Month: June 2012

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The Corners of My Hairline Are Receding – Is It Maturation? – Hair Loss Information – Balding Blog

Hi. I’m a 20 year old male, soon to be 21. My hairline was fairly straight if I remember correctly, but now I’m taking notice of recessions on the sides of the hairline. The middle part that has not receded is pretty large. What are my odds of this being only hairline maturation? Thanks for your time.

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It could be just a mature hairline developing, but I have no way to know that just based on your description. You’ll have to just keep looking at it over time (but try not to obsess about it). You can compare it to the mature hairline photos in this post. If you visited me or another doctor in this field, you’d likely get some help defining the problem you see.

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I Burned My Hair With an Iron as a Teen and Have a Bald Spot – Balding Blog

Hi,
I am 33 years old female and have a bald spot on the top of my head from an iron burn since a teenager. There was no scar but definitely a linear bald spot as my iron was linear. Is there anyway I can regrow my hair. Would vinegar work? or alternatives? Thank you.

There is no way to regrow that hair, as it would’ve regrown on its own by now in the 15 or so years since you burned your scalp. Depending upon the wound that is present, it is often easily treated with hair transplants. I have corrected many of these types of problems with hair transplants.

Vinegar won’t do anything for hair regrowth.




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Balding Forum - Hair Loss Discussion

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Can I Have a Master Plan That Will Carry Me Into My 50s? – Hair Loss Information – Balding Blog

Hello doctor.
When you talk of a master plan for hair loss, especially in men under the age of 30, how many years into the future is this plan effective for, is it 5,10,20 years or a lifetime? The reason I ask this is because I know a lot of young people like myself that are going bald know we will eventually become a NW6 or NW7, so do you plan for that? To be honest, If I ever did get a transplant I would want hair for the rest of my life, but if I could have hair until 40 or 50 I would be fine with that and then let genetics take its course. Take care.

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Crystal ballFirst, you need to know that almost every person with a Norwood class 6 and 7 balding pattern will see those patterns develop well before they are 30 years old. The older you are, the easier it is to predict future hair loss. At 22 years old, it might be difficult if you are not destined to be a Class 6 or 7 pattern, but in your late 20s, the job of predicting is easier.

If you bet on a horse in the Kentucky Derby, you can never be sure that the horse will win until the race is over — likewise, the Class 5 pattern patient may be able to predict the final pattern at the age of 26, more certainly at the age of 30, and with great certainty at the age of 40.

See here for more info on creating a Master Plan.

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Hair Loss InformationMy Doctor Said I Should Take Propecia at 17 Years Old – Hair Loss Information – Balding Blog

Is it ok for a 17 year old to take propecia?

started losing hair at the age of 15 now im 17. i have a NW2.5 with a diffuse pattern leading to NW 6. Hairloss is strong in my mother side of family but they have a diffuse pattern. My dad is a nw3 but the rest of his hair is thick and he is the only one losing hair from his side of family.

if my doctor (GP) says i can take propeica, should i just take it or should i ask him to do some test on me? i have done blood test for FBC (Full blood count including calcium) and thyroid the test showed that i had low iron the reason i have low iron because i have beta thalassemia trait

If my GP says yes i will most likely to take it. i’ve gone desperate when water hits my hair, my scalp is showed too much. i also have anxiety due to hair loss

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You should follow your doctor’s advice. Make sure that he takes good bulk measurements of your scalp hair to confirm the diagnosis and establish metrics for miniaturization at different areas of your scalp to see the benefits of the drug on the miniaturized hairs.

Propecia is likely safe to take at 17 years old if you’ve already hit puberty, but taking the medication is a decision between you and your doctor (and a legal adult guardian).

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Can You Transplant Into a Lot of Miniaturized Hair? – Hair Loss Information – Balding Blog

I realize that every patient is different and requires a different assessment. But I was wondering if you could give me your general approach in my case.

I’m 25 and have been on Propecia for 5 years. I have hair all over my head, but I’m balding in a Class VI pattern. The Propecia definitely slowed the balding, but it’s gotten to the point where my hair is very thin and you can see my entire scalp through it.

I’d like to do a hair transplant – but can you do transparent into a sea of miniaturized hair? How would it usually work?

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This is what Prince William seems to have as well. He might make a good transplant patient, but maybe he does not want one.

You, on the other hand, can send me photos of your scalp with good views showing the problem (hair wet and dry when groomed). I can then specifically answer your question during a telephone consultation, which I do often. You can email the photos here (and reference this blog post).

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Hair Loss InformationIs SMP Just Dots or Shading? – Hair Loss Information – Balding Blog

Is SMP for longer hair a different technique when doing it on people who keep their hair short. I have had many hair transplants so I have good coverage but not enough density. If I had SMP but elected to keep my hair longer would SMP consist of dots or shading?
Thank you

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This is a very important question. Scalp Micropigmentation (SMP), as we do it, mimics the shaved hair follicle as it emerges from the scalp, having no length. This is not a piece of art in the classic manner with shading and depth color. Some people want their scalp to become darker, so they use products like Toppik (a concealer) to darken the scalp and match their hair color. That is not what we do with SMP. For this reason, SMP has more limited application and it can not match the powders or concealers.

When used with longer hair, one can still see the scalp between the hair, and the tattoo impact from the SMP is not dramatic. For this reason, we want most people to get realistic expectations. We do not paint the scalp with tattoo dye — that is not SMP — but we do create a stippled appearance of the scalp skin between the existing hair follicles when we do it for people with longer hair.

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Finasteride Has Helped, but I’m Still Depressed and Obsessed with My Hair – Hair Loss Information – Balding Blog

Hi doctor Rassman,

I’m a 30 year old man from Belgium. For about 2 years I am following your blog daily. Thanks for this blog, because it reduced my concerns dramatically!

To keep my story short, I have severe depression and anxiety since January 2009. A couple of months after the start of my disease in 2009, I lost my hair density with a more see through scalp as result. Since then I lost more than 100 hairs daily, which made my disease worse. I lost everything, including my wife.

Now 3.5 years later I still have good coverage and I still can style my hair in such a way that people think that I have zero hairloss. I am using proscar 1.25 mg for about a year now, and the hairs I am losing in the shower are much thicker than they used to be. However, I am still depressed and obsessed with my hair, I really don’t know what to do. Please help me doctor Rassman 🙁

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I visited your country about a year ago and love the place and its people.

You need to get a doctor to explore if this drug is impacting your state of mind (a potential very rare side effect). If I were your doctor, we would get to know each other… but I can not manage you from this distance. You need to get your depression under control, which may or may not be related to finasteride, since you said you had severe depression before starting the drug.

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Female Hair Loss at 81 Years Old – Hair Loss Information – Balding Blog

I have been seeing a great amount of hair loss for about 5 years. It appears to be much worse lately. I am 81 years old. Could it be attributed to post menopause ? I also have really bad dandruff. It all seemed to start when my husband died.

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Stress can cause hair loss in someone your age. I would have to examine you and possibly do some special blood tests to determine if these is a cause for the hair loss that can be treated. Female hair loss could be caused by a variety of issues, but the death of a spouse is obviously a very stressful situation and can cause the loss you’re seeing.

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Rapid Pulse Rate After Using Minoxidil – I Want to Sue! – Hair Loss Information – Balding Blog

I am searching for legal help!

After applying “Minoxidil” to a bald spot on my scalp I had a severe life threatening reaction. My pulse rate gradually climbed to 240+ at which time my wife dialed 911. I could not be moved from my home until EMS and an EMS physician who was rushed in could lower my heart rate. I am now in constant fear of a recurrence and will not be without emergency medication that I carry in my wallet. I came very close to death!

The worse part of this scenario is the fact that the EMS team (2 were in my home) did not know how to stop the rapid pulse rate, my wife and I heard them ask the ER physician what to do the next time they have a similar situation! My health has been permanently and adversely affected, I have an almost constant irregular heartbeat and I’m unable to be involved with any activity that causes stress, have not been able to work since the initial adverse reaction.

I’m just now inquiring about a possible lawsuit after an associate mentioned hearing about the connection between rapid uncontrolled pulse rate and Minoxidil/Rogaine, the EMS trip to the local hospital took place March 18th 2010, my medical condition is worsening. Until now anyone associated with this disaster ever relayed the connection or any info between this dangerous drug and what happened to me, not in the ER or our family physician?

Please advise…

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I am not a lawyer and the purpose of the blog is to give medical information, not legal advice.

Minoxidil can drop blood pressure if greatly absorbed from heavy applications; however, I have never heard of anything like you reported.