I have Diffuse Unpatterned Alopecia. Since I was 20, i started hair loss. Now i am 28 and its serious. I want to get hair transplant surgery, with you but when I was doing some research, i think I don’t have enough donor hair for treatment. My hair is very thin and balding. It does not have patterns. Its just thin over all. Only parts that are thick are the very front on each side (not side of the head but top front side) and maybe some at the back. But compared to others in your result photos, i have no donor hair. Is there any treatment for someone like me? Please help.

Dear Yong,

Thank you for your question…

Example of Diffuse Unpatterned Alopecia (DUPA). Rahal FUE™ — the least-invasive hair transplant available — is typically the recommend treatment.

Treatment for Diffuse Unpatterned Alopecia (DUPA), especially when considering hair restoration, can be difficult due to one reason… the law of supply vs. demand.

This means we have to look at the amount of area affected by male pattern hair loss and the amount of hair that we have to work with in order to give a cosmetically pleasing result.

This doesn’t necessarily mean that we must have a high density, large coverage Rahal Mega Session™ with 7000 grafts in one procedure. This means achieving moderate density and designing a hairline that frames the face. This alone can and does go a long way in achieving an improvement so you can look and feel younger.

We can assume that we can rule out a Follicular Unit Transplant (FUT) to address your needs because the linear scar would be more easily visible with even longer hair lengths. Typically FUT scarring can be hidden with moderately short hair cuts but this is assuming that an average level of density exists in the donor region.

Lower than average donor density, as in your case, leaves less room for hiding linear scars, thus Rahal FUE™ is indicated because of the lack of a linear scar altogether. However, the challenge may be that we are dealing with DUPA, which means that we cannot reliably count on the donor hair to last indefinitely as we generally would with donor hair from a typical non DUPA donor zone.

However, depending on the overall size of your current hair loss on top of your scalp and if you are agreeable to taking preventive medications such as Propecia and Rogaine then we may be able to find a suitable number of grafts to take from the area of your donor zone that you indicated as being “thicker”.

This is where the advantage of Rahal FUE™ really shines in that we’ll be able to fine tune the procedure by extracting grafts that appear to be stronger than in other areas of your donor zone.

I encourage you to schedule your 100% FREE private consultation today, so I can determine if you’re a candidate for Rahal hair restoration. I’ll also design your personalized “Hair Loss Treatment Plan™” that could be answer to your hair loss problem.

I look forward to helping discover a permanent hair loss solution.

Sincerely,

Dr. Rahal

P.S. Click here to achieve the thicker, fuller head of hair you desire.

The post Treatment for Diffuse Unpatterned Alopecia? appeared first on .

I am a 47-year-old male. I have been taking Propecia and have been applying Minoxidil 1-2 times per day for the last 4 years. Not consistently but pretty regularly. Despite my efforts, I am still losing my hair on the mid scalp and the lateral hump as well as the crown. My hair loss is starting to show!! I actually feel the itching on a regular basis and what a horrible feeling when sitting in a meeting and thinking while listening to someone talk to you that I am losing my hair. My question is: if I have a transplant, will my transplanted hairs eventually follow the same path of my other hair? Can I get a hair transplant without Propecia?

Dear Tom,

Hair transplants replace hair. Not prevent hair loss. Only FDA-Approved medications like Propecia can stop hair loss.

I am sorry for your problem. I know hair loss is frustrating not to mention greatly concerning.

The first thing I have to ask you is… are you taking generic finasteride or name brand Proscar or Propecia?

I ask because we have seen, as have other clinics, an inconsistency with the quality of finasteride that is not from Merck Pharmaceutical. They are the original manufacturers of finasteride.

I always recommend that patients take name brand Proscar because when the tablet is quartered it winds up being very affordable and the good thing is that you know you’re getting the real medication.

The itching you feel is potentially a reaction to inflammation in your scalp. There is a correlation between scalp inflammation and hair loss with some hair loss sufferers actually reporting that their scalp “hurts” at the base of each hair. For this I recommend you start with an anti-inflammatory agent such as Nizoral shampoo. This will help to reduce inflammation and the itching associated with it.

Can you get a hair transplant without Propecia?

Yes…

You can get a hair transplant without taking Propecia. The transplanted hairs should continue to grow for a lifetime if taken from the safe donor zone.

The issue, however, is not the transplanted hair but rather your native hair…

Hair restoration procedures replace some of the hair that has been lost but it does nothing to prevent further loss. That is why it is important to continue with the medications like Propecia and Rogaine and adding Nizoral to your regimen.

You should do everything you can to stop your hair loss…

I encourage you to schedule your 100% FREE private consultation.

I’ll design your comprehensive, personalized “Hair Loss Treatment Plan™” that reveals if you’re a candidate for “Rahal FUE™” — the least invasive and fastest-healing hair transplant available. You’ll also discover FDA-Approved medications to stop your hair loss.

Call us today at 1-877-551-2171!

Sincerely,

Dr. Rahal — Founder & Medical Director

P.S. Click here to schedule your 100% FREE private consultation.

The post Hair Transplant without Taking Propecia? appeared first on .

I need a hair transplant. How much does hair transplantation cost for 4000 grafts?

Dear Ash,

Rahal patient before & after a state-of-the-art “Rahal Mega Session™” (which routinely transplants over 16,000 hairs! in a single session so you can have great hair again in record time).

You stated that you “need” a hair transplant procedure, which is understandable. You most likely have an obvious amount of recession, thinning, or both and want a permanent hair loss solution.

How did you come up with the estimate of 4000 grafts?

Is this through self diagnosis after reviewing online galleries and reading discussion forums? Or did you receive an estimate from another clinic and want to know what we charge for the same number of grafts?

If self diagnosed, then there is a strong possibility that your self assessment is incorrect due to vastly different hair characteristics. Many times one will look at results online and not take into account the hair texture (fine vs. coarse). Is the hair wavy or straight? Even hair color can and will influence the number of follicular units necessary to achieve a cosmetically acceptable result.

If you received an estimate from another clinic, then this too can be incorrect, as many times two seemingly reputable clinics can give estimates that are very different from each other. One clinic may specialize in coverage while the other clinic may specialize in density.

We then must look at expectations…

Sometimes patients will overestimate their own needs because they feel that if they transplant a lot of hair into their existing hair, even if it is not visibly thinning, that this will somehow prevent future loss from being noticeable because so much new hair has been put in place “proactively”.

On the surface this seems like a viable approach, however, when one considers this further they realize that this is a counter productive philosophy. A friend of mine refers to this as the “glass of water” analogy. If you take a full glass of water and leave it outside for a while you will notice that the amount of water will be less due to evaporation.

The evaporation represents hair loss.

You can’t fill the glass with extra water to stave off the issue of evaporation because there is no more room for more water.

It’s the same thing with hair restoration…

You can’t add more hair to an area that is not experiencing loss because there is no room.

I know of cases where a doctor tried to to do this but it only lead to permanent shock loss that actually made the patient’s scalp look thinner than before the procedure.

I encourage you to schedule your 100% FREE private consultation today.

During your consultation, I’ll thoroughly examine your hair and scalp and design your comprehensive, personalized “Hair Loss Treatment Plan™” that reveals the exact number of follicular units you need to achieve the thicker, fuller head of hair you desire. You’ll also receive a complete breakdown of cost per graft and discover easy financing options.

Call us today at 1-877-551-2171!

Sincerely,

Dr. Rahal — Founder & Medical Director

P.S. Click here to take control of your hair loss.

The post How Much Does Hair Transplantation Cost? appeared first on .

How much does hair transplant surgery cost?
Can you get a hair transplant from body hair?
Do you offer a hair transplant guarantee?
How long do I have to stay after my hair transplant?
Where is the location of your hair transplant clinic?

Dear Fred,

Hello and thank you for your questions…

Amazing “Hair Loss Treatment Plan™” reveals powerful treatments so you can take quickly control of your hair loss.

How much does hair transplant surgery cost?

I’ll need to get to know you and the specifics of your hair loss to determine cost… your hair caliber, contrast between hair & scalp, hair loss pattern, family history of hair loss and use of FDA-Approved medication.

Your first step is to schedule your 100% Free private consultation so I can diagnose your hair loss pattern and design your personalized “Hair Loss Treatment Plan™”. This amazing treatment plan reveals a complete breakdown on cost per graft and easy financing options.

Can you get a hair transplant from body hair?

Body hair should be reserved for extreme hair transplant repair cases only.

Survival rate is low… the average is 30% and at best 60%.

Also keep in mind that body hair does not resemble scalp hair…

What I mean is that it does not look natural.

Most men have enough scalp hair for a state-of-the-art “Rahal Mega Session™” anyway so you can achieve maximum coverage and density in a single session.

“Rahal FUE™” — the least invasive and fastest-healing hair transplant available — is also an option.

Do you offer a hair transplant guarantee?

Our “Growth Guarantee™” ensures a permanent hair loss solution…

It’s your assurance that we guarantee to replace any non-growing hair transplant grafts free-of-charge. In my 20 years of practice and over 5000 hair transplant procedures performed, this is rarely necessary.

No other surgeon or hair transplant facility offers a guarantee this strong.

How long do I have to stay after my hair transplant?

I always like it when patients stay a few days after their procedure, as it allows me and my team to give you more personalized and comprehensive care.

Checkups are free and you can schedule them as often as you like…

We are always available to help you achieve a permanent hair loss solution Fred, now and in the future.

Where is the location of your hair transplant clinic?

We have Rahal Consultation Centers in several cities in the United States and Canada. Our Rahal Surgical Clinics, where we perform procedures, are in Ottawa and Toronto.

You can schedule your free, no obligation Consultation at any of our offices.

If you travel more than 100 miles to have your procedure, we also offer a Travel Bonus (auto, bus, train, airplane) up to $1,500.

Call us today at 1-877-551-2171!

Sincerely,

Dr. Rahal — Founder & Medical Director

P.S. Click here to get all your hair restoration questions answered.

The post 5 Hair Transplant Questions & Answers Revealed appeared first on .

Hi Dr. Rahal. I am totally impressed with your hairline work…..I am a 21 and I am planning to restore my front hair with about 3000 grafts. I live in Houston how much does medical hair restoration cost! Thank you.

Dear Ayush,

Rahal patients benefit from youthful, natural hairlines with maximum fullness & density in just one session.

I will assume that you came up with the assessment of 3000 grafts by either reviewing my results online or you had a consultation with another doctor.

If you had an assessment by another clinic and they recommended 3000 grafts, i’ll need to assess your hair loss pattern myself to determine cost.

Clinics will often give an assessment for younger patients that includes “just enough hair to create a new frame for the face”… but they will rarely recommend enough hair to achieve a Rahal Hairline™ — youthful, natural hairlines with maximum fullness, density, which is what most patients need for a completely natural result.

I’ll also common for patients to receive a recommendation — from another clinic — and move forward with hair transplantation… expecting maximum density in one session. Only to return to the same clinic a year later to add more hair.

This “two pass approach” to hair restoration is outdated.

My patients benefit from a thicker, fuller head of hair in “one session”…

In most cases a state-of-the-art “Rahal Mega Session™”, which routinely transplants over 16,000 hairs! in a single session is recommended.

Rahal FUE™ — the least invasive and fastest-healing hair transplant available is also an option and possibly more appropriate especially at 21.

You can wear your hair in any style you choose — even “shaved.”

That brings me to your age…

At 21 you may not be a candidate for hair transplant surgery. More importantly, we should discuss FDA-Approved medications to stop your hair loss (treatments are revealed in your “Hair Loss Treatment Plan™” below).

Let’s get your hair loss under control…

I encourage you to schedule your 100% FREE private consultation today.

During your consultation, I’ll diagnose your hair loss pattern, determine if you’re a candidate for Rahal hair restoration & design personalized “Hair Loss Treatment Plan™” that could be the answer to your hair loss problem.

Call us today at 1-877-551-2171!

Sincerely,

Dr. Rahal — Founder & Medical Director

P.S. Click here to take control of your hair loss.

The post How Much Does Medical Hair Restoration Cost? appeared first on .

Just picked up a prescription of Propecia and will start taking it tonight. How long does Propecia take to work? And when can I expect to see results? I’m not really expecting any growth. Just want keep what I have and save the crown. I’m 26 and will get a hair transplant for the hairline with you in the near future.

Dear Mike,

Propecia begins to lower the amount of Dihydrotesterone in your scalp from day one.

Propecia begins to lower the amount of Dihydrotesterone in your scalp from day one.

For anyone not familiar with Propecia. It’s an FDA-approved pill that blocks the formation of DHT, the hormone responsible for male pattern hair loss.

While some men do get limited regrowth, mainly in the crown, Propecia is most effective at “maintaining the hair that you have”.

So the sooner you start taking it the better.

It’s a commitment though…

Propecia will only work if you continue taking it.

For the best results, you need to take a 1 mg tablet every day for at least a year.

Results vary, but here is what you can expect over 12 months…

• Day 1 – Propecia begins to lower DHT levels.
• Month 3 – You may notice less hair loss.
• Month 6 – You might see some regrowth.
• Month 9 – Propecia should be maintaining the hair that you have. In not, give it 3 more months.
• Month 12 – You should know if Propecia is working. If not, further treatment is not likely to help.

Bottom line… give it 12 months to judge how well its working for you.

You should also know that Propecia can affect a blood test called PSA (Prostate Specific Atigen) when screening for prostate cancer. If you have a PSA test done, tell your doctor that you are taking Propecia.

Sincerely,

Dr. Rahal — Founder & Medical Director

P.S. Click here to take control of your hair loss.

The post How Long Does Propecia Take to Work? appeared first on .

I’m 25 and starting to thin. Both my dad and brother have thinning hair. Wondering how to regrow thinning hair?? Or stop my hair loss before it gets worse. I’ve tried shampoo but does not seem to help. Is there anything I can do?

Dear Chris,

While there is no shortage of products to help regrow hair, only two FDA-Approved medications actually work.

Losing your hair can be a crushing blow to your self-esteem. The good news is that there are steps you can do RIGHT NOW to regrow thinning hair & take control of your hair loss.

Let’s discover each step together…

1. Know the cause of your hair loss…

There are a number of diseases and conditions that cause hair loss. But most men lose their hair because of genetics and Dihydrotestosterone (DHT).

DHT is a hormone in the body that causes hair loss by shrinking your hair follicles until they eventually stop growing.

Some areas of your scalp are more susceptible to DHT than others. For example, DHT doesn’t usually affect hair on the back and sides of your head.

The only way to block DHT from shrinking your hair follicles is with finasteride or dutasteride – drugs that interfere with DHT production.

More on these medications below.

2. Take control of your hair loss…

Hair loss at its earliest stage is best treated with medication.

While there is no shortage of products to help you regrow your hair, only two FDA-Approved medications actually work… Finasteride (the brand name is Propecia) and minoxidil (the brand name is Rogaine).

Of the two, finasteride is far more effective…

• Finasteride is a pill that blocks the formation of DHT in your scalp. Lowering DHT can slow or even stop hair loss in the majority of men. You can learn more about Propecia here.

• Minoxidil is a topical solution that’s applied directly to the scalp and stimulates hair growth. Just how minoxidil works is unknown. The drug is a vasodilator and widens the blood vessels. Perhaps it increases blood flow to the hair follicle but how this relates to hair loss is unclear. You can learn more about Rogaine here.

Consider BOTH medications now to “maintain the hair that you have”.

They seem to work better together. Finasteride blocks the negative effects of DHT and minoxidil stimulates the hair follicle.

3. A permanent hair loss solution…

There is only one permanent solution to hair loss… Rahal Hair Restoration

Rahal Hair Restoration works by moving DHT resistant follicles from the back and sides of your head (the donor area) into the hair loss areas where they grow for life.

A modern hair transplant uses natural groupings of one to three hairs called “follicular units” and is undetectable and 100% natural.

Before & after “Rahal FUE™” — the least invasive and fastest-healing hair transplant available. No Scalpel. No Stitches. No linear scar to conceal, so you can wear your hair in any style you choose — even “shaved.”

There are two methods of removing follicles from the donor area… “Rahal Mega Session™” and “Rahal FUE™”.

Rahal Mega Session™ harvests donor hair as a single strip — up to 16,000 hairs in a single session! — so you can get full hair restoration results in record time.

A linear incision is made, the donor strip is removed and divided into natural groupings of follicular units using a stereo-microscope. The donor area is then sutured. This typically leaves a fine scar that’s hidden by your remaining hair.

Rahal FUE™ — the least invasive and fastest-healing hair transplant available — removes natural groupings of follicular units without making a linear donor incision.

Individual follicular units are extracted directly from your donor area with a small punch. There are no sutures or staples to be removed, so you can wear your hair in any style you choose — even “shaved.”

4. Get your personalized “Hair Loss Treatment Plan™”

Getting started is easy…

Schedule your 100% FREE private consultation today.

During your consultation, I’ll thoroughly examine your hair and scalp, diagnose your hair loss pattern, answer all your hair restoration questions and design your comprehensive, personalized “Hair Loss Treatment Plan™” that could be the answer to your hair loss problem.

This amazing “Hair Loss Treatment Plan™” reveals medically-proven treatments so you can achieve the thicker, fuller head of hair you desire, along with the #1 most important thing you can do to stop your hair loss BY FAR (hint: it’s NOT PROPECIA®).

Call us today at 1-877-551-2171!

You CAN have great hair again!™

Sincerely,

Dr. Rahal

P.S. Click here to take control of your hair loss.

The post How to Regrow Thinning Hair: A Simple 4 Step Plan appeared first on .

After surgery, do you use any kind of ACell and PRP injection to aid healing and help retain native? I am considering a hair transplant, but I’m concerned that the hair on my crown – although it’s thin, there’s still about enough there – will be shocked into miniaturized state.

Dear Matthew,

Platelet-Rich Plasma (PRP) is prepared by centrifugation. Some claim that PRP can promote new hair growth and enhance healing after hair transplantation. There is little evidence to support these claims.

PRP stands for “Platelet-Rich Plasma”. The process involves extracting the patient’s blood and placing the vile in a centrifuge. By spinning the blood at high velocities, core components are separated… one of which is platelet rich plasma.

The truth about PRP injections for hair loss…

Blood plasma contains growth factors that are released through the introduction of “thrombin” and “calcium chloride”. Some claim that when injected into the scalp, PRP therapy can promote new hair growth and enhance healing after hair transplantation.

I have yet to see evidence that supports these claims.

Acell hair transplant claims debunked…

ACell’s Extracellular Matrix (ECM), in the context of hair restoration, can apparently do amazing things such as… “eliminates scarring” and “regenerates transected hairs”.

Some clinics even combine PRP and ECM as an “add-on treatment” to hair restoration with the promise – or strong suggestion – that the patient will get better results.

Unfortunately, there is very little evidence that ECM actually works… other than adding to the bottom line of these clinics.

Understanding shock loss after a hair transplant…

There are two types of shock loss, temporary & permanent.

Temporary shock loss is thought to occur when blood flow is interrupted to the scalp. Typically when tiny incisions are made in the recipient area. Not to worry. These “shocked hairs” typically return at 3-5 months.

Permanent shock loss  can be avoided by shaving the recipient zone, so we can see the natural angle and direction of native hairs.

By making incisions parallel to native hairs, we avoid the primary cause of permanent shock loss… transection.

Permanent shock loss can also occur when miniaturized hairs shed. Don’t worry. Losing these miniaturized hairs will not affect the final result… they were on their way out within six months anyway.

Neither PRP nor ECM will prevent shock loss.

In your case, it sounds like “temporary shock loss” is a possibility, though I’ll need to view photos of your crown to determine the level of miniaturization.

I encourage you to schedule your 100% FREE private consultation today.

During your consultation, I’ll thoroughly examine your hair and scalp,  answer all your questions about PRP injections for hair loss & design your comprehensive, personalized “Hair Loss Treatment Plan™”.

Sincerely,

Dr. Rahal

P.S. Click here to get your FREE, personalized ”Hair Loss Treatment Plan™”.

The post The Great ACell and PRP Injection for Hair Loss Hoax appeared first on .

I had a hair transplant of 2300 grafts (at another clinic) by strip method 9 months ago. I’ve been applying Topical Finasteride and Rogaine mixture once per day. I also Apply RA plus Rogaine 2x per week as protocol from my surgeon. I am not happy with my hairline – it’s uneven – and am blown away by your hairlines! I have a posted a picture for your review. I would like to fill in the temporal recession areas more to create less of hard V Shaped look. Can you give me an estimate of the number of grafts you think it would take to soften the hairline? And how to fix my uneven hairline? Maybe lower just a fraction if you think it needs it. And also an estimated cost? I really appreciate your time. I look forward to your thoughts on my hairline. Thanks, Bryan.

Dear Bryan,

Bryan had a hair transplant at another clinic. The right temple is uneven and far more recessed than the right temple. The middle of the hairline is slightly off center as well. Dr. Rahal reveals the solution.

Sadly, your situation is far too common.

Natural hairline design takes years of training… and more clinics seem to get it wrong than right.

I estimate that 20% of my practice is devoted to “hairline repair”… and fixing the hairline design of other clinics.

I always suggest researching your hair transplant surgeon… are they recommended by the American Hair Loss Association? Do they specialize in hairline design? Maximum density?

These are just some of the questions every patient should be asking.

It sounds like you have a good handle on hair loss prevention.

Great job Bryan… Both Rogaine and Finasteride should help you take control of your hair loss.

Now on to your hairline…

From the one photo you sent, I can see that there are some inconsistencies with the placement of your hairline.

The first thing I notice is that the temple recession is too asymmetrical. Your right temple is far more recessed than your left temple.

It also appears that the middle of your hairline is slightly off center as well.

There is nothing wrong with asymmetry… it’s expected in nature. It’s important that the hairline is “balanced” though. You can achieve this with temple point and template angle restoration.

A Rahal Hairline™ (designed at maximum density and fullness) will frame for your face, give you a more youthful look and address all your concerns… naturalness, unevenness, design, shape, density etc.

I think Rahal FUE™ — the least invasive and fastest-healing hair transplant available – is a better option than FUT for your second session.

Some of the grafts in the hairline appear misdirected. The angle and direction is off. Rahal FUE™ will allow me to remove these grafts so that I have more of a clean slate to work with.

I’m confident that I can help you Bryan… But i’ll need to see more photos and some additional details about your previous hair transplant.

I encourage you to schedule your 100% FREE private consultation today.

During your consultation, I’ll thoroughly examine your hair and scalp and design your comprehensive, personalized “Hair Loss Treatment Plan™”.

This amazing “Hair Loss Treatment Plan™” reveals a complete breakdown on cost per graft. You’ll also discover easy financing options so you can maximize your results, regardless of your budget.

Dr. Rahal

P.S. Click here to get your Free “Hair Loss Treatment Plan™”

The post How to Fix My Uneven Hairline? And Estimated Cost? appeared first on .

Hi Dr. Rahal. I have a question about concealers like Toppik and Dermatch. Can I stop using them after a hair transplant procedure? Would the density be enough for me to stop being so depended on concealers?

Dear Robert,

Most Rahal patients do not use Toppik after hair transplant surgery. A Rahal Hairline™ at maximum fullness and density allows for unlimited styling options like… long, short, messy.

This is a very good question… but the answer is not a simple one.

Concealers such as Toppik and Dermatch have one job… conceal areas of thinning.

They do this by eliminating the visible contrast between hair and scalp, which effectively gives the illusion of a fuller, thicker head of hair.

The one problem with concealers is that they do not allow for a natural amount of scalp to be visible.

Even people with the thickest heads of hair will have at least some portion of their scalp visible… depending on the hair style, the length, etc.

For instance in the part line or the frontal hairline where there are natural undulations. Even the central part of the crown where the whorl pattern originates will allow for a small amount of scalp to be visible.

Concealers are used everyday in Hollywood…

I spoke to one of my celebrity patients about what’s required of him in the makeup department. He has a full head of hair and just wanted to lower his hairline to maintain a youthful appearance.

He told me that even though he has a full head of hair, he would have to wear concealers because… “Hollywood doesn’t like scalp.”

I was surprised by what he told me… but since he mentioned it I can’t help notice that I rarely see scalp on actors when watching a movie or television show.

So, back to your question… “Will i still need to use Toppik after a hair transplant?”

That’s entirely up to you.

I know this may sound confusing… but it has to do with what YOU feel is cosmetically acceptable.

I can say that most of my patients do not “need” to use concealers after hair transplant surgery. A Rahal Hairline™ at maximum fullness and density does allows for unlimited styling options. You can wear your hair anyway you like… long, short, messy.

But I will also say that hair transplants can’t match the illusion of density one will get with concealers… that’s the reality. Concealers are also mentally addictive and act as a “crutch” so to speak.

Many men and women do not feel comfortable leaving their home without using them, even if they have a very full looking head of hair.

That’s the unfortunate reality of how concealers work.

I CAN help you make an informed decision by better understand your goals and expectations.

I encourage you to schedule your free consultation today… and get your personalized “Hair Loss Treatment Plan”.

You’ll discover the number of grafts recommended to achieve your goal. I’ll also reveal patient before & after photos with similar hair characteristics and balding patterns, so you can get a better idea of the density you can expect.

Sincerely,

Dr. Rahal

P.S. Click here to schedule your free consultation… and take control of your hair loss.

The post Will I Still Need to Use Toppik after a Hair Transplant? appeared first on .

John from New York just shared his hair transplant results after 7 months on a popular hair loss forum… and what an amazing transformation!

Our patient John (not his real name) from New York just shared his hair transplant results after 7 months on a popular hair loss forum… and what an amazing transformation!

You can read his full story and view more photos here… even his friends are shocked!

John explains how hair restoration at Rahal is one of the best decisions he ever made… and that “strategic” hairstyling is a thing of the past.

“I am able to style my hair in ways that I have not been able to do in close to 8 years. I can use styling products again, and I never worry about going out on a windy day”

Windy days?… not a problem for John anymore.

Baseball hat in retirement…. check!

Enjoying life again… check!

We’re excited & happy for you John… enjoy your new hair and confidence.

p.s. John is proof that there is a permanent solution to your hair loss problem… and that YOU don’t have to suffer from hair loss anymore.

You CAN have great hair again!™

Schedule your 100% free consultation today… and get your personalized “Hair Loss Treatment Plan™”.

This amazing treatment plan reveals medically proven treatments so you can take control of hair loss… and achieve the thicker, fuller head of hair you desire.

Discover a permanent hair loss solution here.

The post Amazing Results after 7 Months (Even His Friends Are Shocked) appeared first on .

Hi Dr. Rahal, Hope all is well with you. I have a few questions about FUE into scar tissue.

1. Do you perform many FUE procedures into scar tissue?
2. Will FUE scars leave white or pink spots, or the donor area be detectable with a very short haircut (1/8 or 1/4 of inch)?
3. What FUE graph failure percentage is the norm?
4. Do you use Acell and manual punch for the FUE extraction (punch size, 0.8mm?)
5. What can be done to increase the FUE density into scar tissue?

I haven’t had a hair transplant and have a good donor area . The scar is from an operation on both sides of the head, about 2 1/2 – inch long each (not too bad, but will show with very short hair). I live in the Washington, DC area.

Dear Mark,

Thank you for writing. I’ll address each of your questions separately.

1. Yes, we perform FUE into scar tissue at Rahal. Concealing scarring with Rahal FUE™ is a simple procedure and takes only 30-60 minutes.

Here is an example of a Rahal patient after FUE into scar tissue… before, immediately post-op and 9 months post-op. The scar is concealed… and the patient is excited that he can wear his hair short again.

2. There are two factors that determine whether or not the Rahal FUE™ extraction points will be cosmetically noticeable. First is the punch size. We routinely use a .8mm punch, as we find this can adequately handle most grafts with ease. Once the extraction points are completely healed, it’s exceedingly difficult to see any evidence of extraction in the form of obvious scarring or discoloration.

Pink dots as you referenced would indicate ongoing healing… and then white dots are when healing has finished and the fibrous scar tissue has settled. With the .8mm punch we find that the final circumference of the extraction point is cosmetically insignificant.

The second factor affecting the cosmetic appearance of the donor zone is the overall pattern of extraction. With the extraction pattern spread out strategically there is no perceptible reduction of donor density, which can be a real issue if not properly executed.

Too many times I have seen patients with FUE from other clinics come to me with donor zones that are patchy because the clinic removed too many grafts in a specific region of the donor zone. This is counter productive to the whole point of FUE, which is to have cosmetically insignificant visual indicators that a procedure has been performed to begin with.

3. You asked about the survival percentages of our Rahal FUE™ (which is a good question). With any clinic performing FUE, there were challenges in the beginning. When I started working with FUE 9 years ago (2005) the survival rates were below that of my “Rahal Mega Session™” survival rates.

However, as time progressed, so did our experience… and today our Rahal FUE™ survival rates are in the high 95% to 98% range (which equals typical FUT survival rates).

At this point the debate about survival rates between FUT and FUT is a moot issue.

The key to getting to this point was not just learning how to use the punch properly. Using FUE punch is a fairly straight forward affair. The challenge was learning how to utilize a punch with the various types of hair and even scalp tissue that presented themselves in our patients.

This is the learning curve that must be overcome before one can consider themselves proficient with Rahal FUE™ and is what allows us to have such high Rahal FUE™ survival rates today.

4. Acell is a product that was very popular online a few years ago but the excitement has someone diminished of late. I am still asked about it from time to time but to be honest , I’m not a fan of Acell. This is mainly because of how it is being marketed by some clinics in the United States with at least one clinic I know of actually stating outright that by applying Acell to Rahal FUE™ donor extraction sites they are seeing in some cases up to 80% regeneration.

To date there is no photo or video documentation to back up these claims.

There may be merit to the use of Acell for basic acceleration of healing post-op… but I find that with the .8mm punch used in our practice there is little use for the ambiguous improvements that may be had through the use of Acell because the donor sites already heal quite well with no external influence.

5. Increasing density into scar tissue via Rahal FUE™ is a fairly simple affair. Many clinics feel that Rahal FUE™ into scar tissue, because of it’s overall lower vascularity compared to healthy skin tissue, cannot support anything more than moderate density at best.

I feel that taking a blanket approach to this issue is shortsighted, as higher densities are indeed possible for some scar formations.

With a proper and strategically safe extraction pattern and a proper sized punch having your hair at ¼ or even 1/8th of an inch in length should allow for a cosmetically acceptable result in the donor zone… but to get a better handle on your case and for you to get a more detailed assessment I recommend you schedule your 100% free consultation today.

That way I can review your case and design your personalized “Hair Loss Treatment Plan™” to address the scars from your operation. You’ll also discover a complete breakdown on cost per graft and recommended treatment options.

Thank you again for your questions.

Sincerely,

Dr. Rahal

P.S. You don’t have to live with visible scaring. There is a permanent solution!

I have had a consultation with you two years ago in Toronto, and if I ever do have a transplant, you’re the first on my list. I have two questions.
1) With FUE, are you able to transplant the 4000 FUE in one day or is it limited to a lower amount?
2) Can I get FUE without shaving my head? Or can I simply shave the back of the head?

Dear Paul,

Here is a before and after example of “Rahal FUE™” — the least invasive and fastest-healing hair transplant available. At Rahal we can safely harvest between 2000 to 3000 grafts a day (4000 FUE over two days).

Over the years we have become very proficient with Follicular unit extraction (FUE) extractions… and can safely harvest 4000 FUE over two days (between 2000 to 3000 grafts a day).

As with any hair restoration procedure though, harvesting 4000 FUE is dependent on a few factors, as every patient will present varying hair characteristics that can (and do) influence the rate of the extractions and time needed to perform the procedure correctly.

If hair shafts are wavy or curly, for example, this can slow the process, since extra care must be taken to avoid damaging the grafts during extraction. Scalp tissue alone can vary by patient… from firm and consistent that’s easy to work with… to more pliable tissue that’s soft and more difficult to work with.

We find that for a larger FUE hair transplant (4000 grafts plus) it’s best to perform smaller sessions over two days to get the desired number of grafts and results. This allows everyone involved to be more comfortable… both technicians and patients alike.

Allowing more time to do the job right offers a level of confidence that everyone can benefit from.

FUE without shaving head?

Shaving the donor area is a requirement so we can determine where the grafts should be extracted and avoid creating areas that look thin because over harvesting. You want to avoid removing too many grafts in any given area, which can lead to visual clues and an overall inconsistency that is cosmetically undesirable.

We shave the recipient area for two reasons…

First, we want to avoid damaging the native hair. By shaving the recipient area the native hair stands at it’s true angle and direction. When hair is longer it’s more difficult to see the spaces that need to be filled… and at such a short length there is nothing obscuring my field of view when I am making incisions.

This is very important because when one cannot clearly see what they are doing, the risk of transection (cutting and destruction of native hair during recipient site creation) increases significantly.

This is the number one cause of permanent shock loss after a procedure and shaving the recipient zone is the most effective way to eliminate this problem. There are exceptions, however, in that we might not shave if the hair in the recipient zone is of very low density… but this can only be determined on a case by case basis.

I’m happy to review your photos again to determine what areas need to be shaved… and suggest that you schedule your 100% Free consultation today – since it’s been two years and hair loss is progressive. You may (or may not) require additional grafts to achieve your goal of a thicker, fuller head of hair.

Hopefully you considered Rogaine or Propecia to “keep the hair you hair”. Hair Loss prevention really is the key to success.

Sincerely,

Dr. Rahal

Hi Dr. Rahal. Can you tell how many grafts do i need for a full head of hair? I can send some photos if you like. Or should I just schedule a consultation at your Toronto office? I look forward to your reply. Thanks!

Dear Chris,

Creating the illusion of a full head of hair with very few grafts is the “art and science of hair restoration”. Here are Rahal Hairline™ examples at 60-70% original density.

The amount of fullness (or density) that you can achieve depends on a few things…

We first need to consider the amount of donor hair that you have, in relation to the amount of loss you have experienced to date… or may experience in the future.

What i mean is that you only have a limited supply of grafts available to transplant in your lifetime… so we need to use them wisely.

That’s the “art and science of hair restoration”… creating the illusion of a fuller, thicker head of hair with very few grafts.

It’s really about creating more with less.

Have you heard of the 50% rule?

It states that when you first noticed your hair thinning under “harsh lighting” you had lost 50% of your original density. Say for example your original density is 80 grafts cm/2…. that means you noticed hair loss under harsh lighting at around 40 grafts cm/2.

Under normal conditions you didn’t notice any hair loss.

The 50% rule gives me a baseline… I know that I need to transplant above 40 grafts cm/2 (roughly) to create the illusion of a fuller, thicker head of hair.

Though I find that 50-70 grafts cm/2 achieves maximum fullness & density… so you can style your hair as you wish — long, short, parted, or “messy”.

Your hair characteristics also play role…

With coarser hair, we can use fewer grafts in general to create the illusion of a full head of hair because the diameter of each hair takes up a fairly large space and provides strong coverage.

Finer hair requires more grafts to achieve density due to the smaller diameter of each hair.

It is the same as comparing Redwood trees to Poplar trees. You only need a few Redwood trees to fill a given area… where you need many more Poplar trees to fill an area the same size.

Even hair color can make a difference in how a result turns out…

The amount of contract between hair color and scalp color greatly influences the perceived amount of density that a result achieves. Lower contrast helps aid in the appearance of density… while higher contrast makes it more difficult to achieve an appearance of density.

I encourage you to schedule your 100% FREE private consultation today at our Toronto location.

Both in-person and online consultations are available.

During your consultation, I’ll thoroughly examine your hair and scalp… and design your personalized “Hair Loss Treatment Plan™”. This amazing hair loss treatment plan reveals how many grafts you need to achieve the thicker, fuller head of hair you desire.

Call us today at 1-877-551-2171!

Sincerely,

Dr. Rahal — Founder & Medical Director

P.S. Click here for a thicker, fuller head of hair.

Hi Dr. Rahal. I’m only 24, and my hair loss has increased rapidly. It continues to be very thin as time goes by. I keep getting told that i’m too young for a hair transplant? I’m afraid of losing my hair. I’m lucky to live near your Toronto office and would like to schedule a consultation? Can you help?

Example of a young patient just 12 months after his Rahal hair transplant. 24 is not too young for a hair transplant… but you need to consider other options to take control of your hair loss first. Dr. Rahal reveals why inside.

Dear Karthi,

I’m sorry that you have to deal with hair loss at such a young age… but there is hope.

First, you’re not too young for a hair transplant… BUT we need to consider other options to take control of your hair loss first.

Before I get to that, I’d like to reassure you that you’re not alone…

25% of men have noticeable hair loss by age 21.
Click to Tweet

Hair loss is a very natural part of the aging process… and is overwhelmingly dictated by your genetic history.

How Bald Will I Be?

Take a look at your relatives hair loss pattern to get an idea of where you might be headed. This includes male relatives on your mother’s side as well as your father’s side, since both sides can contribute equally.

Here is what to look for…

Are there multiple men in your family that have hair loss… and if so to what degree? Is there a common hair loss pattern?

If yes, this could indicate your future hair loss pattern.

Don’t panic though. Realize that it’s NOT an exact science… only a clue.

If it looks like hair loss is in your future, then consider hair loss prevention medications such as Rogaine and Propecia (for men only).

Both are FDA-Approved… and proven to prevent and reduce hair loss.

These medications are not cures though.… and will only work if you continue taking them. If you stop, you will likely lose any hair you have gained within a few months.

Taking Rogaine and Propecia together…

It is also worth mentioning that taking Rogaine and Propecia together can thicken
miniaturized hair… the hairs that are thin and wispy on your scalp. This alone can provide some added coverage and density.

Only when hair loss prevention has been addressed… and it appears that your hair loss has stabilized, is surgical hair restoration recommended.

Let’s first understand what a follicular unit hair transplant is…

There are two hair transplant procedures that you want to consider… follicular unit hair transplant (FUT) or follicular unit extraction (FUE).

A “Rahal Mega Session™” or follicular unit hair transplant is a procedure that has been performed for over 20 years throughout the world.

In skilled hands it’s consistent and produces amazing, natural results.

Another benefit to FUT is that we can transplant over 16,000 hairs in a single session… so you can have great hair again in record time.

We call it a “Rahal Mega Session™”.

FUT requires that a strip of tissue be surgically removed from the back and sides of the scalp. The incision is then closed, which leaves a fine donor scar. The size of this strip varies greatly… but on average it can be 15cm to over 30cm in length and up to 2cm wide.

This may sound traumatic… but in reality the patient feels very little discomfort during the procedure. And the donor scar is easily concealed by wearing your hair slightly longer.

FUT has been the standard hair restoration procedure for 20 years… though the level expertise and competency does vary from one clinic to the next due to the skill of the doctor performing the procedure (as well as other factors).

Follicular unit extraction (FUE) is the fastest-healing hair transplant available…

Next we have “Rahal FUE™” or Follicular Unit Extraction (FUE). This hair transplant procedure was introduced to North America around 2002… and for several years very few clinics were performing it.

This is due to several reasons… but the main reason has to do with the difficulty of the procedure. A high level of skill and experience are needed to perform the procedure proficiently and consistently.

“Rahal FUE™” involves the use of a very small circular punch tool that perforates the skin tissue and isolates each individual grouping of hair.

These groups or bundles are referred to as “follicular units”. Once the punch has perforated the skin tissue surrounding the graft it is gently released from the tissue and extracted from the scalp.

When performing such meticulous work over several hours, it’s easy to see why this procedure is frowned upon by some doctors due to fatigue.

Regardless, “Rahal FUE™” has become the procedure of choice at Rahal since there is no linear scar to conceal… so you can wear your hair in any style you choose — even “shaved.”

Rahal FUE™ is also the procedure that I recommend for younger patients.

I’m confident that I can help you…

I encourage you to schedule your 100% FREE private consultation today.

During your consultation, I’ll thoroughly examine your hair and scalp, diagnose your hair loss pattern, answer all your hair restoration questions and design your comprehensive, personalized “Hair Loss Treatment Plan™” that includes FDA-Approved medication to take control of your hair loss.

You’ll also discover if you’re a candidate for “Rahal FUE™” — the least invasive and fastest-healing hair transplant available (No Scalpel. No Stitches. No linear scar to conceal, so you can wear your hair in any style you choose — even “shaved.”)

Sincerely,

Dr. Rahal — Founder & Medical Director

P.S. Click here to take control of your hair loss.

I’m based in the UK and really looking to rebuild and strengthen my hairline with FUE. With this procedure do you offer a no shave FUE hair transplant? Or does my full head need to be shaved? Thanks and look forward to your reply.

Dear James,

Rahal patient just 12 months after “Rahal FUE™” — the fastest-healing hair transplant available.

Rahal FUE™ or Follicular Unit Extraction (FUE) has become very popular in the UK, mainly due to Wayne Rooney scheduling his FUE hair transplant a few years ago.

It’s still in the news today.

Cherry pick grafts for the best FUE results…

What I like about Rahal FUE™ is that is allows me to “cherry pick” the best grafts to design a youthful, natural “Rahal Hairline™”… so you can look years younger & style your hair the way you want to.

FUE also allows me to select the “thickest” double and triple hair grafts for behind the hairline and towards the crown…. so you can achieve the thicker, fuller head of hair you desire.

You asked about a no shave FUE hair transplant…

We shave two specific areas of the scalp with FUE… donor zone and recipient zone.

We shave the donor zone to better visualize the angle of the hairs and minimize transection (damaging the grafts).

Shaving the donor zone prevents “over harvesting”. This occurs when too many grafts are harvested from a small area.

We shave the recipient zone to mimic the natural angle and direction of native hairs… and achieve the most natural results possible.

The FUE hair transplant- no shave technique has risks…

A successful FUE hair transplant involves managing risks … and shaving your head does just that by minimizing transection so you can maximize your results.

Knowing that… why would you NOT want to shave your head?

Keep in mind that after 1-2 weeks any visible signs of the procedure are gone anyway… even with your head shaved.

That’s the advantage to Rahal FUE™… you can conceal the procedure from others and return to work quicker.

It’s  the fastest healing hair transplant available.

I encourage you to schedule your 100% FREE private consultation today.

During your consultation, I’ll thoroughly examine your hair and scalp, answer all your FUE hair transplant questions and design your comprehensive, personalized “Hair Loss Treatment Plan™” that could be the answer to your hair loss problem.

You’ll also discover if you’re a candidate for “Rahal FUE™” — No Scalpel. No Stitches. No linear scar to conceal, so you can wear your hair in any style you choose — even “shaved.”

P.S. Click here to get the thicker, fuller head of hair you desire!

Arthritis Drug No “Miracle Cure” for Hair Loss

In June 2014, researchers at Yale University reported startling findings: By using tofacitinib citrate (commonly sold as Xeljanz and Jakvinus), a drug used to treat rheumatoid athritis, the Yale research time was able to regrow scalp hair and body hair in a patient with alopecia universalis.

These panels show the patient’s head a) before treatment with tofacitinib, b) two months into treatment, c) five months into treatment, and d) eight months into treatment. Photo courtesy Yale University

This might make men experiencing hair loss ranging from a receding hairline to completely bald pause for hope…

Different Types of Hair Loss, Different Treatment Needs

Androgenic alopecia—male pattern baldness—and alopecia universalis are two very different conditions with one superficially similar symptom: Hair loss. The differences lie in the both the mechanism of hair loss, the extent of it, and how these conditions are treated.

Tofacitinib appears to spur hair regrowth in a patient with alopecia universalis by turning off the immune system attack on hair follicles that is prompted by the disease, the Yale team reported.

“Hair transplant surgery is still the only permanent solution to restore your naturally-growing hair”

There are currently no drugs on the market that can completely halt or reverse male pattern baldness. Finasteride and Minoxidil, commonly sold as Propecia and Rogaine respectively, can help slow and manage hair loss, but hair transplant surgery is still the only permanent solution to restore your naturally-growing hair.

With male pattern baldness, genetics and hormones are the key factors in hair loss. Dihydrotestosterone, or DHT, is the primary driving mechanism in male pattern baldness. DHT is a potent form of testosterone. The hair follicles on the top of the scalp and at the crown are sensitive to DHT in men with male pattern baldness.

Theories as to the reasons for male pattern baldness, and why those hairs in particular are sensitive, abound. One theory suggests that male pattern baldness might have evolved as a defense against prostate cancer. High levels of DHT can enlarge the prostate and lead to prostate cancer.

The theory suggests that scalp hair began to fall out in the presence of DHT to expose more skin to direct sunlight. More sunlight means the body synthesizes more Vitamin D. People with low levels of Vitamin D are more likely than people with normal levels of Vitamin D to test positive for prostate cancer. Male pattern baldness, according to this theory, is the body’s way of defending itself.

The Norwood Scale illustrates the stages of androgenic alopecia, or male pattern baldness. It’s what most people think of when they think “bald”.

Alopecia universalis is a different story. Alopecia universalis is the most extreme form of alopecia areata (loss of hair in a single area of the body). Alopecia totalis, the loss of all hair on the head, is another form of alopecia areata.

All forms of alopecia areata, including alopecia universalis, are believed to be autoimmune disorders. In the case of alopecia universalis, the body’s immune system attacks hair follicles the way it would attack a virus or an infection, causing the hair to fall out.

A Rare Treatment for a Rare Disease

Alopecia areata affects only about 0.1% of the population, or 1 in 1000. Alopecia universalis, its most extreme form, affects far fewer.

Male pattern baldness, on the other hand, affects many men, if not the majority of men. A 1998 study suggested that as many as 42% of all men, or nearly 1 out of 2, will have Norwood Stage 3 male pattern baldness or greater. That doesn’t include Norwood Stage 2 and 2A.

“42% of all men will have Norwood Stage 3 male pattern baldness or greater.”

At Rahal, we see a lot of men struggling with male pattern baldness. Some of our patients are women, for whom thinning hair can prove far more devastating, as well as patients who struggle with hair loss in certain areas of their body. We know how difficult a person’s body image can be when dealing with that. We can only imagine how hard it must be to lose all hair on your body, not just the hair “up top”.

We’re absolutely thrilled with the results of the Yale researchers, who have given their patient the hope and new lease on life that we see in our hair transplant patients every day. We hope that their research continues to benefit others with this rare autoimmune disorder.

Meanwhile, at Rahal we remain committed to helping men and women achieve a permanent hair loss solution.

Dr. Rahal is one of today’s leading hair transplant surgeons. He’s recommended by the American Hair Loss Association and recognized worldwide for producing his Rahal Hairline™.

mr_predictable Shares His Hair Transplant Diary and Photos: From Dan Aykroyd to Don Draper

mr_predictable shared his Rahal hair transplant after 9 months with the other members of the Hair Restoration Network, a free 3rd-party resource for hair loss sufferers. Check out his posts, as well as his hair transplant diary and photos, to see his complete progress.

mr_predictable had stars in his eyes. He wished for the robust male hairline made famous by celebrities, and who could blame him? Plenty of men experiencing hair loss dream of their perfect hairline.

mr_predictable before his hair transplant and after, with his new, youthful Rahal Hairline™ at just 9 months… there’s still plenty of growth to come!

Like many men looking for a solution to their hair loss problem, mr_predictable started losing his hair at an early age. “I started losing my luscious locs at about 19. It was slow and annoying at first, however, it progressively got worse and became more noticeable.” Without a permanent solution, mr_predictable began to feel like other hair loss sufferers. “It can drive a person insane,” he said.

Pills and Rogaine Not Working: “Nothing helped my cause, and I’m sure I’ve financed more than a few Porsches.”

mr_predictable tried to manage his hair loss with laser therapy, Rogaine, and Propecia. No temporary solution helped what he called his “trip through hairloss hell.”

By 27 years old, between his dwindling patience with Propecia and Rogaine not working, he’d “finally had enough. It was time for me to do something about my hairloss.” He wanted a hair loss solution that actually works. Thanks to the outstanding online community of hair loss sufferers and hair transplant successes at the Hair Restoration Network who helped him research the best hair transplant surgeon, mr_predictable scheduled a consultation with Dr. Rahal.

With his personalized treatment plan and the desire for an aggressive hairline, mr_predictable and Dr. Rahal decided on 3400 grafts for a full, dense hairline.

“It’s crazy thinking back to how much I used to fret over my hair—now I don’t even notice it. It’s truly a liberating feeling.”

The Bradley Cooper Hairline (Left) – The David Beckham Hairline (Center) – The Rahal Hairline™ (Right)

“By the way, to those that laughed at my original Photoshop pictures, I’d say my actual results were even better.”

He had his hair transplant surgery in July of 2013. To pass the time, mr_predictable put together some mock-ups of his “dream results” with the hairlines of male celebrities in his own hair transplant pics.

Members of the community had a laugh.

The joke’s on them, though: At 8.5 months, mr_predictable posted his own results…

“By the way, to those that laughed at my original Photoshop pictures, I’d say my actual results were even better.”

We’re extremely proud to have helped mr_predictable end his “hair loss battle” with a permanent hair loss solution that puts A-list stars to shame.

Ready to write your own success story?
Schedule your FREE CONSULTATION now >/strong>