Blogging direct from The New Hair Institute HQ

How to get thicker hair

https://www.medicalnewstoday.com/articles/319862.php This is a good review of the different approaches to getting a thicker head of hair. I am not necessarily endorsing this article and certainly not all of the recommendations as valuable. The post How to get thicker...

read more

Full head of hair with shedding

My hair right now is very thick and my hairline is a Norwood 0-1.5 depending on who looks at it. But sometimes when I’m showering and also when I put gel in my hair I notice that some of the hairs that shed are very thin. They are so thin that they are hard to see...

read more

Fear of finasteride and fear of losing hair

Hi doctor, I’ve sent you a message on Reddit and you told me to send you an mail. I’ll try to be as brief, as hard as it is, about my situation is this: I’ve basically had really good hair all my life, at least till I turned 18. I want to say I have a good hairline,...

read more

Should I give up on my hair? (from Reddit.com)

Hair transplants are an option if you are over 25 years of age. Many men can look normal and never look like they lost their hair or have had a hair transplant.  If you are under 25, you should not get a hair transplant because hair loss is progressive and your...

read more

Chest hair for transplantation (from Reddit.com)

Chest hair has a short growth cycle, which means that after 6-8 months it stops growing and goes into telogen (a rest cycle) that can last 6-8 months. That means that less than half of the hair grows at any one time and its length and thickness are far less than scalp...

read more

How to find out if I am really losing hair

The best thing you can do is to get a HAIRCHECK test of your scalp which will document all of the hiar loss you may be having that you can’t see. With this test, you can establish a metric which will allow you to make decisions such as the use of medications if you...

read more

PRP write-up, very comprehensive

http://www.cellmedicinesociety.org/attachments/206_ICMS%20-%20Guidelines%20for%20the%20use%20of%20Platelet%20Rich%20Plasma%20-%20Draft.pdf With this detailed description of the use of PRP, nowhere in the document is the use of PRP recommended for hair growth.  That is...

read more

My hairline is uneven, what should I do?

Uneven hairlines in men usually indicate that recession of genetic balding has started. Showing up on only one side is not uncommon but eventually it will impact the other side and more recession of the entire hairline is very possible. See a doctor who can make the...

read more

I have bumps in my donor area after my FUE

Burried grafts from poor techniques often cause these bumps which most likely reflect burried grafts. If they get infected, they probably should be drained. Go back and see your doctor The post I have bumps in my donor area after my FUE appeared first on WRassman,M.D....

read more
born with irregular hairline (photo)

born with irregular hairline (photo)

Some people have irregular hairlines and they often develop by as early as 5 years old. I stuided 1000 children of different ages and saw such hairlines in a few boys and more so, in girls. For males, this can be fixed after you are 25 years or age when your balding...

read more

ED from finasteride and dutasteride, what to do?

Stopping the drug is the right thing to do. Dutasteride is stronger and the long term history of this drug for hair loss is unclear. The previous post here shows just the opposite impact of finasteride on this young man with an increase in his sex drive. Suffering...

read more

Question about finasteride

I have a question about Finasteride sides. I just started on a dosage of 1mg every other day, and so far have only taken it twice. The first day I noticed nothing out of the ordinary. The second day I took it, I was able to masturbate twice during the day, but the...

read more
What is happening to my hairline? (photos)

What is happening to my hairline? (photos)

You have a classic movement to a maturing hairline. This movement is in process. You can see bits of your juvenile hairline still present which were originally a rounded hairline look. A mature hairline is V-shaped. The picture on the right show what is a disappearing...

read more

Are all Scalp Micropigment pigments the same?

These pigments came in all flavors, some with metals, some non-organic pigments and some organic pigments. This industry is not regulared by the FDA,  We provide our own unique pigments and have done commercial analysis of some of the pigment in use, very frightening...

read more
Is this a failure of my hair transplant? (photo)

Is this a failure of my hair transplant? (photo)

I had 2000 grafts into my two corners and now, 8 months later, it all looks thin. Is this a failure of the surgery? Certainly, if each side received 1000 grafts, then this is not reflective of such a number of grafts. I would return and see your doctor as most doctors...

read more

Question about transplanted hairs vs normal hairs

Do transplanted hairs experience the same growth cycle (telogen to anagen) as native hairs?  I’ve had two hair transplants several years ago and find that I occasionally shed transplanted hairs (marked by thicker, darker, healthier looking strands).  Is this cause for...

read more
What can I do about my donor area balding?

What can I do about my donor area balding?

This is the result of donor area overharvesting for your donor density. You did not say how many grafts you had done, but for you it was too many. The only treatment for this is Scalp Micropigmentation, see here:  https://scalpmicropigmentation.com/scar-covering/ or...

read more
How many grafts do I need? (photo)

How many grafts do I need? (photo)

I just met with a doctor who recommended 3500 grafts. Do you think that this is appropriate? No, doctors who recommend that number of grafts have an eye on your wallet not your hair. This should take no more than 1500-1800 grafts depending upon the thickness of your...

read more

finasteride and many side effects in a short time

I hope this message meets you well!  I’d like to ask a question I’m sure you’ve answered hundreds of times. I greatly appreciate your time. I was recently prescribed finasteride, I have only taken it 3 times at 1.25mg consecutive days, and a week later, 3 more times...

read more

Seniors in Addiction Recovery: ?Making Amends and Reclaiming Your Life this Holiday Season Photo Credit: Jessica Monte, Stock Snap With the holidays approaching, we enter a time of the year when emotions can run high. The holiday season is meant to be festive and fun,...

read more

I’m 26 and I have stress and hair loss

You should see a good doctor who cares about you, not just your money. Your doctor should develop a Master Plan for you, not just for now, but down the road as hair loss is a progressive process in men. Researching transplants is a good idea as you may find out that...

read more

Uneven hairline at 18

Is it Normal for one hairline corner to not be connected to the sides of my hair? from tressless This happens in balding men which is is not symmetrical. See a doctor who specializes in hair loss and find out if you are in the early stages of recession or balding The...

read more
Early growth of a hair transplant (photo)

Early growth of a hair transplant (photo)

Take a look at my picture. The short hairs that are combed forward and they are the new hairs that I had transplanted 10 weeks ago. How am I doing? It looks like you have early growth, rare in hair transplant patients.  I think that you are very lucky and doing well....

read more

Do I apply minoxidil twice a day, really!

I’m planning to start minoxidil but not sure if I can manage applying it twice a day. I can apply it in the morning but my schedule is random everyday. Most days I don’t get home till around midnight so if I have to apply it then I’d have to wait till 2-4 hrs before I...

read more

23 and starting to bald significantly

I’m a 23 year old male experiencing male pattern hairloss around the crown. I’ve noticed it for 8 months and it’s been getting substantially worse recently- more hair loss in the shower, more strands on my pillow every morning, hair follicles on my hand as I run it...

read more
What is happening in my recipient area? (photo)

What is happening in my recipient area? (photo)

This appears to be necrosis, which means that the skin around the grafts has died.  This is usually caused by a technical issue by the surgeon’s tools and the closeness of the grafts.   The post What is happening in my recipient area? (photo) appeared first on...

read more

I have been betrayed by my doctor

I already had hair on my scalp, I wasn’t totally bald. The doctor in a very cheap clinic in Istanbul said they will try to fill the spaces with 2500 grafts. I can’t tell if what I had done worked. I think he was not honest, How do I find out if he really gave me 2500...

read more
The donor area did not grow back (photo)

The donor area did not grow back (photo)

This photo indicates that your donor area was over-harvested. You should return to see your doctor and ask to be examined and an explanation.?If I am corrrect, then the treatment for this is scalp Micropigmentation, If it is shock loss, then it will return after about...

read more

Brand vs Genetic Finasteride

Your story seems disturbing and common place. The FDA is supposed to guarantee quality of production even in generics if purchased in the US, but many doctors and patients tell me differently.  Probably best to stick to the known brand names Hair regressing after 2.5...

read more

hair loss with male testosterone enhancement

I am 68 yrs old, very fit, weight lifter, and runner. I have been taking Cialis 60mg usually about 3 to 4 times a week. I also take male enhancement pills.Since I got serious about my sex drive and enjoy it almost daily, I have noticed my hair getting thinner.Could it...

read more

Dr. Gho’s Method for Hair Regeneration/Cloning

A reader send this posst to me:Subject: New data on Dr Gho’s stem cell method Message Body:In 2012, you suggested the circumstances for making an exhaustive documentation on Dr. Gho’s ‘stem cell method’. The idea was to count the number or percentage of transplanted...

read more
Two post operative patients (photos)

Two post operative patients (photos)

I periodically show photos of patients after their surgeries because so many people are afraid of what they will look like right after the surgery. There are visions or war wounded heads in the minds of many people who think that after their hair transplant, they will...

read more

Peyronies disease, the penis and finasteride

Several months ago, my doctor said I might have Peyronies disease because I bent my penis somehow. I finally have an appointment with a urologist next week. After reading your post about penile fibrosis and arguing with my mom that there is no proof Finastride caused...

read more

What do you think of my hairline? (photo)

It is ok, but it does not meet my standards. The hairline has many two hair in the leading edge of the hairline which makes it an obvious hair transplant. I would build a transition zone in front of these grafts so that no-hairline hairline exists, meaning that the...

read more

Can Creatine powder cause hair loss?

Creatine is a protein powder and by itself, will not cause hair loss; however, some compounds of Creatine have steroids put into them and this will cause hair loss impacting the genetic sensitive hairs that you have on your head. Be sure to read the label which lists...

read more

Is hair loss seasonal?

I have long contended that hair loss in humans was asynchronous, which means that it occurs equally throughout the year; however the article below suggests otherwise, that hair loss may be seasonal. I am not sure from reading this what the article refers to. Are we...

read more
Hair loss on 24 year old

Hair loss on 24 year old

This 24 year old male has hair loss as shown in the photo below. My standard approach is to perform a HAIRCHECK instrument test to determine how much balding he had on his scalp in various areas. What I found out, to my surprise, was that there was no measurable hair...

read more

Graft loss after a hair transplant

How often does someone lose grafts when washing their recipient area where the grafts were placed. I lost some grafts after my hair transplant, about 10 the very next day even though I followed the advice of my doctor. I used my fingers to gently rub the blood off....

read more

Panic in young man with sudden, rapid hair loss

losing hope, What should I do? 4 months of very aggressive shedding, 7 weeks on fin from tressless The finasteride should reduce the shedding in 2-3 months and then other hair regrowth benefits may take up to 18 months after that so don’t lose hope, The post Panic in...

read more

How to better grow your hair?

One of my patients did this search in Medical News Today. This is a kick off place for you to search further on the various subject below. The links are active below and many of these remedies have been addressed in previous balding blog posts over the years. Apple...

read more

Hair loss in men and women differ

So hair loss in men is 95% genetic MPB. How about hair loss in women? from tressless You are correct that most hair loss in men is genetic. Women are far more complex as things like birth control pills, hormones, stress, genetic factors, thyroid disease ………. cause...

read more

Can a vitamin deficiency cause DUPA.

DUPA is extensive miniaturization in the donor area from the back and sides of your hair and it is found in some men. I am not aware of a connection between Vitamin deficiencies and this condition but if you are Vitamin deficient, address it with oral supplement. The...

read more

Hair length and transplants

Should preferred hair length greatly matter when deciding on number of grafts to be transplanted? Yes, the shorter you like to wear your hair, the more grafts are required because it takes more hair to cover the scalp when the hair is cut very short. Longer styling...

read more
Am I balding?

Am I balding?

The arrows show what are most likely end-stage miniaturized hairs. Vellus hairs are short hairs with small width but these hairs are long. You can ‘see through the forest‘ indicating that this is balding with miniaturization present. A hair transplant can restore the...

read more

Hair used to sew facial wounds

https://www.medscape.com/viewarticle/885777?src=WNL_trdalrt_171017_MSCPEDIT&uac=209383MV&jobid=1458470&faf=1 Here is an interesting article that discusses the use of hair as a suture that is easily available on the person’s own head.  You can use the hair if you find...

read more

Finasteride dosing

Can you take 2.5mg of Finasteride (half of a 5mg pill) 3x per week as my doctor suggested, or should I attempt to split the pills further?  I spent years worrying about asking for Finasteride, I finally asked using my clinic’s online messaging system, and the doctor...

read more
I am 18 and female, what is wrong with me

I am 18 and female, what is wrong with me

Thinning hair in young women can be caused by many condition, far to numerous to list here. You need to see a doctor who specializes in hair loss in women to find out why you have this problem.  Is this in your family, are you are birth control pills, do you have...

read more

finasteride and miniaturized hairs

On average how long do you think hair must’ve gone if Fin even has a chance of regrowing? Like would it only have the possibility of regrowing hair lost in the few months before starting Fin or could it also grow areas that have had minituarized/bald areas for 2...

read more
I developed this bald spot, what is it?

I developed this bald spot, what is it?

This appears to be a disease called Alopecia Areata or a scarring alopecia, both autoimmune diseases of the scalp.  See a dermatologist to get it biopsied and treated. The post I developed this bald spot, what is it? appeared first on WRassman,M.D....

read more
Shock Loss at 5 months (photo)

Shock Loss at 5 months (photo)

The photo on the left is before the surgery and the photo on the right is after the surgery.  The loss of hair reflects shock loss and it could have been prevented with the drug finasteride in 95% of young men who take this drug. This 25 year old male, lost most of...

read more

What causes split ends on the hair?

Split ends on hair follicle shafts usually reflects damage from the use of blow dryers, hot irons and other tools that help you style your hair. The post What causes split ends on the hair? appeared first on WRassman,M.D....

read more

Having a baby on finasteride

I have been on Propecia for the last 3 years and it’s worked well. It has come to a stage where I would like to have a child with my wife. I have been researching for answers about effects of Propecia whilst conceiving on the internet and although there are many...

read more
Am I balding?  (photos)

Am I balding? (photos)

I am now 26 years-old and seem to be losing ground on my hair since I was 17 years old. My father and my two brothers have a full head of hair so I have been denying that I am losing hair. I need to know if this can be fixed. Yes, it does look like you are balding as...

read more
22 year-old female with hair loss

22 year-old female with hair loss

My hair has been getting worse for the past 3 years. At times I get a lot of hair loss. What is wrong with me? Women with hair loss need to see a doctor. There are many causes for female hair loss and they include medications (birth control pills for example), hormone...

read more
I am 18 and am worried about balding

I am 18 and am worried about balding

I am 18 and my father has lost a lot of his hair in the back of his head. Have I started balding in the back of my head? You seem to have black hair and have combed your hair so that the scalp is showing, This is not balding and anyone with your hair color who combs...

read more
Shedding of transplanted hair

Shedding of transplanted hair

I did not see any hair come out and it appears that my hair is growing.  There certainly is a suggestion that the hair is actually growing but there are small areas that do not contain hair suggesting that some shedding did occur. I see full growth rarely, but when it...

read more
A bald spot on my beard showed up

A bald spot on my beard showed up

I have actually two bald spots on my beard like the one in the photo. What is it and what can be done about it? You need to see a dermatologist to make the diagnosis about this spot on your beard. Alopecia Areata is the most likely cause. This is a genetic condition...

read more
Is 600 grafts enough for a normal hair density?

Is 600 grafts enough for a normal hair density?

A hair transplant in one session is never normal hair density for the size of the area you are transplanting. You can see it by looking at the lack of density of the grafts, but in your case, the area covered could have had more grafts. I don’t like the line-up of the...

read more

What constitutes a natural hairline?

A natural hairline is one where someone never comes up to you and says “you had a great hair transplant”.  A natural hairline created by a hair transplant is one that is undetectable by your friends, even those who have lost their hair. The post What constitutes a...

read more

How long does transplanted hair last

When asked if transplanted hair will last, I always tell patients that transplanted hair will last as long as the hair in the back and sides of the head, which generally last a lifetime.  However, transplanted hair can undergo senile alopecia and I have occasionally...

read more
How does my FUE recipient area look? (photos)

How does my FUE recipient area look? (photos)

You have excessive crusting as a result of poor post-operative washing techniques, or absence of them.  An FUE is treated just like a regular hair transplant with regard to the recipient area, but the donor area has open wounds which require daily washing with soap...

read more
I was transplanted 1 year ago (photo)

I was transplanted 1 year ago (photo)

It was a 1,000 graft FUE surgery when I was 22. I experienced severe shock loss post surgery and lost plenty of native hair all around especially from the top. However, I did see some results in the front. I want to do another surgery to improve my situation but fear...

read more
26 years-old and wants a hair transplant

26 years-old and wants a hair transplant

I am 26 and I lost a lot of hair giving me a huge forehead. How many grafts will this take? First, what I need is a frontal picture with your hair pulled back and your eyebrows lifted high so that your forehead creases. That shows me the anatomic point that allows me...

read more

Serum DHT Levels and Orgasms

There are studies which say that DHT in blood is increased during and after orgasm for a short period of time. So is it not possible the habit of excessive orgasms over a prolonged period of time can hasten MPB? Hair loss does not respond to fluctuations in our...

read more

Gynecomastia and finasteride

I had a surgery some years ago for gynecomastia and am now considering a hair transplant.  The doctor tells me that if I take Finasteride, I can prevent shock hair loss. Will this cause my gynecomastia to return?  If you had Gynecomastia (breast lumps or breast...

read more
Are my grafts in the safe zone? (Photo)

Are my grafts in the safe zone? (Photo)

The safe zone for donor FUE measures no more than 3 inches high and the bottom of this area is at the bony prominence of the skull in the midline. It does seem that the zone has been respected in the middle; however, there is a suggestion that the left side, it may be...

read more

Status of cloning hair today

Drs. Nilofer, Bessem Farjo and Paul Kemp wrote an article for the Hair Transplant Forum in this past issue discussing an innovative approach to hair “cloning”. For years (as early as 1991) the anticipation of breakthroughs in hair cloning has been on the horizon,...

read more

Hair shedding, Masturbation, Steroids

I am losing over 150 hairs every day so I want to know how many hairs each day should I be losing?  I also take protein powder that is anabolic. Can this accelerate my balding? Also I masturbate 2-3 times a day, is this safe for my hair? The total hair count on your...

read more
Shock loss from complications of FUT (photo)

Shock loss from complications of FUT (photo)

These scars may occur as a complication of an FUT strip surgery. Sometimes they just happen and sometimes it occurs when the wound is closed under tension.  Wait a period of six months and then, if it does not go away, you might have to consider doing something about...

read more

How people in India treat head lice

This is a very nice, effective and natural system reported in India and includes: a mixture with curry and olive oil, the use of a Plastic bag for the whole night over the scalp. This is what they are doing in India and it’s very efficient and does not cost much The...

read more
Follow-up with a HAIRCHECK test in 5 years

Follow-up with a HAIRCHECK test in 5 years

I consulted with this 30 year-old man five years ago. At that time, he had frontal hair loss and did not want to take the drug Finasteride. The HAIRCHECK instrument showed no crown loss but today, five years later, he lost 50 percent of his hair in the crown since the...

read more

Daily hair loss, is it really 100 hairs per day?

It is generally publicized that it is normal that a person can lose 100 hair a day on average.  Other say that 100 hair a day is a lot and a normal loss is 50 hair/day or even less (20-30 hair/day) and that 100 hair/day is a sign of balding.  Please can you advise if...

read more
I am 21 and want a hair transplant

I am 21 and want a hair transplant

The real question is what will be your final hair loss pattern and will you have enough hair to follow the loss to its normal completion?  Men under 25 are not good candidates for hair transplants.  I consider doing a hair transplant on a 21 year-old the equivalent...

read more

Immunotherapy may halt diabetes

In type 1 diabetes, the immune system attacks cell in the pancreas that make insulin. For a half a year, 21 patients received injections of a ‘insulin precursor molecule’ every few weeks. A year later, those who received the treatment when compared with the control...

read more
African Americans – female hair transplant

African Americans – female hair transplant

I am an African American female who had 2,400 grafts to fix the sides of my hairline and some bald spots throughout my scalp. The doctor said he pushed the numbers high enough and if I wanted my hairline to come down, I would have to do it another time. Does that make...

read more
I am an African American female (photo)

I am an African American female (photo)

I am an African American female who had 2400 grafts to fix the sides of my hairline and some bald spots throughout my scalp. The doctor said he pushed the numbers high enough and if I wanted my hairline to come down, I would have to do it another time. Does that make...

read more
Swelling after hair transplants

Swelling after hair transplants

Does swelling always happen and then gravitate to the eyes like mine at day three?  My doctor’s pitch to sell me this procedure was that in his hands, swelling never happens.  So I selected him and now I am swollen just 3 days from the FUE I had done.  Could this...

read more
Do I have folliculitis?

Do I have folliculitis?

My doctor said I have folliculitis and he started me on antibiotics, is that the right thing to do Yes, you have classic folliculitis and it must be treated, first with a drainage of the pus pockets, then a culture must be taken to be assured that the antibiotic...

read more

CRISPER pigs could dotate organs to us

Using animals for organ donors have been tried for years, but cross species transplants have done very poorly over time.  Now the use of CRISPER can tolerate organ donation much like Dolly the Sheep. Genetic material are used in pig cells in the early embryo and...

read more

Can you be ‘Fat but Fit”

The answer is no. In an analysis of 500,000 people in Europe (ref:new Scientist August issue), people who were fat, controlled their blood pressure, cholesterol, blood sugar and exercised, still had a 26% increase in the risk of heart disease and heart attacks. The...

read more

Can I puck out the bad grafts on my hairline?

If you keep plucking the grafts and sooner or later the hair will not return. In those grafts that you pluck you will eventually kills these hairs.  We call this traction alopecia but it may take quite a few pluckings to kill these hairs. The post Can I puck out the...

read more

Young man with stress and hair loss

Your history sounds like genetic hair loss but your photos do not support it. Blonde hair has very low color contrast with the skin so a blonde man can lose over 80% of his hair and often not show it because of the color contrast issue. If you can find a doctor with a...

read more
Donor area depletion from 5500 grafts in Turkey

Donor area depletion from 5500 grafts in Turkey

Your donor area was over-harvested. To make matters worse, the grafts taken were outside the permanent zone and the area of depletion goes both too high and too low. The only treatment that really works for this is Scalp MicroPigmentation. Some people suggest that...

read more

Feeling bad about who I am because of hair loss

A couple of years ago, I had sudden hair loss which triggered bad anxiety and depression. So much so that I couldn’t function. Last summer I had a dream job between semesters at school, but when I was there I couldn’t think straight my anxiety and stress was so bad...

read more

Having hair is often an issue of self-confidence

I hear about the self-confidence issue all of the time. You would not believe how many wealthy, very successful people I have performed hair transplants on and the reason driving them is almost always the issue of “self confidence”. A few well known people in the...

read more

How much is normal hair loss?

A non-balding male or female has normal hair loss of about 100 to 150 hairs per day and regrows the same number. These new hairs break through the skin and grow at a rate of about a half inch per month. The hairs you lose will come out during the day, at night when...

read more

Hair loss from stopping Finasteride

I’m 29 and I was on Propecia & Minoxodil for almost eight years and I could save my hair till now but recently I am experiencing severe side effect from Propecia so I decided to stop it. I stopped Propecia two month ago and my hair is falling like rain! And I lost...

read more

The man in mirror sees an enormous forehead

Ask a family member or a friend for an opinion before you jump in and do something that you might regret. There are many things that can be done for this.  If you are a male over 25, a hair transplant works great. However, I always tell young men like you that “A GOOD...

read more

Persistent numbness

I had my FUE surgery two months ago and I am still numb throughout the front of my scalp. How long will it take to get better? Persistent numbness does happen. You must realize that small nerves were damaged when the FUE surgery was performed and these nerves are...

read more

Scratching or pulling out hair

You might have pulled out your hair from the heavy scratching. If it was the first time in that area, it will grow back, just give it abut 6 months. If you constantly do it in that area, you can develop traction alopecia which would then be permanent hair loss. I...

read more

Should thinning be transplanted? (photo)

I’m a 38 year old, white male. I began taking propecia in mid 2009 for what was becoming obvious thinning in my crown/vertex. A couple years later I added minoxidil. My hairline never receded, that’s not an issue. Things are going well, no further loss happened that I...

read more

Does Masturbation Increase DHT

i already read expert advice that there is no direct connection between masturbation and hair loss. but i want to know there is any chance that masturbation or excess masturbation converts testosterone in to DHT (dihydrotestosterone) that can cause hair loss in the...

read more

When and where does balding start?

Is it common for genetic male pattern baldness to start in the center of the forehead or does it usually start in the crown or nearer the temples? Balding starts in a variety of locations in different individuals. Many people start either in the crown or develop...

read more

Young man’s hair loss story – real down to earth

“I was nervous as hell going into the church for the wedding. I will admit a lot of people didn’t recognize me at first and I got some shocked looks when I spoke and said who I am. “But the point of this is… no one cared what my hair or lack there of look liked. At...

read more

Can I wear my hijabi?

I’m 30 days after the FUE hair transplant, what I need to know is if I touch my hair just as if combing it with my fingers every now and then, is it normal that a lot of hair sheds on my hand ? Do I stop finger combing my hair Why does the side I sleep on, whether...

read more

Stress, heart attack and hair loss

My hairline has been receding for a number of years, I am now 62 and recently had a heart attack. It seems to me that the hair loss has accelerated since that trauma. My hair now has sort of a trough down the middle that was not there before but it was thinning. My...

read more

Miniaturization

Could you tell me if hair miniaturization on the scalp is possible without DHT? I am aware that hair does miniaturize a bit as we get older, also the reason I ask is because we always hear of hair loss linked to thyroid issues/other illnesses or vitamin deficiency,...

read more

Masturbation, sex drive, erections, and finasteride

Three weeks, I started 1 1mg Fin a day. I noticed no reduction in libido or mental faculty, I even masturbated 2+ times a day, I think my erection was occasionally a bit weaker though, could be in my head? Then in the last week, I moved to another country to start...

read more

What age can I have a hair transplant?

I appear to be following my dads pattern and so far, it’s turning out exactly to the way his hair went. He also has a pretty thick donor area (so do I), what would be an early age that would be acceptable to go through with a transplant? I’ve been told by a local...

read more

Interesting statistics on the importance of hair for some men

1- According to statistics (http://www.statisticbrain.com/hair-loss-statistics/) 47% of hair loss sufferers would spend their entire life savings to regain a full head of hair. 2- 60% said they would rather have hair above money or friends. 3- A whole 30% would rather...

read more

Can I fill in this thin area? (photo)

I really don’t understand but my head looks thin. Is this something that can be fixed in some way? I had a hair transplant one year ago. The density that you need to know is your donor hair density which will tell you how much hair can be moved to cover the area shown...

read more

Female with PCOS, should I be transplanted? (photo)

I would rather suggest that you consider a non-surgical cosmetic treatment called Scalp MicroPigmentation which will address the problems shown with less cost and with almost immediate results. A hair transplant takes almost eight months to see results that will not...

read more

Questions about finasteride from a young man

(1) I know it can take up to a year to see results and possible regrowth. In terms of shedding however, will I immediately begin to see less hairfall upon taking the drug? (2) I know side effects are rare, but if I do get any how long should I continue to use...

read more

Post-hair transplant hair loss, shock loss

This is an example of a young man who had a hair transplant in the first one inch of the frontal area and in the crown of his head. His hairline was perfectly restored and he loved it. During the year following the hair transplant, the hair that he had behind the...

read more

Depleted donor area from 4000 FUE grafts

A 4,000 graft FUE surgery, with lower than normal hair density, will produce a depleted donor area as shown in the photo. The see-through look shown may be with him for the rest of his life. FUE is a terrific procedure but when done in excess quantities, balding in...

read more

Diffuse Unpatterned Alpecia (DUPA) (Photo)

I have a Class 3 balding pattern (just corner loss) and I went to a hair transplant doctor who offered to perform 2000 grafts in the front to address the balding area. It seemed to me that I was thinning outside of my frontal balding area. The doctor who offered me...

read more

I want a hair transplant but!

I understand the reason people say you must go on fin, is to stop their hairloss. But I really want to keep my libido. Lets say I get a transplant and don’t go on finasteride. I probably could have a nice hairline for a few years, then I will start to look weird. But...

read more

Suicide from Hair Loss

We’d both be 19 if he was still here. We were pretty alike. Both were studying together. Life bummed him out but not that much. Then hair loss hit. He started losing hair all over his head. Every doctor just said it was aggressive hair loss. His worries become...

read more

Diffuse Thinning

Does diffuse thinning only happen at the crown? Or can it happen all over the head (sides and back)? Also, if you are diffuse thinning or balding in general, can the sides and back become softer (individual hair becoming weaker and not as thick)? Or should the back...

read more

Unusual localized crusting may be necrosis

My advice would be to not pick the crusts and return to your doctor. This patient should leave shampoo on the area for 15 minutes and then gently roll with the crusts using his finger once the crusts are water logged. This should be repeated twice a day. I am...

read more

Can I transplant this accident scar?

This is an unusual scar. You can have it transplanted and then wait it out for a full eight months when you should see 80 per cent of the hairs growing. If you are not happy with it after 10 months, then maybe another transplant might be indicated, depending upon if...

read more

Tugging on a transplanted hair

I am curious as to the strength of a transplanted hair versus a natural hair. Lets say, a transplanted hair 1.5 years post the hair transplant surgery. If the transplanted hair was tugged on, would it be as strong as a normal hair, or is the transplanted hair always...

read more

Balding is progressive

I’m 26 years old, 27 in October. Until around the end of last year, my hair loss hadn’t been very bad at all and was progressing much slower than the other men in my family. I was about a 3A/3V until I started noticing a bald patch appear on my crown about 4 months...

read more

Drug turns gray hair brown or black

Cancer patients’ gray hair turns brown while taking new immune drugs Associated Press Published: July 23, 2017, 7:30 am This undated combination of photos provided by the Journal of the American Medical Association in July 2017 shows a cancer patient with gray hair...

read more

Tattoos travel through the body

Tattoos: Does ink travel through your body? Published Friday 14 July 2017 By Yella Hewings-Martin, PhD 0 The body stores tattoo ink in cells and between collagen bundles in the dermis. But some pigment particles go on a longer journey. What happens when tattoo ink is...

read more

Patients who respond to finasteride (many photos)

Dr. Robert Bernstein has put together a terrific group of before and after photos from people who used medications such as finasteride, without surgery. Look at this link: https://www.bernsteinmedical.com/medical-treatment/patient-photos/ The post Patients who respond...

read more

Am I balding?

These are great pictures. You have not developed a mature hairline yet, but there is a suggestion in the corners that you may be moving your hairline up. This may not be balding as you may be transitioning into a more mature hairline. A hand microscope will help to...

read more

Itching after a hair transplant

I have been itching and trying to avoid scratching my head. I use minoxidil and various lotions but without effect. Suggestions?? Minoxidil is an irritant and it can cause problems, but itching can be a sign of healing. I recommend that you never scratch the graft...

read more

If there was no balding, what would I look like?

I had a question regarding hair loss. In a perfect world, if hair loss did not exist, would males just have just a mature hair line which doesn’t indicate hair loss? Yes, but 95% of Caucasian men develop a mature hairline, less among among Asians, Indians and Africans...

read more

Do I have an infection? (photo)

I had a hair transplant three weeks ago and these pimples bother me a great deal and they look horrible as well. What should I do? This could be mild folliculitis. Go back to your doctor. He will probably want to lance one of these pimples and see if any pus comes...

read more

How can I prevent shock loss?

Shock loss is an acceleration of hair loss after the stress of a hair transplant. It is more common in younger men in their 20 and less common in men as they get older, like their 40s and 50s. The best prevention of it is the drug finasteride which seems to protect...

read more

I want to tell you about my hair transplant

I ended up having the operation and have been very happy. You will be pleased to know Dr. Rassman that my doctor showed me your 2003 paper initially describing FUE (as he knew I was also in academic medicine). He certainly has a great deal of respect for you. On the...

read more

Why don’t women lose hair?

50 percent of women over 50 have thinning hair. So they are not immune. Their estrogens support their hair and when the estrogen levels drop with menopause, the androgens take over and the genetic that impact men start showing;,however, most women do not develop...

read more

Widows peak, why is it there since I was 13?

I might have even been younger than that I just remember 7th grade biology we were learning about genetic traits such as widows peaks and when I pulled my hair back the whole class noticed my pronounced peak. This was hidden until college as I always had long hair...

read more
The Temple Peaks can be lost due to balding

The Temple Peaks can be lost due to balding

The temple peaks can be lost independently from the balding process. I noticed that Ronald Reagan lost his peaks well before he became an old man but he kept a full head of hair. I also transplanted many full Class 7 balding pattern patients who kept their peaks...

read more

Depleted donor area from too many FUE grafts

I went to Turkey and had about 4,500 grafts. Now I can see that my donor area is see-through. I am now one month since my surgery and I want to know if it is going to get better? You should wait a period of 6 months from the time of your surgery. If it is not better,...

read more

How many grafts would it take to fix my hairline

I am 29 years-old and would like to bring my corner hairline down. How many grafts will it take? The number of grafts used in a hair transplant is dependent on the characteristic of the hair (fine, medium or coarse). Fine hair need more grafts and coarser hair need...

read more

Took Finasteride and lost some beard hair

I was on Minoxidil for six months and got good filling in pretty nice. With its use on my scalp I saw minor improvement. Two months ago, I started to use Finasteride and noticed my beard became patchy again almost like before I started using the Minoxidil. I want hair...

read more

21 Year-old African-American with thinning hair

If you are under 25, you should never consider a hair transplant. I would try the drug Finasteride as it may reverse the early thinning I see. This would also be true if you were over 25, giving you a try to reverse it without surgery. African hair is better than...

read more

18 and my hairline is receding

I’m only 18 and just wondering if my hair looks like it’s starting to recede or not. I know I have my dads hairline but my dad is bald and that does creep in my head sometimes as he started balding in his 20s. Both my grandfathers have most of their hair. And my...

read more

When would I be a candidate for an FUE?

I have a few questions I hope you all can answer. What age would be reasonable for an FUE to be done? Do I look like a good FUE candidate? Where would I fall on the Norwood scale? My biggest question, if I was to have a procedure soon can I implant in my crown or just...

read more

Scalp MicroPigmentation (SMP) to cover FUE Scars

This patient had visible FUE scars that he wanted to conceal. To accomplish this, we performed Scalp MicroPigmentation on the donor area with great results. FUE is a terrific procedure but it does form many very small scars for each follicular unit that is excised....

read more

My penis got bigger on Finasteride

This worried me as I have read that most people who complain about their penis size, find that it shrinks on Finasteride. I believe from what I read that some people get an increased testosterone level when they take Finasteride. I don’t really understand the...

read more

Where Are the Temples (with photos)?

Hello doctor, I have a 2 part question: I am confused about the location of temples. I’ve been reading many of the previous posts here and I’ve heard you say a few times that people get the temples/corners mixed up and that the temples are above the ear. What I would...

read more

Hair Loss From Hair Color?

I have hair loss. I also us an herbal hair color. Is using hair color promoting hair loss? Hair coloring agents only impact the part of the hair follicle which is essentially the visible hair located on the head. Hair represents highly compressed skin which is not...

read more

Depleted Donor Area From FUE (with photo)

I am seeing more and more patients with depleted donor areas and thinning/balding in the back of the head where the hair formerly looked normal. This can be avoided in FUE by controlling the number of FUE grafts excised. It can only be treated with Scalp...

read more

40% Of Adults Will develop Diabetes

“About 40% of US adults will develop diabetes, primarily type 2, in their lifetime, and over 50% of some ethnic minorities will be affected” according to the Centers for Disease Control and Prevention (CDC) and Emory University, Atlanta, Georgia, published online in...

read more

Bald Scalp Lacks Progenitor Cells

Interesting article : Bald scalp in men with androgenetic alopecia retains hair follicle stem cells but lacks CD200-rich and CD34-positive hair follicle progenitor cells. This is exciting because this means that the critical elements for creating the mature hair...

read more

Measuring Hair Bulk After a Year on Finasteride

Doctors, I’m confused as to what Haircheck is and how it’s different from the miniaturization mapping. Can I get some more info please? I’m going to try to clarify the usefulness of this tool as best I can. I saw a patient (we’ll call him John) that came to see me...

read more

Dreadlocks and hair loss

I am white female in my early 30’s. I had dreadlocks for 10 years and cut them off because of the same problem, the twisting and weight was too mich and caused permanent damaged. I loved my hair it grew down my calves and to cut it was a hard decision. I cut them 7...

read more

Minoxidil in a young girl

I am 19 year old girl..started using minoxidil when my hair started falling at tremendous rate…i used it for around 3 months and then stopped using it…again hair started falling….and I again switched to minoxidil. Now, I have been using it for around 3 months. I read...

read more

Pain from FUE

Hi I’m getting this horrible pain after FUE. I know its been some time please let me know how long does this pain last its been 4 Weeks now I am still with burning sensation and pressure pain all around my donor area and face You should go back and speak with your...

read more

Is this soccer player balding?

I don’t like this soccer payer’s hairline as the corners go up too much. My corners do not go up so high. What do you think? http://static1.purepeople.com/articles/9/60/29/@/20727-zinedine-zidane-637×0-1.jpg I think that he has developed a normal mature hairline....

read more

Post operative question on wound washing

I just had anFUE hair transplant 4 days ago in Thailand by a good surgeon who is a ABHR member also, they advised me to spray the recipient area hourly for 3 days while I was awake, but for some reason I missed that part and for the first 24 hours after surgery I...

read more

I just hit puberty at 20

Basically I remember that I hit puberty later than my peers, when ohers grew pubic hair,etc. I had literally 0 hairs everywhere else. People tell me today that I look like 17/18 eventhough I am 20 so I am wondering if I should wait with fin or not. I haven’t been...

read more

Studies on Rat Penis with Finasteride

Would you tell me what you think of this article? https://www.ncbi.nlm.nih.gov/pubmed/22375859 I get these types of emails from many patients. I have no idea what they mean except for the rat. There is no evidence that this is a problem in humans who take Finasteride....

read more

Am I balding (with photos)?

This handsome young man had a hair loss consultation with me because he believed he was losing his frontal hairline. He came to see me because he thinks he is losing about 100 hairs each day. As part of the examination, we used the HAIRCHECK instrument to determine if...

read more

Can one start balding in their 30s or 40s?

I have a friend who just turned 36, who says that he had a “thinning” phase when he was around 22-23 where he said his hair noticeably changed in texture (became thinner and weaker). He’s not on Finasteride or anything but for some reason his hair loss essentially...

read more

I am a non-reponder to finasteride

I was hoping that you’d be able to give me some feedback on my situation. I have been on Finasteride for the last 12 months of so, to counteract frontal loss. I have continued to thin out all over in the past year. I tried to remain diligent.. In this 12 month period,...

read more

Repair of hairline transplants (photos)

This patient had two previous hair transplants at another clinic and did not achieved his goal. Not only were the results of these transplants thin and see-through but the leading edge of the hairline had two and three hair unit grafts that made it look “pluggy” and...

read more

20 and wants a hair transplant

I’ve currently been on Finasteride for 3 months now, and Minoxidil for 5. My hairline is starting to regrow extremely slowly, but at the same time i’m not sure it will come back. I also would like to see if it would be possible to lower my hairline with FUE procedure...

read more

Successful Penis Transplant in Boston

http://www.medscape.com/viewarticle/880910?nlid=115421_1381&src=WNL_mdplsnews_170602_mscpedit_surg&uac=128368AK&spon=14&impID=1360157&faf=1 This was a very impressive achievement for both the surgical team and the patient. Feeling good about oneself is critical in...

read more
Miniaturized hairs and how they develop

Miniaturized hairs and how they develop

Is it normal for hair to thin towards the root in a single strand during the balding process?  Looking at the photo below, can you tell if there any miniaturized hairs? Let’s say the hair is on average 10 inches long and that you can easily tell towards the root it is...

read more

Gabapentin and hair loss

I started taking Gabapentin at 600mg a day seven months ago and noticed my hair has been coming out bad. At first I thought it was Keppra I was on but I stopped that in November and it just continued. It never occurred to me that it might be the Gabapentin because I...

read more

Are Your Family Jewels Getting older?

As men get older, the risk of producing children with a variety of defects rises e.g. Autism, Schizophrenia. Although this risk doubles, it is still very small (in the order of 1 percent rather that 0.5 percent). To balance this negative, men over 40 are likely to...

read more
2 days after 1534 FUE grafts (photos)

2 days after 1534 FUE grafts (photos)

Take a careful look at the donor area as it is almost healed in just two days. That is because we use small instruments that facilitate fast healing. The recipient area is also clean of crusts which means that he will look completely normal possibly as early as the...

read more

Early Diagnosis of Alzheimer’s Disease

The following report came from the Alzheimer’s Association International Conference (AAIC) 2014 by Medscape Medical News: “A Simple Eye Tests to Detect Alzheimer’s Disease in the Works” COPENHAGEN, Denmark — Two novel, noninvasive, and relatively simple eye tests show...

read more

Being young and balding

I would like to keep hair forever. But you don’t understand balding in the early 20s. Your choice of women falls greatly. I shaved my head once and got less attention from women. I look better with hair makes me look young because I am. I just want to enjoy life right...

read more
Scalp Necrosis from a Hair Transplant

Scalp Necrosis from a Hair Transplant

These pictures show the problem of packing the hair grafts too close. The blood supply in the center of the scalp does not have any large blood vessels feeding this rea but has small tributaries from the large vessels from the front, back and side of the head. All of...

read more

What Vitamins Should We Take?

IN 1911, Polish chemist Casimir Funk made one of the most influential biomedical discoveries of all time. He learned that a disease called beriberi affected those who ate a diet of mainly white rice, but not those who ate mostly brown rice. He isolated a chemical from...

read more
Another Happy Patient

Another Happy Patient

This patient came in, now 49 years old, with the hairline he had when he was 20. He loved his new hair, something that can only be done by a good hair transplant. Note the normal appearing hairline, so normal in fact, that no one ever knew he had it done despite the...

read more

Can Divorce Lead To A Broken Heart and Hair Loss?

“People who divorce face a higher risk of acute myocardial infarction (AMI) than those who remain married” said an article published online in Circulation some time ago as shown in a website for the Journal of the American Heart Association. The overall risk of death...

read more

Denmark Stem Cell Clinic

I spent about an hour reviewing a Denmark based hair stem cell clinic with offices around Europe. What I saw was flamboyance with 8 start offices, some out of a castle, very impressive spokesperson, communicative in multiple languages including English, and lots of...

read more

Genetics of hair curl

The following is a quote taken from the 23andme website. This is a most interesting site as it allows you to look at some of your similar genetics to other people in the general population that also participated in this set of genetic tests. I took this test about...

read more
Take a look at my results from your FUE doc!

Take a look at my results from your FUE doc!

This patient had 1400 FUE grafts 18 months ago and is thrilled with the results. Now he came in because he wants temple peaks which was not his interest 18 months ago. As you can see from his after picture, he does not have any temple peaks present on the side...

read more

What if a cure for hair loss was found?

Let’s say one has been going strong on Finasteride for a couple years now and he experienced a great amount of regrowth. Let’s also say that a new treatment for MPB has been found, proven to be better than Finasteride. Would it not be recommended to stop using...

read more
Scalp scar from forehead lift

Scalp scar from forehead lift

This man had a forehead lift and was left with a scar that runs ear-to-ear. His scar can be concealed with Scalp MicroPigmentation.  A hair transplant would work well to address the frontal recession of his hairline.   The post Scalp scar from forehead lift appeared...

read more

Finasteride and brain effects

Finasteride not only decreases the conversion of testosterone into DHT but also nearly a dozen reactions as you can see here: https://en.wikipedia.org/wiki/5%CE%B1-Reductase#List_of_conversions This study looked at PFS patients and determined that compared to healthy...

read more

Smoking and hair loss

I have been loosing my hair evenly for about four years. I quit smoking for about 6 months and noticed my hair had stopped falling out and was definitely filling in. I started smoking again about two weeks ago and the whole process started again . Needless to say I’m...

read more

Stress, surgery and drugs can cause hair loss

I am so thankful I found this site, as many have already expressed. I had my 8th back surgery on 2-28-2017. Things went wrong, and I hàd severe leg pain from nerves. They put me on this drug and I just started to notice a ton of hair falling out. I have such thick...

read more

Hair loss from Head and Shoulder’s Shampoo

I am 18. I had very thick and dense hair. I was facing slight hairloss. I started using Hair and shoulders. And I started loosing crazy amounts of hair and started going bald in front region. Now I am quitting head and shoulders. lets hope for the best. At 18, you may...

read more

Minoxidil side effect

I have been on minoxidil foam for just 2 months and have had off and on red ears and getting dizzy and lose my balance have now developed constant ringing in both ears for 2 weeks now… I am going to stop the foam today…. please help if you have had the same problem???...

read more

Finasteride not working, should I add minoxidil?

On fin for almost 2 years now and Finasteride worked amazing for the first year then miniaturization started again. I went on Dutasteride, but got breast pain and had to stop it. My doctor told me to try minoxidil in addition to going back on finasteride, what do you...

read more

Could I have Alopecia Areata?

I am a 22 year old male living in New Zealand suffering diffuse thinning localized in the occipital region of my scalp. Dermatologist is stumped, he believes it could be alopecia areata but as the thinning is diffuse (uncharacteristic of AA) he is not able to provide...

read more

Lack of bloodflow causing baldness, myth?

Can smoking cigs mess up your mpb from reduced circulation? Smoking may have some effect on the blood flow to the scalp but there is no evidence that it accelerates the balding process. Stress is; however, known to accelerate the balding process and people who some...

read more

Increase sex drive on finasteride a real problem

I am a user of low dose Finastride (0.25 mg). I experienced high sex drive after 8 months. I don’t have impotency. I masturbate double my usual amount. After masturbating, I feel exhausted, depressed and can’t think straight for several hours. Is masturbating less the...

read more

Do I have DUPA?

You have what appears to be diffuse thinning from the view in the photos below, but to make the diagnosis you need a microscopic examination of the donor area to quantify the degree of miniaturization that is present in the donor area directly at the bottom of the...

read more

Dr. Oz runs Hair Restoration Scams on his TV Show

Much of what was said is correct with proper warnings. The video is worth looking at. If you stay on, there are multiple segments to it. http://www.doctoroz.com/episode/oz-investigates-hair-restoration-scams-how-far-would-you-go-reverse-your-thinning-hair The post Dr....

read more

Picture of depleted donor area from FUE

People see the FUEs from Turkey in the 5000 range and somehow this has created a standard world-wide that is unwarranted and unearned because many of these men get depleted balding areas with worse scaring than had they had a strip surgery. The picture below is an...

read more

I am on Propecia and I wrestle

I am on Propecia and I wrestle and after a match, I notice that my hair is falling out more than at other times. The Propecia seems to help a little. Should I stop wrestling to avoid more hair loss? I never think that one should give up the important things in life to...

read more

Marijuana may benefit brain cognition

“Treatment with tetrahydrocannabinol (THC), the activate ingredient in marijuana, can restore cognition in old mice and induce molecular changes that make them more similar to young animals, scientists reported today (May 8) in Nature Medicine. Previous studies have...

read more

New Discover has great promise for hair loss cure

“The study conducted by UT Southwestern Medical Center in Dallas said the scientists made the discovery by accident while researching how certain cancer tumors form. Researchers said they found that a protein called KROX 20, commonly associated with nerve development,...

read more

Association of aging, graying and new skin cells

Reader points to interesting article: http://www.utsouthwestern.edu/newsroom/news-releases/year-2017/may/gray-hair.html The research also could provide answers about why we age in general as hair graying and hair loss are among the first signs of aging. This is all...

read more

Is Evolis effective for regrowing hair?

Thought I would share my experiences with evolis. I was a little skeptical at first however I have been doing a bit of research online and seen a few new papers about the protein FGF5 and how it controls the hair cycle in humans....

read more

Finasteride and Fertility

I believe the study showed that sperm count went down after being finasteride in all subjects. But stopping for six months showed an increase in sperm count. However sperm motility did not go back to normal after six months. Is my understanding true? Can finasteride...

read more

Article promoting PRP

http://stemcellstm.alphamedpress.org/content/early/2015/09/23/sctm.2015-0107.abstract The single best test for hair regrowth is the HAIRCHECK test which measures actual bulk. Photographic evaluation is not accurate, in my opinion, in determining the effects for the...

read more

Cord Blood Rejuvenates Old Blood

Multiple articles have been appearing in scientific and medical journal lately that show that the infusion of blood from young people into older people can improve brain function in people with aging diseases of the brain including dementia. In the recent issue of New...

read more

Am I balding (see my see picture)?

To answer this question, you would need to have a doctor check you with an instrument called HAIRCHECK which will show the hair bulk in different parts of your scalp with good clinical numbers ascribed to each measurement. If you were balding, it would take...

read more

Question about pill cutting of finasteride 5mg tablets.

I usually cut a ~10 day supply but the last couple of months. I feel like finasteride doesn’t do anything since I started doing this. For the first months I used to have watery semen and sometimes feel slight reduction of my sex drive but the last couple of months I...

read more

Stem cells may drive cancer

A Harvard researcher reported: “The promise of regnerative medicine to grow human tissue outside the body using pluripotent stem cells and to use that tissue to treat diseases such as diabetes has shown significant potential. But recent work by Harvard researchers...

read more

Scalp Micropigmentation (SMP) with Bold Look

This young man decided to shave his head and with the help of scalp micropigmentation (SMP) he looks like he has a full head of hair and maximizes this good looks. This is an option that is being taken up more and more by young men wanting a perfect looking head of...

read more

Questions about finasteride

I’m wanting to start taking fin but I have a couple of questions on my mind if you don’t mind answering. I have an inconsistent sleep schedule. Would there be much of an issue if my pill taking is not spot on 24 hours? If for example I take 1mg at 12pm and then the...

read more

Question about finasteride in women

I have a questions about finasteride. Is it something I could add to help with my balding? I already take 100mg of spironolactone daily. I have gone on/off spiro afew times d/t having kids but now haver had a hysterectomy so do not have to worry about any teratogenic...

read more

Questions about finasteride

I'm wanting to start taking fin but I have a couple of questions on my mind if you don't mind answering. I have an inconsistent sleep schedule. Would there be much of an issue if my pill taking is not spot on 24 hours? If for example I take 1mg at 12pm and then the...

read more

Question about finasteride in women

I have a questions about finasteride. Is it something I could add to help with my balding? I already take 100mg of spironolactone daily. I have gone on/off spiro afew times d/t having kids but now haver had a hysterectomy so do not have to worry about any teratogenic...

read more

Finasteride and loss of body and beard hair

I have an identical twin brother who never took Fin while I have been on it for four years. He has less hair than I do on his head so I guess the drug is working to stop my hair loss. He has a ferocious beard. I, on the other hand have a pretty light beard with no...

read more
2 years on finasteride in young man in early 20s

2 years on finasteride in young man in early 20s

Men always worry about hair loss and young men are hung up on the 3-4% risk of sexual side effects of the drug finasteride; but form time to time we see the huge impact of this drug on hair loss reversal in young men as shown in this photos of a young man on the drug...

read more

2 years on finasteride in young man in early 20s

Men always worry about hair loss and young men are hung up on the 3-4% risk of sexual side effects of the drug finasteride; but form time to time we see the huge impact of this drug on hair loss reversal in young men as shown in this photos of a young man on the drug...

read more

If I stop my finasteride and minoxidil

If I stop fin and or minox, is the rate of balding accelerated to greater than it would have been without trying treatment or just go back to pre treatment levels? thanks When you stop these drugs you go back to point zero, where point zero is the amount of hair that...

read more

If I stop my finasteride and minoxidil

If I stop fin and or minox, is the rate of balding accelerated to greater than it would have been without trying treatment or just go back to pre treatment levels? thanks When you stop these drugs you go back to point zero, where point zero is the amount of hair that...

read more

What are the long term side effect of finaseride?

The immediate possible side effects is one issue, but I'm curious about long-term effects down the line. I know that low DHT levels has been associated with poor cognitive skills as men get older. Aside from that, what are the long-term effects of having this chemical...

read more

Testicular pain on finasteride

Many people with side effects who are persistent and stay on the drug often find that their side effects eventually go away. The decision to take this medication is, of course, yours. Without side effects, it is an easier decision, but with such side effect, if they...

read more

Breast pain with finasteride

I took finasteride 1,25mg daily for a month. After a week or so I started to have gyno symptoms: stabs of pain in my chest, sensitivity in my nipples and general discomfort in my chest. I quit and after a couple of weeks I was fine. Decided with my derm to get back on...

read more

Finasteride sexual side effects reported

I'm about half way through my second month, didn't experience any of the ball ache associated with the first week. I had about a week near the end of month 1 where I had watery semen but it's returned to normal since. Throughout this week though I have experienced...

read more

Many questions about finasteride!

Since you have lots of first hand experience with this topic, I have a couple questions for you about hair loss treatments. I greatly appreciate you taking the time to read this: 1) Approximately how many patients have you prescribed finasteride? Out of these...

read more

Accutane and hair loss

I am sure you get a lot of similar hair loss messages but I am really distraught and was wondering whether you could give me some advice on my situation. I'm an 18 year old girl and went on an 8 month course of accutane from December 2015-August 2016. My hair started...

read more

Question:  Hello sir! I thought i'd reach out to someone who's actually a professional. So i'm 19 years old and definitely lost a lot of volume in my hair really quickly in the last few months. I started Fin 1mg almost a week ago now. Took 4 pills so far. However i...

read more

Does smoking cause balding?

Some doctors say that smoking reduces the blood supply to the scalp and causes hair loss in those prone to it through genetic balding. I don't believe that there is any evidence that this is true.

read more

Photos by young man on finasteride for one year

They say photos are worth 1000 words. The type of change here may be seen in men under 30, the younger they are, the greater the chance of having this happen.  Keep in mind, when genetic hair loss is very, very active leading to an advanced hair loss pattern at an...

read more

A New website for genetic balding testing

I have been contracted by the author of the site: http://hairlosstests.com/. The author is a geneticist and believes that the genes present that are detected by the saliva tests performed through the 23&me website, may predict your hair loss pattern.  Of course, we...

read more

A letter from a very happy patient

"I thought I would share my hair story with you. I am sure you hear many stories like this one. After the hair transplant grew in, I felt different, more confident, more self-assured. People told this to me but, to my surprise, no one noticed my hair transplant. You...

read more

Phone Call I want to share

I patient of mine, a very straight laced accountant, had two hair transplant procedures performed by me some years ago. He had been pushed to get into 'working out' by his kids, so he went to a gym and got a trainer. During their 'get to know each other session' she...

read more

Depleted Donor Area from FUE Over-harvesting

This patient had a localized harvest of his donor area with FUE. The area extended outside the permanent zone of hair which means that the patient has had hair moved from areas which are not permanent and that the harvest with FUE may have been too great.  We see this...

read more

Will Finasteride mess with my hormones?

Finasteride does change the entire testosterone metabolic pathway. We know, for example, that people taking finasteride often see a rise in their testosterone levels; however, the DHT hormone which is a metabolic product of testosterone metabolism, is a hormone that...

read more

Stem Cell Bank Now Open in UK

For those of us in the field of hair restoration, we have waited for the day when stems cells could be used to activate hair. In my previous post, I linked an article on Progenerator cells and their role in hair regeneration.  With the opening of this Stem Cell Bank...

read more

Suicide in a young man from hair loss reported

A balding college student reported that one of his classmates killed himself because he was balding. He apparently left a suicide note connecting his depression with his balding. This is terrible, but not totally unheard of. In my 26 years in this business, I have...

read more

Hair grown with progenitor stem cells

http://www.businessinsider.com/samumed-wants-to-regenerate-hair-bone-cartilage-2017-3?r=US&IR=T Here is a snapshot of what they said in the above article: "Your body is equipped with something called progenitor stem cells. These cells are in charge of repairing and...

read more

Sleaziest of doctors gets 10 years in prison

Justice was finally given out which should be an example to other doctors who think that their medical license allows them to extort money from patients by concocting diseases and then recommend treatment for profit.  Here is such an example: "Ophthalmologist David...

read more

Causes of cancer discussed in recent journals

The following was taken from the AMA news directly. Majority Of Cancers Caused By Random Genetic Mistakes, Researchers Say In “To Your Health,” the Washington Post (3/23, McGinley) reports research published in Science suggests “more than two-thirds of cancer-causing...

read more

Moth eaten scars following 5000 FUE grafts

We see this type of result when men have large FUE sessions.  There is little doubt that this is a vascular problem induced by the FUE technique. The good news is that we can treat this very successfully with scalp micropigmentation, but the hair will never come back...

read more

Dietary Supplements for Genetic Hair Loss

I have been asked over the past 20+ years if there is any dietary supplement that can be taken to treat Genetic hair loss. I have always said the answer to this question is NO.  Now a recent article in the Journal of Cosmetic and Aesthetic Dermatology published a...

read more

Two post op patients (with photos)

This patient had surgery yesterday. Other than the tape that is applied to his forehead to prevent swelling from working its way down, there is no evidence of the surgery from yesterday.  He had 1600 grafts from a combined strip and FUE surgery. He came in for his...

read more

Will a simple test eventually predict balding?

Genetic prediction of male pattern baldness. Hagenaars SP1,2,3, Hill WD1,2, Harris SE1,4, Ritchie SJ1,2, Davies G1,2, Liewald DC1, Gale CR1,2,5, Porteous DJ1,4, Deary IJ1,2, Marioni RE1,4. Author information Abstract Male pattern baldness can have substantial...

read more

One day post-op after receiving 906 grafts

I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like.  Each patient is different because of hair and skin color.  The lower the contrast, the less detectable it is, the grater the contrast...

read more

One days post-op 1303 grafts by FUE

I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like.  Each patient is different because of hair and skin color.  The lower the contrast, the less detectable it is, the grater the contrast...

read more

8 Days after 2380 grafts with photos

I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like.  Each patient is different because of hair and skin color.  The lower the contrast, the less detectable it is, the grater the contrast...

read more

Hair Loss and Vitamin D

My doctor told me that my hair loss was caused by Vitamin D deficiency a year ago. Since then I have been taking Vitamin D but the thinning hair I have did not get better. A vitamin D deficiency can definitely cause hair loss. Treating it can stop the progression but...

read more

Can I get back my original hair density?

Can I get back my original hair density?  I have attached a picture. To get and keep the original density for an area that large would require an extra-ordinary hair donor density present in less than 1% of the Caucasian population. But getting hair transplants to...

read more

Female hairline 1 day after hair transplant

The pictures below reflect a very beautiful top model who had a hairline transplant in the past that she did not like. The previous hair transplant surgeon did not understand the differences between male hairlines and female hairlines, nor the need to put very fine...

read more

Can a hair transplant be completely undetectable

The answer to this is ABSOLUTELY when done well it can not be detected as a hair transplant. This is routinely our style. We did hair transplants on my wife and my daughter-in-law and not only where they thrilled but the friends they told have come in to do it also....

read more

I developed Gynecomastia when I turned 13

I still have enlarged breasts and I am 18. I am also conscious about it, never going out without a shirt on. I never had it treated as my doctor thought I could live with it. My doctor told me that I would have to go through a surgery to fix the problem. My question...

read more

Can I hide my hair transplant?

Below are four patients (two of them are ours, two of them are not). The first reflects our transplant technique where we have focused heavily on what a patient would look like after they leave the office. This patient is just a few minutes after her surgery was...

read more

What is being a hair transplant surgeon about?

"Hi Bill! I really feel remiss for not checking in with you sooner after my last procedure, but somehow during the 6 month period that followed there was not much to say other than that the recovery period was pretty much text book and as you described it, would be;...

read more

Will Emu Oil regrow my hair?

Emu Oil comes from the flightless bird in Australia which the native aborigines killed and use the fat of the bird for all sorts of medicinal purposes. The oil is a mixture of monounsaturated and saturated and polyunsaturated fatty acids, some of which is used, when...

read more

Will I be fertile if I take finasteride?

Many men have successfully had children who were on finasteride. There is some concern, although not proven statistically, that the sperm count might actually drop while on the drug. We have seen sterility reports on the drug dutasteride, another more effective...

read more

AT 21, am I too young to get a hair transplant?

Yes, 21 is too young for a hair transplant because you will not know what is your eventual balding pattern at 21. If, for example, you transplant a receding hairline at 21, and then should develop significant balding by the time you are 26, you will have hair where...

read more

Setting hair transplant expectations

"I am almost 1 year since my hair transplant and I am very disappointed with the results". I have heard this before. Setting proper expectation that are realistic is critical between the doctor and the patient. From what this patient told me in his email, he did not...

read more

Will Propecia produce depression?

Depression is a known potential side effect from Propecia (finasteride). There are actions of the 5AR enzymes in many parts of the body and as it blocks the effect of this enzyme, the effects can be seen everywhere the enzyme exists which does include the brain. The...

read more

What is Post-finasteride Syndrome (PFD)?

This is a condition that is reported when a young man was on finasteride and developed sexual and other side effects that did not go away. This syndrome is highly suspect because of the litigation going on with Merck and two important observations: (1) The drive to...

read more

How many hairs are there in a hair graft?

Hairs grow in groups of 1,2 3,4 and occasionally 5-6 hairs per group. These are called Follicular Units. Most doctors transplant Follicular Units and for simplicity call these units 'grafts. When I do a hair transplant, regardless of the harvesting system (strip...

read more

JAK Inhibitor Drug Reverses Alopecia Areata

The use of JAK inhibitor drugs have been shown to be effective in the treatment of Alopecia Areata. Janus Kinase Inhibitors (JAK) are drugs which supress the functions of the JAK enzyme, a critical en\This is an inherited 'autoimmune' disease that causes the body to...

read more

Fat cells to treat scars

The University of Pennsylvania has been on the cutting edge of both (1) stem cell development for hair growth and (2) fat cell use in the treatment of acute scars producing reprogramming of cells in a wound. This is going to become a huge field with almost...

read more

Do all races of humans bald?

All races of males have male pattern balding; however, the American Indians whose ancestors came out of the Alaskan Bridge, have no balding present. This is most unusual because their ancestors have balding. There has been a suggestion that the absence of balding in...

read more

24 year old male with early maturing hairline

How do you tell the difference between hairline recession and early balding? The first way to tell is to measure the distance of the hairline from the highest crease in the furrowed brow. In this 24 year old, the hairline is just starting to rise from the highest...

read more

Technology Comes to Hair Brushes by L’Oreal

http://www.adweek.com/news/technology/loreal-made-smart-hairbrush-analyzes-beauty-habits-and-suggests-products-175350 Amazing way to sell hair products announced by L'Oreal. The hair brush listens to the way it works its way through the hair to report dryness and...

read more

Problems With FUE and Immoral Doctor Promotions

A number of patients (many under 30 years old) are coming in to our office and telling us that they only want one session of FUE transplants and don’t want more in the future, and it is because they see these advertisements on the internet that say that this is...

read more

Five days after 1400 FUE grafts with photos

This patient had an FUE 5 days earlier. What I want our readers to note, is that there is not only no crusting on the recipient area, but the donor area is completely healed, I get emails frequently which show terrible crusting after a hair transplant in the recipient...

read more

Value of HAIRCHECK instrument

Today I had an 18 year old man visit me worried about early frontal recession. My eyes told me that he was developing a maturing hairline and not balding. So to confirm my suspicions, I ran a HAIRCHECK test on him. What I found was an unusual reading, where the hair...

read more

New Hope for Alopecia Areata

A drug has been recently discussed in the Yale University news letter: "In 2014, King showed that tofacitinib, marketed as Xeljanz, could be used to treat alopecia areata. The new study confirms the validity of that report and builds a case for pursuing treatment of...

read more

Treating FUE scars with an FUE procedure

One of my patients asked if I could treat the FUE scars using FUE graft into the scar through another FUE. I smiled at him and ask what we would do with the new FUE scars created when treating the old ones, He got it! The only answer to FUE scars is Scalp...

read more

Erectile Dysfunction with finasteride studied

The study was released by the Britich Medical Journal which reported that the association of finasteride and Erectile Dysfunction when used for Benigh Proetatic Hypertrophy stated: "Our findings should be reassuring that the risk of erectile dysfunction is not higher...

read more

Doctor often do far more grafts than you need

Doctors often perform hair transplants with too many grafts recommended just to make more money from each patient. This is very common world-wide and something I see all of the time. I saw a young man that had 3500 grafts and lost hair as a result of the high number....

read more
SMP Will Solve The Problem of Thinning Hair

SMP Will Solve The Problem of Thinning Hair

It may seem like there are few options for women who are losing their hair. After all, not every girl can pull off a short hairstyle. The situation is not so hopeless, however. Even if wigs, special shampoos, and surgeries haven’t done the job, Scalp MicroPigmentation isn’t short hair specific!

read more

African Americans Who Want FUE – Beware

When an African American with a coarse, kinky hair wants an FUE procedure because he sees one of those straight, low, sharply cut hairlines in famous black actors or black athletes, they come to a hair transplant surgeon with what often turns out to be an unrealistic...

read more

Am I losing my hair?

This young man came to see me because he saw hair in the shower and on his hands and started to worry about hair loss. He did not see any balding or thinning nor did I. We did a HAIRCHECK bulk measurement and much to my surprise he lost 56% of the hair in the front...

read more

Topical Finasteride – How Does It Work?

To get the drug finasteride to be absorbed by the skin, is not simply a process of grinding up the pill and rubbing into your scalp. The scalp and your skin protect you from everything that could be harmful. So you might ask 'if topical finasteride is not simple to...

read more

Female Hairline Created

This is a woman in her mid-50s, who lost her frontal female hairline and felt less feminine. "Hair is so important to my sense of who I am and the woman in the mirror does not look like I want to look" she said to me. This is not an uncommon comment when it comes to...

read more

FUE: Shaving with Long Hair/How to Hide It

Follicular Unit Extraction or FUE is a popular form of harvesting hair grafts for hair transplant surgery, however it requires shaving your head to harvest the grafts. This is because you cannot pluck out individual hair follicles with your hair kept long. A very...

read more

Where do hairlines belong?

This was a very general question that was asked on the Realself website:  Here is how I responded to it. "I asked the same question a few years ago. To answer this question, I studied over 1000 children from 5-18 of both sexes and studied the hairlines from a...

read more

FUE Surgery With Photos Before and 4 Days After

This patient has an FUE procedure and the photos show what he looked like before it was done and just 4 days after the surgery. People who experience FUE with us are amazed how fast the marks of the surgery disappear and how normal they look in just a few days. The...

read more

All About Artas

We invented the two most significant components of the Artas® Robot long before the Artas® came to market and it was incorporated into the Artas® Robot for more on the Artas® Robot click...

read more

Grey Hair Gene?

On March 1, 2016 Nature Communications posted an article finally linking hair greying to a specific gene... “We already know several genes involved in balding and hair colour but this is the first time a gene for greying has been identified in humans, as well as other...

read more
Is Your Scalp MicroPigmentation Fading?

Is Your Scalp MicroPigmentation Fading?

I believe there are two issue with the fading of Scalp MicroPigmentation SMP in the first few weeks to months that applies to everyone: 1) In the first few weeks there is always some degree of fading as the top layer of skin exfoliates.  Any pigment on the epidermis...

read more

Hair Transplant FUE Trouble in Turkey

I had a FUE hair transplant from Istanbul Turkey 9 weeks ago was reported in Realself.com. What the patient reported appeared to be an infection. The man did not know where to turn. He tried to reach the doctors in Turkey but they did not return the call. Good medical...

read more

How many FUE grafts do I need?

There is a direct relationship between the size of a bald area and the amount of hair that has to be put into it to get the look of a full head of hair. I want the reader first to know, however, that the average person does not need to restore their original hair...

read more

I am 18 and started balding, should I get an FUE?

I think that I am losing my hair. I am 18 years old and wonder if I should get a hair transplant so that I won't look like my dad did when he was young. What you are asking is to get a hair transplant to prevent balding. That is absolutely the worst thing you can do....

read more
How Many Grafts Do I need?

How Many Grafts Do I need?

When asked ‘how many grafts’ do I need, what most people want to know is ‘what will be the cost?’ There is a direct relationship between the size of a bald area and the amount of hair that has to be put into it to get the look of a full head of hair. I want the reader...

read more