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All Hair Pieces / Systems related posts


Could you please indicate why the following approach doesn’t seem to be option as far as I can see on the market?

I’m wondering why there are no companies offering to attach single strands of hair (real or fake) directly to the scalp using some type of bonding adhesive. No mesh or anything like that but bonding the miniscule head of a strand to the scalp with adhesive. These strands would stay attached during showers, etc. until one could wash out the attached hairs with a special shampoo that can break the adhesive bonds. Or even better if the bonds can break down themselves over a reasonable duration of say a few weeks.

Then one would proceed to attach “fresh” strands as required. It would be like going to a hairstylist except one would go to add these strands. This would avoid the non-breathing aspect of hair pieces and possible traction alopecia. I’m sure the cost may be relatively high for the manual work but it may be the only option for some people who have limited options. I can envision a machine that might be able to do this efficiently as well.

Is there no such bonding material for the skin available in the medical community that would last for weeks at a time? Thank you for your informative blog.

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Cyanoacrylate (more commonly known as Super Glue) is used in medical glues and can probably accomplish part of what you want. However, the skin does cycle and the top layer of skin often comes off, taking the glue with it. What you are describing would take a lot or work. Who do you imagine would do it if you couldn’t get your machine invented?

It’s fun to come up with new ideas, but this just doesn’t sound reasonable due to the time and effort to make it look natural. Hairs can’t just be dropped on the head randomly after smearing glue on your scalp.

Tags: hair piece, strands, hairloss, hair loss


Any comments on Charlie Sheen? These shaved down pics would indicate he probably wears a hairpiece. I am more interested, however, in if that frontal patch seems to be a thick transplant to enhance a natural look from the hair system?

Photos: without and with


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Charlie Sheen

The shaved photos of his head show that he has a strong frontal forelock (just like talk show host David Letterman) and shows a classic Norwood 3 balding pattern. When the forelock is strong, it may last into his old age. I would also have to assume that he wears a hairpiece, which is what we are looking at in the second picture.

Tags: actor, hollywood, two and a half men, sitcom, charlie sheen, celebrity, hairloss, hair loss


Snippet from the article:

Hair extensions should be banned, according to one of the biggest hair science groups in the UK.

The Trichological Society says a growing number of salons are offering to do them at a cheap price and some hairdressers don’t have the qualifications to put them in properly.

The organisation says that’s leading to more young women suffering from hair problems such as bald patches and alopecia.

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Read the full story at BBC News

While it is true that hair extensions can lead to traction alopecia, the idea of banning them likely won’t go very far. Groups like this issue a press release with some big proclamation (in this case, banning extensions), in hopes that a news organization picks up the story and gives them some notoriety. This follows a published report in the British Journal of Dermatology about the dangers of hair extensions. If anything, people should just be more aware of what possibly could happen if they decide to wear extensions in their hair.

Tags: bbc, hair extensions, traction alopecia, hairloss, hair loss


I am a 35 year aged female who has been wearing weaves for 2 1/2 years. I decided to grow out my perm so I can eventually have only chemical free hair. I have taken out my weave recently and have flat-ironed it to see how long it was and to get an idea on the health of my hair. My hair was not only brittle but very thin.

Is this a result of the sew in weaves? If so, is there anything I can do and/or products I can use to bring the health back to my hear and to a normal thickness? Please advise.

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Sew-in weaves can cause traction hair loss. Constant traction on your hair can cause thinning as it is being progressively damaged. This does not happen 100% of the time, but it is a common problem for women who wear their weaves tight or have a tightly braided hairstyle. If you lose the hair, it may never grow back.

Flat ironing your hair can also cause damage, particularly if it is already weakened from the weave. I would give your hair a full year to see if it recovers. At this point, patience is really the only thing I can recommend.

Tags: traction alopecia, hairloss, hair loss, weaves, braids, perm, chemicals


Hi Dr. Rassman,

I went to two clinics for hair loss consultation and both places are selling things such as overpriced shampoo’s, scalp massages to help blood circulation to regrow hair. They also try and sell packages that analyze your scalp to determine if the condition is suitable for hair growth and come up with a plan for regrowth, wigs/hairpieces, hair transplants. Or special hair dressers that style your hair a certain way to cover hair loss. Is this common for most clinics to offer all these options? Or are these clinics which I feel are complete BS or operate in a grey area and try to rip people off. What it seems to me is these “clinics” seem to milk money from poor unsuspecting people and when all their hair is gone they charge them for hair transplants? My understanding is the only way your hair can comeback is either medication or transplants. I guess what I want to do is warn people of these things IF these clinics are truly scamming you! Thanks

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Your warning is appreciated and you are expressing many of my opinions as well.

In my practice, I only sell hair transplants and Propecia (at cost). We do sell DermMatch (camouflaging agent), but suggest that this can be purchased through the internet without the small fee that we charge just to keep it in stock. I sell no shampoos, wigs, hair lasers, or any other hair aids.

Tags: scalp massage, hair lotion, wigs, hairpieces, hairloss, hair loss, propecia


Snippet from the article:

Former tennis star Andre Agassi has admitted the lion mane-style hairstyle he sported during the 1990s was actually a wig, in extracts from his autobiography published in British newspapers Saturday.

Agassi said he wore a hairpiece held together with pins in his first Grand Slam final, the 1990 French Open final, and blamed his concerns that it would fall apart for losing the match to Andres Gomez.

Before the match he prayed “not for victory, but that my hairpiece would not fall off”, he writes in “Open”.

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Read the rest — Agassi admits mane was a wig

Well, coming clean about his wig-wearing days is certainly one way to sell books. Here are some before and after photos for those that might not remember him with his mullet wig in the 90s:

Andre Agassi
Tags: wig, hairpiece, tennis, celebrity, andre agassi, hairloss, hair loss


The Wall Street Journal looks at various toupees/wigs/hair systems/rugs. Here’s a snippet from the article:

Business was booming for sellers of men’s wigs back in the day—but that day ended in the 18th century. For a 21st-century man looking to conceal hair loss or to make a fashion (yes, fashion) statement, the choices are limited. That’s because about 75% of all wigs sold in the U.S. today are for women, according to hair-industry experts.

The men’s ready-to-wear wig industry is under assault from two angles. The growth of hair-replacement systems, where a product is custom made and fitted to a client’s scalp, continues to take market share. And many men no longer care that their hair is falling out because the shaved-head look is increasingly popular. Instead of concealing bald spots, men are eliminating hair spots by shaving it all off.

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Read the full article at Wall Street Journal

If you’re going to wear a wig for whatever reason, this article serves as a splendid little review of some of the top wig sites. At the very least, it is interesting to read about the pricing and policies of these sites.

Tags: wsj, wall street journal, wigs, toupees, hair pieces


I found this very interesting article on The Huffington Post about Jeremy Piven’s hair over the years. His hair has changed from bald to pretty much normal hair now. Any ideas on how he has added so much hair and made it look natural?

Here is the link to the article on the Huffington Post: Jeremy Piven’s Many Hairlines

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This shows just how much the individual’s look is made by his hair. Let’s take a look at these 3 photos of Jeremy Piven…

Jeremy Piven

We (society) have developed stereotypes based on hair. For example, the Jeremy Piven on the left with the very high hairline suggests he’s aging, while the Jeremy Piven at the right is sexy and youthful looking. The photo on the left was actually from years before the image on the right. The photo in the middle (from July 2009) is just interesting to me because it looks like the hair on top of the head has a different color than hair on the sides and back. To me, that indicates a tell-tale sign for a hairpiece. Generally though, high-end hair systems can look great as long as you have the time, patience, and money to maintain them. For a Hollywood actor like Mr. Piven, he’s probably got all 3. Or at least the money and patience. The better way to go would of course be a hair transplant, which is permanent and doesn’t require the maintenance of a toupee.

Tags: jeremy piven, actor, celebrity, hollywood, piven, hair loss, hairloss, toupee, wig, hair system


As a young man 25 years ago, he had a hair transplant with the old fashion plugs. After seeing what it looked like (it was partly hidden with some hair at the time), he came to the conclusion that he made a mistake and immediately went to using a wig. Between his wig and a baseball cap, he had hidden his secret. About a year ago, he realized that maybe he could undo his plugs and after a year doing internet research, he came to my office to ask me an important question I’ve heard quite a few times before — “Can you just remove these plugs and make me bald so I can shave my head?”

Remember, this is NOT the standard of care today. Click the photo to enlarge.


To see the deformity, he lifted up his wig, which was tightly held to the scalp with tape. Although he is a Norwood Class 5A pattern with high density in the donor area, he never really wants to do hair transplants again, and just wants to be a normal bald man. This is a common finding in people who lived with the horror of the plug deformities of the old transplant work. Unfortunately, this type of problem is what so many people believe is today’s standard of care. Nothing could be farther from the truth as today’s hair transplants can not be told apart from a normal natural head of hair in a non-balding patient.

We agreed that I would remove each plug one-by-one and sew him up, making him a normal bald man. Removing these plugs may leave some minimal scarring. He wants me to transplant the hair extracted from these plugs and put them into the place they came from, to hide two obvious small neck scars. This should easily be done in one surgical session.

Tags: hair transplant, plug, hair plug, hair plugs, hairloss, hair loss, repair, wig


Dear Dr. Rassman,

If you watch the attached videos of Eric Lindros (former professional hockey player), would you assume that he has had a hair transplant or is that a hair piece? I would estimate that the videos are 5-8 years apart. If it is a transplant, the results are exceptional. In the first video, he clearly has signs of a receeding/thinning hairline. Conversely, in the second video (interview after his retirement) he has a full head of hair. What are your thoughts?

Youtube – Eric Lindros in 1997
Youtube – Eric Lindros in 2007

Thank you in advance for your time. Best Regards.

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Here are side by side still shots from the videos you linked to:

Eric Lindros

The comparison with the 1997 pictures show Eric Lindros is a Class 3 Vertex balding pattern (front and crown). From the pictures, I can not tell if it is a hair piece or a hair transplant, but he is doing something to give himself hair. When the hair is combed forward, a lot can be hidden. Perhaps he started on medication like Propecia or Rogaine. Propecia was FDA approved in late 1997, so he could’ve started it soon after. I really am just speculating, of course. For all I know, it could’ve been witchcraft (though I’m 99% convinced it wasn’t).

Tags: hockey, eric lindros, lindros, hair loss, hairloss, speculation, hair, nhl


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