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    Has my donor area been over-harvested with 5500 grafts? (photo)

    Aug 31, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Your donor area is clearly over-harvested and this will be a problem that only scalp micropigmentation can solve, see here: https://scalpmicropigmentation.com/scar-covering/.  Some doctors just don’t get it and many doctors think because they can perform a successful FUE, that they understand what they are doing. More and more doctor are entering this field today for the money, maybe good for them but not good for the victims they produce.  They are not bad people, just ignorant doctors.  You have to be sure that your surgeon is (1) well trained in this field, (2) have a lot of experience, (3) are actually doing the surgery and not delegating it to technicians (often for hire techs) very commonly done with the Neograft systems, and (4) meet actual patients so that you can judge the competence of the doctor through the eyes of a few patients that had it done.

    To help doctors out, I wrote an article to define how a doctor can determine what is the safe limits to FUE (https://baldingblog.com/wp-admin/post.php?post=20123&action=edit) and when you get problems like this man in the picture below where he exchanged a bald top of the head for a bald back of the head, NOT A GOOD EXCHANGE!

    overharvested 16

    What dose do you usually recommend for people who want to take reduced dose of finasteride?

    Aug 31, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    For my patients who want to take a reduced dose of Finasteride, I generally tell my patients to take either 1/4 of a pill (0.25 mg/day) or one pill (1mg) every four days.  Do that for three weeks and then increase it to one pill (1mg) every three days for three weeks, then one pill (1mg) every two days and stay on this.  This is my routine for people who have erectile dysfunction.

    Am I a good candidate for a hair transplant? I am 29 years old (photo)

    Aug 30, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Yes, you are an excellent candidate for a hair transplant.  I classify you as a Norwood Class 3A pattern with a residual forelock. This forelock will eventually disappear as you age so creating a hairline for someone like you will give you a much younger look as the man with the before and after photos below.

    Norwood 4AV3walter

    Does Finasteride (Propecia) cause recession of the hairline?

    Aug 30, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    From my 27 years in this business and the 20 or so years since Finasteride has been on the market, I have never seen this drug cause hairline recession.  I have seen patients develop recession when the drug did not work well as the battle to control hair loss is lost.

    CRISPER pigs could dotate organs to us

    Aug 30, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Using animals for organ donors have been tried for years, but cross species transplants have done very poorly over time.  Now the use of CRISPER can tolerate organ donation much like Dolly the Sheep. Genetic material are used in pig cells in the early embryo and implanted in sows. The plan is to create pigs that have also been altered to make them more immunologically similar to people. In theory, this should mean transplanted organs are less prone to attack by a recipient’s immune system. This work is being done by Robin Weiss of University College London as reported in the New Scientist August 19, 2017 issue.

    Massive shed after switching Finasteride to another source.

    Aug 30, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Shedding after switching Finasteride supply source may reflect a counterfeit drug or a faulty production lot. Check the source and go back to where you originally got it from. I have seen this even in good stores when they purchase off-brands of genetic finasteride. Hair loss from Finasteride withdrawal may become permanent so act quickly and get back to a source you can depend upon.

    UCLA Breakthrough on hair drugs and make hair grow

    Aug 29, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    This research has been around for some time but will the mouse model translate to the human?  We need answers on this before we fully understand the article and its meaning.

    UCLA scientists identify a new way to activate stem cells to make hair grow. from science

    I have a large strip scar, what can I do about it?

    Aug 29, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    I just has an FUE procedure and I want to fix the scar, what can I do about it?

    The best approach to a strip scar is Scalp MicroPigmentation, something we do all of the time. Your picture is on the top and a typical repair is below.

    You can see more of these repairs at https://scalpmicropigmentation.com/scar-covering/

    strip scar1SMP2

    Can you be ‘Fat but Fit”

    Aug 29, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    The answer is no. In an analysis of 500,000 people in Europe (ref:new Scientist August 19th issue), people who were fat, controlled their blood pressure, cholesterol, blood sugar and exercised, still had a 26% increase in the risk of heart disease and heart attacks. The message is clear, being overweight can kill you!

    Young man’s home made video about his hair loss and his statement

    Aug 29, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Stem cells, future of cures for hair loss, risks of suicide in young men

    Aug 28, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    I like to post interesting readings written by smart young men who do their research. This is such a post.

    I am not losing my hair (yet) and do not think I will soon, but I am a pre medicine major who has an obsession over stem cells and want to share something with you all. Your future is brighter than you think. from tressless

    I had 4400 FUE grafts 10 weeks ago, what can I do about this? (photo)

    Aug 28, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    I suspect that you were over-harvested with grafts taken too low. There is some possible devascularization of the donor area.  If the hair does not return by the 6th months, then I would recommend Scalp MicroPigmentation, See here: https://scalpmicropigmentation.com/scar-covering/

    depleted donor 12

    I have lumps that are painful in my donor area from an FUE done 18 months ago

    Aug 28, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Lumps in the donor area 18 months after FUE often reflect burred grafts with a reaction by your body to encapsulate these grafts as foreign bodies.  See your doctor as these lumps can be surgically drained.

    Can I puck out the bad grafts on my hairline?

    Aug 28, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    If you keep plucking the grafts and sooner or later the hair will not return. In those grafts that you pluck you will eventually kills these hairs.  We call this traction alopecia but it may take quite a few pluckings to kill these hairs.

    Young man with stress and hair loss

    Aug 26, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Your history sounds like genetic hair loss but your photos do not support it. Blonde hair has very low color contrast with the skin so a blonde man can lose over 80% of his hair and often not show it because of the color contrast issue. If you can find a doctor with a HAIRCHECK instrument, you can find out with certainty if you are losing hair. Here are some examples if people similar to you: https://baldingblog.com/2017/01/10/value-haircheck-bulk-measurements-two-patients-seen-today/

    Stress, MPB, or something else? [22M] from tressless

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    Over 21 million women and 35 million men in America suffer from hair loss. For many of these people, the psychological impact on their life is debilitating.

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    This site exists to educate about hair loss and hair restoration.

    William R. Rassman, M.D.

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    This site is intended to educate the public on hair loss topics based on personal experience and opinions from Dr. William Rassman and contributing physician editors. Information provided on BaldingBlog.com should not be used for the purpose of medical diagnosis or treatment.

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