I had amazing hair often when a teen and so on, i didn’t go about feeling great every day cause my hair was great, i still depressed about things and so on…..Its crazy how the mind works.
I can tell you from 29 years in the hair transplant business that men, of all ages and all professions, feel better about themselves with hair. Many actors who made it in the movies that I did surgery on, think that their hair improved their overall confidence to do their jobs better. That is across the board for all men I have worked with.
“As a professional consulting engineer, I have been trained over many years to appreciate the importance in the details. For example, when I decided to investigate hair transplant options for myself, I took my time; the overriding litmus test, was “A bad hair transplant result is far, far worse, than having no hair transplant at all, at any price”. That principal first led me to start at the very beginning… Who developed the first successful thousands at a time hair transplant procedure that was a completely successful result? Wikipedia will lead you directly to Dr Rassman. He was the original pioneer in this thousands at a time hair transplant procedure. I was hoping to find a doctor who had been trained by Dr Rassman; and to my surprise, I found Dr Rassman was still practicing! I immediately arranged to see him, for a procedure. He was hands on for the whole procedure, including his office staff professionally trained by him to totally exacting standards. Before this, my long term hair stylist for many years had cautioned me not to get the hair transplant; he had seen so many horrible results in the past. So it was with great surprise my hair stylist upon seeing me the first time after the procedure, couldn’t believe how natural my new hair line looked! That is the best feeling when I heard my hair stylist’s disbelief. Apparently, hair transplant results in North America are getting worse over these years, as more and more “Less than competent” doctors are doing unskilled procedures, only for the money. Do not allow yourself to become another billable bad example of what not to do. Thank you to Dr Rassman and your amazing staff.”
This type of comment made my day and warmed my heart. He had 2460 grafts.
The use of your turban with the pulling that is created from the tight wrap is the most likely cause of the hair loss. If the loss has been there for more than 8 months, it is probably permanent and the only good treatment is a hair transplant. We see this commonly in Sikh men and have treated this successfully with hair transplants many times.
Male, 19, Sikh… formerly had long hair, suffering from Traction Alopecia and created an account specially just to post on here and take your guys’ opinion on what should I do regarding this. Feel free to recommend anything although I think minoxidil would greatly help me. from tressless
So I have traction alopecia and I have for a while from wearing extensions for years. I have four big bald spots in the back of my head. I don’t have the confidence to not wear my extensions but i need help to grow my hair back if possible. I figured I can wear my hair in different styles to protect the bald spots then stop when it all grows back. I just ordered women’s rogaine and wondered if there were anything else I can do. I am white and use clip in extensions
Traction alopecia, if prolonged with the pulling, will produce permanent hair loss. See a doctor who specializes in both Hair Transplants and Scalp Micropigmentation to see if there is an easy solution for you.
99% of men with hair loss have genetic causes for it. The best way to deal with it is to develop a Master Plan ( https://newhair.com/baldingblog/exactly-master-plan-going-look-like/ ) with a good doctor who is caring and understands you and the process that will keep the hair on your head for life. This is what I do. Find that doctor, get a HAIR CHECK test to get a baseline for your hair loss ( https://newhair.com/baldingblog/haircheck-test-how-it-is-done-video/ ), and then you and your doctor should work out just what will be done to keep your hair.
Your age has a lot to do with the drug decision. IF you are over 35, drugs are less important to hold on to your existing hair with a hair transplant. If you are 26, the existing hair is under threat of loss if your pattern is more advanced and you have not lost the hair that you are going to lose yet. These younger people do better on finasteride with a hair transplant because it holds on to the existing hair and prevents shock loss, which is a side effect common in men in their 20s who get a hair transplant.
I wrote about this here: https://newhair.com/baldingblog/selecting-hair-transplant-doctor/
This is a global approach to selecting any doctor for cosmetic work anywhere. We have monthly open house events for prospective patients to (1) meet many patients one-on-one and judge the quality of the work for themselves, (2) see a surgery live actually on the day of the Open House and (3) get a free consultation to get a Master Plan built for your hair covering short and long term hair loss possibilities. Few doctors will do this because dissatisfied patients come and can ruin such an event as happened a number of years ago where former patients actually picketed the doctor’s office. Your doctor should be proud of his/her patients and willing to bring patients for meetings to educate you. I also started doing this in 1993 at medical meeting where I brought my patients to teach doctors what a good hair transplant should look like. After many years, the ISHRS (International society) had established patient ‘live viewing’ sessions at every annual meeting. What is good for the doctor, should be good for you, the patient.
This report was produced to sell a larger report to businesses interested in the hair loss business segment; nevertheless, I have shown the introductory part of this report because it outlines the various problems that contribute to hair loss. If you look at the post from today called “AS Hairs Grow Longer, they lose their thickness’ just below, you can imagine that this technology can actually tell you what would be the impact of taking supplements as it can track the value of the supplements on your hair as it grows. It would be much less expensive to have a way to measure the value of the supplement rather than take it blindly, spending a lot of money moving from one supplement to another and never knowing it your approach to treating your hair loss is working or not. https://www.transparencymarketresearch.com/hair-supplements-market.html
Can you imagine having to walk around with this presentation? This man has to wear a hat all of the time because his hairline presentation is terrible. If he is a professional man or does something that will not allow him to wear a hat for his living, he is just out-of-luck. Selecting a doctor is critical. If this man chose to purchase a hair transplant because it was inexpensive, he not only got robbed, but his deformity has damaged him in every-day life. The good news is that a hair transplant performed by a good doctor can fix it, but it will take from 4-8 months for the new hair transplants to grow out. While he is waiting, he is stuck with this look. Maybe a frontal wig will work, but this runs the risk of hair loss, so he has to make sure that he doesn’t walk into another pot-hole.
I wana go back to the gym. Im 3.5 month on fin with super awesome results. I talked with my friend about it he said when u start to lift ur body produce more Test. More Test mean more dht even on fin. So how do i go back to gym?
Don’t worry about DHT when you lift weights. Just work out. The finasteride will hopefully take care of your hair loss and your work-out will not raise your DHT levels, causing more hair loss.
The first picture is from Dr. Robert Haber’s magnified study of a hair scan of a single hair on one of Dr. Paul Cotterill’s female patients. It revealed that hair thickness and shape changes as the hair grows longer. The measurement scan below demonstrates the changes in this 21 cm long female single hair. Telogen is on the left (the end of the hair cycle) and the start of anagen on the right (where the new hair started to grow out from the scalp) showing how the shaft thickness and bulk builds as the hair starts growing and is widest at about 14-15 cm (about 15 months into the growth of the hair). It is clear that the hair thickness is greatest at the 14 -15 cm. length of the hair in this female patient. Dr. Haber told me that this was a normal female hair and she had no symptoms of a hair disorder. Clearly we need to understand the various conditions that this technology is capable of showing us as hairs are evaluated with regard to many different treatments.
In the second chart, a hair shaft thickness is shown over its length and the researchers, Dr. Michael Rabin and Dr. Robert Haber show the impact of an event that occurred in this particular patient’s hair (which had grown out for 22 months) but the event occurred 16 months into its growth cycle. The large arrow shows pointing down shows the timing of the event and it this case it was a PRP treatment 6 months ‘in time’ prior to the hair being cut off at its base at 22 months growth. Note this hair’s emergence from the scalp (beginning of anagen on the right) and the point where PRP was administered 16 months into its growth cycle (shown with large red arrow pointing down). It is easy to see the point where the event occurred, but interpreting it is another story. Is this a good result or a bad one? Was the hair ‘healthier’ after the PRP injection. The graph suggests it was less thick, but maybe it was a healthier hair?
This is exciting research to me because now after seeing it, I would want to know the impact of drugs like minoxidil on a normal terminal hair, (we now believe that there is no impact), the impact of finasteride on a miniaturizing hair (we now believe it increases the hair shaft thickness) and the growth of a single long hair with the patient on finasteride over time (does the benefit build slowly or is it a one time hit?). I just loved the creativity of these clinical researchers in producing a tool that can expand our knowledge in what is still, at times, a ‘Black Art’ for, the treatment of hair loss. . (Ref: http://neoangels.net/ishrsboston/hairscan.pdf)
From Reddit: So, I recently did a AMA on hair transplant, answered many questions and reacted to several people’s stories. I want to make something clear to everybody interested in or planning a HT. Fin is mandatory. Unless you just want to correct a shitty natural hairline and have solid reasons to believe you have no MPB in your genes, finasteride is a must do. I mean, use common sense here: if you have receded from NW1 to NWX over the years, what do you think is going to happen over the next decade? Hairloss doesn’t just stop at 30, 40 or whatever. At best it slows down.
So, if you do a transplant, especially at young age as I did, and don’t prevent further loss you are at risk of being in a situation aesthetically far worse than just balding. You are literally at risk of getting thinning or bald spots behind your transplanted area. And you cannot work you way around it:
You cannot do surgery after surgery over the years to maintain a decent set of hair. I mean, you can… but this is totally sub-optimal. First, because you only have a certain amount of donor hair. At top density with no diffuse you have in between 9 000 and 10 000 donor grafts. That’s a a lot. But if your crown balds and get diffuse thinning all over (which is usually the case of people considering HT) this easily drops down by 50 or 60%. You cannot fully compensate it with body hair. Unless you are a gorilla you don’t have tons of body hairs and their regrowth rate is way poorer than actual hair (around 60% for chest hair). Second: because you would have to wait to get significant balding/thinning to perform another operation (see point below) so you would look stupid in the meantime. And third: it would cost you a fortune, especially if you are planning several op because you would want a top doc that would take extra care of your donor zone.
You cannot merge grafted hair into the native hair to give you some leeway in case hairline recedes further back. This is not how it works. Unless you have a severe lack a density you cannot plug follicles between the original ones. There is too much risk of damaging the latter, so no decent surgeon will agree to do that.
That being said, I think HT are great. I also think it is okay to have it young and potentially have several transplants if required, but imo that can only be done once you max-out the preventive treatments for hairloss.
I suggest the use of finasteride in most men who do hair transplants with us under the age of 35. That is when the hair loss is most at risk, more the younger you are. A condition called Shock Loss occurs after a hair transplant in younger men who find that they often lose a great deal of their miniaturized hairs after the transplant, thereby accelerating the loss factor. Finasteride usually prevent this from happening. Many men who refuse to take finasteride, have never tried it and assume that they will get sexual side effects, which of course if they believe that, they will. I also noted more recently that sexual side effects are more commonly reported, but I am not sure if that is because of the power or the market focus on sexual side effects and Post Finasteride syndrome which frightens many potential users away, or it is real. We may never know but in the first 10+ years of prescribing thousands of young men this drug in my practice when the drug was introduced (prior to the introduction of PFS as a potential syndrome in 2011), the incidence of sexual side effects were consistent with the Merck study of between 2-4% in my practice from 1997-2010. That experience has been echoed by many of my colleagues.