by Dr. William Rassman of NHI Medical
I got a hold of the operative note from the surgeon, and it was evident that the surgeon took out too much scalp and could not close the wound. The wound measured about 10 inches long and 2 1/2 inches high. When I first saw this patient the wound was infected and draining. He had asked his surgeon why his wound smelled so badly and was told it was normal. After a few weeks a pus draining on his pillow, he found me and came to my office. I leveled with him from the start and put together a plan so he knew what would happen to him. I treated the open wound and the infection over a few months. It finally healed with this terrible looking scar (something I expected and prepared the patient to expect). Working with Dr. Sheldon Kabaker, we placed a balloon expander in his head under the normal part of the scalp above the wound, stretched the scalp so that it would be able to cover this wound, and then, after 7 weeks of inflating the balloon twice a week in my office, we removed the scar and closed the wound. He looked great once it was completed with a wound that was barely visible. Unfortunately, he was ‘out-of-commission’ from a work perspective for about 5 months. He was a ‘high profile professor’ at a major university in Southern California and despite his education, he didn’t research his surgeon before selecting his initial doctor.
He ended up like he never had anything go wrong in the first place because when we fixed the scar, we also fixed his frontal hair transplant that were messed up by that same surgeon with hair we harvested from the expanded normal scalp. The take home message here is: Make sure that the doctor you select for your hair reconstruction procedure is credentialed and experienced, and knows what he is doing. Strip hair transplants are safe surgeries when done in competent hands.
Thank you for your reply doctor! I live in Germany and the dermatologist, who prescribed me Finasteride, had many patients and is really not bad in terms of hair and so on. She said, that none of their patients experienced further loss.
My plan was to stabilize my hair loss with Finasteride 1mg and keep applying Minoxidil foam 5% on my hair line. I wanted to do a small 2k graft transplant in my hair line when I am 25 in order to make it more „even“. But it seems like I should ditch this idea because my hair loss does not stabilize.
Everyone who does a hair transplant has further progression of hair loss over time. The reason that they do a hair transplant, is that they want hair and don’t want a balding appearance! They used drugs like minoxidil and finasteride to prevent further hair loss, which can slow it down considerably. By the time you are 25, your pattern should be fully detectable, especially with a HAIR CHECK instrument, that is, if you can’t see the final pattern. A good Master Plan must be created with a very good doctor who understands planning (not just how to do a hair transplant). I like to show men this picture because it tells very nicely that hair loss is progressive and you don’t want to get surprised if this is you: https://newhair.com/baldingblog/need-master-plan-think-hair-transplants-photos/
Finasteride is known to decrease sperm count. Although, even with a low sperm count, you can get a woman pregnant. If there is a problem, get a sperm count if you are on finasteride.
In just 1 week, 3 states considered bills to ban discrimination based on hair texture or style
(CNN)In just one week, three states around the nation introduced or advanced bills that would ban hair discrimination.
The recent bills come after ‘Hair Love’s’ Oscar
Nearly two dozen states are considering action
Struggled with aggressive hair loss since 19. Started the Big 3 in August 2016, and was a great responder after the initial 3 months shedding. After 2 years of being a thick NW2.5, in August 2018, I had a relatively big shed and expected this to grow back, but it didn’t. Instead I’ve seen my hair gradually thin out to baseline, and in the last couple of months below baseline. I’m currently a NW3 diffuse thinner, scalp just becoming visible under direct light when my hair is dry.
Would really appreciate advice for my next steps. Would getting my DHT level tested confirm whether fin has lost its effectiveness? If so, can anyone testify for gradually phasing dut into my regime until it replaces fin? Apart from slight loss of libido, I haven’t experienced sides on fin, but I am still afraid of starting dut at such a young age given the increased risk of problems.
The single best way to understand what is happening to you, is to build a Master Plan with a good doctor who specializes in hair loss. That doctor should start by establishing a base line with a HAIRCHECK test (https://newhair.com/baldingblog/haircheck-test-how-it-is-done-and-what-its-value/) , and then try various treatment modalities on your to find out what works bests. HAIRCHECK test follow-ups yearly tell how effective the treatments are. Eventually, some people can’t control the hair loss and end up as hair transplant candidates. A good doctor will not try to rush you into doing a hair transplant because he should treat you like one of his own ‘sons’– only recommending a hair transplant after you are 25 years old and have developed any significant balding.
Both of these young men had too many FUE grafts taken from their donor area and now, even with long hair, have what appears to be balding in the back of the head. Longer hair will help, but Scalp Micropigmentation (https://scalpmicropigmentation.com/scar-covering/) usually solves the appearance but doesn’t replace the missing hair in the donor area.
I am 6 months and 10 days after my second hair transplant and I am very satisfied with the result, I am starting to behave as if I had not done a transplant seeing myself very well, so I am no longer taking the typical precautions, for example today I have taken sun and unfortunately I have not put sunscreen on the head nor cap. The sun was strong enough today and I took it for about 2 hours, I am now seeing that a red blotch has formed on the upper part of the forehead just before the hairline, but NOT on the skin, that is right where the hair starts. skin, in that point, looks white perhaps because there are so many hairs now that have protected the head from the sun. This red stain on the upper part of the forehead clearly scares me a lot now though, even if it doesn’t burn. I am reddened in that point but I don’t feel burning. The questions I wanted to ask are: at 6 months, a possible sunburn of this type can make my hair fall out: the hair regrown until now with the second transplant? Or could it compromise the growth of future hair?
I would like to understand if at 6 months I can behave as if I had not done a transplant or if there are still precautions to take, thank you very much. I hope in your answer
Don’t worry. Just be more careful in the future to use a hat or a skin blocker. The skin from the transplanted hair came from the back of the head which never saw sun, so this skin has to get used to sun over time, so take it easy and use a blocker to allow the time for a transition.
It sounds like you’re way better off than me. I’m 31 and I’m pretty much a diffuse NW5 right now, and exactly 1 year ago I was pretty much a NW2 with some diffuse. I had massive hair loss over the course of one year. The amount of hairs I was losing every day when I had my hair super long were in the several hundreds. If you’re only losing a hair or two when you run your hands, or only 10 or so hairs in the shower, you should be okay. You can try to look into a LLLT helmet, I bought one back in November and have been using it pretty much all the time. Not sure how much it’s really helping my case because I’m in shit at this point, but for your situation it may be perfect.
Find out if you are really losing hair with a HAIRCHECK test ( https://newhair.com/baldingblog/haircheck-test-how-it-is-done-and-what-its-value/ ) and the build a Master Plan with a good doctor who cares about you, not your money.
Clearly you have male patterned balding with corner recession. It could have skipped generations.
A hair transplant surgeon is always motivated to meet his patient’s agenda. I have done such hairlines in men when pushed to do so. Many were actors that had an image that they needed. The fact that it could be done is critical and other than being very low, it still has a gentle V-shape and is found (at the mid-line) in his juvenile hairline position. Many people would find such a hairline too low. (taken from Reddit post)
Yes, most of the hairs in the donor area shown are miniaturized but a few are thicker showing the comparison from normal to miniaturized hairs where the miniaturized hairs exceed 20% by a large margin. To demonstrate the normal hairs, I placed an arrow next to them and as you can see there are only 5 hairs that have a normal thickness, the rest of miniaturized. That is how the diagnosis is made. It is always better to evaluated the hairs when they are cut shorter than sent here by this patient so it is easier to count both miniaturized hairs and normal terminal hairs.
This is what we do every day with speeds of between 1000-1800 grafts per hour depending upon the patient’s skin characteristics. The key to good results from FUE is good speed with accurate excision and no damage to the hairs in the grafts (shown here in the video), proper handling of the grafts from the point they are removed from the body, sorting them by sizes and quantifying any damage done, and then placing them into the recipient area with minimal trauma in a fast and expeditious manner in a short period of time. Note that many of the grafts contained more than two hairs. That is because the surgeon can select which Follicular units he wishes to excise. This is nicely done by Dr. Devorye showing the excision which always must be done by a surgeon (by law).
17M Hey yall, I took 1mg of proscar 2 weeks ago, I think I still have brain fog. Haven’t been able to sleep more than 5 hours this past week no matter what I did. Also haven’t been able to enjoy or laugh at the things I could just before taking fin. All of that might be completely unrelated to taking fin. Have there ever been cases of PFS or persistent side effects after just a single dose, and how does being as young as 17 affect the chances? It could be just in my head, I hope that’s the case, but I really just want to know how likely it is that taking a single pill of a hair loss drug could be divine retribution for my vanity.
Not possible. It has to be in your head, a Nocebo effect
I got a hold of the operative note from the surgeon, and it was evident that the surgeon took out too much scalp and could not close the wound. The wound measured about 10 inches long and 2 1/2 inches high. When I first saw this patient the wound was infected and draining. He had […]
Thank you for your reply doctor! I live in Germany and the dermatologist, who prescribed me Finasteride, had many patients and is really not bad in terms of hair and so on. She said, that none of their patients experienced further loss. My plan was to stabilize my hair loss with Finasteride 1mg and keep […]
Finasteride is known to decrease sperm count. Although, even with a low sperm count, you can get a woman pregnant. If there is a problem, get a sperm count if you are on finasteride.
In just 1 week, 3 states considered bills to ban discrimination based on hair texture or style By Harmeet Kaur, CNN Updated 7:24 AM ET, Sun February 16, 2020 A national effort known as the CROWN Act seeks to ensure protection against discrimination based on hair texture and protective styles. (CNN)In just one week, three states […]
Struggled with aggressive hair loss since 19. Started the Big 3 in August 2016, and was a great responder after the initial 3 months shedding. After 2 years of being a thick NW2.5, in August 2018, I had a relatively big shed and expected this to grow back, but it didn’t. Instead I’ve seen my […]
Both of these young men had too many FUE grafts taken from their donor area and now, even with long hair, have what appears to be balding in the back of the head. Longer hair will help, but Scalp Micropigmentation (https://scalpmicropigmentation.com/scar-covering/) usually solves the appearance but doesn’t replace the missing hair in the donor area.
I am 6 months and 10 days after my second hair transplant and I am very satisfied with the result, I am starting to behave as if I had not done a transplant seeing myself very well, so I am no longer taking the typical precautions, for example today I have taken sun and unfortunately […]
It sounds like you’re way better off than me. I’m 31 and I’m pretty much a diffuse NW5 right now, and exactly 1 year ago I was pretty much a NW2 with some diffuse. I had massive hair loss over the course of one year. The amount of hairs I was losing every day when […]
Clearly you have male patterned balding with corner recession. It could have skipped generations.
A hair transplant surgeon is always motivated to meet his patient’s agenda. I have done such hairlines in men when pushed to do so. Many were actors that had an image that they needed. The fact that it could be done is critical and other than being very low, it still has a gentle V-shape […]
Yes, most of the hairs in the donor area shown are miniaturized but a few are thicker showing the comparison from normal to miniaturized hairs where the miniaturized hairs exceed 20% by a large margin. To demonstrate the normal hairs, I placed an arrow next to them and as you can see there are only […]
This is what we do every day with speeds of between 1000-1800 grafts per hour depending upon the patient’s skin characteristics. The key to good results from FUE is good speed with accurate excision and no damage to the hairs in the grafts (shown here in the video), proper handling of the grafts from the […]
17M Hey yall, I took 1mg of proscar 2 weeks ago, I think I still have brain fog. Haven’t been able to sleep more than 5 hours this past week no matter what I did. Also haven’t been able to enjoy or laugh at the things I could just before taking fin. All of that […]