Smoking Cigarettes Caused My Hand Hair to Die Off – Hair Loss Information – Balding Blog

Hey doc, well this isnt really a question, but a comment on an observation i made. I’ve read your posts on how smoking may cause hair loss,which kind of intrigued me a little. I recently started smoking again after 8 months of quitting, and the hair on my left hand got introduced to a lot of smoke about 5-6 times daily. Today,after a week of smoking, I’ve noticed that the hairs on my left hand fingers and back of my hand have either shortened, or have disappeared. What makes me believe that smoking has caused it, is that the hair on my right hand fingers are just as they used to be. It doesn’t seem to be a possibility that the cigarette smoke ‘burnt’ my hair off because if that was the case the the back of my hand wouldn’t have lost hair, and smoke from a cigarette isn’t hot enough to be able to do that anyways.

I know the mechanism behind your statement on smoking and hair loss is related to the blood flow, but there may be another way on how smoking damages hair. It’s a toxic emission and has caused the hair to die off. Something I would now try to keep my head hair away from, and it’s now made me think of qutting again! I know that body hair is different from head hair, but who knows, and I’m not willing to risk my already dying head hair!

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I don’t have much to add to your comments, so I’ll just say that your statement alone expresses the unknowns and your observations stand on their own. Smoking is harmful in many ways.

Using the FUE² Technique to Remove Only 3 and 4-Hair Grafts – Hair Loss Information – Balding Blog

I am a technology freak so I liked your FUE2 process. I already had a couple of hair transplants and the frontal area is still thin, needing more hair. I figured that you can use your new FUE procedure just to thicken up the front area with less grafts and more hair. If that is true, the price is a real bargain.

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I think you’re essentially asking if the doctor can just transplant 3-hair and 4-hair grafts. You could arrange to have a limited FUE² procedure performed (without shaving your head) to add hair to the frontal area or crown very cost effectively. I would ask the surgeon to take out mostly 3-hair (or more) grafts and as long as they are placed at least 3/4 inch behind the hairline (or the crown), these grafts will be more effective for thickening up the recipient area. This approach makes sense, as many people who would like to get their hair to appear fuller could just come in for a limited FUE² procedure and have limited pain or detectability after the procedure. I say “limited pain” because although most won’t experience any significant pain, I’m not going to BS you and say it’s 100% painless — we have to give you a shot to numb the area, and some people might find that part painful. After the area is numbed though, you won’t feel a thing.

Anyway, with this approach to a more limited surgery, you can get hair without a substantial recovery process and at a lower cost on a per hair basis than when compared to a traditional strip surgery provided that you have naturally 3 and 4 hair follicular units. Some Asians, in particular, may only have one and two hair follicular units. Normally, a strip surgery in a person with a uniform hair density of 2.2 hairs mm square, will have about 15-20% single hairs and 70% two hair follicular units and the remaining 3 and 4 hair follicular units. On a hair for hair cost, removing only two, three, and four hair follicular units will create more value for the patient if he has them to remove. The only problem I see with approaching the FUE² this way is that the number of grafts you harvest is limited by the area that is shaved and the distribution of 3 and 4 haired grafts that you are born with may be so widely spread out that it would be impractical to remove exclusive 3 and 4 hair follicular units because the area of hair that has to be clipped may become visible.

What Role Does DHT Play Besides Hair Loss? – Hair Loss Information – Balding Blog

Hello Mr. Rassman,

I have two questions regarding hairloss. First one is, what is the role of the DHT in human body other than attacking hair follicles? I mean male human body (as far as I know women produce DHT too but very low, I am sorry If I am wrong) produces that so I assume it must have some beneficial effects too. Can you explain the other effects of DHT please?

My second question is regarding the type I and type II a.reductase enzyme. Based on what I did read finasteride inhibits type II, and dutasteride inhibits both type I and II. is it necessary to inhibit type I as well to prevent hairloss? Based on my knowledge it is unnecessary to inhibit type I, am I right with my opinion?

Thanks for your time, I appreciate that. Best Regards

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Dihydrotestosterone (DHT) is produced by the body as testosterone is broken down in the normal course of your overall metabolism. As testosterone is also produced in women in smaller quantities, it will break down (be metabolized) just the same as in men. DHT for males is involved in the descent of the testes in fetuses, some of the maturing factors in adolescence like changes in voice, changes in hair character, underarm and pubic hair in both sexes, and the appearance of body hair as we get older (including the beard). For those men who are beyond 50 years old, it produces nose and ear hair as well… so there’s something to look forward to.

With regard to your second question, you are right. The role of type 1 5AR is poorly understood, but does not seem responsible for hair loss.

Capiplus – Hair Loss Information – Balding Blog

Dear Doctor,

I have used propecia for several years now with limited success – no hair gain, just prevented further hair loss. I have recently came upon capiplus, which is supposedly natural alternative to propecia. Although I would like to try something new I am afraid stopping using propecia might start hair loss again. Is it possible and does it make sense to combine propecia and capiplus?

Best regards

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I do not know of any natural alternative to Propecia (finasteride) that works like the companies claim they do. These claims are unregulated by government authorities and as I have written many times, “It is a buyer beware market”. Capiplus is yet another saw palmetto concoction available on the market (the product also contains calcium and other vitamins that won’t stop your hair loss). See this post on saw palmetto.

You indicated Propecia has at least prevented further hair loss. That means it is working! Perhaps it isn’t working as much as you may like, but you have to understand the limitations of medication. Why do you need an alternative? You are already taking the real thing. You must also understand there is no absolute cure for hair loss and many men such as yourself will continue to buy into the promises of hair loss cure advertisements.

Getting Bald Spots While Deployed in Iraq – Hair Loss Information – Balding Blog

This is my second time deployed to iraq, and my last time over here I started experiencing this problem with my head. It was only one spot, and then eventually after all the puss was released it went bald. Now my second time over here and it has come back with vengance. There are now three spots on my head, and the one just seems to be spreading more and more each week. Please help me because the doctors over here dont know anything.

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Pus? It sound like an infection. I would see a doctor and take care of the infection. Tell the doctors that you may have folliculitis and need a culture of one of the “boils” to determine the diagnosis. Sometimes hair loss can be permanent from scarring after an infection, but if you take care of the infection early enough permanent hair loss can be prevented. If the hair loss is permanent, you can always have a small hair transplant procedure to cover up the scar. It generally takes over a year to assess if the hair will grow back.

Norwood 2 vs Norwood 3 with Persistent Forelock – Hair Loss Information – Balding Blog

Doc,
I’m confused bout the difference between the Norwood 2 and the Norwood 3 with a persistent forelock. Can you clear this up for me?

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A Norwood Class 3 hair loss pattern has more recession of hair on the front corners. “Persistent forelock” just means you have a strong (non-balding) area of hair in the front middle, which on many people will actually go down as far as the highest crease in the wrinkled brow. Most Norwood 2 or 3 patients have a good, strong (non-balding) front middle hair zone. I wrote a bit about comparing Norwood 2 and 3 at Juvenile vs Mature Hairline — Am I Going Bald?.

Fucidin H to Alleviate Redness After Hair Transplant? – Hair Loss Information – Balding Blog

Hello Dr. Rassman,

I recently had my hair procedure at a good clinic. I am about 50 days post op and all hair transplanted hairs have fallen out and I am also back to my old hair washing routine. However the redness in the recipient area is still there so I was advised by my clinic to use Fucidin H creme on it after applying minoxidil. I think the minoxidil dries the area causing the redness (but I have no itch). The clinic said it is perfectly safe but I should stop after my redness is gone.

My question to you is, after reading many forums where people talk about the negative side effects of topical corticosteriods (like Fucidin H); am I risking harming my grafts? Or neighbouring skin? Should I stop Fucidin H at once?

Any advice duly appreciated, thankyou.

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Fuicidin HFucidin H contains a steroid and I believe that continued use can be a problem. Short term use is best, like a few days and then a rest period for the rest of the week… and then repeat the process. The red color should subside over time.

70 Year Old Missing Pubic Hair – Hair Loss Information – Balding Blog

(female) I am 70 years young and I would really like to grow my pubic hair which has almost disappeared. how can it be done

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A hair transplant works nicely for pubic hair and age should not be a problem provided that the donor area is healthy. It will be taken from the scalp and you can make it as dense as you like. Pubic hair transplants are very common in Asia.

Rusty Water Pipes and Hair Loss? – Hair Loss Information – Balding Blog

I was wondering if you could tell me if rust or the water pipes in my building could be causing some hair loss? My landlord snaked one of my drains and there was tons of organge disgusting water coming up. I have experienced unknown hair loss over the last few months and all of my blood work is normal. Iam trying to get to the cause of this. The building I live in is old. Any idea if this could be a cause?

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Rusted pipeOne of the major causes of discolored water like you describe is rusty water pipes, but I doubt that it’s drainage that you are putting on your head. I do not know of hair loss side effects for this type of water, but it does produce stains on your sink/tub that are similar to hard water, which is loaded with minerals. If you have hard water, you will see that the shampoo you use does not create suds well. Yet, even hard water will not impact your hair as long as you treat it gently.

I am assuming that you are a male and if that is the case, you should get your hair mapped out for miniaturization to find out if you have genetic hair loss and stop worrying about your rusty pipes being the cause of your thinning hair. At the very least, I’d let the water run until it clear water comes out, because if you’re showering in rust, that’s not very hygienic and your landlord should take care of that for you.

Hair Loss InformationRegistered Nurse or Hair Transplant Technician? – Hair Loss Information – Balding Blog

Hi there, what type of work can a RN nurse do in this field? and what type of salary is she looking at?

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Registered nurses require considerable training to becoming an expert in the field, but these are skills that must be learned and practice is essential. For example, we can all go skiing, but there are various skill levels of the skiers. Becoming an expert skier takes quite a bit of time and practice. This is the case for hair transplant work on the technical level. Many areas, such as anesthesia, are relatively easy to teach, but practicing with cutting and placing grafts takes time. The average time ranges from 6 months – 10 years. Yes, quite a range. Even at 10 years of experience, some people just never learn what they need to become proficient. Salaries can be competitive with hospital work with proper expertise in the field. We do not employ RNs in our practice at this time.