Hair Loss InformationSingle Bald Spot on the Side of My Head – Hair Loss Information – Balding Blog

Yes hi, i’m 20 years old (male). i went to get a hair cut a few months ago and i noticed a bold spot on the side of my head. it has a little bit of thin hairs but you can totally noticed that i have a bald spot. its the size of a quarter. its been a few months now and the hair hasn’t grown back. can you help me with my problem?

thank you

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You may wish to see a dermatologist. If it’s just a single spot on the side of your head, there could be a variety of reasons for it to occur — anything from stress to disease. There isn’t much else I can provide without an examination.

Hair Loss InformationHow Did This Man Have 20 Foot Long Hair? – Hair Loss Information – Balding Blog

Hello Dr. Rassman
This man who died last year had hair 20 feet long. How did it ever reach this length, i thought anagen phase was only 7 years. Or is it just fallen hair dreadlocked to attached hair. here is the link — OddityCentral.com

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Tran Van HayIndeed, that is odd. One explanation is that Tran Van Hay (the man with the longest hair) was stuck in a castle waiting for a prince to rescue him.

Another explanation is that while the anagen phase may last as long as 7 years (rate of hair growth at 1/2 inch/month) and produce approximately 4 feet of hair length, if the hair at the catagen/telogen phase (when the hair disconnects from the scalp) was intertwined with the hairs that remain in anagen (growth phase) the hairs will add length. This would create a dreadlock of sorts, but each strand will stay intertwined with the growing hairs. Note that in the photo at the right, that isn’t a hat he’s wearing.

My 114 year old grandmother (she actually lived to 114) had hair that was many feet longer than the 4 feet limit discussed above. I wasn’t yet a doctor when I saw her hair taken out of the bun she had it in. As a hair specialist today, I know that 6-8 feet hair length is not possible. Her hair was washed on rare occasions. When it was washed, it was a festive event when granddaughters worked to unravel her bun and let the hair fall to the floor. The hair was washed with soap and water (not shampoo or conditioner) and rung out by hand, but it was never brushed or combed. In hindsight, I believe I witnessed the hair “dreads” that formed from the failure to brush or comb the hair, where the hair that was growing had meshed with the disconnected loose hair. I remember that her hair was never aggressively combed or brushed, just washed and rung out and then allowed to dry on its own. Those were the days before hair dryers were common in the home (I remember this was in the 1960s, when she was already in her hundreds).

Hair Loss InformationHistamine Positive Skin and Hair Transplantation – Hair Loss Information – Balding Blog

Hi,
I would first like to thank you for this very informative site. My question has to do with post operational side effects. Specifically, I had FUE/FUT 1.5 months ago. Unfortunately I have something my doctor called histamine positive skin. As a result there is redness in the recipient area. My first question is related to that.

How long would it take for such redness to fade away and what can I do to reduce that amount of time? Additionally, in the donor area, there is a significant amount of redness and the hair growth appears limited. Is this to be expected? And what is the time frame for full recovery of the donor area? My doctor is quick to say it will all be fine in a few months but I wanted a second opinion as well as anything I should keep an eye on to better facilitate the recovery of that area.

This was my first surgery and I only had 1000 grafts transplanted.

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If your doctor was helpful enough to explain a histamine reaction to you, how is it possible that you were not told how long it would last? I often do a scratch test to the scalp or forehead to preselect those patients who are histamine positive. In general, every patient is different and the redness can last several weeks to months. 1 to 2 months would seem on the long side.

Unfortunately this is not a place for second opinions as I do not know what you are really experiencing. All hair transplants are not the same, especially FUE, as there are many variables such as size of punch, techniques of extraction, the drugs you take, the allergies you have, etc, etc.

Hair Loss InformationHeart Disease from Minoxidil? – Hair Loss Information – Balding Blog

Hi DR, I have two questions: is it possible to get any heart disease by using topical minoxidil? And if I have chest pain what exactly is happening inside my body?
Thanks for your answer

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If you have chest pain, you need to go to the Emergency Room or call your doctor right away. Topical minoxidil does not cause heart disease and I’ve addressed the chest pain before. Minoxidil (when taken orally) is a blood pressure lowering drug and was originally used to treat high blood pressure, but it was not very effective or consistent. Side effects of topical minoxidil can include dizziness or palpitations, but this is rare (especially if you are using the recommended 5% solution).

Hair Loss InformationIn the News – Full Face Transplant in the US – Hair Loss Information – Balding Blog

Snippet from the non-hair-loss article:

A Texas construction worker badly disfigured in a power line accident two years ago has received the nation’s first full face transplant at a Boston hospital.

More than 30 doctors, nurses and other staff at Brigham and Women’s Hospital led by plastic surgeon Dr. Bohdan Pomahac performed the 15-hour operation last week on 25-year-old Dallas Wiens of Fort Worth, Texas. He was listed in good condition at the hospital today.

The electrical accident in November 2008 left Wiens blind and without lips, a nose or eyebrows. In Boston, doctors transplanted an entire new face, including a nose, lips, skin and muscles and nerves that animate the skin and give sensation. The donor’s identity was not disclosed nor would the hospital say exactly when the surgery was done for privacy reasons.

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Read the rest — Boston Hospital Performs Nation’s First Full Face Transplant

An amazing story of perseverance. The problem that this poor man has is monumental, as is the surgery and the recovery process. His attitude and drive make him unique. We all wonder how we would respond to such an injury, asking ourselves if we are fighters or quitters?

Hair Loss InformationI Am a Bad Scar Former – Would FUE Be an Option? – Hair Loss Information – Balding Blog

I have hypertrophic scars from numerous cutaneous surgeries, and even under modest tension my scars tend to spread quit a bit. None of them have an adequate cosmetic result in my mind for a hair bearing region. As a result, harvesting grafts with a strip is something I am not considering. Given my propensity for making ugly scars, am I likely to have abnormally visible scarring from follicular unit extraction at the harvest or transplant site, or are these so small that hypertrophy and spreading are of little concern?

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Nobody wants a bad scar, but for hair transplant surgery (or any surgery on the scalp), the scar should always be hidden under the hair if you keep it at a normal length (more than 2 inches). Even a bad scar can still be hidden after a haircut with a #3 clipper most of the time. I also realize many men would like to cut their hair very short in the back where the scar may be visible, and that’s when follicular unit extraction (FUE) may be a better option. However, if you have a tendency to have hypertrophic scars, then even the FUE may leave you with hundreds of noticeable dots.

As with everything in life, you need to have some perspective on what you are doing and what you are willing to give up. Nothing is perfect. There is no such thing as scar-less surgery. There are men who choose to have hair in the front and top, but sacrificing the gain with a scar in the back of their head. There are men who do not want any scars on the back of the head (linear or otherwise), and for them surgery is simply not an option. There has to be some give and take that you have to be comfortable with.

Think about cosmetic surgery on women: Women who want larger breasts will sacrifice their gain in cup size with a scar under the breast, around the areola, in the armpit, or in their belly button. Women who want a face lift will sacrifice a youthful face for a scar along the back of their ear and behind their front hairline.

Remember, keeping your hair very short after a hair transplant will not give you the best cosmetic results no matter how many grafts you transplant. A very short hair style will look much thinner than a longer hair style, which covers more of your head. This is because the surgeon is working with a limited number of grafts to cover a big area.

Hair Loss InformationIn the News – Doctors Usually Don’t Report Incompetence – Hair Loss Information – Balding Blog

Snippet from the non-hair-loss article:

A quarter of doctors who know that a colleague is underperforming or incompetent do not sound the alarm, a confidential survey reveals. They fear retribution, believe that no action would be taken, or assume that someone else is dealing with the problem.

Martin Roland of the University of Cambridge and colleagues confidentially surveyed 3000 US and UK doctors in 2009. The results suggested that almost 1 in 5 doctors had direct experience of an incompetent or poorly performing colleague in the previous three years.

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DoctorRead the rest — Doctors fail to report incompetent colleagues

In the March 12, 2011 issue of New Scientist, the journal quoted a University of Cambridge survey of 3000 US and UK physicians regarding their feelings about the competence of their colleagues. Poor performing colleagues who create errors in patient care reflected an alarming 21% of practitioners in the US and 13% in the UK!

I suspect that these numbers are far worse in fields of medicine like hair restoration, because of the absence of peer review of the activities of these doctors. I could name names, but because of the legal system in the US there is no protection against slander lawsuits lodged against me… so instead I speak loudly about the problem and report to the medical boards those physicians who I know are involved in illegal and immoral acts against patients.

Hair Loss InformationSun Exposure After a Hair Transplant – Hair Loss Information – Balding Blog

Dr. Rassman,

I appreciate all of your feedback on a variety of issues. It really is so helpful for all of us.

I had a HT 3 weeks ago (FUE) with a top notch doctor. Everything went fine. At day 15 post op I was exposed to the Florida sun without a cap or sunscreen, but with hair covering the recipient area, for a total of 10-15 minutes — also during a car ride the sun was shining. I know you have written on this issue, and I have read all of the sun-related posts. However, I would like your thoughts on my situation please.

I noticed some slight pinkness, and the blotchy white and pink spots that I have read about, and some minor sensitivity to the scalp after the sun exposure. I did not have any blistering, and have not yet had any peeling in the area. I am now, since, using sunscreen 70 spf. My question is: is it likely that I affected the grafts, and their growth by this limited exposure (not a severe “red” burn) to the sun?

Please say “No”, but otherwise be objective, and thanks again.

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“No”, I do not think you affected the graft.

Most doctors generally recommend protecting the skin from sun exposure (especially after any surgery), because the UV light can cause discoloration of the scar. I would think 15 min in the sun or riding in a car would not be an issue.

The Internet Rumor Mill Says Dr Rassman Was Paid By Merck – Hair Loss Information – Balding Blog

This is part of a comment someone posted that I wanted to address:

I was disheartened last night to read that Dr. Rassman was paid to present to a Merck Committee which could perhaps explain his bias. I don’t know how much he was paid, how often it occurred, or if the company used any psychological manipulation on him, but I am starting to feel he’s lost for good. It is a very scary world in which we live, if one can trust their own animal instincts over the educated and experienced opinions of doctors.

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JeezTo clarify, I was never paid by Merck. Anyone can post comments on forums, but this is bordering on slander.

Over the years of writing my BaldingBlog, I have come across a select group of critics who have an issue with Propecia and I address those issues here without censorship. To clarify again, I prescribe Propecia, the only FDA approved oral medication for genetic androgenic alopecia (AGA) to my patients who have been diagnosed with AGA. The risks and benefits are explained to them as an optional medication.

I do not make money from selling Propecia, as I sell it in my office for almost my cost (just enough extra to cover stocking costs). In fact, most of my patients go to a drug store to get the generic finasteride 5mg, which they cut in quarter doses. I have nothing financially to gain from recommending Propecia (finasteride). Since I make most of my income from hair transplant surgery, it would actually be advantageous for me NOT to recommend Propecia. So where is my bias?