Hair Loss InformationWhy Is One Area of My Transplant Growing at 7 Weeks But Other Areas Aren’t? – Hair Loss Information – Balding Blog

I am in week 7 after my HT and I am seeing plenty of fine new hairs in the left frontal area sprouting up while the right side shows not even a third of that growth. I realize that the transplanted hairs grow at different rates but the difference is too great to ignore. Another cause for concern is that the right side was also the first to shed (I noticed it as early as 10 days after the procedure) so I would assume it would have a ‘head start’ over the other side.

I know that growth usually starts after 2 to 4 months but it still leaves the burning question: why has one area started to show this kind of growth and not the other? My worst fear is that many of the grafts placed in the right area were somehow inferior or died off. I have voiced this to my surgeon, who is very respected and well known, and he tells me to just wait for the full effect after 11 months. I just wanted to hear your opinion. Thank you

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I frequently see different start rates on graft growth from different areas. I don’t have an exact answer for why one side grew faster for you. Assuming that the team members that placed your grafts were highly skilled, the only thing I can suggest is to follow your surgeon’s advice and wait it out.

Will My Anxiety Medications Interfere with Propecia? – Hair Loss Information – Balding Blog

Dr. Rassman,

I am a 22 year old male who just started on Propecia. I am currently taking Lamictal and Lithium for anxiety, do you think these drugs could interfere with the effectiveness of propecia?

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You should always check with your prescribing doctor or pharmacist if you have questions about any medications interacting, but the probable answer is no.

For what it’s worth, Drugs.com shows no known interactions in their database:

My 5mg Generic Finasteride Pills Are the Exact Same Size as My Propecia Pills – Hair Loss Information – Balding Blog

I bought generic 5mg finasteride at costco to save money, but now I’m really confused. The 5mg pills, blue color, are the EXACT same size as my 1mg propecia that I have left over. I even took both of them out, put them next to each other, and compared them.

How will cutting the 5mg finasteride into 4-5 pieces give you 1mg finasteride for hair loss like the original 1mg propecia? The pill is way smaller when you cut it into 4 pieces. So how is the 5mg finasteride, which is the same size as the 1mg propecia, have different potencies? I’m worried that cutting the 5mg generic finasteride like I was told will not really give me the 1mg. Please help. Thank you.

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You should speak with the pharmacy. Maybe they got the pills mixed up? I haven’t seen every generic pill out there, but I wouldn’t expect the 5mg to appear exactly the same as the name brand Propecia.

Not Hair Loss News – Early Alzheimer’s Disease Test By Sniffing Peanut Butter? – Hair Loss Information – Balding Blog

Snippet from the article:

In a small pilot study of patients displaying signs of cognitive decline, researchers at the McKnight Brain Institute Center for Smell and Taste and the University of Florida (UF) found that peanut butter can help identify those with Alzheimer’s disease (AD), a neurodegenerative disorder often accompanied by a loss of smell.

Working with 18 patients with probable AD, 24 with mild cognitive impairment, 26 with other causes of dementia, and 26 matched controls, graduate student Jennifer Stamps and her UF advisor Kenneth Heilman measured the distance from the nose at which a patient (whose eyes were closed) could smell a tablespoon of peanut butter. They ran the test one nostril at a time and found that early-stage AD patients had dramatically different smell sensitivity between the right and left nostrils, with the left regularly being more severely impaired. The other patients tested displayed no such difference in smell sensitivity.

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Read the rest — Sniffing out Alzheimer’s

What is believe by the researchers, is that areas of the brain responsible for smell may be the first areas impacted in dementia. Could this be a simple, mild cognitive impairment test for patients with early dementia or Alzheimer’s disease?

I want our readers to know that I have been sniffing peanut butter with each nostril and I am pleased to report that both nostrils work equally.

Is My Dermatologist Denying My Hair Loss for Some Reason? – Hair Loss Information – Balding Blog

Hi Docs,
I’m a white Caucasian man who turned 27 in April. I have been balding for 6 years now. I have no more doubt about that because my frontal hairline receded about 1 inch maybe more (depending on how I pull my hair back more or less) and I have got miniaturized hair on the temples. I would like to know why the dermatologist (head of a dermatology department) keeps denying my baldness and if I am really balding or not.

Well, at the very beginning, I didn’t notice anything. I used to go to the hairdresser once a month. But, at the age of 24 (about 3 years ago) I could see my scalp through my hair witch obviously began thinning. And my hair’s colour wasn’t the same anymore (much clearer than before).

So, one day I decided to have my hair cut very short. That day I realized that my hairline was receding. I could see the temples that I have never had and never seen before. According to the pictures, I’m receding since the age of 21 or 22. At the age of 21 I had a full head of hair and no temples, at the age of 22, I had temples, at the age of 24 I reached the first stage of baldness and now I’m at least at the first or maybe second stage of baldness at only 27.

Well, I can assume that I’m balding and having a similar evolution as my father had (maybe a little slower) except that he started a little earlier. At the age of 18-19, my father reached the first stage of the Norwood-Hamilton scale, at the age of 27, he was at the second stage maybe a little more (almost third), at the age of 32, he was at least NWD 3, by the time he turned 37 he reached the fourth stage and now, he is a 50 years old man and he’s almost 5 (almost bald)!

In my family, my father is the only “real” bald man. My grand father (my dad’s father) is only Norwood 2 at the age of 75, my uncles (my dad’s brothers) are Norwood 1 at 47 and Norwood 2 at 52 and my mother’s father is only Norwood 1 or 1.5 at the age of 68. I have to say also that when I was a kid I had a similar implantation (very low and with no temples at all), the same hair quality (very thick) and the same hair colour (dark) as my mothers’. Now, I keep my hair long and I only cut a little of length when it’s too long and I’m hiding the temples with my hair from the middle of the head.

I have already seen the dermatologist several times and he always denied the truth by saying “You’re not balding.” or “You have got only temples.” or “You have a lot of hair” or “You have got no hair loss.” etc. The last time I have seen the dermatologist (April of 2013) he told me that I had a “very young” implantation and I had no kind of baldness and he asked me how my mother’s brothers were but she has got only sisters !

So, I would like to know if it is possible that the dermatologist is denying my baldness or maybe is not seeing it. Am I really balding or not? (My hairline receded about 1 inch or more in only 6 years. That is what I call the second stage, maybe it is still a first stage).

Thanks for reading. I wish you could answer to my question.

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I don’t know what purpose it would serve for your dermatologist to deny your hair loss if you actually had genetic loss. In situations like this, I would that you get another opinion. You can send me some good quality photographs with your eyebrows lifted high so that the wrinkles of your forehead show, and then I can give you the feedback you want and apparently need. Second opinions are always a good idea if you lack the confidence in the opinions you are given.

You would need to call my office at (310) 553-9113 or (800) NEW-HAIR to set up a formal phone or in-person consultation for this. Personal / individual consultations are not given via email or this site.

I Had a Unilateral Orchiectomy – Will That Help My Hair Loss? – Hair Loss Information – Balding Blog

Hi, I am a 23 year old with a receding hairline. I have been losing hair for over a year now. I recently had a unilateral orchiectomy following my diagnosis for testicular cancer last month.

I was wondering if the operation will help me in anyway with my hair loss. Could having one less testicle have an effect on my DHT levels and my hairloss? I have been on Propecia for 3 months now and am hoping that the medication and surgery will help me out a bit.

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When a man has one testicle removed, the remaining testicle will enlarge and increase its output of testosterone to compensate for the missing testicle.

Why Don’t Doctors Analyze Patient Blood Before Prescribing Propecia? – Hair Loss Information – Balding Blog

Dr. Rassman,
I have been taking propecia for a little over three months now and I have not noticed that my shedding has slowed. My doctor put me on the propecia without any kind of real analysis. I expected a more scientific approach. For example, why not take blood or hair samples to see how much DHT is in my system before starting the drug… then a few months later check again to see if the DHT level is lower? Then adjust the dosage of propecia accordingly. Does anyone do this? Or is it always this rough experiment?

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If a doctor can make a diagnosis of genetic androgenic alopecia, then one of the medical treatments for men is Propecia. You do not need blood tests to confirm genetic androgenic alopecia and you do not need a blood test to start Propecia.

For example, if you have high blood pressure, or hypertension (HTN), there isn’t a blood test you need have done before starting a blood pressure lowering medication. If you have a diagnosis of HTN, the doctor will put you on a medication and your blood pressure will be monitored. If you are on Propecia for hair loss, you hair loss status will be (should be) monitored with miniaturization tests, hair bulk analysis, and even photos.

Studies were done (approved by the FDA) that show the best and most effective dose for Propecia based upon safety and this does not require blood test or monitoring. This is not an experiment and I would not know what blood tests you think are needed. Dosages of finasteride (Propecia) are fixed by the drug company’s studies. Propecia does not require monitoring or adjusting of the dosing. Measuring testosterone or DHT in your blood stream will not impact how you take the drug or how the drug will respond. There is no clear correlation.

How Can I Remove Cowlicks at the Front Of My Hair? – Hair Loss Information – Balding Blog

(female)
I couldn’t find any other web sites to answer my questions..

I would like to know about removal/work on cows licks. I have 2 at the front where my hair naturally parts, making it difficult to style and change my part to something looking more desirable. I also get a weird hair regrowth around the cows lick and people often ask me if i cut a chunk out of my hair. I hate and would like to do something to correct it. Can you please explain you procedure and do you have any before/after photos. Information on this seems VERY hard to find!

Thank you for your time. Kind Regards

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Many men and women have requested that I put these cowlicks in for them, as they feel that these are sexy. If you want to remove them there are numerous hair removal methods (such as laser hair removal) and even a hair transplant procedure to add the hairs in the “right” direction. This is a very extensive and more difficult process (to remove and add).

If you would like a private consultation, please call (310) 553-9113 or (800) NEW-HAIR to set up a formal phone or in-person consultation. Personal / individual consultation is not given via email or this site.

Are Most Hair Transplant Surgeons Also Hair Transplant Patients? – Hair Loss Information – Balding Blog

Dr. Rassman,
Thank you for helping hundreds if not thousands of people in understanding hair loss. Because of your blog I went to a dermatologist and got a miniaturization study done. Here is my question:

Would you say that a large percentage of hair transplant surgeons are patients of hair transplants themselves?

Cheers

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Some hair transplant surgeons are themselves patients; however, I would not say that the majority are so.

My Job Requires I Wear a Helmet for Hours Each Day – Can I Get a Hair Transplant? – Hair Loss Information – Balding Blog

Hi great doctors,

I’m planning to go for a hair transplant. However I need to go back to work about 1 week after my transplant, and my job requires me to wear a helmet for 4-5 hours each day. What are your thoughts on the helmet affecting my donor area or grafts?

Appreciate your kind advice. Thank you

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HelmetI would need to know what your balding pattern is, where the transplants will be going, and what type of harvesting technique (FUE or strip surgery) you plan on having. It would also be helpful to know the type of helmet that you intend to use. I might be able to ascertain your situation from this information.

In the past, we’ve had patients that are firefighters, daily motorcycle riders, race car drivers, pilots, and other professions that wear helmets on a regular daily basis and they have had no issues with having a hair transplant surgery. We generally recommend one to two weeks without wearing a helmet following a hair transplant, though.