I Use Finasteride and Dutasteride Together – Hair Loss Information by Dr. William Rassman

doctor i am a portuguese patient on finasteride 5mg and my doctor add dutasteride 0.5mg 1year ago. i have get most all of my hair in the front area, and no longer have receding hairline. i think this must bring the question whether they both could be used together. in portugal dutasteride is approved for BPH only. thanks for your attention

I have seen two patients who have reversed their frontal hair loss on Propecia (finasteride) alone. If Avodart (dutasteride) added to Propecia caused such miraculous changes on a consistent basis, I would be surprised, but pleased to know it. For the readers of the blog, do not rush out and get on Avodart upon reading with post. This medication is still going through clinical trials for the treatment of hair loss and therefore is not FDA approved for such.

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Hair Transplants for Men in Their Early 20s – Hair Loss Information by Dr. William Rassman

For those of us in our early 20 thinking about hair transplants, do you have before/after photos of men who decided to get a transplant at an early age? I’m interested to see what the balding progression would look like, especially if the man uses propecia.

Look at the Norwood classification below and you will see the progression of hair loss that is possible. Some people follow the loss pattern going from a Class 2, to a 3, then to a 4, and then on and on. Others will thin in the Class 6 pattern and not go through the various stages. What is important to be aware of, is that only about 7% of men progress to a full Class 7 pattern so just because you are a Class 3 pattern balding person, it does not mean that you will advance to a Class 4, 5, 6 or 7 pattern. The genetic factors that determine the final pattern vary between people.

Norwood Chart

The problem with young men (under the age of 25) is that their balding patterns are often not quite clearly defined. I generally like to wait until at least 25 years old, following the patient with miniaturization mapping regularly to understand the progression of the balding process and the effects of drugs like Propecia. If one transplants a 20 year old before the pattern is fixed, a long term Master Plan can not be derived. If this 20 year old becomes a Class 7 patient, transplanting him as if he is limited to a Class 3 pattern might start using up more hair for future pattern loss than he has. The problem is that we do not want to run out of donor hair and look freaky as the pattern progresses.

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Do You Attend Hair Loss Conferences? – Hair Loss Information by Dr. William Rassman

Which do you consider are the best scientific conferences covering the latest developments in MPB treatment? Do you plan on attending any of these this year?

The best conference for the hair restoration industry is the meeting put on annually by the International Society of Hair Restoration Surgery (ISHRS). The next meeting will be this coming September in Las Vegas. It has a board agenda, covering everything from drug and cloning breakthroughs, to changes in surgical techniques. I have been a teacher at these conventions every year since it was formed in 1994 (except for in 2001, due to the September 11th tragedy).

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Bumps Where My Hair System Attaches – Hair Loss Information by Dr. William Rassman

I wear a hair piece (system) on the top of my scalp only. It is taped on and I love it. The top of my hair is fake and the bottom half is my own. No one can tell and no one knows, except my hair specialist. My problem is that I noticed a few weeks ago I have developed two little bumps on the front of my hairline (right where the tape is). These bumps do not move or hurt. When I remove the system for a few hours I noticed that the bumps lessen but not completely. Should I be worried. I can’t go to my doctor as I don’t want him to know about my hair situation and he’ll probably send me for tests which means more people will know my secret. (I’m very sensitive about my hair loss) When I check bumps/lumps on the internet it indicates tumor?

Should I be worried? My hair specialist thinks it’s because of the hair system and doesn’t think I should be worried.

These bumps sound like something caused by irritation, possibly from rubbing of your hair system. Get a doctor to see it or ask your hair system expert about it. I am sure that you are not the first to have it. I can not tell you what it is without seeing it myself.

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The New Scam in Hair Transplantation – Hair Loss Information – Balding Blog

Shell gameThere was a movie named Network that came out over 30 years ago and contained a great line that became a very memorable quote:

“I’m mad as hell, and I’m not going to take this anymore!”

Well, this line came to mind and I want to tell you, my readership, how mad I am and why. Unfortunately, I can not directly act on what is making me mad, except by speaking my mind through this blog. There is a new scam going on in the hair transplant industry, which plays off uninformed patients who come to visit a doctor for hair restoration surgery and who want to rightfully trust that doctor. The scam is simply to get a young man or woman to trust in the doctor through skilled sales and presentation skills, and then when they make up their mind to have a hair restoration procedure, they get what they would not have expected.

The fee structures in the hair transplant industry is based upon a fee per delivered graft. Usually, the prices run all over the place. I have seen three people in the past week alone who received over 2800 grafts, supposedly in their ‘balding’ area. They get poor densities transplanted into the balding area and many more grafts are placed into normal hair. One of the three patients was sold 3300 grafts at $4/graft, and I calculated that he could have never gotten that many grafts because the density of his donor area and the tightness of his scalp would never have allowed that number. Add to that was that my examination only saw about 400 grafts that grew and I suspect that the patient was swindled. Worse than the financial loss, was that valuable donor hair was lost and damage was inflicted in the recipient areas that were transplanted.

I am certain that this scam is being perpetuated all across the world, as I have seen patients coming to visit me from throughout the United States and Europe. All I am addressing here is the intent to defraud. I am not addressing the second class work performed by doctors who try to deliver first class work.

What can you do to protect yourself? The answer to this question is to do careful research. Read the blog entry Patient’s Guide — How Many Grafts Will I Need?, which teaches you how to determine the number of grafts for a given balding area. When I wrote this piece, I did so to explain the economics of hair distribution to arm those prospective patients with enough information to be well informed about the pending purchase of hair transplant grafts, but now it seems that doctors are reacting to the competitive challenge by dropping the price per graft and raising the numbers, many time a multiple of what is needed. Many times the doctor does not even transplant the numbers he/she commits to (I believe this is less common, because their staffs would see that). If you understand the process of calculating the number of grafts, you will be able to determine for yourself how many transplanted grafts you need, so if you (for example) calculate 1000 graft needed and the doctor recommends 3000 grafts, then you know that the doctor is in for the ‘SCAM’. Never forget (that like any service business, even a doctor’s cosmetic surgery activities) that it is a Buyer Beware business.

There is nothing that I can do except to vent here on my blog. I am appalled at the behavior of this group of scum doctors, for they are not only crooks, but they dishonor the good doctors who are in the hair restoration field. If I come out publicly and identify the doctors who I am certain are involved in this scam, I will be open to legal actions by those involved. The medical board has no power to deal with it, as the decisions on what to do falls outside their domain and the doctors would withdraw into the practice of medicine. The only place where these doctors can get attacked is in the courts on a malpractice action. I can play a role as an expert witness to those that wish to take action and would offer my services to the victims of these crimes and their lawyers.

My Leg Hair Stopped Growing! – Hair Loss Information – Balding Blog

I am 44 y/o and the hairs on my legs have stopped growing. Do you think that this is something to be concerned about? Is is possibly the start of menopause?

Thanks

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I don’t believe that the loss of leg hair is a sign of menopause, but hair (even leg hair) does change as we age. One internet source about a lady who underwent surgically induced menopause, reported that there was loss of body hair immediately after the surgery. Also see Google Answers – Leg hair loss for an in-depth answer.

Hair Loss InformationWhen Will Hair Cloning Be Perfected? – Hair Loss Information – Balding Blog

Dr. Rassman,

I know that you have replied to a few posts in relation to hair cloning about timeline etc. My question isn’t about when the procedure will be available, but when you think the procedure will be perfected.

In other words, when do you think that a man suffering from extensive baldness (with hair available for cloning at the back and sides) will be able to walk into a clinic and have his hair cloned so that he can have a full head of hair that looks completely natural?

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I really have no way to tell how long something like this actually will take to be perfected (nor would anyone know precisely how long it would take to perfect hair cloning), but my guess is ten to twenty years.

Using Steroids and Taking Finasteride – Hair Loss Information by Dr. William Rassman

hi,

i’m a 25 year old male. I’ve noticed quite a volume of hair loss lately. Began using Proscar and Rogaine. I want to do a cycle of steroids. I want to do Deca because it safe on the hair. But i’ve been told using Deca with Proscar as a combination will make might hair loss worse. Can you please clarify and give me a professional answer.

thank-you.

SyringeAnabolic steroids (like Deca-Durabolin) are not something I recommend medically for weight lifting, but I have heard of other doctors who prescribe it for that purpose (see DomesticGear.com – Deca Durabolin). You should definitely be under the care of a qualified medical physician if you are taking anabolic steroids. Aside from the hair loss aspect which can be caused by this medication, you risk liver and other bodily damage. I recall the late NFL football player Lyle Alzado who passed away at only 42 years old from brain cancer, which he believed to be caused by his steroid abuse.

Frankly though, I do not know if using Deca-Durabolin and finasteride together would make hair loss worse. I certainly would not recommend doing the cycle of Deca, that is for sure.

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Propecia and Strength Gains in the Gym – Balding Blog

dr rassman,
i have written you before in nov 2006, i took your advice on 1mg propecia and minoxidil; my results in 3 months are phenomenal, i am lucky and very happy. my question is regarding propecia and weightlifting. i dont know what gynoplasty looks like “bitch tits” in bodybuilding terms, but what kind of real effect does propecia have on strength gains in the gym and on the aesthetic? bodybuilding is totally visual and a nice head of hair would help, but i am psycologically affected becasue i am paranoid about losing chest development. will propecia do that?

thank you in advance for reading my request

I’m glad that you’re seeing great results from the medications in your battle against hair loss, but I am not sure what you are asking. I believe you may be referring to gynecomastia, which is a medical term for a benign enlargement of breast tissue. Gynecomastia is a rare side effect that may be associated with the use of Propecia (finasteride), but it should go away with discontinuation of its use. If you experience any side effects you should first discuss the issue with your doctor, because it may sometimes not be related to the medication.

Propecia should have no impact on bodybuilding or strength gains.




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