This great video tells you what you need to know if you are considering these options!
If somebody adds grafts to a transplanted hair line is shock loss to these prior transplanted hairs likely?
Shock loss impacts miniaturized hairs, so transplanted hairs very rarely get hit by it. I believe in thousands of patients I have performed surgery upon, maybe two have had shock loss of previously transplanted grafts. I remember them well and their hair returned within less than 6 months. Also, the first hair transplant on a person not taking finasteride, can produce shock loss impacting all of the miniaturized hairs on the head. For a person having two surgeries, the first takes the toll, the second does not.
You may or may not be a candidate for a hair transplant. However, good surgeons need to evaluate your donor supply and paint a realistic picture of the results that can be achieved. I wrote an article in the most prestigious journal for Plastic Surgery on how to get a hair transplant, with good results in almost 100% of men, even with the most advanced balding patterns, provided that the donor area is healthy. That is what you need! You can reach me at williamrassman33@gmail.com, and I would be happy to talk with you.
I have PCOS and don’t know what to do.
Women have two potential problems with pCOS, female unpatterned hair loss and the hormones associated with PCOS. The use of finasteride sometimes works in women with PCOS, but you can’t get pregnant with it. A cosmetic solution is Scalp Micropigmentation (see here: https://baldingblog.com/i-just-finished-my-smp-on-my-crown-area-today-see-before-and-after-photos/), which will make your hair look much fuller as it did for me in the link I attached here.
I am only 17 and already Norhood3 I have long hair before and yesterday I decided to buzz it with 5 setting I messed up more I look like 40 year old uncle with huge tample recession and I looks like I don’t have any hair . I visited derma about 8 Months ago so I am on Minoxidil topical it is not beneficial for me and two months ago I added Fin 0.5 Mg I know it is dangerous but what else can I do , I am already Norhood3 like a uncle I already said. My entire teenage life is ruined can’t really have fun also everyone look at my hair. So far I don’t have any sides with finasteride I am giving it a time. But no body understand how difficult and depressing problem hair loss is at this age my cousins friend have full thick head of hair, my dad and moms brother is bald so I have strong balding genetic but at this age of rocking different hairstyles I feel like lost. Hair can enchanes your looks 100 times better your whole face shape is also depends on it. Looking here for your advice and help if anyone needs picture you can DM me. I am trying to Post here but it doesn’t allow me..
Please please help me give advise to me I am genuinely depressed.
17-year-old men will respond to finasteride or other modalities of treatment in the hands of someone like me, who knows what to do. As you are 17, I need your parent’s permission to treat you appropriately. If you would like my help for a free consultation, I need to see some photos to show your balding, and one of them should be a frontal view with your hair pulled back and your eyebrows lifted high so that the creases on the forehead show up. This will show me anatomical landmarks to measure where your hairline belongs and more about what a normal hairline should look like. Please tell me what you don’t like about your hairline and overall hair situation. The photos are confidential. Please include your phone number and the best times to reach you, as I like to establish a good relationship with my patients, in your case, along with a letter from your mom or pop. I will also need your parent’s permission in writing with a copy of their driver’s license.
https://www.ishrs-htforum.org/content/htfi/18/2/41.full.pdf
This article written by Dr. Parsa Mohebi and I, maybe worth reading for those of you who may doubt going forward with this type of hair restoration.
Great results. Congrats! The dermaroller probably was the most positive of the three things you used that reversed the hair loss. How long did it take you to get this result?
French student, 24, kills himself after getting a botched beard transplant ‘by an estate agent pretending to be a surgeon in Turkey’ | Daily Mail Online
Even older men in the 30-50 age range can respond to a combination of minoxidil and finasteride. You can see the gray hair just emerging.
So my hairline looks bad/weird is due to mild (but noticeable to me) thinning in the front plus a very straight appearance due to a scar (I previously had my hairline lowered due to hair loss). Because I’m female, it’s possible to cover this insecurity through styling, but I know I’d look way better with a nicer hairline. Plus, even when my hair is blown-out/styled I can see my scalp through my hair just in the very front, which ages me. (I’m not currently losing any hair btw, I just had an eating disorder at a young age that caused most of my hair to thin/fall out.)
So I think I’m just going to ask him to fill out the density, fill in the temporal peaks, cover the scar, and give me a natural-looking hairline. But is that too vague? I wonder if I should be more specific, i.e. providing reference photos of what I’m looking for… I’ve been looking at hairlines online lol and the most beautiful ones to me have lots of little irregularities, I mean I’ve seen some truly beautiful ones…but I also wonder if it’s best to keep it simple and stick close to what I’ve got. He quoted me 1000 grafts and touched up my eyebrows (one of my eyebrows looks like it got singed off, so I figured, why not do that too).
Any suggestions are very much appreciated. I’m hearing from other patients that it’s good to come in with a specific game plan of what you want, plus questions, as they are quite busy of late.
I have written a definitive article two times, defining what a female hairline should look like. Here are some interesting posts on my Baldingblog.com website that will show what you don’t want and what is normal: https://baldingblog.com/?p=54926&preview=true (don’t want these hairlines) and https://baldingblog.com/hairlines-for-men-and-women-photos/ (shows comparison between normal female shaped hairline and male hairline. Many surgeons, unfortunately, give women a male hairline. Here is a female hairline one day after the surgery: https://baldingblog.com/young-women-want-lower-hairlines-photo/ and here: https://baldingblog.com/customized-transplanted-female-hairline/
Female hairlines require a skilled, artistic, experienced surgeon. I have done many of them, enough to become an authority on the subject. In your situation, you have a significant recession, and you have lost your entire temple mounds. 1000 grafts probably will not work, but if you saw an experienced surgeon, you need to sit down with that surgeon and get a clear plan. If you have more questions, you can write to me at williamrassman33@gmail.com
Dr. Pascal Boudjema and I established a company in 2023, to build and market medical devices that would make hair transplantation more efficient, faster for the patient and more cost effective for the surgeon. This company is called Engraft Technologies, Inc. and it introduced, last week, the DUPLEX Implanter at the annual ISHRS meeting in Denver. This should decrease the surgical time and significantly improve graft implantation both in regard to the quality of the results (because it reduces human handling of the grafts which tends to damage grafts) and the speed of implantation. This should be good news for surgeons as well as the patient, the primary beneficiary of this technology. The product will not be commercially available until the summer of 2025 as it must be mass manufactured and pass the FDA requirements for a medical device. At the meeting, the DUPLEX implanter was used by over 100 surgeons (without grafts), learning how to use it in a matter of minutes. You can see a video showing the DUPLEX Implanter and how it works HERE
Appoligies for the video not working until this afternoon 10/26/24
The insane before/after results from Turkish clinics you see on TikTok are not at all representative of what most transplants look like. I’ve been looking around at reputable clinics in the US and most results aren’t even visually noticeable. The most visible ones are like a Norwood 2 to Norwood 1.75 transformation. I’m not at all knocking these surgeons, I’m saying that this is a realistic expectation for what a HT results should look like. Very mild and barely noticeable. Most of the fin/min results in this sub are more drastic. Not telling anyone to get or not get one. I’m just saying this bc I spent years on the fence about fin saying “oh well if I lose too much ground I’ll get a 5,000 graft procedure like this guy on instagram” but now realize that’s not really possible haha.
I’ve been doing hair transplants since 1991 and founded the large follicular unit graft procedures through the 1990s, and in 2002, I was the doctor who pioneered FUE. I have done thousands of hair transplants (Strip and FUE), and the results were fantastic. As I published everything I did and met with many doctors, I realized quickly that too many hair doctors don’t get the nuances, so their growth rates could be better. There are, however, a large number of doctors who give you the growth in the transplant that you would expect. Your research should have taken you to the right sources. If you like, you can meet many of my patients to learn of their experiences. I used to hold monthly Open House events where 6-12 former patients would come to discuss their experience and show their results. For almost 3 decades of doing this, I have NEVER had a patient come in with underwhelming results to these Open House Events. They could have done this and wrecked my open house event for all attendees. It never happened! Transparency is the subject that we are talking about here. That is because I set realistic expectations for the patients at the onset and work out a Master Plan for each patient to help them
The insane before/after results from Turkish clinics you see on TikTok are not at all representative of what most transplants look like. I’ve been looking around at reputable clinics in the US and most results aren’t even visually noticeable. The most visible ones are like a Norwood 2 to Norwood 1.75 transformation. I’m not at all knocking these surgeons, I’m saying that this is a realistic expectation for what a HT results should look like. Very mild and barely noticeable. Most of the fin/min results in this sub are more drastic. Not telling anyone to get or not get one. I’m just saying this bc I spent years on the fence about fin saying “oh well if I lose too much ground I’ll get a 5,000 graft procedure like this guy on instagram” but now realize that’s not really possible haha.
I’ve been doing hair transplants since 1991 and founded the large number of follicular unit graft procedures, and in 2002, I was the doctor who pioneered FUE. I have done thousands of hair transplants (Strip and FUE), and the results were fantastic. I realized quickly, as I published everything I did and met with many doctors, that too many hair doctors don’t get the nuances, so their growth rates are underwhelming. There are, however, a large number of doctors who give you the growth in the transplant that you would expect. Your research did not take you to the right sources. You can meet many of my patients, if you like, to learn of their experiences. I used to hold monthly Open House events where 6-12 former patients would come to discuss their experience and show their results. For almost 3 decades of doing this, I have NEVER had a patient come in with underwhelming results. They could have done this and wrecked my open house event for all attendees. Never happened. Transparency is the subject that we are discussing here. That is because I set realistic expectations for the patients at the onset and work out a Master Plan for each patient to help them achieve their goals.
I have noticed that most of the hairs I shed are thicker at the ends and thinner towards the roots, is this normal?
Second email: Okay, thanks. I am currently on finasteride so is the fact that I am shedding these hairs a good sign?
First Answer: No, that shows that the new hairs are miniaturizing as they grow in. Remember, what emerges from the scalp is the new hair and the end of the hairs are the old part of the hair shafts.
Second Answer: Finasteride should reverse the hair measurements, meaning that any hairs that fall out influenced by the finasteride should get thicker at the scalp level when they regrow.