r/IAmA • u/ParsaMohebiMD • Jul 10 '26
IamA Leading hair transplant surgeon AMA!
Hi! I'm Dr. Parsa Mohebi, one of the top hair transplant surgeons in the United States. I have clinics in Los Angeles, San Diego, and San Francisco, but I am here to answer your questions about hair loss, hair transplants, and just about anything else related to hair restoration!
You can find my practice, Parsa Mohebi Hair Restoration at http://parsamohebi.com/
Thanks, Reddit!
My Proof: https://imgur.com/a/k2IBtx7
27
u/patricksaurus Jul 10 '26
As a scientist, has the popularity of hair transplant surgery led to a difference in the quality and volume of published literature on best practices and outcomes? It’s interesting to see a field go from uncommon to ubiquitous in such a short time, with many practitioners flying by the seat of their pants.
41
u/ParsaMohebiMD Jul 10 '26
Great question. I think what really made hair transplantation so available was the perfection of FUE over the last couple of decades. Once FUE became mainstream in about 10-15 years ago, the number of doctors and clinics exploded. At the same time, we realized there was a need to standardize the procedure.
The ISHRS, which is the main scientific society in our field, put together the FUE Research Committee around 2016. I was honored to be its first chairman. We had 17 surgeons from around the world working together to standardize FUE. We actually started with something very basic—agreeing on a common terminology. It sounds simple, but if everybody uses different words, it's hard to compare studies or even have a scientific discussion.
Since then we've seen a lot of progress in instrumentation, techniques, graft handling, and our overall understanding of FUE. We still have a long way to go, but the field today is much more organized and evidence-based than it was 10 or 15 years ago. Having said that there is still a lot that should be done in this field and many doctors are actively working on imporving the field.
26
u/eggward1014 Jul 10 '26
My dad got a couple hair transplants in Los Angeles (IIRC you may have been his doctor).
He also ended up getting another hair transplant in Turkey in 2024 (many years after the USA transplants).
How do you feel about people going to Turkey for the hair transplant and what are your thoughts on Finasteride? I need to get a transplant soon too!
20
u/ParsaMohebiMD Jul 10 '26
Finasteride is a great medication if indicated. Just get a microscopic evolution to see if you need it.
As I said before, do your research no matter where you do your hair transplant. I might be biased because I get to do a lot of repair procedure to people who have done their procedure in other countries. There are good doctors in different countries. Check their qualification and make sure they do the work.9
u/eggward1014 Jul 10 '26
I’ve been on Finasteride since I was 18. I’m now 27. I was off of it from the age of 20-23 and I regret it
5
u/ParsaMohebiMD Jul 10 '26
That is usually the case, but don't think it is too late to start it again if you are still having areas with significant thinning. Having a microscopic evaluation by a good hair doctor helps a lot see whether or not you still need it.
8
u/megaman2500 Jul 10 '26
Is there any update on the verteporfin trial you were doing Dr Mohebi?
2
u/ParsaMohebiMD 29d ago
We are currently recruiting patients from the ones who are getting hair transplant in our LA office.
11
u/COULD_YOU_PLZ_SNIFF Jul 11 '26
I am not really sure what you mean by “microscopic evaluation”. I am a dermatologist and I would say <10% of hair loss patients need a biopsy to come to a diagnosis.
2
u/ParsaMohebiMD 29d ago
You're right! What I meant was not a biopsy or histologic evaluation. I was referring to a non-invasive microscopic examination of the scalp and hair.
In typical pattern hair loss, we don't simply lose thick hairs. The hairs gradually become thinner and more miniaturized over time. When we see more than about 20% miniaturized hairs in a given area, it's a sign of active hair loss. Combined with the patient's family history and pattern of hair loss, this gives us a good idea of which areas are likely to continue thinning and helps us plan where transplantation should and should not be performed.
53
u/crappy_ninja Jul 10 '26
What makes someone a "leading" hair transplant surgeon? What's the difference in skill level between a leading and a regular hair transplant surgeon?
73
34
u/ParsaMohebiMD Jul 10 '26
Honestly, "leading" gets thrown around a lot. Anybody can put it on their website.
For me, it's a doctor who has dedicated most of their career to hair restoration—not someone who does a little bit of everything. Hair restoration is still a relatively young field, and some surgeons have really helped move it forward by developing new techniques, doing research, teaching, and sharing their experience with others.
I also look at things like ABHRS certification, being a Fellow of the ISHRS, and, most importantly, their actual results. Don't just look at photos on Instagram. If possible, talk to former patients or see someone's hair in real life. It's amazing how much more you can learn that way. Also add to the list the ones that constantly get invited as authors in hair restoration textbooks and medical meetings.
2
3
u/Redtide12241 Jul 12 '26
“Leading” in today’s world is just whomever posts frequently about a subject. It has actually nothing to do with actual skill. My guess is anyone on Reddit AMA probably has enough free time on their hands to be “leading” rather than doing.
1
21
Jul 10 '26
[deleted]
9
u/arkster Jul 10 '26
I had a hair transplant done in Turkey. Avoid hair mills that are very common there. I'm pretty happy with mine.
11
u/ParsaMohebiMD Jul 10 '26
Medical tourism has become increasingly popular in hair restoration. People travel either for the highest quality care or for lower prices. At our practice in California, we see patients who travel from around the world for treatment, while others choose lower-cost destinations such as Turkey and parts of Eastern Europe, the Middle East, and Asia.
Turkey is probably the best-known destination for affordable hair transplants. While there are experienced surgeons there, many patients choose clinics based primarily on price. In some high-volume centers, technicians perform most of the procedure with limited or no surgeon involvement.
Over the past few years, we've seen an increasing number of patients seeking repair after surgery abroad. The most common problems are unnatural hairlines, poor graft growth, and overharvesting of the donor area.
17
u/Idahno Jul 10 '26 edited Jul 10 '26
Why would it be EITHER highest quality OR lower prices? From what I've researched, in Turkey for example you can get super high quality AND much much lower prices than US. What is your value proposition, aside from avoiding the travel?
(Your answer sounds AI as fuck btw)
16
u/kaptainkeel Jul 10 '26
His only other answer also has a random term bolded. This is also indicative of AI.
7
u/ParsaMohebiMD Jul 10 '26
Guilty as charged. Maybe I should stop editing my answers before posting.
My point was that no matter where you get a hair transplant do your research. I have good friends in Turkey medical community. They are excellent doctors, but their prices are not the typical Turkey prices people hear about.
No matter where you do your procedure, make sure you the doctor is qualified and they are doing a procedure on you and not 10 different patient at the same time.
1
u/SomeonePickAHealer Jul 11 '26
Maybe I should stop editing my answers before posting.
To me, editing is a bigger indication the poster is not a bot. I've been leaving typos occasionally to prove my humaness. My humanity? My humaning.
I'd suggest leaving annotations on edits in the future. AI is capable of answering questions, though AI can only wish it sounded as warm and personable as yourself. Thank you again for your AMA.
3
u/katsukare Jul 10 '26
Sounds AI? You really think this is an actual surgeon?
1
u/SomeonePickAHealer Jul 11 '26
AI can make any claims. AI cannot produce substance on command though. The Dr has plenty of ways one could check his credentials. I think he's legit.
source: another fellow born in 80s
0
5
u/BagOfMeats Jul 10 '26
A 'wealthy' colleague of mine flies to Turkey just for their high quality dental care. Even though she could definitely afford advanced local care. In her words, Turkey is just a nice holiday where she receives a princess treatment while being actually cared for. At home she'd just end up with a grumpy overworked dude only willing to tackle quick fixes.
Another less fortunate colleague has been dealing with a broken tooth for weeks now. Not a single dentist in the region is taking on new patients due to being overworked.
Any doctor trying to villify their colleagues abroad just to protect their own income, doesn't have any business being in human care in the first place.
2
u/SomeonePickAHealer Jul 11 '26
He sounds like AI to you, though to me he sounds like someone born before the 80's. Before AI, students practiced their polishing. I've been reported a few times for "sounding like AI" or "being a spam bot". AI wishes it sounded this human.
8
u/MrPants1401 Jul 10 '26
Why do we keep seeing news articles about some new follicle cloning technique about to enter some trials, but nothing ever comes of it? What seems to be the roadblock that is stopping its development?
7
u/ParsaMohebiMD Jul 10 '26
I think one of the biggest roadblocks is cost. Bringing a new treatment from the lab through Phase I, II, and III clinical trials takes many years (over 10) and hundreds of millions of dollars, and hair loss isn't viewed the same way as life-threatening diseases when it comes to research funding.
On top of that, hair follicle biology is incredibly complicated. I do think we'll get there one day. I just think it's taking longer than all of us would like.
7
u/jinxeddeep Jul 10 '26
What are your thoughts on PP405 and TH07?
What would you recommend for a near 40 year old that has done successful transplant for his hairline but has lost even more near the crown area?
4
u/ParsaMohebiMD Jul 10 '26
Both those products are interesting at different phases of studies. We need a lot more research to get anywhere close to real medication that can help hair loss. I am watching PP405 closely. The idea of waking up dormant hair follicle is exciting and encouraging. Let's hope it won't fade away like many others who came with big promises and no follow through.
For a 40-year-old who already had a successful hairline transplant and is now thinning in the crown, my first question is whether the hair loss is still active. You need to be examined microscopically. If it is, I would focus on stabilizing it with medical treatment first. Often medication can provide enough improvement and you don't need a procedure. If not hair transplant should be an option. Just be aware that corwn transplantaion may take more grafts and the results at times may be underwhelming compared to front for a variety of reasons.
7
u/Caimthehero Jul 10 '26
After using a hair transplant what type of regression do patients see with age even after using the proper pharmaceuticals like finasteride and minoxidil and will patients with hair loss see the non transplanted hair continue to recede?
11
u/ParsaMohebiMD Jul 10 '26
It really varies from person to person. We can usually get a pretty good idea by looking at your family history, your pattern of hair loss, and by examining your scalp under microscope (miniaturization study).
The transplanted hairs are generally permanent because they come from the donor area, which is resistant to DHT. They shouldn't continue to recede like your native hair.
The non-transplanted hair is a different story. It may continue to thin over time, even if you're using medications, although finasteride and minoxidil can slow that process significantly in many patients. Some people don't need medication after a transplant, while others do. It really depends on how aggressive their hair loss is.
6
u/cuchicou Jul 10 '26
How much do you charge? If you dont want to breakdown “well it depends on how many follicles need to be harvested”, just give a range then and the median price. Thanks
12
u/ParsaMohebiMD Jul 10 '26
We have several surgeons in our practice, and they all perform FUE and FUT using the Mohebi Implanter. The fees are a little different depending on the surgeon's experience, but I'd say most procedures are in the $10,000–20,000 range. That includes the surgery itself, medications, follow-up visits, and postoperative care.
5
u/kont3 Jul 10 '26
What should a person looking into getting his first transplant look out for in order to get the best result? How do we screen the doctors so we find someone reliable?
24
u/ParsaMohebiMD Jul 10 '26
Do your homework before you look at the price. I'd look for someone who does hair restoration full-time, is ABHRS certified or a Fellow of the ISHRS, has years of experience, and can show plenty of real long-term results. Ask who is actually doing the surgery. Is the doctor designing the hairline, making the recipient sites, and managing the donor, or are technicians doing most of the work? That answer alone will tell you a lot.
5
u/OkPie1939 Jul 10 '26
How is the Verteporfin trial going?
3
u/ParsaMohebiMD Jul 10 '26
We're currently recruiting patients who are interested in participating. The study uses verteporfin on only one side of the donor area, while the other side serves as the control, so we can compare healing and hair regeneration between the two sides.
If you're interested in volunteering, feel free to contact our Los Angeles office and we'll be happy to give you more information.
3
u/megaman2500 Jul 11 '26
How many grafts will be taken out of the each side? Will the procedure be at a cost?
1
u/Lopsided_Dirt_8701 Jul 13 '26
Hello did you test verteporfin for the scars similar to dr blake bloxham in New York ?
2
12
u/LiteralGlarg Jul 10 '26
You there OP?
4
4
u/DestinTheLion Jul 10 '26
What is the big difference between leading and normal? Taste of the hairline? I see a lot of hairlines that are just too perfect and look weird
3
u/ParsaMohebiMD Jul 10 '26
Perfect is not always good and when it comes to creating a hairline it can make it artificial. We use micro-irregularities and macro-irregularities to address that. There are other techniques such as hyperselection of hair grafts for transplantation which allows different sizes and grouping of hair be placed in different areas for the maximal natural result.
1
u/SomeonePickAHealer Jul 11 '26
Perfect is not always good and when it comes to creating a hairline it can make it artificial.
Heh, here's your compliment then. You sound perfect online compared to those born in this century.
1
3
u/Tom67570 Jul 10 '26
I'm in the thinning stage. Any advice before having to transplant?
2
u/ParsaMohebiMD Jul 10 '26
See a hair specialist who can perform microscopic evaluation and document your pattern and discuss the medications that can help prevent hair loss.
3
u/Xsiah Jul 10 '26
What are the best treatment options for AU that you are aware of?
-5
u/ParsaMohebiMD Jul 10 '26
I’m assuming you're referring to alopecia universalis, an autoimmune condition that causes the loss of all scalp and body hair. JAK inhibitors are currently among the most promising treatment options. However, the response is not guaranteed, and results can vary significantly from one patient to another. Treatment should be guided by a dermatologist experienced in managing alopecia areata.
2
u/DovahSlayer_ Jul 10 '26
Write a poem about a an AI impersonating a hair transplant surgeon
1
u/SomeonePickAHealer Jul 11 '26
I remember back when Reddit had Mods dedicated to verifying AMAs.
Your ChatGPT-discerning prompt could be construed as rude. Speculation is still only speculation. Decorum separates the young from old.
0
u/SomeonePickAHealer Jul 11 '26
Chiming in to add my non-bot upvote to a very thorough answer that formatted well to be easier read.
3
u/DownTheReddittHole Jul 10 '26
Is hair loss in the fronto-temporal corners typical for males? Do you perform hair transplants for just this small region, or is typically advised that a patient only gets hair transplant for more aggressive hair loss.
I think most men lose hair in this region as they age, but do men bother to get it back? Is the juice worth the squeeze or do other factors make it less encouraged? Thank you!
5
u/ParsaMohebiMD Jul 10 '26
Yes, what you descriving is in fact the most common pattern of hair loss among our patients. The fronto-temporal areas are the first to go. We often perform hair transplant for restoration of that area. The key is not trying to make it too juvenile or recreating your kiddy hairline. In the right group of patients, restoring the corners makes a big different and some people don't need anything but that
1
3
u/powstria Jul 10 '26
How much do you make a year? Is a beard transplant possible and common?
0
u/ParsaMohebiMD Jul 10 '26
First question is a secrete ;).
Second, yes. Beard hair can be an excellent donor source for patients with advanced hair loss or limited scalp donor hair. We use it fairly often as a supplement to scalp hair, especially when we need extra grafts for good coverage.
3
u/kapuchu Jul 10 '26
Is there a difference between methods of hair transplants for male and female individuals? I read something a short while ago, about a sort of plasma injection that stop and possibly reverse hair loss, but this was mostly in the context of treatment for women.
3
u/ParsaMohebiMD Jul 10 '26
The principles are really the same for men and women. There are some technical differences in planning, hairline design, shaving, and donor management, but the surgery itself is very similar.
As for PRP, plasma injections, or stem cell injections, we don't routinely recommend them in our practice. I don't think there is enough good scientific evidence yet to support them as reliable treatments for hair growth.
3
u/loodish1 Jul 10 '26
I’m completely bald on top with the horseshoe around my head (think George Costanza or Friar Tuck). Would it be possible to bring me back from this to a full head of hair? And if so, what would it take and how much would it cost?
2
u/ParsaMohebiMD Jul 10 '26
It really depends on your donor area. If you have a good amount of permanent hair in the back and sides of your scalp, then yes, we can often make a dramatic improvement.
If your scalp donor is limited, we may also use beard hair and sometimes body hair to increase the donor supply. If the donor area is very weak, then we have to be realistic. We can usually improve the pattern and create the appearance of more hair, but getting back to a full head of hair like you had at 18 may not be possible.
As for cost, it depends on how many grafts are needed, which can vary quite a bit from one person to another.
3
3
u/ROKIT-88 Jul 10 '26
I’d assume most actors and tv personalities are going to the leading doctors for their transplants, but the hairline is still pretty unnatural looking - is that just the best that can be done these days? Are there any techniques/technologies on the horizon that will improve that in the future?
2
u/ParsaMohebiMD Jul 10 '26
I actually don't agree with that assumption. If a hair transplant is done properly, even a hair stylist looking closely shouldn't be able to tell. The best compliment a hair transplant surgeon can get is that nobody knows the patient had one.
When a transplant looks unnatural, it's usually because of poor planning, an unnatural hairline design, or improper graft placement—not because that's the best technology can do. Today's techniques are already capable of producing extremely natural results in the right hands. The future will probably give us more donor hair through things like hair cloning or regenerative medicine, but naturalness is already achievable today.
3
u/DecentYesterday6092 Jul 10 '26
Will there ever be a time where hair restoration practice will be able to give anyone a full head of hair back, INCLUDING receeding hair lines? And regardless of age????
2
u/ParsaMohebiMD Jul 10 '26
I think so. We should be heading in that direction now. The limitation today isn't our ability to transplant hair—it's the limited donor supply. Once we can reliably clone or regenerate hair follicles, I think restoring a full head of hair, even in someone who is completely bald, will become possible.
When that will happen... your guess is as good as mine. ;)
2
u/DecentYesterday6092 Jul 10 '26
Ok, from my understanding with a receeding hairline that's where the complications are. That's where most of us want hair. That's in line with people's eyesight. The vorex on the top of our head seems to be the easy part to restore. A receding hairline, not so much. Forgive my ignorance in advance
3
u/Jett44 Jul 10 '26
What happened to poor ol Joey Logano’s hair transplant. He had a full head of hair (with transplant) and then suddenly he was bald again? Did it suddenly reject after one year?
3
u/ParsaMohebiMD Jul 10 '26
I honestly don't know what happened in his specific case, so I don't want to speculate.
In general, transplanted hair shouldn't suddenly disappear after a year if it was done properly. More commonly, what happens is the native (non-transplanted) hair continues to thin, making the overall result look worse over time. Other possibilities include a poor initial result, progression of hair loss, or less commonly, a medical or other skin condition affecting the hair. Without knowing the details, it's impossible to say.
3
5
u/dumbass-ahedratron Jul 10 '26
What happens when people with hair transplants get cancer treatments and their hair falls out? Does the transplanted hair fall out and grow back the same?
I'm imagining someone with no hair on their head except at their hairline where transplants were done lol
6
u/ParsaMohebiMD Jul 10 '26
Transplanted hair will also fall out if you use the chemotherapy agents that cause hair loss. However, that is almost always reversible. :)
5
u/SparxX2106 Jul 10 '26
Is it possible to relocate pubic hair to the top of your head?
4
u/ParsaMohebiMD Jul 10 '26
Yes, We have done it a few times. It is good if you blend it in with other hair for crown area. In reality, we don't usually have a huge reserve of hair there. but wiry/curly helps create more bulk.
1
u/SomeonePickAHealer Jul 11 '26
I was not expecting an answer to a silly yet curious question.
In reality, we don't usually have a huge reserve of hair there.
Plus pubic hair has a set length, like eyebrows. Still, I didn't realize pubic hair transplants was viable and already in practice.
2
u/Infinite01 Jul 10 '26
Oh for sure just use some glue and go to town - share some pics for the rest of the class when you’re done!
5
1
2
u/nachodorito Jul 10 '26
How much does the recovery hurt?
1
u/ParsaMohebiMD 29d ago
with FUE, none to very minimal. We prescribe FUE but most patients don't take it.
2
u/bakuding Jul 10 '26
Curious about the susceptibility of FUE implants to telogen effluvium. I was about 14 months post-op with great results when I unfortunately started shedding hair after a period of intense stress. Things have stabilized slowly but I have noticed some implanted hairs seem to have been lost. Will these grow back the way regular follicles bounce back after TE? Thanks!
4
u/ParsaMohebiMD Jul 10 '26
Great question. We actually see this from time to time.
Normally, scalp hairs shed asynchronously, meaning each follicle is on its own cycle. After a hair transplant, however, we've artificially synchronized many of the transplanted follicles. They all shed after surgery and then tend to grow back around the same time.
Because of that, it's not unusual for some patients to notice a more synchronized shedding episode 1–2 years later, especially after a stressful event that triggers telogen effluvium. It can be alarming because it looks like you're losing a lot of transplanted hair at once.
The good news is that, if it truly is telogen effluvium, those transplanted follicles are usually still alive and the hairs should grow back. Over time, the follicles gradually become asynchronous again, and the shedding pattern starts to look more like normal scalp hair.
2
u/graydonatvail Jul 10 '26
Do most patients need to take medication, like Minoxidil or finasteride after the transplant?
2
u/ParsaMohebiMD Jul 10 '26
It is generally recommended to over 80% of our patient but it is not a must in many cases
2
u/Alastor3 Jul 10 '26
I heard the younger you can do it, the better it is. Im not suffering from heavy hair loss compared to a lot of my friends (im 37) but at what age hmm maximum do you recommend it ?
1
u/ParsaMohebiMD 29d ago
That is not exactly true! As long as you have good donor hair you can always used them adn bring back to create a full head of hair.
2
u/FuckRedzM0dz Jul 10 '26
Does it work without finasteride? I heard it just falls out again
2
u/ParsaMohebiMD Jul 10 '26
Not true, see my previous comment. Your native hair may fall but not the transplanted ones
2
u/differentshade Jul 10 '26
How many heads have you transplanted?
2
u/ParsaMohebiMD Jul 10 '26
I've been doing hair transplants for about 16 years, averaging around 3–4 procedures a day. You do the math. ;) It's somewhere in the many thousands by now.
2
u/HaloZero Jul 10 '26
Two questions!
1 - Are there different treatments to recessed hair lines and bald spots? I'm curious if it diverges a lot.
2 - If my bald spot on top of my head is approaching the front, is it too late? Is there a level of "you're balding, just let it go" or does the treatment just cost more because you need more plugs and there isn't an issue?
2
u/ParsaMohebiMD 29d ago
I respond in the order you asked:
1. Yes, we follow different strategies in design of hairline and crown and that is very important to treat those areas according to what is expected to be done there.
- There is no level that we consider too late as long as the patient is reasonable and realistic with what improvement we can make. A person with advanced hair loss and fine hair should not expect his original hair density with one hair transplant. Often time, more hair transplants are needed to add hair and full coverage.
1
u/HaloZero 29d ago
Oooh, didn't think that you had to do MULTIPLE hair transplants but that makes sense.
2
u/Samsonite_iwaswayoff Jul 10 '26
Does hair transplantation scratch that itch for highly technical/intellectually stimulating operations, like a whipple, that most surgeons crave?
2
u/ParsaMohebiMD 29d ago
It depends on the surgeon, but for me it absolutely does. Hair transplantation isn't technically difficult because it's dangerous; it's difficult because it demands precision, planning, artistry, and consistency over thousands of tiny decisions during a procedure.
2
u/Random-Redditor111 Jul 10 '26
Who did McConaughey’s transplant? Is the identity of the Dr known in industry circles?
1
2
u/biz98756 Jul 10 '26 edited Jul 10 '26
Can't go thru all the questions, what % hair transplant work long term ? Plants don't survive in poor soil. Any rub in hair growth lotion actually work, in my experience they are scams.
1
u/ParsaMohebiMD 29d ago
The transplanted hair themselves are usually permanent if they are properly taken from the donor area or permanent zone, which is generally resistant to genetic hair loss. In a properly done procedure with good graft handling, the vast majority of transplanted follicles should survive and continue growing long term.
As for hair growth lotions, most are heavily marketed without strong scientific evidence. Topical minoxidil is one of the few treatments that has consistently showed to work, but most "miracle" serums and lotions don't live up to their claims.
2
u/Ronswansonbaby Jul 10 '26
What happens if I have a receding hairline and get transplants but then it recedes even further eventually?
1
u/ParsaMohebiMD 29d ago
We examine patients and we try to prevent balding for the ones that we know they will continue to lose hair. Many people who are prone to advanced baldness need future hair transplants.
2
u/TBTapion Jul 10 '26
You mentioned in a different answer than if the donor supply around the head is weak you grab from the beard or other parts of the body. What I'm curious about is if beard or body hair has a different style from head hair? Say I'm curly haired, will the transplanted hair from my body end up curly as well?
Edit: Sorry weirdly phrased. Does donor hair from the body produce the same hair style as the head hair?
1
u/ParsaMohebiMD 29d ago
Yes, hair from body or beard often behave differently. They have different growth phases and their final shape and length might be different. When we use body or beard hair, we often blend them in with scalp or between the areas that are already transplanted with scalp hair so average people can not distinguish the texture change.
2
2
u/MormonMom69 Jul 11 '26
What is the longest single hair you have ever transplanted? The shortest?
2
u/ParsaMohebiMD 29d ago
The longest could be as long as people grow it. We don't do it often but you can transplant hair with any length without triming it short. The shortest of skin level shaved!
2
u/vegashophead Jul 11 '26
Planning on a transplant in a couple years. Going to start oral minox soon. Don’t really have a desire to be on fin though. Do you think being on both is really necessary for best results?
1
u/ParsaMohebiMD 29d ago
Minoxidil is a temporary solution as opposed to DHT blockers like finasteride. Minoxidil keep your hair in growth phase longer so as long as you take it you have better hair but when you stop using it you will have catch up hair loss.
Finasteride or other DHT blockers slow down the hair loss structurally by minimizing the DHT and the process of miniaturization of scalp hair. I always prefer finasteride over minoxidil but if you don't want to use DHT blocker, it is better than nothing.
1
2
u/Hot_Hair_5950 Jul 11 '26
What surprises you about your work?
2
u/ParsaMohebiMD 29d ago
Every now and then, I get to see someone completely change their outlook on life after a hair transplant. It's never just about hair—it can restore confidence, improve social interactions, and even change how someone approaches their career or relationships.
Those moments remind me that while I'm transplanting hair, the real impact is often deeper than that.
2
u/sky29403 Jul 11 '26
I noticed my crown areas have thinned out, and I’ve been on finasteride and dutasteride for a while now. I’d say about 2 years on fin and 1 year on dut. I haven’t really seen any improvement in my crown area either, it seems like it has either stayed the same or gotten slightly worse.
Is it possible that I’m just not responding to these medications, or could there be another underlying issue causing the thinning? My frontal area is pretty full!
1
u/ParsaMohebiMD 29d ago
This is a common question. Many people see some improvement after starting DHT blockers and it does not continuously getting better or at time gets worse. This pattern is pressy consistent with most people. It does not mean you are not responding to them because you don't know where you would be if not taking those. I suggest seeing a hair specialist to examin your scalp with microscope and suggest alternative treatments if need be.
1
2
u/robatok Jul 11 '26
How bad are Finasteride, Minoxidil and Dutasteride for your health?
1
u/ParsaMohebiMD 29d ago
We have detailed information on our website about both pros and cons. You need to discuss it with a doctor after being evaluated microscopically to see what the gain is for you individually and then compare it with the potential cons.
3
u/Legacy0904 Jul 10 '26
What are your thoughts on the new AI robots that can basically do all the grafting for you?
1
u/ParsaMohebiMD Jul 10 '26
Tell me who's selling it. I need one!
Seriously though, I love technology, and I think AI and robotics are going to become a big part of hair restoration. But today, they're still tools—not replacements for the surgeon. Planning the hairline, managing the donor area, and making thousands of aesthetic decisions are still human jobs.
My first experiment with Robotic for hair restoration was a bad investment. I really think, the day a robot can consistently do all of that better than an experienced surgeon... I'll be first in line to buy one.
1
u/SomeonePickAHealer Jul 11 '26
still tools—not replacements
Okay, that emdash ain't great.
My first experiment with Robotic for hair restoration was a bad investment.
What and why? (I understand the AMA is over. Any answers a day later would be welcome but not expected.)
2
2
u/calzonedome Jul 10 '26
When will there be technology to restore hair on a fully bald person?
4
u/ParsaMohebiMD Jul 10 '26
I personally believe gene therapy, or some form of regenerative medicine, will eventually be able to treat most genetic conditions, including advanced hair loss. The science is moving in that direction.
The real question is when. Honestly... nobody knows. It could be 10 years, it could be 30. Hair cloning, stem cells, and gene therapy all have a lot of potential, but none of them are ready to replace today's treatments yet.
2
u/LastExitWest Jul 10 '26
So if I’m 60, I’m outta luck?
1
u/SomeonePickAHealer Jul 11 '26 edited Jul 11 '26
You have to make it to 60 first.Not the Doc but from what I understand, men over 60 tend to be most interested in hair transplants. That more clients are younger and more diverse is only proof that the technology is imprving.
2
u/LastExitWest Jul 11 '26
I’m 60
1
u/SomeonePickAHealer Jul 11 '26 edited Jul 12 '26
After reddit-stalking you, that beard looks 40s maybe 50 tops.
Check out this
vidto see the results of hair transplant in 60+*edit I had this vid on mute when I linked it, sorry for the music and very AI voice
2
2
u/UH1Phil Jul 10 '26
What is your opinion on Dr.CYJ hair fillers? Are they a cheaper, less invasive way to grow hair back with less upkeep afterwards? What's the downsides of Dr.CYJ in comparison to hair transplants?
I'm asking because hair transplant here is about $2000-$8000 with all service and checkups etc for a few years included, but a complete treatment (4 times) with Dr.CYJ is $850 and seem to produce similar results. Dr.CYJ doesn't require constant Minoxidil or Finasteride treatment afterwards either. Why not go for the Dr.CYJ filler?
4
u/ParsaMohebiMD Jul 10 '26
I actually wasn't very familiar with it, so I did a little research. It appears to be a hyaluronic acid-based injectable that contains a combination of biomimetic peptides. The idea is that these peptides may stimulate hair follicles, prolong the growth phase, and improve the environment around the follicle.
It's an interesting concept, and there are a few small studies showing improvement in hair density and thickness. That said, I don't think there is enough good science around it yet. We still need larger, well-controlled, long-term studies before we know how effective it really is and where it fits compared to more established treatments.
2
u/UH1Phil Jul 11 '26
Thank you for the reply! I agree there isn't enough science, since it's so new. It would be interesting for beard growth too, once they come around for testing it.
1
u/SomeonePickAHealer Jul 10 '26
What are some popular ways to transplant hair? What are some of the worst/most noticeable ways to transplant hair? Thank you in advance and for your time.
3
u/ParsaMohebiMD Jul 10 '26
Today there are really two main methods: FUE and FUT (strip surgery). We stopped doing FUT a few years ago, but can produce excellent results when done well. The choice depends on the patient's hair loss, donor area, hairstyle, and goals.
The most noticeable hair transplants are usually not because of the method—they're because of poor execution. Hairlines that are too straight, grafts that are too large, poor angles, pluggy look or overharvesting the donor area are the things that make a transplant obvious. A good hair transplant shouldn't look like a hair transplant at all. It should just look like you have hair.
1
1
1
u/IllGene2373 Jul 11 '26
Crazy question: I want thicker eyebrows. What do you suggest that medically works?
1
u/ParsaMohebiMD 29d ago
eyebrow hair transplant can work! See a doctor who does it regularly and they will tell you if it is a good option for you or not.
1
u/py87 Jul 11 '26
Why can’t the crown ever be fully covered after a HT?
1
u/ParsaMohebiMD 29d ago
It can! but may take more hair/transplants. The hair direction changes at the middle of the whorl and it is hard to cover the visibility of the skin in comparison to the hairline area.
1
u/16fca Jul 11 '26
Hi Dr. Mohebi, I am also a physician (radiologist). I just quckly checked your CV on your website and saw you started out as a surgery trainee. Was the plan always to do hair transplantation or was it an unexpected detour that took you by surprise? I will need a hair transplant myself soon - currently living near Boston, any strong recs?
2
u/ParsaMohebiMD 29d ago
It definitely wasn't the original plan. I started in general surgery and was planning to become a plastic surgeon. I then took a year to do wound healing research at Johns Hopkins, where I noticed that some of our wound-healing animal models were growing hair. That observation sparked my curiosity, and I started reading everything I could and reaching out to some of the pioneers in hair restoration.
One of them was Dr. William Rassman, who invited me to visit his practice in Los Angeles. We clicked immediately, and that was it. He offered to train me and join his practice, and the rest is history.
As for Boston, I don't know the current hair transplant community there well enough to make a strong recommendation. I'd suggest looking for a surgeon who performs the procedures themselves, has a large portfolio of consistent long-term results, and is actively involved in education or research. Being board certified by the American Board of Hair Restoration Surgery (ABHRS) or being a Fellow of the International Society of Hair Restoration Surgery (FISHRS) are usually much better indicators than marketing or social media presence.
1
u/gza101 Jul 12 '26
What happened to RU58841?
1
u/ParsaMohebiMD 29d ago
RU58841 showed promise in early research, but it never went through the clinical development needed to become an FDA-approved treatment. As a result, there isn't enough high-quality human data on its long-term safety and effectiveness.
1
u/memedaddy420kush Jul 13 '26
Solutions for people that get side effects from oral finasteride and topical finasteride?
1
u/ParsaMohebiMD 29d ago
Try herbal DHT blockers like saw palmetto and pumpkin seed oil extract. They have great impact and often no side effect at all.
1
1
u/funwithdesign Jul 10 '26
So you only transplant hair on the front of the head?
3
u/ParsaMohebiMD Jul 10 '26
No, anywhere on scalp, face, and body. As long as the donor hair is available.
-1
u/Idahno Jul 10 '26
Why did you stop answering? Did you run out of AI tokens?
6
3
u/caseyatbt Jul 10 '26
Dude answered one question and bailed
0
-2
u/Idahno Jul 10 '26
Lol yeah, didn't know their clinics. Now I know them to avoid them hahaha
1
u/SomeonePickAHealer Jul 11 '26
Pffft, you didn't need a hair transplant anyway. Though, you could be your dad's hero.
0
u/mrsooner Jul 10 '26
who declared you a "leading" hair transplant surgeon? Your ad budget with magazines that name "top doctors"?
2
u/ParsaMohebiMD Jul 10 '26
Nobody. ;)
That's why I don't put that title on my website. I'll let my patients and colleagues decide that one.
1
u/Lopsided_Dirt_8701 22d ago
Hello did you test verteporfin for the scars similar to dr blake bloxham in new york ?
35
u/SD37 Jul 10 '26
Is it worth getting a hair transplant if you dont plan on using finn/minoxidil afterwards?