do everything in our means to determine possible future hair loss and look for “patterns”.  This includes a microscopic study of hairs (miniaturization study) and well as bulk measurements (measuring the quantity of hairs at different locations on the scalp).  We also take into account family history as well as a personal hair loss history, patients age, and medication use (Propecia/Rogaine).  Along with the experience of a doctor, we can give you a general assessment of possible “worst case” scenario or hair loss pattern to plan a possible surgery.  Sometimes you cannot see the miniaturization readily.  This does not mean that area may never go bald.  Doctors cannot predict the future, but we do our best with the information given.


Many young men want to accelerate their beard growth and ask about it. It takes age (genetic triggers which occur in family lines) so if you want to find out when your beard will grow out, you need to find out when your father or grandfather started to grow their beard. Hormones should have kicked in nicely by the time a man reaches 18 but he must wait out his genetics as hormone alone are not responsible for the onset of beard grown. Beard transplants can be done when the young man is a bit older (over 25) if the beard has not grown in yet




This is taken from this most recent issue of the Scientific American, October 2015

Author Robert Stickgold discussed what happens if you do or don’t get enough sleep. I will outline some important points that stood out from the article:

1- The immune system: works better with a good night of sleep. When individuals were vaccinated and sleep deprived, they produced significantly less antibodies to  vaccine virus than those who had a good night sleep. This suggests that the immune system does not work efficiently in a sleep deprived individual.

2- Appetite is stimulated when a person has less sleep because (a) an appetite stimulating hormone (ghrelin) increases in the blood and (b) the production of leptin which normally inhibits hunger, is decreased. The results are that adults who do not have a good nights sleep have a greater risk of obesity by 50% and children from 6-9 years old who sleep less than 10 hours a night, are 2 1/2 times more likely to be obese.

3- Diabetes: There is an association between sleep restriction and the development of type 2 diabetes. The management of sugar is impaired in sleep deprived adults as well.

4- The brain’s ability to recognize words in various situation is impaired with less sleep. We also need sleep to integrate what we learn every day into our memory.

5- Many psychiatric disorders including depression are more likely to occur in individuals who do not have a good night sleep.

6- Sleep promotes selective stabilization, strengthening, integration and analysis of new memories

7- Important focused learning is improved with a good nights sleep. Things that you need to remember to take a test, for example, apply here.

8- The brain cleans house when you sleep, is more efficient in removing toxins during sleep than when you are awake.

9- A good nights sleep enhances the integration of past experiences with future performance

10- The more complex our lives are, the more we need a good night’s sleep to manage these complexities

Comment: Many people snore and their airways are obstructed, disallowing them to sleep uninterrupted through the night. These people will have many of the above stated problems with overall health. I have a smart watch, which I have worn at night to find out how much I move around restless while I sleep. I found that I lay still more 85% of the night while I slept. A nice function to test for sleep disturbance for those of you with a smart watch. Evaluate how long and how well you sleep.

Conclusion: If you are deprived of sleep, you are more than just being very tired when you wake – you may wind up sick more often, overweight, forgetful and depressed.

A good nights sleep varies between people, but it is plausible that a minimum of 7 hours of restful sleep for an adult is important for good body and brain health.

Taking neck hair, which is often finer than scalp hair, has problems with it. These problems include:

(1)  more prominent scarring occurs in the neck and the neck area is very visible so such scars will be detectable as punctate scars

(2) neck hair is often not permanent hair as scalp hair is, so if one transplants the frontal hairline with these finer hairs, they may disappear with age.

This is a warning to those who see this press release. They must know the risks associated with a neck hair donor area.



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Sent by a reader.  This is only Batman’s opinion.


I am 25 years old. I had a couple of questions I wanted to ask and I would really appreciate if you could help me out since I’m really distressed these days cause of my excessive hair shedding.

I started finasteride one month and 20 days ago after extensive research. I had a full head of hair but i could feel my hair density especially at the top of my head and my hairline going down. I also see i lost hair at the top of my temples.

I started finasteride very reluctantly since I didnt wanna lose any more hair and i didnt go on minoxidil because it caused hair to shed. I wasnt aware then that finasteride also causes a shed.

Before starting finasteride, i used to shed around 60-70 hairsin the shower if i took a bath after 2-3 days. But after starting finasteride, almost 2 weeks in, i started noticing around 250-300 hairs in the shower which i take after 2-3 days.

Im really stressed since this started happening. I noticed after this excessive shedding that I lost a bit of density on the front of my hair and the temples.

I read that shedding is common after starting any treatment since alot of hairs go into resting and I accept that.

The thing that is freaking me out is that:

1)  How can i identify if this is a normal shed (250-300 hairs in the shower after 2-3 days ) or a bad reaction to finasteride?
2)  Whether the hair that is shed would grow back, especially in the front of my head?
3) How long can i expect this to go on cause at this rate, im losing hair fast.
4) Have you ever had a case where the initially shed hair didn’t grow back?

I would be grateful if you could ease my mind. I dont know whether to continue with finasteride or stop it.

Thank you very much.

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Despite what you may read on the Internet, shedding is not very common after starting Propecia.  You must also understand Propecia does not stop or cure male pattern balding.  Male pattern balding (MPB) is a genetic trait.  Propecia is a medication to treat androgenic alopecia. (not cure it).  Thus, you may notice hair loss even if you are taking Propecia.  You must also note that it takes about 6+ months to start noticing the effects of Propecia but this does not always mean you will not lose hair.

If you are having further issues, you need to discuss this with your doctor who prescribed you the medication.  You may have a false impression or expectation of what Propecia can do for your hair loss.


hello dr rassman, pak, and co,

I am a 33 yo male who may be travelling to the west coast in october and is considering trying to set an appointment for an honest opinion regarding options for my hair loss (if any). if one were deemed a good candidate for either the strip procedure or fue, essentially what is the time investment needed to be in the area for any checkup/followup/aftercare. is there a necessary follow up evaluation a few days or week post op? i ask this now bc if a master plan is suggested i would need to plan around a work schedule. i wasnt sure if a 2 week commitment is recommended to then allow someone to return to work without detection of the surgery. i would be travelling from the pittsburgh, pa area. if it helps i use couvre/dermatch and toppik concealers as part of my daily routine currently. ideally id return to using those products until any results showed from any procedure.I appreciate all you do on this site as well as helping restore patients self confidence. thanks in advance.

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We would be glad to meet with you for a consultation.  You can always make an appointment on line at (Look on Bottom Right)

Many people travel from out of town to have a procedure in Los Angeles.  In general you can set aside 1 to 2 weeks depending on your comfort level.  Some people actually go back to work 1 or 2 days after surgery.  The only follow up is the day after surgery. Every person is different.  Many patients also use temporary concealers (Toppik) after surgery to disguise the immediate look after surgery.


Dear Dr Rassman

I am a 31 year old male and around 5 years ago I realised that I had some hairline recession at the corners.  I spent 2-3 years obsessing about this and worrying about whether I would be bald before I was 30 and I also worried about my crown too which looks a bit thinner than the centre of my scalp but remains covered with hair.

As I was so obsessed with this at the time, I tracked my hairloss pattern pretty closely and can safely say that it has not progressed much, if at all since then.  The hairline is exactly the same (as is the crown).  Maybe the corner areas which were thinning are a bit thinner but the actual area has not expanded.  I do not take propecia and would prefer never to take it, for medical reasons.

Recently, for some reason, my hairline has started bothering me again, and feel like I would be more confident if I had it restored slightly so that I could spike my hair a bit rather than have the forelock fall flat over the receded areas.  Actually what bothers me is not so much how it looks in the daytime, but first thing in the morning when I wake up.  I guess the area which I would need transplanting is around 10-11cm squared in total…maybe 6 on one side and 4-5 on the other.  This wouldn’t bring me to a straight juvenile hairline (which I don’t want anyway) but would be enough that I don’t look like I have a receded hairline.

My hair characteristics I am guessing are not great for a hair transplant.  I have pretty good density in all other areas but my hair is brown and very fine.  People are often surprised by how soft it is when they touch it – to give you an idea of how fine it is.

My question is, would having a small transplant (FUE) in these areas be a bad idea?  Is it ever possible to perhaps transplant to these areas at a lowish density, just so that I look like I have a hairline rather than a forelock and so that if/when I lose hair elsewhere then I won’t be left with really dense temples and bald areas elsewhere.  I would be happy with quite a conservative transplant which just gave the appearance of some hair in these areas, maybe just enough to style.  I also think that one day, if I do lose a lot of hair elsewhere, I would shave my head down to a grade 3-4, but if I did this I would still want the appearance of a hairline to frame my face.  With this in mind, maybe it wouldn’t be a terrible idea to get the corners transplanted?  If it is not, roughly how many grafts might a 10-11cm squared area need?

Please let me know your thoughts.  I have seen some very good FUE hair line transplant results online but I am guessing that a lot of these are very dense/’packed’ transplants.

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There is a very simple answer to your question.  If you are obsessed with your hair line then you need to make an appointment to see a doctor.


I recently filled a prescription for finasteride at Costco and noticed the manufacturing date was from a year ago (9/2014). The expiration date is 8/2016. Even though it hasn’t expired, should I be concerned that it might’ve been sitting around in a warehouse (either Costco’s or the manufacturer’s) for a year?

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It’s Aug 2015 (not 2016) so your propecia has not expired yet.  If you are concerned about the potency, just go back to the pharmacy for a new prescription.  There is a reason why there is an expiration date and a manufacturing date.  As long as you follow direction and use it before the expiration date, you should be fine.


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