Month: August 2006

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Hair Loss InformationI Don’t Want to Pester My Doctor, But I Have Questions – Hair Loss Information – Balding Blog

I am currently 25 and have noticed severe balding in the temple region for the last 6 months and minor balding on the crown. I have always been paranoid of going bald one day, and now it seems the reality is here. I have seen 2 doctors concerning transplants and the 2nd, who I felt comfortable with developed a master plan and I started propecia about a month ago. He did not recommend surgery but rather wait until November and come back to see him. It has reached the point today of not being able to wait another 4 months. My temple region is fading at lighting speed. Do you suggest on waiting the propecia out? I do not want to pester the doctor who I could potentially have surgery with.

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Follow the doctor’s opinion you trust. Waiting out the impact of Propecia for 8 months is always a good idea. At your age, Propecia will reverse the crown loss most of the time, so why rush to surgery when the drug is probably the best of all solutions? Have an open line of communication with your physician — it always works out best that way. Look, I am not your doctor but do not have a problem answering your questions.

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Scared to Use Rogaine for Women – Hair Loss Information by Dr. William Rassman

At the beginning of December i started to realize that my hair was getting thinner. After that i have an appoiment with the gynecologist to ask her for birth controls and i told her my situation and she said that the control pills are going to help me with my hair. I’ve been taking it for 8 months and my hair is still getting thinner and thinner and i went to the doctor to have a blood check up and the doctor said that my iron was low so i took iron for 1 month. My dermatologist told me to use Rogaine for woman but i am a little bit scare to use that. I want to know why i’m having this problem and i want to find the solution. My hair was so thick that i couldn’t hold it with one hand….please help me.
Thanks

Birth control pills and low iron cause hair loss and hair thinning. Sometimes this is not reversible, but it may not get worse if you improve the low iron and manage the birth control pills better with your doctor (focus your doctor on the hair loss element). Rogaine works nicely in some women if they can tolerate its use. It may be worth a try.

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I Haven’t Experienced Any Difference in My Hairline from Avodart – Hair Loss Information by Dr. William Rassman

I am a 26 yr old male with slightly receding hairline. I have been on avodart now for 15 months but noticed not a real difference good nor bad. I am wondering if Proscar might be more effective given it is proven to regrow as with avodart there are not as much clinical date. I chose avodart since it was the stronger dht fighter

I am guessing here, as I have no real experience with Avodart. I would doubt that Proscar will work any better as Avodart is theoretically a much better DHT blocker. However, if you are taking Avodart (or considering Proscar) to regrow your hairline, chances are high that it won’t work for that anyway.

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Dye or Bleach After Hair Transplant – Hair Loss Information by Dr. William Rassman

How long should a patient wait after a hair transplant to use hair dye or bleach? Will either of these products speed up hair loss or kill the new grafts?

You can dye or bleach your hair after all of the scabs are gone (usually 2 weeks at most), provided that you are clear.

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Hair Loss InformationLoss of Neck Hair – Hair Loss Information – Balding Blog

This man has a not-uncommon finding that shows the difference between scalp hair and neck hair. I always tell my patients that neck hair is not permanent, and even at 30 years old, this person’s neck hair is already disappearing. Too many surgeons use neck hair for a hair transplant with the idea that it is finer hair and makes for a better frontal hairline. But as you can see from the picture below, had neck hair been used for the front of his transplant, it would be falling out already. Even worse, neck incisions tend to produce wide scars. If this patient had recieved a hair transplant using his neck hair, he would have been deformed and would probably regret that he ever had done anything to begin with.

The key to good transplants is that every transplant stands on its own, and that no transplant can be seen as a person ages, loses more hair, or changes his hair style restricting his freedom. Please click the photo below to enlarge.


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I Have OCD And Didn’t Wash My Hair For a Long Time – Hair Loss Information – Balding Blog

I am a 20yr old male who didnt consistantly wash my hair from the age of 14-18 because of suffering OCD. Its hard to estimate but its possible I went a month without washing my hair in that 4 yr period. Although I did take a shower everyday and even sometimes twice, so my hair did get wet daily.

I was wondering if its true sebum buildup causes hairloss? IF so is this hairloss permenent or should we assume once the problem is corrected, any loss would grow back.

I also have oily scalp which makes me assume, I might have had sebum buildup.

Is the sebum builup story about causing hairlos true or false?? Please respond as your response will really relieve my worries and anxiety, since I do suffer a few mental problems and have been worrying about this for some time. Also if the sebum buildup applys to my case, would a dermatologist be able detect that by observing my scalp??

Thanks

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Sebum buildup does not cause hair loss. What may happen is that if you brush or comb you hair and the hair is stuck to your scalp, you may pull it out. Wash with a good shampoo and use a conditioner as well to prevent pulling the hair out.

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Severe Dandruff So Itchy My Head Bleeds – Hair Loss Information – Balding Blog

i have a lot dandruff,and it’s so bad that i itch so much and some times it bleeds and have clogs on certain areas of head…and..secondly…sems like right side of my head has less hair than left…and losing hair too.

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It sounds like you scratch it a lot. If that is that case, of course it will eventually bleed. Stop scratching it and use a good dandruff shampoo. If you are concerned about less hair on one side than the other, see a good dermatologist. It sounds to me that you are pulling hair from the scratching and if you keep doing that, you will eventually make the thinning you are seeing, permanent hair loss.

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I Have Thick Hair, But Not As Thick As 10 Years Ago – Hair Loss Information – Balding Blog

Hi Dr. Rassman, I am a 43 year old musician and I am very lucky to have thick shoulder length hair. However, although still thick, it is certainly not as thick as it was 10 years ago, and I am beginning to notice some slight thinning at the crown and although my hairline is still low, some very slight thinning there too. My question is, should I use Rogaine preventatively? Is it better to start Rogaine at the very beginning of what might be a problem? Will I see benefits from Rogaine if my hair is still thick? Or at 43, have I likely escaped a serious hair loss problem and just take some vitamins or something? Thank you so much for your help.

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To me, thinning hair either represents a change in hair thickness (possibly aging) — something we see when a baby becomes a young child, and then often when a young man takes the turn into puberty -or localized miniaturization in the areas where you notice the hair being not quite as thick as it previously was. To make that diagnosis, as I have said before, you need to get your hair mapped out for miniaturization and then the microscopic analysis will be clear as to what you are seeing with your eyes. In men, miniaturization is best treated with finasteride (Propecia), not Rogaine (minoxidil) as the drug of first choice. I now have an office in Newport Beach, and since you indicated that you are in Orange County, why not get your hair mapped out and find out that is happening to you?