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    Post from Reddit about a hair transplant clinic in Turkey

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

    This is a sad post, afirming what many people in Black Market for hair transplants tell us about many Turky clinics. There are some excellent clinics there, but too many who produced substandard service and results. We see too many problems because of inexperienced staff and doctors. What I found most interesting is that the writer claimed that the clinic faked the photos and didn’t have a skilled trained team.  That spells disaster for the poor man who might be caught in this spider’s web. How many other Turkey clinics with a doctor do this?  Did you know that 90% of the clinics there don’t have doctors.  In every US State, doctors who did this would find themselves in jail. There is clearly nor Turkish law enforcement to protect the consumer.   Read this and draw your own conclusions

    Dr. Cinik Bad Practices from HairTransplants

     

    Microneedling (from WebMD)

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

    What Is Microneedling?

    Microneedling is a cosmetic procedure. It involves pricking the skin with tiny sterilized needles. The small wounds cause your body to make more collagen and elastin, which heal your skin and help you look younger. You might also hear it called collagen induction therapy.

    Microneedling Benefits

    Microneedling may help with issues like:

    •  Acne
    •  Hair loss (also called alopecia)
    • Dark spots or patches on your skin (hyperpigmentation)
    • Large pores
    • Reduced skin elasticity
    • Scars
    •  Stretch marks
    •  Sun damage
    • Fine lines and wrinkles

    Microneedling is less expensive than laser treatments, which can cost about four times as much. Microneedling may work better for people with darker skin tones because it doesn’t involve heat the way laser treatments do, which can affect your skin’s pigmentation, or color. Ask your dermatologist what’s best for your skin — and your budget.

    What Happens When You Get Microneedling

    Dermatologists (doctors who specialize in skin care and skin disorders) can do microneedling. Aestheticians also do it. If you try it somewhere other than a doctor’s office, first check on the person’s experience and credentials, and make sure that all of the equipment is sterilized. There are do-it-yourself versions of microneedling devices. But dermatologists warn against using those because you might accidentally hurt your skin, and you may not have a good way to sterilize the needles.

    The procedure usually takes 10-20 minutes, depending on how big the area is. Most people need 4-6 treatments to see a difference.

    First, you’ll get a numbing cream smoothed onto your face so you can’t feel the needle pricks. Then the person doing the microneedling will move a pen-shaped or rolling tool with tiny needles around your face. The needles make small cuts in your skin, which causes a bit of bleeding. Your doctor may spread a cream or serum on your face after that.

    The goal of the procedure is to start your body’s healing process by sending collagen and elastin to patch up the tiny injuries. Collagen helps fill in and smooth out wrinkles.

    Most people get microneedling on the face, but it can also done on other parts of the body, such as your stomach or thighs.

    Some things to think about before deciding to try it:

    It’s not a quick fix. It takes time to notice a difference. That’s because your body is healing itself. Most people need a few treatments before they see any change.

    Healing time. It may take days or weeks to heal, depending on how deep the needles pierce your skin.

    Pain and redness. You may have some minor pain after the procedure, and your skin may be red for a few days.

    Peeling. Your skin may feel tight and flake a bit while it heals.

    Bruising and bleeding. There’s usually no bleeding during microneedling. But deep microneedling treatments may cause the skin to bleed or bruise.

    Possible scarring. Microneedling isn’t a good idea for people who’ve had keloids, scars that look like large bubbles on the skin. It could make the condition worse.

    Infection. Microneedling creates tiny holes in the skin, which could let germs enter, especially if the equipment isn’t cleaned well. But the risk of infection is very low. If you’re healthy, an infection from microneedling is unlikely.

    Microneedling is a cosmetic procedure, so insurance doesn’t cover it. Your doctor will tell you how many treatments you need, and give you an idea of how much they’ll cost.

    Microneedling Safety and Costs

    Microneedling is considered safe. But like any procedure, it has risks.

    You could have an allergic reaction to the cream or serum that goes on your skin after the microneedling. And the wounds might get infected if you don’t keep your skin clean. You should stay away from places that could have lots of germs, like swimming pools, lakes, rivers, and oceans. And don’t use irritating soaps and lotions.

    You can also get an infection if the equipment used hasn’t been cleaned well.

    Microneedling Safety and Costs

    Home microneedling kits, or home rollers, are becoming more and more popular. They’re widely available and inexpensive.

    Rollers used at home use shorter, duller needles than professional microneedling devices. They temporarily stimulate blood vessels to brighten the skin. But home rollers usually won’t give you the same results as microneedling done at a dermatologist’s office or medical spa.

    Like professional microneedling devices, home rollers can spread germs if they aren’t cleaned properly. Don’t use a home roller on infected skin.

     

    I’m 24, can I do a hair transplant

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

    Your hair loss pattern appears to be a Class 6 pattern  possibly evolving into a Class 7 pattern (the arrows show the upper point of the balding consistent with a Class 7 pattern). For this, you need a doctor to measure your donor density and your hair mass index. This will give you a quantitative assessment of your donor capacity and what you must do as a worst case scenario (Class 7 pattern of balding) which must be part of your Master Plan for a hair transplant. Then your doctor will tell you what is your donor capacity and put together a plan (financial and surgical) that is specific to your situation now and in the future.

     

    Is there a point of no return for hair growth?

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

    I had a good head of hair till I was 38 but the it started receding on the sides and now it’s thinning down the middle. I’ve been taking fin for almost two years now, prolly too late. Not seeing any improvement. I bought a case of minox and tried some around almost bald areas around forehead but it only removed the existing hair. I feel I will go bald by 42

    We are not 100% sure if there is a point of no-return for hair loss, but if there is, it certainly happens in older men (greater than 40, possibly 50). A family friend went on finasteride for his prostate at age 70 and much to his surprise, his frontal hair partly regrew which he proudly showed to me. So maybe there is no point of no-return.

    I believe that since your started losing hair at 38, now at 40 you have an excellent chance of reversing it because the time interval between the loss and now is relatively short.

    3 years on finasteride (photo)

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

    This man stayed on the drug long enough to get Frontal hairline regrowth in the corners, not very common

    Can I wear a hair system while taking minoxidil/fin?

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

    I’ve gone from Norwood 2 to Norwood 3+ during this quarantine. My university is going to open up in a month or so and I am quite anxious. I don’t think hooping on the meds now would improve my situation so that nobody in university notices my hair loss. I feel that the best immediate solution is to get a hair system.

    Wondering if I could use the meds – oral I presume, while using the hair system

    Yes, you can take minoxidil and finasteride while you wear a hair system but much hair will be lost from traction alopecia from the glues and tapes used with the hair systems and that produces hair loss that does not come back with drug. Those that sell hair systems never tell you about the traction alopecia and how eventually you end up never really getting off of using these systems.

    Will finasteride be pulled off market?

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

    Dr Rassman I’m young with agressive AGA Norwood 5 and i need Finasteride it’s helped me for 4 years now. Do you think they will take it off the market? I’m really nervous I don’t want them to take it away from me! https://www.reuters.com/legal/litigation/group-sues-have-hair-loss-drug-propecia-pulled-market-2021-09-08/

    I doubt it will come off the market anytime soon. Court battles like this take 20 years or so. This drug is also used for Prostate hypertrophy in men over 50, so I doubt it will even be pulled.

    Minoxidil 8 months (photo)

    Sep 28, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I wanted to show my results from the use of my oral minoxidil for 8 months. It improved my hairline to a almost a normal hairline without recession in the corners which plagued me before I took it.  I wonder had this man had taken finasteride as well, if the forelock would have thickened up more and possibly the corner hairlines moved further down.

    This is me at 7 years old (photo)

    Sep 28, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    What did you look like when you were 13 or so. I’ll bet you had a full head of hair by then.

    His Answer to my question:  It’s definitely got better thankfully, hairline stayed the same but a lot of the blonde/whispy hairs thickened up and darkened a lot too, my hair is surprisingly better now at 23 than it was in this photo when I must’ve been around 7 or 8. This hairline is very high for an 8 year old (see chart of 1000 children in the following article https://newhair.com/wp-content/uploads/2018/11/phenotype-article-published.pdf)

    MPB changes hair color and Texture

    Sep 27, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I had super thick, very dark black hair, that was very curly and never had to use gel/product/conditioner to style. But every since I started balding, my hair became flat, dead, cant hold any style, and hair products just irritate my scalp. I’m currently on dutasteride, weekly microneedling, and dr regenpure ketaconozole shampoo 3-4x a week.

    As hair miniaturizes, it loses its color and its character (texture). When it reverses with drugs like finasteride and dutasteride, the original color and texture can return.

    Covid Infections may cause ED

    Sep 24, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Men may be six times more likely to develop brief or long-term erectile dysfunction after contracting the virus, according to research published in March. Other studies have documented a litany of post-infection health issues that impact sex, either independently or in concert: inability to have or maintain an erection, damage to the testes, testicular pain or swelling, inability to achieve orgasm, low testosterone levels, and mental health issues.

    Among the list of ailments, mounting evidence suggests that COVID-19 may sabotage men’s sexual health. “We found that men who hadn’t previously had these issues developed pretty severe erectile dysfunction after COVID-19 infection,” Ramasamy says.

    From National Geographic and New England Journal of Medicine

     

    6 months on finasteride and minoxidil (photo)

    Sep 24, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    This man used finasteride daily and minoxidil twice a day on a regular basis for just 6 months

    14 weeks finasteride and microneedling (photo)

    Sep 24, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    This man used finasteride for 14 weeks and microneedling every three days (unusually high use for microneedling) but the results are great!

    FUE Scars?

    Sep 23, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Let’s say that you get a hair transplant, and because you’re not happy with the results, you decide to shave your head completely after a few years. Will the scars from the hair transplant be visible on the back of your bald head?

    Yes, of course it will. FUE produces small white scars scattered in the area where the grafts were harvested. We treat this is Scalp Micropigmentation which works well to hide these scars

    SMP Turned Blue

    Sep 23, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    This man had Scalp Micropigmentation done up to his hairline. The operator used a dark black ink that turned blue and placed it inside a very thin hairline so close to the leading edge of the hairline that the blue ink stands out. What makes this even worse, this hairline is shaped as a concave female hairline

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

    William R. Rassman, M.D.

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