I Have An Existing Scar in the Donor Area – Hair Loss Information by Dr. William Rassman

I plan on having surgery done but only problem is i have a existing scar and then i will have 2 scars. now i want to know if it is possible to get the scar removed. Also after having surgery what would be the down time from playing sports exercising? thank you for your time

Usually, the old scar can be removed with a second surgical procedure. Down time for a standard strip harvesting surgery in our hands indicates full resumption of most physical activities like soccer within a week. I generally ask patients to avoid things that cause the neck muscles to tighten like sit-ups or body press. I have had one of my patients compete in a 150 mile bike race on the 6th day after strip harvesting.

Help, I Lost 35-40% Of My Hair In 1 Month! – Hair Loss Information by Dr. William Rassman

i have a serious problem. i am 20 yrs old and about a month ago i noticed my hair falling out.i believe in this past month i have lost 35-40% of my hair. yet it is not coming from the usual places for a pattern baldness condition. i have no receding hair line at all and my vertex is fine. i notice it mostly on the top and upper sides. from my research i found in most cases pattern baldness elapses over a long period of time i.e years or more. is it possible to have such an accelerated case. About 6 months ago i underwent lasik surgery and about the time this started i had gotten a huge tattoo done that took 2 seatings of 5 hours each which were very painful. i also feel huge anxiety and very stressed even before this and worse because of it. currently i am on propecia for 4 days and rogaine for 4 days. i am awaiting blood test results but my doctor informs me the chances of this not being perminant are very small. i have no bald or balding family members on either side. this makes absolutley no sense, out of no where and so fast. if it really is pattern baldness and my symptoms continue at this rate all my hair will be gone before the medicine even starts to work. i eagerly await your comments on this letter.

It is normal to lose hair after a stressful event in one’s life – a process called “Telogen Effluvium,” but it is less common (although not unheard of) to have an accelerated case such as you describe. Since your hair is falling out generally all over, I doubt this is male pattern hair loss, especially given your age and prior history. So your doctor is right to do blood tests – fast hair loss like you have can be the sign of a more serious underlying medical condition. I can’t reassure you completely without seeing you and examining you myself, but you should definitely wait and see what the tests show, and calm yourself if you can (stress will set up one of those vicious cycles).

As for treatment, that will depend on the cause but you should be reassured that you are on the only two medications that we can prove work for male pattern hair loss. Propecia and Rogaine will take months to work, about as long as the hair would normally take to grow back, so don’t give up on those medications in the meantime. Take heart, hair can grow back! – It often does miraculously even after seemingly huge losses, and you don’t have any answers yet that should make you despair!

Equol and Natural DHT Blockers – Balding Blog

http://news.bbc.co.uk/1/hi/health/3607815.stm

Please comment on this. Have you heard much about Equol.

This is an exciting article, showing that there are other DHT blocking agents that are out there yet to be discovered. The article offers promise of alternatives to medications such as Propecia, but there are no recommendations on how to take advantage of the soy connection. Equol has been injections into rats, and is a long way to human experience in hand. The article ends: “This study is interesting in that it raises the possibility of using a metabolite of isoflavones as a preventative agent against prostate cancer, which is now the most commonly diagnosed cancer in British men.” Interesting indeed.




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Demodecosis and Hair Loss – Hair Loss Information by Dr. William Rassman

Dear Doctor,
I have recently recoverd from demodecosis (pathological demodex infestation) and now my hair is growing back (front recession and vertex thinning).

What the heck is going on?

Infestation with parasites can cause a lot of problems. Fortunately, these are not that common in the United States. I honestly don’t know what is going on, since I don’t have all of the info. Where have you been and what have you been doing? Where is the explosure coming from?

You can expect your hair to return with proper treatment, just as you are seeing. For more info on this, please see: eMedicine.com

For Bruce Willis, Bald is Beautiful? – Hair Loss Information – Balding Blog

I saw Bruce Willis on the David Letterman show the other day and he told everyone that he was bald and happy. That could put you out of business so don’t buy your new Mercedes yet doc. What do you think of the balding trend? Is bald beautiful?

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Bruce WillisI have followed Bruce Willis’ hair loss over the years from his thinning during the TV series Moonlighting, to the present day shaved head look he sports. A while back, I did notice what I thought were hair transplants placed in the front of his head, showing a less than artistic straight line of hair (suggesting a poor hair transplant), but if my initial guess was correct, there would be some signs of it on the front (recipient area) and in the back of the head (donor area). Judging by photos I’ve seen, I can not stand by my original assumption. I do not think Bruce Willis ever had transplant work done. It is interesting that my daughter met him at a party in the mid-90s and engaged him on the balding issue and my transplant services. He commented that he would remember the connection when the time came, so with that knowledge, I have followed his balding over the years waiting for him to come to my office and join others in that line of work that have come my way.

It must be clear to anyone considering hair transplants, that the option to shave the head as Bruce Willis does may be lost if you have the procedure, as some scarring may be present at the donor site (even with the FUE technique). I have seen many patients that had a small-session transplant, which was inadequate to cover the bald area, because less hair is moved to produce the fullness that a reasonable person might expect. Small, delicate follicular units will mimic the normal hair and to get that, the doctors performing the surgery must be adhering to the standards of Follicular Unit Transplantation. Anyone with even a good hair transplant that uses strip harvesting would have a noticable scar if the head was shaved, even if it were 1mm in size. For the unfortunate person who had unsightly or poorly planned hair transplants, they may have no choice other than to live under a hat or a hair piece most of the time.

Some men shave their head as a way to accommodate their balding. This is a style that has more recently been accepted by the ‘hip’ young men today. We see many ways these men deal with their balding/thinning at our monthly Open House events, where a significant number of men who have to deal with balding come to learn more about the hair restoration process. Many men shave or clip their hair short, or are wearing baseball hats or hair systems. Unlike the average guy, Bruce Willis could get away with wearing a baseball hat to the Oscars because of who he is, but I would not recommend interviewing for a high powered job with a baseball hat on your head. With a poorly done or incomplete hair transplant, an interviewer might spend too much time looking at the hairline rather than in the eyes of the interviewee.

Society has stereotypes and a bald head is stereotypically a ‘hard’ look, the man’s man look. In the past, Hollywood actors have gone clearly bald (Yul Brynner, Telly Savalas), and they were tough character actors. Bruce Willis now joins that pack, but if he had transplants, unlike those bald men who could elect to let their hair grow in and not shave their head, Bruce Willis may not have that choice. His options may be limited if he wanted both hair and the opportunity to keep shaving his head.

Now to comment on your last inference, I am not buying a new Mercedes and I fully expect to keep driving my Toyota minivan, which seems to get me from here to there just fine. If it is short hair you want, don’t worry about my car payments as I have accounted for those choices already.

Alopecia Areata in 4 Year Old – Hair Loss Information – Balding Blog

My daughter who is 4 years old has been diagnosed by doctor has having “alopecia areata (AA)” . I am really worried about her treatment.

She is being given
a)Minoxodil Topical Solution USP 2%
b)Prednisolone Sodium Phosphate Suspension- Omnacortil suspension- 5m/5ml
c)Tretinoin Cream USP- Retino -A 0.025%

is this a good medicine or any new development has been done in this year 2005? please do let me know if any thing else can be done to get my daughter treated permanently

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Doctors who treat Alopecia Areata have a particular interest in this disease. This appears to be a standard treatment for this disease, but this is a highly specialized field and I would assume that your doctor is fully in command of the treatment.

Thinning on One Side of Head – Hair Loss Information – Balding Blog

Hello I am 21 years old, male. My grandfather on my father’s side is bald and my uncle my father’s brother is balding, my father however did not go bald. He has a receeding hairline but he is 47 and i think its just his natural recession since he hasnt really lost much of his hair. I however have my mother’s hair, which is very thick/wavy and we have a lot of it. No one on my mother’s side is bald but im concerned becuase i recently shaved my head and I noticed that on ONE of the sides of my forhead my hair is a little thin and is blonder, yet on the other side its still thick and strong. I used to have long hair and I noticed that that side of my hair was thin as well. I dont really see hair fall out in my shower or my pillow but I am concerned that I may be starting to lose my hair. The funny thing is that I am not experiening the horse shoe loss, I just see a thining on one side. Is this a sign of early balding?

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To determine this, you need to have the diagnosis of male pattern hair loss made with a good thorough mapping of your scalp for miniaturization. It is not unusual with male pattern hair loss that one side is ahead of the other. The side that is not bad, will unfortunately catch up with the good side. The hair can miniaturize first and then disappear without ever falling out. At 21, the Master Plan that you need to develop may not show the balding as far back or to the sides of the permanent rim of hair, assuming the you will go that far back (Class 7 Pattern). But the miniaturization measurement will show how far back the early part of the balding process is.

Propecia is the best treatment for balding in the young man. Get a diagnosis and then start the treatment quickly. There is a good possibility that if you are just miniaturizing your hair, at your age much of it may regrow or thicken with Propecia.

Using Minoxidil 6 Weeks After Transplant – Hair Loss Information by Dr. William Rassman

dear Dr. Rassman,

i am a 45 year old man. i had HT about 6 weeks ago. all the crusts have gone. i have started using Rogaine and Proscar. I wash my hair almost everyday. i start noticing that some of the transplanted hair fall out, and my transplanted area looks patchy. you said that shedding is not common for older men who are using Proscar. is my case unusual? will the hair grow back evenly?

also, minoxidil causes redness and itchy. suddently some of the grafts start bleeding, eventhough i did not touch them (just pour water on the head). is this serious? i am losing the grafts?

please kindly respond. your blog is really helpful.

Minoxidil can cause irritation and it is not necessary in your case, so stop it for a few weeks and observe if this solves the bleeding problem. You need your doctor to examine your scalp looking for things like folliculitis which can cause bleeding and itching, patchy hair loss, and shedding. If you do not have folliculitis and is treated succcessfully, then everything should work out in the next few months (assuming that you had a good doctor who did his job correctly). Speak with your doctor face to face when you get examined. Try to connect with him/her.

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Mom’s Male Family Is Bald — Dad’s Family Has Hair – Hair Loss Information by Dr. William Rassman

if my mom’s father and brothers are all bald and my dad’s family including my dad all have hair, where does that leave me in the genetic mix?

Balding genes can be inherited through the mother or father’s family line (54% may be the maternal side connection). Even if you have the gene, there must be environmental influence to express it and for men it is hormones, time, and stress. The balding genes are not fully understood and there is what is called “expression” of the gene, which means that having it and showing it are two separate things. In other words, you may or may not have the gene and if you do, you may or may not show the gene with genetic balding in your lifetime, yet you can still pass that down to your children or children’s children who may then show it with balding in their lifetime. You won’t know until you begin to lose hair and then you will have to be examined thoroughly.

How Long After a Transplant Can I Wear a Sports Helmet? – Hair Loss Information by Dr. William Rassman

Hi,
I am wondering how long after a transplant can I begin to wear a ball hat and a hockey helmet? I play hockey and am wondering if I would have to stop playing because the helmet would definitely rub. Would that cause a problem?

You should wait a full 5-6 days after surgery to wear hats that might knock out some grafts or even touch the grafts. You don’t want anything sitting on those little guys during that time – baby them! After that, though, wearing hats or helmets is fine but do not let it rub on your donor wound. If you had an FUE procedure, then anything you want, even scuba, is good after 5-7 or so days.