Should I Try Medications Before Considering a Transplant? – Hair Loss Information by Dr. William Rassman

Just turned 40 and starting to bald on top back “crown” of head, was using minoxidil 5% (~1yr), just started on Propecia (day 2) (from what I read here, I guess OK to use both). Should I try all these remedies first before considering a Hair Transplant, do hair transplant results look more natural and successful if started early? Where are you located (offices), would I have to travel from Houston to there for a consultation?

If you just starting to lose the hair in the crown (meaning that it is now noticeable), there is a good chance that Propecia will reverse some or all of it. Recent hair loss (2 years or less) is most susceptible to reversal. I would suggest not stopping the Minoxidil, as your hair is almost certainly dependent upon it. Wait 8 months and if there is not enough reversal, then a hair transplant may have great value.

Our offices are both in San Jose and Los Angeles, California. If you come from out of town and have a procedure, we will subsidize your costs of travel and put you up in a hotel for the night of surgery.

I Want To Reduce Sebum Production – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassman,
I have a increased sebum production in the scalp ( the vertex )The sides and back are normal with no hair loss. I have tried several madicines (topically)to reduce the sebum production in scalp and nothing has worked. Is there a oral medicine that can reduce the sebum production by reducing the size if the oil glands? Will lowering DHT ( by taking DHT inhibitors like Dutasteride ) reduce the sebum production?.I am writing with a lot of hope because no one in India seems to have an answer to this problem.I am sure that there will be some medicine that can reduce the size of the oil glands and reduce sebum.I have heard about Isotretinoin and zileuton, will they work in reducing sebum?
Kindly adivice, I will be extremely greatfull to you.

Good shampoos for oily hair are the best way to manage oily scalp. I am sure that various hormones will reduce sebum, but at what real cost to your health? Do not poison your system with drugs to solve this problem.

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Hairline Lowering Procedure for Men? – Balding Blog

I have always had a high forehead which combined witha ralativly narrow face spoils an otherwise very attractive face. wearing a fringe or hat – simulating a lower hairline dramatically increases the balance in my face and makes my face look much more attractive. I have other striking features and work hard on my phsyique, being attractive is important to me and I would like to model in the future. I have been told with a few slight alterations this ambition could be a success!

My hairline starts above the point where my forehead begins to curve back to join my scalp and recedes a lot above my temples.

I am relativly young, 23 and male – with no history of balding anywhere within my family, and feel that even if I were older hair transplants would be unsuitable as I wish to wear my hair short and the thin/unpredictable growth patterns I have seen from transplants is not the look I am looking for.. I am wishing to improve my asthetic not correct a baldness problem, thus the overall result would have to look good and be virtually undetectable.

My question is, have hair line lowering operations (forehead reduction?) being carried out on men, and with what degree of success? How dramatic is the scarring – can it be made undetectable even with short spikey hair? Does this kind of procedure alter the direction of growth of the individual folicles – causing a somewhat ‘wild’ appearence of the hairline?

Most of the information I have been able to gather reagarding this surgery has related to older females, although I have seen that such surgery has been popular with transexuals, and the results here – in younger people – seem to be very positive.

Id appreciate if you could email me any help you can give me!

Thanks

My question is, have hair line lowering operations (forehead reduction?) being carried out on men, and with what degree of success? How dramatic is the scarring – can it be made undetectable even with short spikey hair? Does this kind of procedure alter the direction of growth of the individual folicles – causing a somewhat ‘wild’ appearence of the hairline?

Hairline lowering procedures work as well for men as they do for women. The problem is that 50% of men will experience some form of balding, most in the front of their heads. With a successful hairline lowering procedure, what do you think will happen when the hairline recedes from male patterned genetic hair loss? The answer to this question is that you would bald from the incision (scar is minimal usually) backwards, losing all of the benefits of the hairline lowering procedure. This is especially worrisome for the young man, because the ability to predict hair loss in a 23 year old is difficult, near impossible. You would be taking a risk if you have your hairline lowered now. If, however, you go the transplant route, the look is impressive and totally normal and can be followed with more transplants if balding should occur. One of the reasons that hairline lowering procedures works well in gender changing situations is that the testicles are taken off, so the risks of male genetic hair loss is obviated.

See this previous blog entry for photos of a hairline lowering procedure with transplants in a woman with coarse hair.




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Any Psoriasis Precaution Advice for a Hair Stylist? – Hair Loss Information by Dr. William Rassman

I have a client who really needs a soft perm for the summer and has “bouts” of scalp psoriasis. I want to provide her the best information possible before creating this new style for her and we are currently in the midst of a remission so I need to act fast. I know a patch test and a test curl would be helpful but I was wondering if you could give me any overview advice on what her needs are in this situation and what precautions I could take to make her feel and look her best. I was thinking of using ISO or Aveda perms and clarifying her hair shaft with Redken PreArt and Hair Cleansing Cream prior to the service. What are the PH issues I am faced with and how can I position myself accordingly for the best result possible? Your advice would be most appreciated as this is a tough subject to find good information on. Thank you

Psoriasis is best treated by a dermatologist. There are many degrees to Psoriasis. I have this disease and I can tell you that there are few things that work well when the disease gets in its more advanced phases. I do not believe that there are any non-prescription items that really work for treating this problem. I often advise patients to keep the scalp skin soft and if the inflamation gets very active, try some topical steroids (hydrocortisone cream) no more than three applications 12 hours apart each week that the problem persists. Continuous use of steroids can be absorbed through the skin and into the body.

Hair Loss InformationLiquid Paraffin for Hair Loss – Hair Loss Information – Balding Blog

Hi,

i just found your bloggs page, which i think is very useful. Im a female of 20 years old and im a paharmacy assisant and student. Im doing research at the moment into liquid paraffin for my disitation and was wondering if u know anything about liquid paraffin and if u have ever come cross it in helping to re-grow hair. The reason i ask is, firstly due to curiosity hence my research, but also that, i came across a customer once when i was working on the pharmacy, who was askin for liquid paraffin. I asked what she was using it for and she told me that she uses it for her husband becaus she discovered that it regrows the hair. Im not sure if that is possible or safe. Can you help me at all or have any information that might help wih my research or for other people who go onto this page? Or if you know of anyone tht i an talk to about this?
Thank you very much

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Liquid paraffin is used to remove hair. Constant use of it will produce traction alopecia. When used on facial or body hair, the hope is always that the hair will not grow back. Waxing your hair makes it go away, not come back. You got it backwards!

I Need to Look Good For a Wedding in 6 Weeks – Hair Loss Information – Balding Blog

I know you’ve mentioned several times that it’s redundant using Regaine while on Propecia, but i’ve only started taking Propecia and I need to look good for a wedding in 6 weeks, while Propecia won’t kick in for at least 3+ months. Would it be worth taking both until the wedding then go back to just using Propecia?

Thanks

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You can not dictate timelines to your hair. Six weeks may be far too short a period to expect changes. Think more like many months and even up to a year or two to get the benefits of Propecia or minoxidil.

Can a Hair Flap Be Removed? – Hair Loss Information – Balding Blog

i had the hair flap surgery, done back in 1989, when i was around 25, my question is , can the flap be removed from the head??. to be honest i look kind of silly, with this thick hair in the front that grows in the wrong direction…thank you for your time…

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To learn what this person is asking about, read more about the flap.

The flap can be reversed, but the scarring is high and it may not answer your needs. There are many ways to manage such a flap. See an expert and be careful that you do not make another mistake. You don’t want to go down a one way street the wrong way.

Body Resists Propecia – Hair Loss Information – Balding Blog

The body will eventually build a resistance to almost every drug right? Why is it that the same won’t happen to Propecia?

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Finasteride blocks DHT from acting upon the receptors to about the 80% level. Eventually, the hair loss will continue to progress, but from a better, hairier level, and even with the progression of the hair loss, some impact of finasteride will persist because many of the DHT receptors still remain blocked. Nothing in this world is forever, except death. Drugs that block the DHT receptors make your hair grow, but they are not the final answer today for hair loss.

My Doctor Is Not Concerned About My Eyelash Loss – Hair Loss Information – Balding Blog

(female) I have lost over half my right eye lashes and I am continuing to lose more. In the last few days, my left eye lashes have begun to fall out. I have asked my family physican and he says it’s “just one of those things”. I just want to know if it is or if there is some treatment for it.

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Do you have a history of plucking your eyelashes and if so, are you doing it now? If you lose localized hair anywhere on your body, it may be a sign of an autoimmune process and it may not be a healthy process. Do you have hair loss elsewhere? Is there miniaturization of the hair on the scalp indicative of a more general hair problem than you are observing now? You should watch it carefully, look carefully at the rest of your hair and scalp and if it extends or is present elsewhere, then a good dermatologist may be a good next step.

Will FUE Procedure Limit My Donor Site? – Hair Loss Information by Dr. William Rassman

Dear Dr. Rassman,

I am considering having a transplant procedure at your clinic. My preference would be to have the fox procedure since I would like the option of a very short haircut and am very physically active…. swimming, etc. and want the least amount of scar detection.
My question is this: Will having a fox procedure possibly limit my donor site options years down the line when I may need to come back to fill in other areas?

Thanks!

Everyone has a limited donor bank of hair and FUE will deplete that donor bank just like strip harvesting will do. The question I’ve been asked a few times is: Will there be more donor area with FUE than with traditional strip harvesting? The simple answer is only a guess as no one to my knowledge has pushed the donor supply far enough to find out the answer to that question.