• Facebook
WRassman,M.D. BaldingBlog
  • Menu

Complication of a hair transplant by unskilled provider (photo)

Mar 31, 2021/by William Rassman, M.D./0 /Hair Loss Causes

We are seeing more and more of these types of complications from hair transplant being done all over the world.  There is no substitute for skill and experience.  What should be a safe procedure is turning out very risky for some people as shown here. This will require skilled wound care, possibly for months and the patient will be left with a terrible scar.  He could die from such a wound if the infection gets out of control.  A high price to pay for a cheap hair transplant.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-31 02:37:162021-03-31 12:19:59Complication of a hair transplant by unskilled provider (photo)

Bad FUE distribution in neck which is not permanent (photo)

Mar 31, 2021/by William Rassman, M.D./0 /Hair Loss Causes

This man had his neck hair used as a donor source. Two problems with this (1) neck hair is not permanent and (2) scarring is a known problem in wounds of the neck

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-31 02:34:552020-11-23 12:36:57Bad FUE distribution in neck which is not permanent (photo)

How do I treat this bald area? (photo)

Mar 31, 2021/by William Rassman, M.D./0 /Hair Loss Causes

I’m 24 and I can’t live with this anymore. What can I do short of a hair transplant?

You have what is called a Class 4A pattern of balding with a suggestion that it may progress back to the crown area in time. There is still considerable frontal hair present in the balding front, so maybe this will respond to either Minoxidil or Peppermint Oil, or the drug finasteride avoiding a surgery for the moment or even adding miconeedling which has been shown to work well in young men. If this doesn’t work, a hair transplant would work but you should find a good doctor and develop a Master Plan (https://baldingblog.com/need-master-plan-think-hair-transplants-photos/) to assure yourself that you will always have hair as you get older.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-31 02:32:432020-11-23 12:34:16How do I treat this bald area? (photo)

Pepperment Oil vs Minoxidil, which is better

Mar 31, 2021/by William Rassman, M.D./0 /Hair Loss Causes

Q1: I read a research paper citing that the peppermint oil is better than minoxidil. What are your thoughts? I have been using minoxidil for last 3-4 years, is it worth to switch to peppermint oil?
Q2: I reduced finasteride dosage to 0.63 mg from 1.25 mg 2 years ago, but after experiencing frontal hair loss increased it to 1 mg. Would hair grow back? Are there any other treatments available for frontal hair loss?

The December 2014 article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4289931/ suggests that Peppermint Oil is better than minoxidil for promoting hair growth. I just had a patient tell me that they tried it and found that the minoxidil worked better for him.

I don’t have any independent opinion but did find the article of great interest and compelling. People who either reduce or stop finasteride and then return to the finasteride normal dose, sometimes do not get back to their earlier hair status.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-31 01:31:022020-11-23 12:32:01Pepperment Oil vs Minoxidil, which is better

Help me find a doctor who will properly test me for my genetic balding

Mar 30, 2021/by William Rassman, M.D./0 /Hair Loss Causes

Thank you for all of the advice you continue to give to the hair loss community! I frequently read the “Balding Blog” published on your website and appreciate the wealth of information it provides. On your blog, you have described some of the diagnostic procedures that you use to formulate a diagnosis. I notice that you have mentioned using instruments such as microscopes and the “HAIRCHECK” device. Are these types of instruments common in a dermatologists office? The reason I ask is because I have seen two dermatologists in the past two years for my own hair loss and they did not mention these types of things at all. The doctors I have seen seemed fairly dismissive about my condition and came to a diagnosis without even examining my hair. With all due respect to them, I do not feel that they truly considered all the factors of my hair loss situation to come to the most accurate diagnosis possible. I am considering scheduling another dermatology appointment with a doctor in my area but is it common practice for your neighborhood dermatologist to use more advanced diagnostic techniques (microscope, HAIRCHECK instrument, etc) or would I be better suited off going to a doctor who primarily focuses on hair loss/hair transplants? I would love to come to your office for a consultation with you but unfortunately I live in Pennsylvania so going to Los Angeles would be quite a trek! Is there anyone you would recommend for a hair loss consultation that uses some advanced diagnostic procedures on the NYC – Washington DC corridor or even as far west as Pittsburgh, Cleveland, or Chicago? Thank you for your help!

Unfortunately, many dermatologists are just not interested in genetic balding in men because there is little they can do about it other than prescribe finasteride and/or minoxidil. Finding a doctor who is committed to managing men like you is critical. Dr. Robert Bernstein in New York is one of them (along with his partner) who can give you a good assessment of your hair loss situation. For some reason I don’t understand, many doctors don’t offer the HAIRCHECK instrument test (https://baldingblog.com/haircheck-test-how-it-is-done-video/) which I personally believe is critical to early diagnosis. A discount flight to Los Angeles is not so bad considering that I offer a free initial consultation for people like you. Another good doctor is Dr. Robert Haber from Cleveland, Dr. Harris from Denver, Dr. Shapiro from Minniapolis, Dr. Konoir from Chicago and Dr. Brad Wolf from Cincinnati. I don’t know if they offer the HAIRCHECK test. I asked the company that makes the instrument to give me a list of doctors who have it so I can then give it to people like you. As of now, they are slow to respond.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-30 02:27:472021-03-30 09:23:39Help me find a doctor who will properly test me for my genetic balding

Turning finasteride 5mg pills into a powder and then taking it in water 1/5 dose at a time

Mar 30, 2021/by William Rassman, M.D./0 /Hair Loss Causes

I wanted to ask you with regards to Finasteride. My GP recommended that I can crush my 5mg Proscar pill into a fine powder, dissolve 1/5ths of the powder in water and then drink the solution. I was wondering what your take is on that, and if that’s a recommended alternative to splitting the 5mg Proscar pill (cutting the pill is something that I’ve had difficulties with).

Your doctor’s recommendation sounds fine. Be careful not to do it more than one pill at a time as the powder will pick up moisture out of the air. Be sure to keep the powder in a tight bottle.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-30 02:25:362020-11-23 12:27:30Turning finasteride 5mg pills into a powder and then taking it in water 1/5 dose at a time

I want to stop the finasteride because of sexual side effects, should I do it gradually?

Mar 30, 2021/by William Rassman, M.D./0 /Hair Loss Causes

If you are committed to stop the finasteride, just stop it. Sexual side effects may take up to a couple of months to go away.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-30 02:20:232021-03-30 09:24:39I want to stop the finasteride because of sexual side effects, should I do it gradually?

More risks of finasteride & dutasteride published

Mar 30, 2021/by William Rassman, M.D./0 /Hair Loss Causes

https://pubmed.ncbi.nlm.nih.gov/32202088/#:~:text=Finasteride%20and%20dutasteride%20are%20frequently,and%20in%20men%20with%20AGA.&text=We%20suggest%20that%20long-term,disease%20and%20potential%20kidney%20disease

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701851/

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-30 01:26:392021-03-29 07:46:57More risks of finasteride & dutasteride published

I am committed to removing my FUE of 1500 grafts, how do I go about it?

Mar 29, 2021/by William Rassman, M.D./0 /Hair Loss Causes

You can either (1) try a laser hair removal which may take a few sessions and runs the risk of depigmenting your skin if it is tan or dark (2) removing them with FUE directly which works well. I would love to see photos of what you don’t like, what was done wrong and if it could be fixed

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-29 02:18:112020-11-23 12:19:51I am committed to removing my FUE of 1500 grafts, how do I go about it?

I Am Thinking About Getting a Hair Transplant

Mar 29, 2021/by William Rassman, M.D./0 /Hair Loss Causes

I’m trying to fix the right temple hair above my eyebrow, instead of going up straight it curves 2 inches back messing up my line and making a triangle at the right?  Should I go with FUT or FUE, I don’t care if it’s uneven or not because I can simply get my barber to match my left side after my right side has been fixed. Is Saw Palmetto better than nothing? I know it’s not fin or duasteride but I’m trying to block dht, I’m planning to use either Kirkland or Rogaine

Saw palmetto will not work as it is a very, very weak DHT blocker. A hair transplant can balance the hairlines but you should be over 25 before considering it or you might start getting a hair transplant every year as you chase an accelerated hair loss. Make sure that you get a Master Plan with a good, caring, honest doctor

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-29 02:15:542020-11-23 12:17:52I Am Thinking About Getting a Hair Transplant

My frontal hairs are not growing where they are short, see photo

Mar 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes

If those hairs which are short hairs do not grow, then these hairs may eventually fall out. You might be developing a mature hairline.  In advanced miniaturization, the hairs stop growing before the fall out. The use of finasteride with or without minoxidil might reverse it. Many young men will add microneedling to it as well

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-26 02:12:142021-03-26 06:16:29My frontal hairs are not growing where they are short, see photo

Female Hair Loss – A Short Review

Mar 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes
Men think that balding is a male problem, but women have it too and it is even more devastating when they are young and they often feel that they are looking old as a result of it. Believe it or not, almost 50% of women who go through menopause develop generalized thinning and often force them to make lifestyle adjustments. If you don’t believe it, look to your mom, aunts and grandmothers and many of you will see a ‘see-through scalp’. Post menopausal women get their genes for hair loss and express the balding when they lose their estrogen support at menopause. Then, without adequate amounts of estrogen, their androgens (e.g. testosterone) has no counter balance, so the genes for hair loss express themselves without estrogen protection. Many women go to the beauty parlor and dye their hair blonde or lighten their hair color to reduce the color/contrast between their skin and hair color making the thinning less obvious. We offer Scalp Micropigmentation for many of these women (see here: https://scalpmicropigmentation.com/).
Some young women also have genetic hair loss and it can express itself in two manners (1) by recession like a man can have where the hairline goes up or with a slightly different type of hair thinning pattern and (2) generalized thinning impacting the hair everywhere on their head. When recession occurs, a hair transplant can work well, but when generalized thinning occurs, we often just do Scalp Micropigmentation for them (see 33 year old female with photo here: https://baldingblog.com/i-am-a-33-year-old-famale-can-anyone-help-me-photo/). Some women will respond to finasteride (less than 50% for post menopausal women and even less for pre-menopausal women who must be very careful not to get pregnant because pregnancy and finasteride causes birth defects in the baby).
Women have hair loss from many causes including: Birth Control pills, all sorts of medications, thyroid, anemia, low Vitamin D levels, low Zinc Levels, and other endocrine problems. I often order a battery of blood tests for women (https://baldingblog.com/common-blood-tests-for-female-hair-loss/) when they come to me for evaluation to see if there is something wrong that should be fixed first.
Women have other problems including a variety of autoimmune diseases of the scalp (frontal fibrosing alopecia, Lichen Pilanoplaris, scarring alopecias from other causes) so women should see a good dermatologist to make sure that these diseases are not present. Getting a hair transplant while these diseases are present will fail. 
https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-26 02:07:022021-03-26 06:23:32Female Hair Loss - A Short Review

Is Baldness fully reversible? – article

Mar 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes

Article:  https://stm.sciencemag.org/content/3/71/71ec24.full

The article from science magazine above discusses the stem cells that are found in the bulge of the hair follicle (in the upper third of the follicle) and that these cells can generate new hairs to populate the bald head. It reminded me of a classic article by Jung-Chul Kim et.al. when he performed partial graft implantation to determine if two hairs could be produced by transplanting two different anatomic parts of a single hair follicle. As stem cells are in the bulge of the upper hair follicle and also in the bulb at the bottom of the hair follicle, he had hoped that two full terminal hairs would rise from the fragments of the original hair as the stem cells in each fragment was capable of generating a hair. In a limited study, Kim removed the upper 2/3rds of the hair follicles from his donor area and transplanted it into his leg. He also removed the lower 1/3rd of the follicle to include the bulb and transplanted that into his leg as well. He showed that the upper 2/3rds of the hair follicle can generate a full hair follicle and the lower 1/3rd can also generate a hair follicle; however, the growth rate of the upper 2/3rd was only 40% and the hair was finer in character (which has much less cosmetic value) and the lower 1/3rd of the follicle growth rate was 27%. By adding these two growth rates together (27% + 40%) the total growth rate was 67%. This study was performed on 67 human hair follicles, i.e. a feasibility study and the conclusion is that the process didn’t work as hoped. So when he cut the hair follicles into two, he ended up with less than the full cosmetic value of the original hair. I wish it worked! Many people have replicated his experiment with similar results.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-26 01:26:132021-03-26 06:24:22Is Baldness fully reversible? - article

I got Hypertrichosis from minoxidil

Mar 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes

Hey guys, i get hypertrichosis all over my body from topical minoxidil after 4 years on it .  Will it disappear if i stop ? how long will it take? Does reducing the dose alleviate this side?

It may take about 1-2 months for the hypertrichosis to disappear after you stop taking minoxidil.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-26 01:09:552021-03-26 06:24:53I got Hypertrichosis from minoxidil

Analysis of Hair Coverage

Mar 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes

How much hair does a non-bald person have on top of their head. Not the back or the sides, just the top. I know it depends on thickness. But what is the minimum amount of hair needed on top so as to not appear to have thinning hair?

I have told the story of a famous doctor who got a patient with black hair and white skin to allow him to pluck out 50% of hair on one side of his head. With good photos and expert advisers, nobody could tell which side had the hair plucked out. When the skin is darker and the hair is brown or light brown, salt and pepper or blonde, the balding shows less. So what I am telling you is that addressing thinning or hair loss is both a science and an art form, and doctors who have a lot of experience, can help you determine what you need to cover a balding area. I left out other factors as hair shaft thickness (coarse hair) and hair character (curly or kinky hair) which further skew the answer to your question.

https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png 0 0 William Rassman, M.D. https://baldingblog.com/wp-content/uploads/2017/09/logo-small-300x62.png William Rassman, M.D.2021-03-26 01:05:032021-03-26 06:28:57Analysis of Hair Coverage
123
Older Entries
Page 1 of 6

Videos

Podcasts

Ask Dr. Rassman

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

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. Real answers from real physicians… daily.

William R. Rassman, M.D.

Categories

  • ACell (41)
  • African American (145)
  • Age (623)
  • April Fools (3)
  • Density (69)
  • Diseases (545)
  • Drugs (4,035)
  • Drugs (Cause Hair Loss) (535)
  • Favorites (89)
  • Female Hair Loss (1,075)
  • FUE (364)
  • Hair Cloning (178)
  • Hair Loss Causes (7,258)
  • Hair Pieces / Systems (115)
  • Hair Products (1,085)
  • Hair Transplantation (2,059)
  • Hairlines (467)
  • Megasession (15)
  • Other (1,254)
  • Other Surgical Procedures (249)
  • Personal Stories (14)
  • Photos (216)
  • Pigments (128)
  • Podcasts (1)
  • Post-Operative (611)
  • Repair (182)
  • Repost (10)
  • Scalp MicroPigmentation (11)
  • Scarring (346)
  • Thinning (7)
  • Tidbits (34)
  • Training (173)
  • Videos (58)

Archives

  • April 2021 (40)
  • March 2021 (85)
  • February 2021 (70)
  • January 2021 (65)
  • December 2020 (80)
  • November 2020 (76)
  • October 2020 (80)
  • September 2020 (106)
  • August 2020 (96)
  • July 2020 (95)
  • June 2020 (84)
  • May 2020 (83)
  • April 2020 (118)
  • March 2020 (106)
  • February 2020 (96)
  • January 2020 (104)
  • December 2019 (103)
  • November 2019 (71)
  • October 2019 (85)
  • September 2019 (76)
  • August 2019 (68)
  • July 2019 (64)
  • June 2019 (62)
  • May 2019 (59)
  • April 2019 (72)
  • March 2019 (53)
  • February 2019 (61)
  • January 2019 (65)
  • December 2018 (59)
  • November 2018 (42)
  • October 2018 (47)
  • September 2018 (64)
  • August 2018 (68)
  • July 2018 (62)
  • June 2018 (72)
  • May 2018 (68)
  • April 2018 (59)
  • March 2018 (65)
  • February 2018 (44)
  • January 2018 (57)
  • December 2017 (48)
  • November 2017 (37)
  • October 2017 (56)
  • September 2017 (68)
  • August 2017 (79)
  • July 2017 (70)
  • June 2017 (82)
  • May 2017 (98)
  • April 2017 (49)
  • March 2017 (25)
  • February 2017 (42)
  • January 2017 (74)
  • December 2016 (10)
  • November 2016 (3)
  • October 2016 (8)
  • June 2016 (2)
  • May 2016 (1)
  • April 2016 (9)
  • March 2016 (6)
  • February 2016 (4)
  • January 2016 (6)
  • December 2015 (7)
  • November 2015 (9)
  • October 2015 (13)
  • September 2015 (15)
  • August 2015 (24)
  • July 2015 (17)
  • June 2015 (19)
  • May 2015 (21)
  • April 2015 (27)
  • March 2015 (42)
  • February 2015 (41)
  • January 2015 (39)
  • December 2014 (45)
  • November 2014 (45)
  • October 2014 (65)
  • September 2014 (60)
  • August 2014 (62)
  • July 2014 (73)
  • June 2014 (49)
  • May 2014 (59)
  • April 2014 (57)
  • March 2014 (59)
  • February 2014 (60)
  • January 2014 (63)
  • December 2013 (53)
  • November 2013 (55)
  • October 2013 (69)
  • September 2013 (61)
  • August 2013 (66)
  • July 2013 (64)
  • June 2013 (60)
  • May 2013 (67)
  • April 2013 (66)
  • March 2013 (63)
  • February 2013 (59)
  • January 2013 (66)
  • December 2012 (59)
  • November 2012 (74)
  • October 2012 (86)
  • September 2012 (72)
  • August 2012 (88)
  • July 2012 (80)
  • June 2012 (80)
  • May 2012 (83)
  • April 2012 (79)
  • March 2012 (78)
  • February 2012 (80)
  • January 2012 (77)
  • December 2011 (75)
  • November 2011 (75)
  • October 2011 (78)
  • September 2011 (78)
  • August 2011 (92)
  • July 2011 (81)
  • June 2011 (88)
  • May 2011 (86)
  • April 2011 (84)
  • March 2011 (91)
  • February 2011 (68)
  • January 2011 (83)
  • December 2010 (82)
  • November 2010 (82)
  • October 2010 (85)
  • September 2010 (86)
  • August 2010 (88)
  • July 2010 (85)
  • June 2010 (89)
  • May 2010 (87)
  • April 2010 (110)
  • March 2010 (114)
  • February 2010 (99)
  • January 2010 (100)
  • December 2009 (97)
  • November 2009 (96)
  • October 2009 (109)
  • September 2009 (106)
  • August 2009 (105)
  • July 2009 (121)
  • June 2009 (132)
  • May 2009 (120)
  • April 2009 (132)
  • March 2009 (132)
  • February 2009 (136)
  • January 2009 (141)
  • December 2008 (142)
  • November 2008 (128)
  • October 2008 (160)
  • September 2008 (146)
  • August 2008 (148)
  • July 2008 (154)
  • June 2008 (146)
  • May 2008 (149)
  • April 2008 (154)
  • March 2008 (147)
  • February 2008 (148)
  • January 2008 (154)
  • December 2007 (127)
  • November 2007 (142)
  • October 2007 (161)
  • September 2007 (135)
  • August 2007 (160)
  • July 2007 (133)
  • June 2007 (141)
  • May 2007 (173)
  • April 2007 (170)
  • March 2007 (178)
  • February 2007 (161)
  • January 2007 (174)
  • December 2006 (132)
  • November 2006 (162)
  • October 2006 (179)
  • September 2006 (166)
  • August 2006 (188)
  • July 2006 (160)
  • June 2006 (179)
  • May 2006 (186)
  • April 2006 (172)
  • March 2006 (201)
  • February 2006 (175)
  • January 2006 (175)
  • December 2005 (179)
  • November 2005 (103)
  • October 2005 (74)
  • September 2005 (68)
  • August 2005 (79)
  • July 2005 (72)
  • June 2005 (69)
  • May 2005 (72)
  • April 2005 (41)

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.

© Copyright - WRassman,M.D. BaldingBlog - Enfold Theme by Kriesi
  • Facebook
Scroll to top