Hair Loss InformationHaving SMP Done in Between Transplanted Grafts? – Hair Loss Information – Balding Blog

Hey Dr Rassman,

If a patient were to come and request to have as many grafts that their donor supply would allow then have the SMP procedure done in between those grafts and also had the scar camouflaged in the back of the scalp, wouldn’t it be nearly impossible to tell the persons head of hair from a non balding person?

Like for those individuals with high donor densities if some had 10,000 grafts placed on their scalp then had the micro pigmentation procedure done i would think they would be able to get close to their juvenile hairline back and they would also be able to grow their hair out to probably a number 1 clipper without it looking too odd. What are your thoughts on this?

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Yes, we have done this before. Here’s an example of a patient that wasn’t satisfied with his transplant and had SMP done to give it a fuller look. Another patient that comes to mind had SMP done first, then had 500 or so FUE grafts placed into his head to give him the feel of stubble.

Though, if you’re going to have 10,000 grafts placed, I would probably wonder why you’d want to shave your head down to a 1 guard.

Hair Loss InformationIn the News – Cold Cap Trials To Begin This Summer for Breast Cancer Patients – Hair Loss Information – Balding Blog

Snippet from the article:

Hair loss can be one of chemotherapy’s most despised side effects. Now US researchers are about to put an experimental hair-preserving treatment to a rigorous test. The goal is to see if strapping on a cap so cold it numbs the scalp during chemotherapy works well enough to be used widely in this country, as it is in Europe and Canada.

The first time Miriam Lipton had breast cancer, her thick locks fell out two weeks after starting chemotherapy. But when the disease struck again, she used a cold cap during treatment and kept much of her hair, making her fight for survival seem a bit easier. ‘‘I didn’t necessarily want to walk around the grocery store answering questions about my cancer,’’ recalled Lipton, 45, of San Francisco. ‘‘If you look OK on the outside, it can help you feel, ‘OK, this is manageable, I can get through this.’ ’’

Near-freezing temperatures are supposed to reduce blood flow in the scalp, making it harder for cancer-fighting drugs to reach and harm hair follicles. But while several types of cold caps are sold around the world, the Food and Drug Administration hasn’t approved their use in the United States.

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Read the rest — Cold caps tested to prevent hair loss in cancer patients

For years now, we’ve written about cold caps to help retain much of the hair for those undergoing chemotherapy, so I’m glad it is getting more attention. This latest study of early stage breast cancer patients is set to begin this summer.

Hair Loss InformationHair Transplant Doctor in Europe? – Hair Loss Information – Balding Blog

Dear Dr Rassman,

first of all, many compliments for the work that you are doing, writing blogs, responding to questions using your in-depth knowledge, as well as having unique sensitivity for patients in your responses. Sincerely, such professionals are hard to find anywhere in the world.

This brings me to my issue. I am a 26 year-old male from Eastern Europe. The look/appearance of my hair has always been really important to me. I also appear on stage a lot (I am a musician), so not having to worry about hair appearance too much is of vital importance for my self-confidence. Unfortunately, I was not blessed with very good hair quality. I have some balding pattern on my mother’s side, although my father is not bald. I first noticed that my hairline was receding in high school. It was on the sides on the frontal part, with the right side advancing far more quickly. The hair at the top of the scalp was maybe slighty receding, but not noticably to the general public. So the biggest problem is the frontal part.

At 20 years old, I decided to start using Propecia. I think generally the situation with my hairline has not gotten worse since then, I do not appear bald or anything. The problem is that the hairline of the frontal part is beginning to bother me more and more – a little wind blows and it messes the hair up, or I have to stand in front of the mirror for ages to get the desired look at the frontal part, which is really a tedious drill that I don’t wanna do any longer.

Since this is really an issue that’s been bothering me for 8 or 9 years now, I believe that a procedure to restore the frontal hairline would be the right solution. Preferably, I would very much like to do it at the NHI, since you guys really appear to be professionals and great advisors – the money would be well spent. In my country, we do have some practitioners that do hair transplants, but they all do other forms of cosmetic surgery as well (like nose-jobs etc.). I really don’t want some semi-competent doctor messing with my hair and finally messing it up.

So, my question is the following: since I just started working and my budget is pretty low, I really don’t have to money to travel to LA and to pay for the procedure, unfortunately. It also appears you do not have offices in Europe, which is a pity. But maybe you could give me some advice (names of doctors) near my country ( e.g. Italy, Germany, Hungary) for whom you know that their work is of best quality – I suppose you often meet in different fora, etc. – so that I could undergo the procedure as soon as possible.

I would be extremely grateful for your response.

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The Moser Clinic in Austria does work of the quality I do. I have met many doctors from Europe, but have not directly seen their work. That may change in the future. If you want to stay local, just be sure to do a lot of research. Try ISHRS.org as a starting point for finding a doctor in your area.

If you want NHI to do your procedure, we do offer a Standby Fee of $5.00/graft with one of my associates, and I will allow up to 5% of the fee to apply for travel expenses. We also supply one night stay in a local hotel at our cost.

The photos you sent me show corner recession, and I would expect that it would take about 1000 grafts to fill it in with a density equal to 25% of your original density. A second session may be required to get to the ideal 50% of the original hair density, but many people can get away with one session (at 25% of the original density) and look perfectly natural and normal. The key is to not have it look like a hair transplant.

Hair Loss InformationDoes Finasteride Obscure the Results of a PSA Test? – Hair Loss Information – Balding Blog

I am 41 years old and have been on finasteride 1.25 mg daily for 10 years. My father had prostate cancer in his late 60s and I wish to get the PSA antigen test but hear the finasteride drug obscures the results. How is it evaluated the PSA score when on this drug?

Thanks

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For those unaware, a prostate-specific antigen (PSA) test measures the enzyme levels of the prostate. Elevated PSA levels can point to prostate cancer. The results of a PSA test for men taking Propecia can result in a decreased level of PSA. At 41 years old, prostate cancer is very rare, but getting a good baseline while you are on Propecia is a good idea as any increase in the years to come might well be an indicator for prostate cancer.

If you’re thinking about having a prostate cancer screening done, you should tell your doctor that you’re on finasteride so that they can double your PSA score.

Hair Loss InformationIn the News – Former US President George H.W. Bush Shaves His Head to Support Child Cancer Patient – Hair Loss Information – Balding Blog

Snippet from the article:

Last week, former President George H. W. Bush had a full head of hair when he gave President Barack Obama a pair of socks. Today, it’s gone, shaved to the scalp in solidarity with a young cancer patient.

According to a statement from a spokesman for the 41st president, Bush shaved his head after members of his Secret Service detail shaved theirs, meant to show solidarity with Patrick, the two year-old son of one of the detail who is battling leukemia.

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Read the rest — Bush 41, security detail, shave heads to show solidarity with young cancer patient

Hair Loss InformationIf Aderans Research is Selling Their Lab Equipment, Does That Mean Hair Cloning is Dead? – Hair Loss Information – Balding Blog

Dear Doc,

I see that aderans is selling off some of their equipment. I suppose this means that they are no longer pursuing hair cloning. In your opinion does this mean that we are unlikely to see hair cloning as a genuine option in the future? Have there been any advances?

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I wasn’t sure what you were referring to, but I hunted down this article about Aderans Research Institute having a liquidation auction for all of their equipment and furniture. While interesting, I don’t have any insider information with Aderans and I am not aware of any advancements nor setbacks in hair cloning.

We should watch press releases to see if there is a problem with them, though I do agree that liquidating their lab equipment does seem suspicious. Is it the end of their research? I have no idea. Until we hear further info about it though, all we can do is speculate. Perhaps someone else has some info that they can share with us (and if so, drop us an email)

Hair Loss InformationMy Gynecomastia Surgeon Told Me To Stop Taking Finasteride – Hair Loss Information – Balding Blog

I’m a 23 year old male with mild hair loss. I started taking finasteride 12 months ago (1.25 mg from generic proscar pills) and have not particularly noticed any benefits or side effects. I knew when I started taking it that gynecomastia was a possible side effect, but I have had gynecomastia since I was 13 so it didn’t concern me. Soon I will be getting surgery to correct that and my surgeon told me that I should discontinue taking finasteride. I definitely don’t want to undo a $4,000 surgery but I was under the impression that those sorts of side effects are pretty rare and if they did happen, usually go away with discontinued use.

Does having had gynecomastia make it more likely that it will return if I continue using finasteride? Since it doesn’t seemed to have done a whole lot does it make sense to even risk it, or should I just switch to rogaine?

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If you did not notice any change in your gynecomastia for the past 12 months on finasteride, then I would assume that your breast tissue is not finasteride sensitive. That said, in the face of your doctor’s recommendation, I am at a loss. You should usually follow the advice of your doctor, but in this particular case, it might be something you also talk to your prescribing doctor about (assuming your gynecomastia surgeon and your hair loss doctor are different).

I don’t know that if finasteride would nullify the surgery completely or at all.

Hair Loss InformationMy Mom Has Lupus and Now I’m Seeing Severe Hair Loss – Should I Be Concerned? – Hair Loss Information – Balding Blog

Hi, I am an 18 yr old female with a mom that has lupus and anemia. I have always had joint issues, but over the last 6 months i have had severe hair loss. I dont use a sraightener daily nor do I constantly use hair products. Is this something I should be concerned about considering my moms history?

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Yes, you need to see a good dermatologist and get a diagnosis. This is not something I can diagnose or treat over the internet.

Hair Loss InformationHow Do I Use Creams for My Seborrheic Dermatitis Without Leaving Residue? – Hair Loss Information – Balding Blog

I’ve recently been prescribed hydrocortisone & nizoral creams for my seborrheic dermatitis. I’ve had issues in the past w/ residue. When I tried washing it off it seemed difficult to me. Do I need to use shampoo or something when I wash it to make it come off easier?

Lastly, does leaving the cream on longer, say overnight make it more likely to leave residue that is difficult to remove? The pharmacist I recently spoke to said there might be a solution or an ointment or foam that may leave less residue that would be welcome…

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Residue could remain with the use of creams like hydrocortisone or Nizoral (ketoconazole), but I would imagine that most people massage them into the scalp until they disappear. Some shampoos work better than others at removing these residues and grease from the scalp. If you wash your hair before you put on the creams and use hot water (not to burn your scalp) then you will increase the circulation of the scalp and get more absorption of the medicines in the creams.

If you choose to keep the creams on overnight, then using a good shampoo with a decent detergent is helpful, though I’m not sure if keeping it on overnight would make it more difficult to remove.

I’m not sure which solutions or foams your pharmacist was referring to, so it might be best to ask him/her again.

Hair Loss InformationIs Minoxidil the Reason My Aphrodisiac Doesn’t Work? – Hair Loss Information – Balding Blog

I have been taking minoxidil for hairloss! Also I have been taking an aphrodisiac to spice my sex life up! Unfortunately the aphrodisiac does not seem to be working. Could this be due to using minoxidil?

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How would you expect me to give you an opinion on an unnamed aphrodisiac? And what led you to link minoxidil to an aphrodisiac?

Minoxidil is a blood pressure reducer (very weak) and it has hair growth as a side effect, but I don’t know it would have an effect on your mystery aphrodisiac. Perhaps the aphrodisiac wasn’t what it claimed to be. Try eating oysters.