WRassman,M.D. BaldingBlog
    • Menu

    Tricks of advertising in the hair business (photos)

    Feb 28, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    A clinic posted two pictures and labeled one as theirs and the other as the competitor. What you are looking at nothing more that two examples of different hair transplant densities. The one on the left had twice the density as the man on the right and probably paid twice the cost. The advertising is clearly misleading and I suspect that it was a set-up because both sides look like different sides of the same patient. The surgeons then would have added more density after the photo on the right was taken so as not to victimize his patient.

    Screen Shot 2018-12-11 at 5.38.21 PM

    I have white bumps surrounding each FUE graft that was transplanted. Why is that? (photo)

    Feb 28, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    I fished up a photo from the internet of a patient that had FUE grafts in the frontal recipient area.  Two things worth noticing: (1) the grafts are elevated and (2) there is skin in the graft that is as wide as the graft itself.

    The skin will survive the transplant and the elevation will produce small, subtle white elevated bump surrounding each group of hair from the recipient area (called cobblestonning) and I believe that is what you may be seeing.

    I do this differently than the doctor who did the patient in the photo, as I trim off the skin of the grafts before placing them and then place the grafts flush with the surrounding skin so that these white area are not present in our grafts. Click on the photo to enlarge it.

    Screen Shot 2018-12-12 at 8.52.52 AM

    Can Diet Change my DHT Levels in my Blood?

    Feb 27, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    DHT is a byproduct of testosterone metabolism and is a critical hormone for establishing male characteristics. No diet can’t change your DHT levels

    Finasteride does not cause cancer and probably prevents it

    Feb 27, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    https://medicalxpress.com/news/2018-05-finasteride-prostate-cancer-death.html

    With almost 300,000 person-years of follow-up and a median follow-up of 18.4 years, they found 42 deaths due to prostate cancer on the finasteride arm and 56 on placebo.

    22 year old received a hair transplant of 2800 grafts (from Reddit)

    Feb 26, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    I write against hair transplants for 22 year old men. I think long-term on everyone and no matter what you may look like at 22, your hair loss WILL get worse in the next few years because genetic hair loss in 22 year old men is progressive and often aggressively so. You had 2800 grafts, that is possibly 35-40% of your total donor supply (depends on donor density) so what you have left in the donor area is ALL you have left to follow further balding as this WILL happen in the next few years. I wait until my patients are at least 25-26 before offering a hair transplant and I speak about this philosophy at medical meetings and I can tell you my views are not in the minority. It may be important for the readers to know that I make my living doing surgery so when I turn down a 22 year old, I do it for a reason and it is not for my financial benefit, but rather for the benefit of the patient. I have seen too many young men get surgery too young, and almost 100% of them regret the decision years later.  The surgery commits them to years of more surgeries and possibly never looking normal if they run out of donor hair before their balding stops. I am very big on a Master Plan for all men I transplant which takes into account the progressive process of genetic hair loss that is close to 100%.  I hope I am wrong on this one young man!

    This man (in the following post), had he been transplanted with 2800 grafts at 22, would maybe not look normal at 35 and for the older man in these photos, he certainly would have a problem with all of his donor area used up in his 20s. https://baldingblog.com/need-master-plan-think-hair-transplants-photos/. In my many years in practice, I push for being conservative and not pushing surgeries until the patient is old enough and has a Master Plan worked out with me.
    (Comment: For some reason, the person who posted this thread on Reddit took it down. Essentially he discussed his experience with deciding on (1) getting a hair transplant, (2) the surgery and (3) the immediate post-operative recovery. The entire post was a short term:  https://www.reddit.com/r/tressless/comments/auux3x/received_a_hair_transplant_today_at_22_years_old/ narrative and that was my problem with it as you can see in the link I posted which shows what happens to many young men as they get older and if they rush into a hair transplant surgery, they may have regrets if and when the balding accelerates. Yesterday, I took care of a patient who had hair transplants in the 1980s when he was also very young, and I have been trying to make him normal ever since I first met him in 1995 when he came to see me looking like a mess, heavily scarred and deformed by the poor quality of the 1980’s work he had done and the progressive nature of his balding which left him with very little hair to work with.)

    My hairline thickened up on finasteride and minoxidil over 18 months (photo)

    Feb 26, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    hairline restored m & F

    My biggest fear is infertility, as I have not had kids yet, but plan on it in the future. Is that an absurd fear?

    Feb 26, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    There are no reports of finasteride in men cross to the women through semen and as a result there are no reports of abnormal sexual identification of children born to men’s wives when the men have taken the finasteride while conceiving.

     

    22 and very depressed over my hair loss! (from Reddit)

    Feb 25, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    Rather than obsess over your situation, meet with a doctor who is in this field of hair restoration and start building a Master Plan for your hair loss. I usually start by performing a HAIRCHECK instrument test on my patients to determine a baseline for the hair loss. Then, I start medications which would be appropriate for someone of your age. I follow the progress over a year or two. If the balding continues and gets worse, I might then consider a hair transplant but I must know you and you should get to know and trust your doctor over that time he treats you with medications. With trust, you can get your hair back and address your depression by taking action.

    Balding gave me the final punch into depression, who else? from tressless

    Women who lose hair feel better when they get it back (photo)

    Feb 25, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    This woman lost her side hairline from traction. A hair transplant restored her so that she had the confidence she needed.

    what a difference

    I feel more sub-human the more I bald

    Feb 25, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    Balding so young, I feel like genetic trash. People treat me differently too, well they did. I got some regrowth and it’s absolutely disgusting how people treat you better when you improve your looks. Looks are everything. Anyways, I want to be hopeful for the “treatments” of the future, but history tells us a different story of hope then disappointment, as seen by browsing hair loss forums years ago. Everyone at my college has a thick NW1. Not one balding man. It’s rare this young. I have realized I am subhuman trash, I know my place now. If I ever go completely bald (I probably will) it’s game over.

    You should see a doctor and you can probably address your problem, one way or the other. There are many good solutions including medications, Scalp Micropigmentation or hair transplantation. If I were to see you, I would work to get you to manage your hair loss in a productive way. My consultations are free and you can contact me over the internet at wrassman@newhair.com and send photos along with the email.

    I’m over 50 and my blood testosterone level is low. Will that reduce my hair loss?

    Feb 24, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    As men get older, their testosterone often drops along with the DHT levels in their blood. That is why balding reduces.  Actually, when DHT levels are the highest in your teens and early 20s, the impact of the DHT on genetic balding is highest also?.  For women it works in the reverse because the high estrogen levels of fertile females, counter balances any androgen (testosterone is an androgen) her body produces and genetic balding it put at bay.

    Results from taking finasteride and minoxidil (Photo from Reddit)

    Feb 24, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    These results speak wonders for themselves. He has an almost complete reversal of his thinning hair.

     

    fin and M results

    Patient 3 weeks post-op from 2200 grafts, mostly frontal work and some crown (photo)

    Feb 23, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    Many times people want to know what they will look like after their hair transplant surgery, so here is one man that shows just what was asked. Nothing to see yet. Of course, there is no growth yet but I would expect growth in 5 months and in 8 months for the hair to grow to styling length

    Actual limited frontal hair transplant post-op of 600 grafts at 4 days (photo)

    Feb 23, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    The important take-away here is that within 4 days, with proper washing techniques, there is no scabbing present and nothing detectable short of a little tinge of pinkish color if you look close. All patients having a hair transplant should look like this within 4 days of the transplant. Some of the hairs that were placed already have shed so you can see why it is impossible to count the grafts after a few days.

    Norman Orentreich dies at 96

    Feb 22, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    Few, if any of our baldingblog readers, may know the name, but this is the man who was the ‘inventor’ of modern hair transplantation in the 1950s. What he taught us, was the hairy skin taken from the back and side of the head, when placed in a bald area, would grow the hair and not be impacted by the balding. He called that ‘Donor Dominance’ and the rest is history. It took almost a decade for the journals, the dermatologists of the time and the medical establishment to accept his pioneering discovery, but because of his discovery, we have possibly a $10 Billion hair transplant business world-wide today that helps hundreds of thousands of people. Read about him in the New York Times here: https://www.nytimes.com/2019/02/21/business/dr-norman-orentreich-dead.html?fbclid=IwAR00A3NAeWyZsU-cLcT288mVH_0dG8u6H-qmpyxDss7fpfG-lEy_8lUmrvY

    12345
    Page 1 of 5

    Videos

    Podcasts

    Ask Dr. Rassman

    * Your questions may be published (without your contact information).

    [contact-form-7 id=”27935″ title=”Sidebar Contact”]

    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.

    Dr. Rassman is a world leading expert in hair loss with over 25 years of experience and over 50,000 satisfied clients.

    About

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

    William R. Rassman, M.D.

    Categories

    • ACell
    • African American
    • Age
    • April Fools
    • Density
    • Diseases
    • Drugs
    • Drugs (Cause Hair Loss)
    • Favorites
    • Female Hair Loss
    • FUE
    • Hair Cloning
    • Hair Loss Causes
    • Hair Pieces / Systems
    • Hair Products
    • Hair Transplantation
    • Hairlines
    • Megasession
    • Other
    • Other Surgical Procedures
    • Personal Stories
    • Photos
    • Pigments
    • Podcasts
    • Post-Operative
    • Repair
    • Repost
    • Scalp MicroPigmentation
    • Scarring
    • Thinning
    • Tidbits
    • Training
    • Videos

    Archives

    • February 2023
    • January 2023
    • December 2022
    • November 2022
    • October 2022
    • September 2022
    • August 2022
    • July 2022
    • June 2022
    • May 2022
    • April 2022
    • March 2022
    • February 2022
    • January 2022
    • December 2021
    • November 2021
    • October 2021
    • September 2021
    • August 2021
    • July 2021
    • June 2021
    • May 2021
    • April 2021
    • March 2021
    • February 2021
    • January 2021
    • December 2020
    • November 2020
    • October 2020
    • September 2020
    • August 2020
    • July 2020
    • June 2020
    • May 2020
    • April 2020
    • March 2020
    • February 2020
    • January 2020
    • December 2019
    • November 2019
    • October 2019
    • September 2019
    • August 2019
    • July 2019
    • June 2019
    • May 2019
    • April 2019
    • March 2019
    • February 2019
    • January 2019
    • December 2018
    • November 2018
    • October 2018
    • September 2018
    • August 2018
    • July 2018
    • June 2018
    • May 2018
    • April 2018
    • March 2018
    • February 2018
    • January 2018
    • December 2017
    • November 2017
    • October 2017
    • September 2017
    • August 2017
    • July 2017
    • June 2017
    • May 2017
    • April 2017
    • March 2017
    • February 2017
    • January 2017
    • December 2016
    • November 2016
    • October 2016
    • June 2016
    • May 2016
    • April 2016
    • March 2016
    • February 2016
    • January 2016
    • December 2015
    • November 2015
    • October 2015
    • September 2015
    • August 2015
    • July 2015
    • June 2015
    • May 2015
    • April 2015
    • March 2015
    • February 2015
    • January 2015
    • December 2014
    • November 2014
    • October 2014
    • September 2014
    • August 2014
    • July 2014
    • June 2014
    • May 2014
    • April 2014
    • March 2014
    • February 2014
    • January 2014
    • December 2013
    • November 2013
    • October 2013
    • September 2013
    • August 2013
    • July 2013
    • June 2013
    • May 2013
    • April 2013
    • March 2013
    • February 2013
    • January 2013
    • December 2012
    • November 2012
    • October 2012
    • September 2012
    • August 2012
    • July 2012
    • June 2012
    • May 2012
    • April 2012
    • March 2012
    • February 2012
    • January 2012
    • December 2011
    • November 2011
    • October 2011
    • September 2011
    • August 2011
    • July 2011
    • June 2011
    • May 2011
    • April 2011
    • March 2011
    • February 2011
    • January 2011
    • December 2010
    • November 2010
    • October 2010
    • September 2010
    • August 2010
    • July 2010
    • June 2010
    • May 2010
    • April 2010
    • March 2010
    • February 2010
    • January 2010
    • December 2009
    • November 2009
    • October 2009
    • September 2009
    • August 2009
    • July 2009
    • June 2009
    • May 2009
    • April 2009
    • March 2009
    • February 2009
    • January 2009
    • December 2008
    • November 2008
    • October 2008
    • September 2008
    • August 2008
    • July 2008
    • June 2008
    • May 2008
    • April 2008
    • March 2008
    • February 2008
    • January 2008
    • December 2007
    • November 2007
    • October 2007
    • September 2007
    • August 2007
    • July 2007
    • June 2007
    • May 2007
    • April 2007
    • March 2007
    • February 2007
    • January 2007
    • December 2006
    • November 2006
    • October 2006
    • September 2006
    • August 2006
    • July 2006
    • June 2006
    • May 2006
    • April 2006
    • March 2006
    • February 2006
    • January 2006
    • December 2005
    • November 2005
    • October 2005
    • September 2005
    • August 2005
    • July 2005
    • June 2005
    • May 2005
    • April 2005
    • June 202
    • May 202

    Links

    Disclaimer

    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.

    Scroll to top