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    Hairline being designed in Turkey by a Technician who is clueless (photo)

    Sep 30, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    A picture is worth 1000 words. Would you like her to design your hairline?

    A doctor was proud of this hair transplant on the internet (photo)

    Sep 30, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    I wouldn’t have been proud to claim this as my work!  I guess beauty is in the eyes of the beholder.

     

    2 years on finasteride (photo)

    Sep 30, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    This photo  shows  a subtle  change  in  the  hair  line over  2 years

    I have so much hair on my chest and belly, can I use it for a hair transplant?

    Sep 29, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    Yes, it can be done but should you do it?  Body hair has a very short growth cycle, usually between six to eight months, which means that it not only will look like your body hair but it will be short (no more than one inch).  That does not give you either bulk or length which is a requirement for styling and value.

    If you were very bald and have a poor donor density, then this hair could be placed behind the hairline or any on other part of the head except the first one inch of the hairline in order to add bulk to the hair transplants from the scalp. This is where the value is and if you happen to be very bald (a Class 7 balding pattern) then your chest hair might work.

    body hair

    I had FUE one year ago and the back of my head is a mess, what can I do?

    Sep 29, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    You have been over-harvested with FUE, something I have been discussing here on my site with too much frequency. By too much, I mean that too many doctors don’t understand the limits of FUE as I defined in a published article here: https://baldingblog.com/2017/07/21/many-fue-grafts-many-fues-grafts-one-know-safe-limits/

    The best treatment for this is Scalp MicroPigmentation which, although it is not hair but a type of highly specialized tattoo, can fill in these bald area and look like it is hair. You will have to keep your hair very short so that the gaps in the hair are not overly noticeable.

    donor site depletion 10

    1 yr on finasteride (photo)

    Sep 29, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    The response to a balding crown to the drug finasteride is usually good as shown in this man after a year on finasteride

    Microneedling with minoxidil is superior to minoxidil alone

    Sep 28, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746236/

    This is an important article as it reflects a way to increase the value of minoxidil with microneedling. The article dates back to 2014 so it doesn’t reflect today’s commercial microneedling technologies that are on the market through Amazon and other sources.

    Conclusion:

    Dermaroller along with Minoxidil treated group was statistically superior to Minoxidil treated group in promoting hair growth in men with AGA for all 3 primary efficacy measures of hair growth. Microneedling is a safe and a promising tool in hair stimulation and also is useful to treat hair loss refractory to Minoxidil therapy.

    Is my donor area over-harvested with 3500 FUE grafts?

    Sep 28, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    Yes, the donor area may have been over-harvested. Another problem is the harvested area is higher than the permanent hair in the donor area. This suggests the possibility of a long term growth problem if your balding pattern advances further back. The number of FUE grafts that can be taken depends upon your donor density and your hair thickness.  The lower the density and the finer the hair, the lower the number of FUE grafts that can be harvested. Finer hair requires more grafts yet less FUE grafts can be harvested when the hair is fine.

    over-harvested1

    I never shed hair but is my hairline receding?

    Sep 28, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    Recession is independent of hair loss elsewhere on your head in some people. This can be women or men in this situation.

    Will dry shampoo absorb DHT from the scalp?

    Sep 28, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    To answer your question, no.  Clearing up the sebum does not clear up the DHT.  The DHT that impacts the hair follicles exist below the skin while the sebum exists in the sebaceous unit which is outside of the body.

    5 months finasteride & minoxidil (photos)

    Sep 28, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    This shows good results from just 5 months on finasteride and minoxidil. If this young man continues for more time, he will get more growth. It is possible that in 18 months time-frame, he will get a full reversal of his hair loss

    10 month on minoxidil and finasteride (photo)

    Sep 28, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    10 Months on finasteride and minoxidil restored corner recession in this 28 years old male

    Trump wrote off $70,000 in taxes for hair styling (CNN referencing New York Times)

    Sep 27, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    This backs-up my speculation that he wears a very high end wig (a weave) costing at least $70,000/year and according to the NYT, he took it as a tax deduction.  The company that makes them had an office in Trump Tower in New York City. The minimum fee for this wig company when I last check it was $50.000/year minimum and the person’s own hair is threaded into the wig, hair by hair.  Each week or two, the wig must be adjusted because as his hair grows, it becomes loose so each strand must be cinched down as his hair grows longer. This type of maintenance is a timely process!  Maybe you can deduct a hair transplant from your taxes as well using what Donald Trump does for business purposes (in creating your image)?

    Shock loss in my crown

    Sep 25, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    It doesn’t make sense to lose hair in the crown when I got a hair transplant in the front not the crown.

    The anesthesia alone can cause shock loss even if you haven’t done any hair transplants in the crown. If you were taking finasteride, it probably would not have happened as finasteride protects against shock loss.

    Questions on finasteride

    Sep 25, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    I am thinking of changing my Finastride dose to 1.25 mg after I speak to my doctor for approval. The reason I stopped was due to side effects. I started off taking 1.25 mg for 6-8 months and got no side effects. I was then prescribed 2.5 mg Finastride before my hair transplant and also saw no side effects after 8 months. I decided to lower my dose back to 1.25 mg daily and take 5% Minoxidil because of fear of side effects. My hair was cosmetically thickened with 5% Minoidil and I was very happy with my results. However, a month or two later I noticed sexual side effects. I’m not sure what caused this. Can you please give me your opinion on what caused sexual side effects? Could it be lowering the dose from 2.5 mg to 1.25 mg gave me side effects?  Could it be Minoxidil coupled with Finastride gave me side effects? Could it be Finastride alone?

    The higher dose of 2.5 mgs was probably unnecessary and had the potential for more side effects, which you seemed to avoid.   I can’t comment on the side effects you are now having on 1.25 mgs, you might try half the dose. Minoxidil will not add to the side effects.

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    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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