Dear Dr., I had a hair transplant (840 3-4 follicular grafts) in February of 2009. The areas treated were the large crown and also throughout the temporal areas. I still do not see a drastic difference. I am not sure why. I am continuously also using Rogaine foam and Propecia. When under any bright lights, I see such thinning as to where the transplant was supposed to have worked. I am not sure if something went wrong, or everyone’s bodies... 

Thanks a lot Dr. for this helpful blog site that keep us well informed about baldness. Two weeks ago, I did a HairDx test (rxr) for finasteride response. Do you think such test is accurate enough to build upon? How much it’s acurate per cent? There are two HairDX tests — one which shows if you carry the genes for balding, and one which suggests how sensitive you are to … [ visit site to read more ]  Read More →

Hi, I have seen your website and I have a question to ask. I just want someone’s opinion on some thing. I’m 26 years old (female) and I have hair fall and I have been to few doctors and I have blood test done for so many reasons and they all show normal. I still experience hair fall and I’m still trying to figure out what  Read More →

This patient is in his mid 20s and showed a Norwood class 3 pattern with additional recession in the temple area. The results posted below are after one procedure of 1733 grafts, with the photos taken only 8 months after surgery. I fully expect additional growth in the transplanted area with more time, but the patient is very excited with the way things have turned out so far. I hope to have updated photos to post in a few months when we get to... 

When attempting to find a good HT Doctor, should one that doesn’t do a Miniaturization test be a strong factor in determining whether to use them? There are many doctors that do not map the scalp for miniaturization . It is a relatively easy procedure, and in my hands it is basic to using medications like Propecia, in determining the health of the donor area, and … [ visit site to read more ]  Read More →

I am having trouble finding a doctor who will prescribe Proscar to treat my MBP. Every office I call turns me down based on “liability” issues (Including my Primary Care and other Dermatologists). I have been taking Propecia for over a year with great results (without any side effects). Thus, it seems like I would be a good candidate for Proscar. I just can’t find anyone in my town to prescribe the medication… Any suggestions?... 

Hello, I am turning 40 and have been on propecia for over 14 years. In the last year I have really noticed a decline in its effectiveness, and I uped the dose with no real results. I am seriously looking at switching to dustasteride and was wondering why there are a lot of safety concerns about the drug. It is prescribed for prostate patients with no real problems  Read More →

As regular readers might know since I’ve mentioned it in the past, I’m part of an email group of hair transplant doctors. We share clinical stories, exchange ideas, etc. There was an article in O Magazine about female hair loss and we were asked about percentages of female patients that are candidates for surgery. Dr. Robert Bernstein had said around 20%, but one physician in the group disagreed with…  Read More →

i wanna know that can armpit hairs be the donor for scalp hair transplantation???? plz reply me soon I suppose anything is possible, but I doubt you’d really want to do this if you knew what the end result would look like. I have seen everything from transplanting armpit hair, pubic hair, and even beard hair to the scalp (I’ve not done these procedures, but have seen patients with them … [ visit site to read more ]  Read More →

Snippet from the article: Molecular dermatology research and development innovator HairDX today announced the results of a six month pilot study that presents, for the first time, evidence that genetic mechanisms may predict treatment response to Finasteride for postmenopausal female Androgenetic Alopecia (female hair loss). Read the full article:  Read More →

Dr. Rassman, I really can’t think of any other industry – medical or professional – that has a preeminent member so willing to directly interact with the general public. You do a great service (and a excellent technical execution of it with your website) and I wanted to start off by thanking you for your contribution. Imagine a world that had this sort of “hands-on” information from the most knowledgeable people available... 

Good day Dr. Rassman, Great forum with lots of useful info. What is your position on prescribing Dutasteride? I believe in the past you’ve stated you wouldn’t, but I also thought I remembered reading a post where you said you might under certain circumstances. I’m 45 years old and have been on Finasteride for 7 years and have noticed the diminishing returns over the last year or so. I would like to try Duasteride but not without... 

Hi Dr.Rass . I have been under OCD treatment for the past 11 years. I am undergoing SSRIs (Es-Citalopram oxalate) Would you recommend Finasteride in my case. Shall I try topical minoxidil will it in any way interacts with my OCD medication. I can’t recommend finasteride to you, since I do not know if you’re even a candidate and it is a prescription medication. Talk to your doctor about a prescription and you can learn his/her thoughts... 

How do you do the miniturization map of the scalp for a woman? I want to do it myself using your procedure with the small digital microscope. Can you recommend a good hair specialist in the Boston area? Yes, mapping the scalp for miniaturization is a good idea for women. Significant miniaturization in the fringe area (donor area) is indicative of diffuse … [ visit site to read more  Read More →

hey doctor, it seems everywhere (mainly hair loss forums) i read it’s saying that propecia is meant to just maintain hair and that any regrowth is an added bonus. But propecia’s website says in their 2 year study that 66% of men had visible regrowth. 2/3 sounds like the majority of people should regrow hair. furthermore the 5 year study says that almost 50% regrew hair. could u shed some light on this as nearly every forum i visit states...