May 2013 – Page 6 – Balding Blog

May 8, 2013

In the News – Gray Hair Could Be Reversible? – Balding Blog

Snippet from the press release —

In a new research report published online in The FASEB Journal people who are going gray develop massive oxidative stress via accumulation of hydrogen peroxide in the hair follicle, which causes our hair to bleach itself from the inside out, and most importantly, the report shows that this massive accumulation of hydrogen peroxide can be remedied with a proprietary treatment developed by the researchers described as a topical, UVB-activated compound called PC-KUS (a modified pseudocatalase).

Read the rest — Gray hair and vitiligo reversed at the root

This is a interesting discovery, that gray hair is caused by peroxide bleaching the hair at the root. If it is true, anything that can remove the peroxide will reverse gray hair. The author showed that catalase (a known enzyme that catalyzes the hydrolysis of peroxide) can reverse the gray hair.

May 7, 2013

My Doctor Said I Wasn’t Programmed to Have Crown Loss, So Propecia Wasn’t Necessary – Hair Loss Information – Balding Blog

First, I can’t thank you enough for maintaining this resource–it’s alleviated a lot of my anxiety about hair loss simply by giving my a place to find answers to my questions.

I recently had a consultation with a surgeon about reshaping my temples. I’m 29, and probably a NW2-3. (I’ve had relatively high temples since high school, though the spaces have expanded slowly since though then.) He ultimately recommended 1100 grafts to fill in my temples and create a relatively straight hairline.

I have two questions:

1. He told me that diet has a significant impact on hair loss, second to genetics. He advised a vitamin regimen of L-Lysine, Vitamin E, Saw Palmetto, MSM, Glucosamine, Chondroitin Sulfate, and Ester-C. In addition, he recommended that I stop consuming creatine, and eat a sulphite/nitrite-free diet that’s rich in antioxidants and low in refined sugar and bleached flour. I realize that much of this might be good health advice generally, but does it have any non-negligible connection to hair loss? I appreciate interest in my general welfare, but this had me a tad skeptical.

2. After examining the entirety of my hair, he told me that I’m “programmed” for hair loss not beyond a NW3. He did not conduct a miniaturization study; this was a “naked eyeball” examination. Because he didn’t think I’m “programmed” for any crown-area loss, he said Propecia wouldn’t be necessary. Should I take this pronouncement with a grain of salt, or could he accurately reach that conclusion via the type of examination he made?

Many thanks, and all the best. If it’s at all relevant, he did not recommend any type of hairline lowering, but simply filling in the temples and leaving the forelock as is.

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While it is possible that you won’t advance beyond a Norwood class 3 hairline, I don’t trust doctors who give eyeball opinions for predicting hair loss. There are some good tests (miniaturization mapping and better yet, bulk analysis) that will tell you with some certainty if you are balding.

The decision to take drugs like finasteride should be based upon clinical evidence of balding. You might want to consider getting a second opinion, hopefully from a doctor that can give you a more thorough analysis of your hair. If you aren’t balding, Propecia isn’t necessary (though you should consider it to prevent shock loss from any hair transplant you may have). If you do have early balding, now would be the best time to start the medication.

As for the recommended vitamins, I am not a nutritionist, so your doctor’s suggestions may be good ones for your overall health. I wouldn’t expect to see lush hair growth upon taking them, though. None of those have satisfactory evidence linking them to treating genetic hair loss.

May 7, 2013

In the News – Child With Alopecia Sent Home from School – BaldingBlog – Balding Blog

Snippet from the article:

A Philadelphia boy with a chronic balding illness was sent home by his school for having too much hair.

Eight-year-old Zion Williams has been receiving medical treatment for the illness called alopecia at Drexel University which includes painful injections to the scalp. Doctors at the Philadelphia university’s medical program told Williams’ mother Talia Mann to let his hair grow for at least ten weeks.

Last Wednesday, Williams was turned away from the Shiloh Christian Academy in Philadelphia for violating the school’s mandatory short hair policy. Mann said she even filed a doctor’s note with the school to allow her son to attend with slightly lengthened hair.

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Read the rest — Eight-Year-Old With Alopecia, Hair Loss Disease, Asked To Leave School For ‘Long Hair’

I suspect that this young boy has alopecia areata (an inherited autoimmune disease). The simplest solution to me would be to waive their short hair requirement for a few months so that it would not impact his treatment, but it seems that the school was inflexible in its policies and victimized this boy.

May 7, 2013

Do I Need a HairDX Test to Truly Know if Finasteride is Working? – Balding Blog

Hello Doctor. I took minoxidil and finasteride for about a year then switched to minoxidil and avodart. i have no side effects but i can’t understand tell if finasteride or dutasteride is working on me, because i still am shedding. Some hair is growing, some hair is minimizing, and i think the medications haven’t stopped miniaturising progress. Is the only way to understand that finasteride or dutasteride works on me is to do the Hair DX test?

Thank you

The HairDX Test for Finasteride Response should be able to tell you if you are a good responder to the medication, but the best test to find out if finasteride or dutasteride is working is to get a bulk measurement of the scalp hair in 4 different locations. It should’ve be done before the drug is taken and then at about a year after. This test (HairCheck) is the most sensitive test available today. Good documentation should include progressive photographs with the hair length the same.

With all the medication switching, what has your prescribing doctor had to say?

May 6, 2013

Hair Loss InformationUsing Toppik for Norwood 6 or 7 Patients That Can’t Have Full Coverage from a Transplant – Hair Loss Information – Balding Blog

Dr. Rassman,

What is your opinion on using products such as Toppik to enhance a hair transplant on a Norwood 6 or 7 patient who cannot achieve full coverage? Obviously the need to use a product like Toppik long-term may not be ideal, but for a man whose hair loss is too extensive to achieve full coverage from donor hair, a keratin hair-binding product combined with a hair transplant may be the most effective and natural looking solution for a lot of men with extensive balding.

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A bald Norwood class 6 or 7 patient does not do well with a concealer like Toppik, which works better with some hair. Many men who use this product without hair in the bald area will actually show the Toppik itself, which is often irregular in the way it is put down. If used to enhance a hair transplant that is not thick enough, it might work if it can be applied so that the Toppik can not be detected. The keratin hair granular product has significant disadvantages, as it can come off on your clothes, your sheets and pillows, and when someone runs their fingers through your hair.

There is another treatment which is a permanent concealer that can thicken up a hair transplant look — Scalp MicroPigmentation (SMP). If you look at the SMP site, you will see examples of this type of concealer and most of these patients (who have hair that is just not thick enough) can avoid another hair transplant with the SMP alone. We have successfully used this SMP technique to address individuals whose balding patterns are too large and the transplants too few to get the coverage they want.

As everyone is different, I would suggest that you request a virtual consultation with me and send photographs in good lighting so that I can understand your problem as you see it. Also, please include a phone number.

May 6, 2013

What Are the Reasons for My Hair Loss and How Can I Quickly Regrow It All? – Balding Blog

Hi Doctor,

When I was young, I was born with an amazing volume of hair. However, I am unsure of what reasons, I started having hair thinning when I was 18. Now I am 32 and my hair volume is only 1/4 of what I was. I am not taking any medication and my family does not have a history of thinning hair.

Can I check what are the possible reasons and what are the steps I can take to quickly regain all my hair?

Thank you.

There is nothing you can do to “quickly” regain your hair. If it was that easy, I doubt we’d see people with balding and this site would be a single post explaining how to regrow all your hair. Unfortunately, the magic you’re seeking isn’t a reality.

You should see a doctor to go over your options. If you have male pattern (genetic) hair loss, finasteride could be a possible treatment for you. Genes are the most common reason for hair loss in men.

May 3, 2013

My Hair Loss Started at 14 Years Old! – Hair Loss Information – Balding Blog

I grabbed this from a comment left on another post on BaldingBlog…

I know how you feel I’ve been losing my hair since i was 14 as well, now at 18 I’m almost completely bald. I started using rogain when i was 15 and saw great results within the first 6 months and most of my hairline had grown back but all out sudden it fell and my hairline receded back to where it was previously. Now at 18 I’ve been on propecia for 7 months and have seen no results by itself but hopefully now that I’ve added rogaine the last couple weeks I will see better results.

Anyways I hope you have better luck then me because i know how it feels to lose hair at such a young age which complete destroyed my high school experience. Visit your doctor before its too late.

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Rogaine (minoxidil) is not effective a thwarting genetic balding when it is aggressive, particularly in someone as young as 14 years old. Finasteride (Propecia) may have been a better choice when you were 14, though on a counter note, finasteride can also have an impact in growth potential of young men going through puberty. So each and every case is different and the doctor treating the patient needs to exercise good clinical judgement when recommending treatment with risks and benefits in mind.

May 3, 2013

More and More Differently Textured Hairs Are Growing On My Scalp – Hair Loss Information – Balding Blog

Hello Dr. Rassman,

First I want to excuse for my not-so-good English.

I am a 23-year-old male. About 2 years ago I noticed my hair thinning all over the top of my head and the hairline slowly eroding away from its original position. I’ve been on finasteride for about 20 months.

Anyway, I’ll get straight to the problem… About half a year ago I noticed strange-looking random hairs on the top of my head. My natural hair colour is dark brown, but mentioned hairs are ebony black. Not only that, but they are at least twice thicker and very wiry. They are easily noticeable, because they don’t mix with my normal hair when combing. Even though my hair is around 3” in length, they stand there almost vertically, slightly curled up.

As I mentioned, 6 months ago they were just some couple of random hairs. Lately I have noticed more and more of hairs like that sprouting up. They look nothing like my hair. In fact, they don’t look like human hair at all. At least not the kind you’d expect one to have growing on his head.

I’m really clueless as to what is going on with me. I have tried searching all over the Internet. I have found people with similar problems, but no one really knows what they are about.

Perhaps You can help me.

Thanks!

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Hmm… so you are saying you have non-human like hair growing on your scalp? Is there a correlation with a full moon? Do you have an urge to howl?

Sometimes hairs can have different textures and there may be no direct reason for this. Maybe it is hormonal. I do not know. If you’re concerned, you should see a doctor about it.

May 3, 2013

My Surgeon Talked Me Into Having More Hair Transplants That I Probably Didn’t Need – Balding Blog

I’ve had a total of 5 transplants. Two in the front (700 grafts each) and one on the crown (1000 grafts). These three surgeries together produced a beautiful result. I should have stopped there but I was under the illusion that another transplant (1.5 years later) would give me even thicker hair. The Doctor that did the transplants is a pioneer and very well known and respected. I’m not going to mention his name because you would automatically know who he is.

Nine months after the fourth transplant (600 grafts in the front) I did not see any additional density. Three years later I went in for a consult about the front again and he told me that I did not need the fourth transplant but he would be able to do a small one (500 grafts) at that time so I had it done. Six months later I did notice a difference and was pleased with the end result.

It has been six years since and I still have all of my hair. My question to you is: Why would he do a transplant when I didn’t need it? I look back and feel that the grafts were wasted and I was taken advantage of. Like I stated earlier this individual is a pioneer and respected. He certainly did not need the money. Even the nurses joked with me saying that I had “a lot of beautiful hair” hinting that I didn’t need to have the last transplant. What is your opinion on this?

I speak of the importance of ethics at medical meetings. Some doctors push for surgery even if the patient does not need it. This is commonly seen in young men who are too early in the balding process where drugs like Propecia (finasteride) suffice for the sole treatment, and 80% of women with thinning who are not candidates for surgery, yet the doctor recommends surgery on many of them who feel that they must do something about their thinning. For them, the surgical option is an easy sell, even if there is no value for surgery.

My job as a hair transplant surgeon is to always be a patient advocate, pushing those who do not need surgery away from the FUE punch or the surgical knife. It is always good business when I can create a trusted following of patients who believe in my ethics, especially when I steer them away from a surgical decision in examples as those discussed above (majority of women, young men). Many times it is harder to talk patients away from wanting surgery than it is to recommend surgery for an actual candidate. By that, I mean I have to spend more time with each such patient educating them on the ‘whys’ of my decision process.

May 2, 2013

Theaflavins from Black Tea Extract and the Ability to Reduce Serum DHT? – Hair Loss Information – Balding Blog

Hi dr

I really like your site as you seem very genuine and take a considered approach. I am 26 and have been losing my hair for a few years now and am probably a Norwood 2 with a slight thinning all over. I have been hesitant about taking propecia due to the side effects and even freaked out after taking one pill as I thought my member was going to turn black and fall off (or something awful).

Luckily it didn’t but before embarking on a course of propecia I would like your opinion on the study regarding theaflavins from black tea extract and soy isoflavens and their ability to reduce serum dht by an amount equivalent to propecia. Granted the study was done on mice but as probably most of the readers on here are, I am rather desperate for a natural solution to hairloss. The study was done in 2003 which makes me think there’s nothing to it but would like to hear your opinion in any case. If a reduction in dht is the mechanism by which propecia works, couldn’t this work in theory?

Sorry for the rather long post but one other interesting study looked at a combination of capsicum and soy isoflavens and their ability to increase hair growth. I am reluctant to give citations or links to the website I found them on as it looks like a bazaar for snake oils and im sure your team are fully aware.

Many thanks, and if I do end up taking propecia I am confident that your honest appraisal of the incidence of side effects will go along way to reducing the placebo effect.

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I hate to project what was reported in mice as transferable to humans, but our readership can draw their own conclusions that there may be value in theaflavins for reducing DHT. More research needs to be done to prove it would actually be effective in humans for treating hair loss, of course. The studies I’ve seen about this have continued to be limited to just mice and rats.

It does sound like if there was something to it from a decade’s worth of research, we’d be seeing more in the news about black tea extract being the hair loss treatment we’ve all been waiting for. Alas, that doesn’t appear to be the case at this point.

We’ve actually written a little about this before here, where I pointed out that black tea is extremely common in the UK, where hair loss is still seen just like in other parts of the world.