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All Hair Pieces / Systems related posts


I had chemo last year. I didn’t lose my hair but it did thin out, especially at the sides. In december I got hair extensions, after the hairdresser assured me my hair was strong enough. My scalp was slightly red & itchy at the sides and front where the extensions were, but now suddenly my hair at the sides has thinned out even more and I’m almost bald in places. Obviously I’m going to have the extensions removed asap but will my hair grow back? I read recently that if the hair/scalp is traumatised the hair may not grow back. Help!

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Hair extensions can produce traction alopecia (hair loss from constant pulling), which may or may not be permanent. Only time will tell. You may need to wait 6-12 months to know if the damage is permanent.

Tags: chemotherapy, chemo, hair extensions, hairloss, hair loss


Hi Doc,

i’ve been wearing a hair piece for the last year, im 22 and had a frontal hair transplant when i was 20. hair piece is my option because i dont think i will ever cover my scalp with a transplant.

however i would like to know if i can take Proscar while wearing a hair piece? i mean would i achieve the same results as other person not wearing it? and if i opt for a transplant and start from my crown, can i do it and wearing the wig for about 6 months till results are visible?

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When you say Proscar, I hope you mean Propecia or are going to cut the Proscar into 4 pieces. Proscar (prostate medication) is 5x the dose of Propecia (hair loss medication). A wig/hairpiece/toupee won’t effect the benefits of Propecia (finasteride 1mg), but depending on how you attach the hair piece to the scalp, it may produce more hair loss from traction (from the glue, clips, etc). I’m not sure how you’re attaching your hairpiece.

You had a transplant to the hairline at 20 years old and are wearing a hairpiece elsewhere? I’m a little confused. You need a Master Plan with a good doctor to take a look at what you are doing to yourself. As most hair systems produce hair loss from irritation, pulling with clips, or traction, you may end up where you do not want to be — bald. A good doctor will review what you did to yourself, assess the amount of damage you have caused and determine what should be done to address your hair loss problems.

Tags: proscar, propecia, hairloss, hair loss, wig, hairpiece, hair transplant


I am sorry to ask so many questions and I did try and search for the ones I have. If they are redundant, I apologize. Also, if you could keep my info as anonymous, I would appreciate it.

  1. For pricing is the $6 for 2,500 and $2.50 per session or per patient. As in: If you do 2,800 one session and 2,900 another. Would I still be paying $6 for 5,000 over 2 sessions or is it $6 for the first 2,500 and $2.50 for the rest, no matter how many grafts or session I have after?

  3. Second, I know you can’t technically answer this without a master plan. But I am going to be 23 in a couple months and my hairline is shot/receding pretty bad. I’m quickly starting to realize I may become a Norwood 3 to a 6. I’m still not sure yet. Anyways, no matter the Norwood I still want to start building a strong hairline. I’m impressed with the wig technology now, except for one thing…the hairline. If I would get an amazing hairline back and then wear a piece to hide the rest until something logical comes by, I think that would be the best option right now. If I saw you and you said I was a good candidate for this would you say this is a decent plan?

  5. Theoretically speaking, if I got one surgery with 2,800. Do I have to wait for the 2,800 to completely grow in the 12 to 18 month span to get another or could I schedule another session closer to the other a couple months later.

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TaxiI believe there is confusion with respect to the NHI surgical fees. That pricing applies to traditional strip surgeries performed by us in our Los Angeles office. The standard fee is $6 per graft up to 2500 grafts. Anything beyond 2500 grafts would be charged at $2.50 starting with the 2501st graft. So graft #1-2500 are one price, #2501+ are lower. Like a taxi ride, the meter starts all over again on the next trip.

Some men (who are completely bald) choose to have hair transplants in the frontal hairline so that they can wear a wig on the top and still keep a natural looking hairline. It could be a decent plan for you.

Generally, patients need to wait about one full year before they can have another hair transplant surgery. This is because we need to assess how the new transplanted hair has grown and also to make sure the donor scalp has returned back to its flexible/elastic state. Some people can accelerate that timeline to 8 months.

Tags: hair transplant, pricing, fees, wigs


I’ve worn hairpieces for years and have been generally satisfied with them. As I’ve aged (now in my 60’s) my side hair has also thinned considerably–but it’s still there and I wonder if anything can stimulate its growth? I don’t expect crown hair, of course, but thicker side hair would make wearing a hairpiece much easier and more natural, as there’d be a better base to “comb into”.

Any thoughts or suggestions will be much appreciated. Thank you.

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Usually you cannot thicken or regrow hair on the sides unless you have a hair transplant to add the hairs to those areas. Sometimes minoxidil might work. These are generalizations though, and your case may or may not be amendable to either of these two approaches. You should speak with a hair transplant doctor to get a better idea of what your options are.

There are significant number of patients who do have hair transplants to augment their hair piece. Some have hair transplants to the frontal hairline so that at the start of the hairpiece it would look more natural.

Tags: hairpiece, hair growth, hairloss, hair loss, toupee, wig


I have been reading your blog for quite some time and i see you repeatedly emphasis not to hold your breath on the baldness cure. I totally agree with you, my dad went to Europe in the 70s to talk with doctors and find a cure for his baldness the doctors then told him there may be a cure in 2 or 3 years! It has been 40years since then and i must admit he still has hopes that those 2 or 3 years is not far away!! Me on the other hand have no hope of seeing anything new at least till 2020 considering if the trials succeed by 2013 go for FDA approval.

So i have considered going for a wig or a hair piece, i just wanted to know what is the psychological effects that you noticed with an average person(non-celebrity) who uses a wig? Do they get addicted to it and would they be able to live without it after awards if they choose to lose it? Also how much emotional scare does it do if it comes of in a public place like a swimming pool?

What is your advice on the best hair piece available, which would look real and shows the scalp and not something that looks like a thick road kill.


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HairpieceWhile I do hope we see a cure for hair loss at some point, we’ve all been hearing the same story for decades. Who knows — 30 years from now, people might be having a conversation about how foolish we were in 2010 for hoping the cure was right around the corner.

As for the wigs / hairpieces… well, people all respond differently. There’s possibly the initial wave of confidence, but with that comes new problems you have to deal with.

The attachments used are critical, because you do not want to make the hair loss worse from traction alopecia caused by pulling of the hair under the hair system. Most people will shave the head under the hair system to minimize the impact of traction. There are clearly limitations with a hairpiece (like swimming).

Interaction with women is a problem if the lady wants to run her fingers through your hair… and gets the hair system instead. Most men who wear these pieces realize that there is a “no-touch zone” around their head and watch people carefully when they approach (especially women or relatives).

I really don’t have advice on where to buy them or what to buy, but judging by the amount of spam I get from wig vendors that read this site, I’m sure plenty of them will offer their 2 cents.

Tags: wig, hair piece, hairpiece, toupee, hair system, rug, hairloss, hair loss, cure


I went to this place to try cyberhair. They tied three artificial hairs to one of my own hairs and did this for a total of 100 hairs. After the procedure, there was pain in the area that they worked. A few hairs came out from the procedure. Is this legitimate?

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CyberhairCyberhair was developed by Aderans, a large maker of wigs and owner of hair transplant chains Bosley and Medical Hair Restoration (which has recently merged under the Bosley name). It’s just a type of synthetic hair fiber that is braided to your existing hair, a technique that has been around for many years.

The biggest problem in having artificial hair braided to your own is that in many cases it causes traction alopecia. This results in progressive hair loss from the constant tugging on the original existing hair.

Tags: cyberhair, aderans, hairloss, hair loss, artificial hair, weave, extensions, traction alopecia


What do you think of wearing hair systems or lace wigs..for people that are losing their hair?

I saw two companies that I am interested in and Do you think this is a good route to go..or should I purchase products and try to let my hair grow naturally. I have did my research for a year and these are supposed to be best sites or should I save my money and grow my own hair? I am just not happy with my hair and most hairloss products dont seem to work. Any help would be appreciated.

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I really cannot comment on those websites, because I am not an expert at wigs or hair systems. I do know some are great and some patients love them. You must factor in the cost, maintenance, replacement, and possible further hair loss as a direct result of using the hair systems/wigs (from the pulling, called traction alopecia).

I am certainly not against the idea of wigs, but if you’ve researched for a year already you’re probably in a better position than I am to make a recommendation between the two sites.

Tags: lace wig, hairloss, hair loss, female hair loss, traction alopecia, wigs


Snippet from the article:

Naomi CampbellHer wild behaviour is often shocking, but Naomi Campbell caused jaws to drop for entirely different reasons today.

The supermodel left onlookers stunned as she revealed a huge bald patch beneath her long luscious wig while on a fashion shoot for designer Dennis Basso in New York.

The 40-year-old has revealed signs of a vanishing hairline before, but the true extent of the problem was put on show as she held her hair back as a stylist adjusted her clothing.

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Read the rest at DailyMail UK — Just WHERE has Naomi Campbell’s hair gone?

This appears to be a bad case of traction alopecia, but perhaps she has alopecia areata? I couldn’t say without an exam. Traction alopecia is likely based on the wigs/weaves she has worn over the years in her modeling photo shoots, which produces a tight pulling on her hair and leading to the loss you see.

The above photo is from the article, where you can also find plenty of others. If this story sounds familiar, we previously wrote about Naomi Campbell’s hair loss when an article was published a couple years ago.

Tags: model, supermodel, naomi campbell, traction alopecia, hair loss, hairloss, celebrity


I have heard that there is a new technology call ADDHAIR. It adds fake hair to receding hair lines, balding areas etc. They said people can go swimming and engage in everyday activities with it. They also provide saloon service to make sure the Added hair and the still growing real hair blend together nicely. It’s expensive I think. What do you think?

Addhair site

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Hair weaves have been around for years and Addhair doesn’t appear to be any new “technology” judging from their website.

I recall one company that attached individual strands of synthetic hair to individual hair shafts used a specially developed clip. As your natural hair would grow, the clipped synthetic hair would be pushed forward with your natural growing hair. That particular company charged $50,000 for the first application and then monthly charges to keep up with the advancement of the hair. For weaves, the same things happens as your hair grows out: the weaved hair advances with your natural hair.

The problem with these techniques is that the weaves tend to cause traction alopecia (hair loss from the pulling of the weaves). The weaves can look great, but with hair loss as a complication of them, you need to beware. Costs are also very high for weaves.

Tags: hair weave, weaves, addhair, svenson, hairloss, hair loss, traction alopecia


Dear Dr. Rassman,

I’m a fairly young hair loss sufferer (23), and I’m currently evaluating my options. Finasteride gave me side effects, despite two trials (one low dose). As you’re no doubt aware, the remaining topical and internal treatments are either even more side-effect prone (dutasteride) or simply not very effective (almost everything else). I’m too young for transplants, and if my loss does progress to NW6/7 – which is fairly likely having started losing at 19 – I would be a poor candidate anyway. I have tried the shaved look, and it doesn’t work for me.

By process of elimination, I’m coming round to the idea of trying wigs. I’ve done a fair amount of research on them, and I have to say I’m fairly dismayed by your reports on the topic. You present the costs as astronomical, which they don’t have to be. Many use them for approx. $1000 a year very easily. You also critique them because of the shadiness of the industry. There’s no denying that it’s a dodgy business, but that’s precisely why you have to do research and shop around.

I’d contend that most of the criticisms you lay at the door of the wig solution could also be leveled at HTs. They are both only good options when you go to GOOD providers. Your posts are akin to someone posting about HTs saying that they’re overpriced, operated by con-artists, leave people butchered, and give poor results. These are true for bad HTs, but it’s not a legitimate reason to criticize the industry. I’d say the same of wigs.

I only write this email because, had I come to you before I’d done all this research, I might not have looked any further into them. I’m concerned that some for whom it might be a legitimate solution will be similar put off, given the exposure of your blog.

No big deal really, I’d just prefer it if you qualified your criticisms with the fact that while the wig route CAN be bad, it isn’t always like that.

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MoneyI am not against wigs / hair pieces. My point has been that it can be relatively expensive in the long run when comparing it to a hair transplant. In your case, if you pay $1000 a year, after 20 years you would have spent $20,000… which is much more than most people would spend for a hair transplant that lasts a lifetime without all the maintenance that wigs/hairpieces would require. Let’s say your hair transplant only costs $4000. That’s 4 years of wigs vs a lifetime of transplanted hair. To me, it seems like a waste of money. Of course you may not get the same density and fullness as a wig with a hair transplant, but that is one’s choice.

There are many people who live with a wig and there is nothing wrong with that. If you want to go that route, try it! In the worst case scenario, if you do not like it, you have other options. Some however get stuck on the wig system and find it hard to stop wearing it, as it becomes a drastic change in appearance. Some even do a combination of both wig and a hair transplant. They have a hair transplant in the front to achieve a natural looking frontal hairline and wear a wig to cover the top/back area. You also need to be aware of the traction alopecia risks, depending on how the hair system is attached.

At 23 years old, you may not be too young for a hair transplant. Each case is unique so I can’t say 100% without seeing you, I’m just pointing out that you’re not automatically disqualified based on your age alone. I don’t know what your pattern looks like at this point, but just because your loss started at 19 years old doesn’t mean you’re for sure heading towards a Norwood 6 or 7.

Tags: wig, hairpiece, hair system, hairloss, hair loss, hair transplant


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