How do I look 2 weeks after transplant?

/by William Rassman, M.D./0 /

Had my HT on 19th December 2019. I am 25 years old. 2100 Grafts FUE. Would love to know your opinions on this.

 If you and your doctor had taken off all of the crusting on day one, you would not have to walk around looking like that or wear a hat. Here is what you should have looked like: https://baldingblog.com/one-day-post-op-2150-grafts-photos/ He looked clean every day thereafter.

The key is small incisions and good washing techniques from the start so that nobody can tell you had a hair transplant from the day after surgery.

Do I have a receding hairline? (photo)

/by William Rassman, M.D./0 /

Receding Hairline? The hair on that spot was less dense already. In the last couple of weeks, it became almost blank there

I would like to see a frontal view with your eyebrows lifted high so that the creases in the forehead show. This will allow you and me to find out if you have a mature hairline which will be one finger breadth above the highest crease. Any above that is a receding hairline.

Finasteride and hot flashes

/by William Rassman, M.D./0 /

I am a 28 year old male and I’ve been using finasteride for 2 years. After 7 months I started feeling random hot flashes in my body every day. Reducing the dose to 1mg every other day, it worked for a few months, but the hot flashes came back. What can it be?

This is the first time I heard that from a male. I don’t know what it means. According to a look up in Google, this is a known side effect in older men taking finasteride.

Is FUE the best answer to balding?

/by William Rassman, M.D./0 /

A lot of FUE hair transplants are starting to look flawless and seems way easier to maintain then going the pill, minox, dermarolling routine everyday. I think the price is starting to go down as it becomes more widely available as well. At what cost of a transplant would you just do that once instead of the current regime daily?

Hair transplants are great options, if you are over 25, have determined your future balding pattern (worst case), have your donor area quantified so that you have enough to meet you worst case balding needs and have the finances worked out

What you should look like in the first few days after you had a hair transplant

/by William Rassman, M.D./0 /

Many people ask me if anyone will detect that they had a hair transplant immediately after it. Of course, there will be a ‘beard’ present but if you keep your hair long, it can disappear. I have posted patient pictures to show you what you would look like immediately after a hair transplant.

https://baldingblog.com/two-post-operative-patients-shown-one-day-hair-transplants/

https://baldingblog.com/patient-just-4-days-following-1700-grafts-with-photos/  (This patient used is hair and combed it forward because his hair was black and his skin was white)

https://baldingblog.com/class-23-patient-just-5-days-after-fue-procedure-with-photos/

Sex drive went up on finasteride

/by William Rassman, M.D./0 /

I’m 31 and noticed hair loss at 30 which was horribly shocking for me, found tressless and got on fin without hesitation. I’ve had a crazy time on finasteride, pushed through more sides than I’m sure most would, developed gyno althought you can’t really tell to look at me and I have pretty low body fat so you should be able to see it but my nipples are puffy and I’ve developed a hard mass. My libido is through the roof and I think my erection quality is actually better than before strangely. I’ve got high test tho which explains all my sides.

You should see a doctor if you believe that there is a breast mass to get it confirmed and diagnosed. Finasteride almost always works to slow, stop or reverse the hair loss. You can’t see it slow the loss of course and that is the problem. I don’t know why your sex drive increased but I have seen it in some of my other patients, even my son reported that side effect and his girlfriend was happy about it. If you stop the medication, the breast mass (if that is what it is) may persist.

Young men need a diagnosis

/by William Rassman, M.D./0 /

I’m assuming the importance of the solid diagnosis is to rule out other causes of hair loss like nutritional deficiencies and confirm the cause is mpb. Why is this so important?

If you have a firm diagnosis for genetic balding, then the medications you take are lifetime, something that you don’t want to do if the diagnosis is not solid. Also, one needs peace of mind that a proper diagnosis gives you.

Brain fog with finastride

/by William Rassman, M.D./0 /

If I can find a dose that doesn’t give me brain fog on finasteride, should I take it.

You can go down to 0.25mgs and get 50% effect from that dose. IF that works for you without brain fog, then go for it.  For men with Brain Fog from finasteride that can’t be controlled by a lower dose, I tell them to stop the medication

increase libido on finasteride

/by William Rassman, M.D./0 /

So I recently started taking finasteride since Tuesday. For the past 2 days, my erections have been harder and I feel an increase in my libido causing me to constantly masturbate compared to prior to starting the medication. Is this normal?

This is not an uncommon experience.  It happened to one of my own family and stayed that was for as long as he took finasteride.

22 with generalized thinning

/by William Rassman, M.D./0 /

So I started seeing thinning around my 18th bday, I put off treatment as there was no history of MPB in my family and I was iron deficient. After a biopsy it was confirmed to be MPB. I started a regime of Min and was all well until 8 months in I started to shed, I thought this was due to hair cycles. After I realised it was to aggressive to be the case I added Finasteride in Dec 2020. I have seen some regrowth but I feel this is mainly due to Fin as I have experienced no shedding from min as I did originally. I am 22 and although I know I won’t have a full head of hair, something to work with would be nice. Adding micro needling in the last few weeks is hopefully going to help with that. I would just like to ask those more experienced in this area if it would be right to start considering a HT for a few years time or is the Fin progress seen after 6 months going to progress and get better. Any help would be greatly appreciated.

Take a look at your family history to try to guess what your final balding pattern would be. Ask each of your balding relatives, what they looked like at your age. Then get to see a doctor who can quantify your donor supply and your hair mass index to find out what can be done in the future if you get a hair transplant. I call this a Personalized Master Plan and you have done well so far. The picture shown in this post is what you must try to guess: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/. Then with a great surgeon at your side, plan the timing of a surgery

PDO Scalp Threading?

/by William Rassman, M.D./0 /

The treatment itself is relatively quick and painless, with no downtime and very little recovery. A local anesthetic is used for patient comfort .Very fine, hollow needles (think acupuncture) are inserted under the scalp, leaving behind a nearly microscopic thread which will create a foreign body response, triggering the bodies’ own natural healing mechanism. Threads dissolve naturally, absorbed by the body over the course of 4-6 months. This process of forced cellular activity will promote new tissue growth, improve circulation and ultimately help to regenerate the hair follicle.

PDO scalp threading is new to me. I want to see some published articles on it and its benefits and liabilities. I would not recommend it until I see some good published data.  It actually makes no sense to me because putting a foreign body in the scalp can only produce down sides that I can only imagine