Aggressive MPB vs Normal MPB? – Hair Loss Information by Dr. William Rassman

Hello,

I was hoping you could explain to me what exactly is “aggressive” MPB versus “normal” MPB? How would you diagnose or differentiate between the two?

Thanks

You may be relating the rapidity of the loss that occurs with genetic balding. Some people bald faster than others and this is mostly a genetic process. To make sense out of your question, I would have to see you and examine you myself.

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Rogaine Questions – Hair Loss Information by Dr. William Rassman

Hello Doc

I have a few questions about Rogaine,

  1. I know when I first start using it, I would suffer from a small cycle of hair loss, but do you think this lost hair is reversable once the medication starts to work??
  2. Do you think Rogaine is effective in stopping hair loss in the front?
  3. Would I be less likely to get a scalp irritation if I go for Rogaine 2% instead of 5%, and do you think they are almost the same in effectiveness?

Thanks for help

The hair loss that sometimes occurs with the use of Rogaine / minoxidil is believed to occur from the “resetting” of the hair cycle. This does not occur all the time.

I believe Rogaine is as effective in stopping hair loss in the front as it is on top or crown, but the drug company only studied the crown. The crown in many ways is a better target for it is often slower to lose hair there. Shorter term hair loss responds best to medications such as Rogaine or Propecia.

Scalp irritation from Rogaine may be due to two factors — the active ingredient in Rogaine itself (minoxidil) or the inactive ingredient in Rogaine. If you are allergic to the active ingredient, 2% or 5% would not make that much difference. If you are allergic to the inactive ingredient, you can try using Rogaine Foam, which has a different base formulation (with the same active ingredient).

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Requesting Reader Experiences with Hair Loss Products – Hair Loss Information by Dr. William Rassman

I have an idea, why don’t you have a weekly column dedicated to just a posting of peoples’ experiences, including what they’ve tried, the results, their thoughts etc. I always like hearing rom other people and sharing experiences. All you have to do is post one message asking for contributions and just compile say 5-10 of them each week.

I will offer to post comments about experiences. We get thousands of unique visitors each and every day, so there must be an audience out there. It is a good idea. Just send me your comments and I will post them as they come in. If it becomes very popular, I will manage it befitting the traffic. Let’s call it: MY EXPERIENCE WITH HAIR LOSS

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Rap Comedy Video — Bogus Weave – Hair Loss Information by Dr. William Rassman

I found this funny vid called “Bogus Weave” on YouTube. This guy is freakin nuts; you guys might like it.

YouTube – Bonus Weave

It might not be my cup of tea, but a reader sent me the link to this rap music video about girls and their hair weaves. Some may find it funny, some may find it offensive. Contains not-safe-for-work language.

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Please Clarify Some Hair Loss Rumors… – Hair Loss Information by Dr. William Rassman

Hi, I was wondering if you could put some rumors to rest that people always talk about in relation to hairloss. Thank you very much!

  1. Does hair gel, palmaid, etc.. cause (more) hair loss?
  2. If someone starts balding at a young age such as 18 or 19, is it almost certain that they will lose all their hair?
  3. When Propecia/rogaine cause cause initial shedding due to beginning the medication, will the shedded hair grow back if one stops the medication?

Thanks again doctor. I’ve heard a lot of rumors and wanted to clarify!

  1. Pomade (a greasy or waxy substance for hair styling) should not produce hair loss. Neither should gel.
  2. For those who start balding early and want to know what the future holds for them, if they get their hair mapped out for miniaturization and it shows a Norwood class 7 pattern of thinning, then the prospects for advanced balding would be a good bet. But if you have only frontal miniaturization, then you may not have evidence of going bald. Get yourself assessed by a good doctor and build a Master Plan (it sounds like a broken record as I keep advising this in all young men).
  3. For those people who go through a shedding phase with minoxidil or Propecia, the hair that is shed should grow back as the hair cycle completes into the anagen phase.

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I Was Told Hair Transplants Wouldn’t Grow in Scars from Severe Burns – Hair Loss Information by Dr. William Rassman

Doctor:
I am a 17 year old male. At the age of 2, a boiling pot of water fell all over my body and left significant scars in my arms and head. About 1/3 of my hair is missing on my scalp; hair fails to grow in the maturing scars of my burn. Consultations with different doctors have concluded that it is not possible to get hair transplants in scars caused by severe burns because the hair will fail to grow. The only option I have is tissue expansions, but this seems like a lengthy and discomforting process. I would like to verify if it is true that hair transplants will not continue to grow overtime on scars caused by burns. Is this true? Does it depend on the scar? Are there other factors? Thank you.

Hair transplants will grow in some scars better than other scars. It depends how much infrastructure is in the skin (fat, blood vessels, stem cells, etc..) I have seen remarkable results from tissue expansion for large areas of scalp burns. The results are better with tissue expansion and as such has no comparison. Also, the course for tissue expansion is much shorter than transplants. Be open minded.

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Facial Hair is Less Dense on One Side of My Face – Hair Loss Information by Dr. William Rassman

Hello, Dr. Rassman. I am a 20 year old man, and developing facial hair still and am wondering why the right side of my face is so much more less dense than my left side. Could it be with the way I sleep, has it anything to do with sleeping on a pillow a different way? This is really aggravating me because my left cheek can almost grow a good beard, and is steadily progressing, but my right cheek is not.

When facial hair starts to grow, it is often patchy and not always uniform. Wait it out and the two sides will eventually balance out. It doesn’t have anything to do with the way you sleep on a pillow.

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Water Pressure from Shower and Hair Loss – Hair Loss Information by Dr. William Rassman

Hello,
Im so glad I ran into this website. There is no baldness in my family, however, my hair has been thinning out and i’m only 27. For the past 3 years my shower heads pressure has been really strong and I love just standing there under it for a long time with really hot/warm water. Can too much water pressure be causing my hair to thin out???? and will my hair grow back out once i chance the pressure???

People try to look for causes of hair loss like shower heads and water pressure and you are not the first one to ask, but considering your age, you are probably genetically balding or thinning. Get a diagnosis by getting your hair mapped out for miniaturization and then if you do have genetic balding, treat it properly. High pressure showers will not cause hair loss, that is, unless the hair is ‘hanging by a thread‘.

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Retin A and Hair Loss? – Hair Loss Information by Dr. William Rassman

Hi, I just read in a previous answer of yours that a side effect of isotretinoin is hair loss. Is this also true for topical retin A, which was prescribed to me for acne? I am 37 year old female and just began minoxidil 5% (prescribed by md) a few weeks ago. Thank you.

Retin A is an acid and burns the skin. That is the very reason it is often prescribed with minoxidil, as it it thought to increase the skin absorption as a result of the irritation and increased blood supply. I do not believe that it causes hair loss.

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