Month: January 2023

I am 21 years old and have been on minoxidil for 7 months and my hair is falling out more than before I started it.

7 months of shed is probably not a shed from the minoxidil but rather an acceleration of your natural genetic hair loss. Are you unusually stressed or undergoing rapid weight loss? I am looking for accelerants.

Shedding after switching Finasteride supply source may reflect a counterfeit drug or a faulty production lot. Check the source and go back to where you originally got it from. I have seen this even in good stores when they purchase off-brands of genetic finasteride. Hair loss from Finasteride withdrawal may become permanent so act quickly and get back to a source you can depend upon.

This patient had multiple strip hair transplants, and the surgeons who did this did not keep all of the scars in one place. As a result, the patient ended up with a terrible scarring complication, as shown in these photos.

Dr. Tony Rustio from Brazil (trained in SMP by me) repaired this man with Scalp Micropigmentation (as shown in the photo below to the right). Great job Dr. Ruston. The redness you see here in the patient reflects that the photos were taken on the day of the last SMP procedure. The the redness can be expected to be gone in a day or so. Here are more similar patients from our website: https://scalpmicropigmentation.com/scar-covering/

I suspect that this man may have had this surgery performed in a less than clean clinic with unskilled people who may not have been doctors and didn’t understand sterility as a concept. I don’t know the outcome but as a doctor in Europe sent on this photo, I suspect that this man will be treated properly now. This photo should be a warning to those in my readership who shop for bargain hair transplants in Turkey (there are good doctors in Turkey but they don’t charge $1/graft or less). This, regardless of the price this man paid for his bargain hair transplant, it will be a most expensive hair transplant to get him back to where he needs to be. His looks and his health are on the line.

 

 

The red you see is blood draining from green and yellow pus pockets. This man has many ‘boils’ or infected cysts possibly starting from a hair graft. Each one of these need to have a surgeon drain them. Once they are all drained and the bacteria cultured, the patient will be put on antibiotics and as new infected cysts appear, they will be drained again. Eventually good surgical draining and antibiotics will calm this down. He will have some scarring left and most of the hair grafts will probably die. Once he is recovered, a good surgeon will reassess his donor supply and hopefully he might have enough donor hair to redo the transplant. This process from infection to a new hair transplant could take up to a year.

Dear Dr,

Im 31 years old, went ill with an eustachian tube inflammation and had 1 month off work, with severe pain and insomnia. A couple of weeks later, I had a massive shedding with incredibly rapid and notorious miniaturization of all my hair. I even clogged the drain, losing approx 40% of all my hair. The remaining hair changed its architecture, looked curly (my whole life have had straight hair). I assume this is hair degeneration. I started dutasteride 0.5mg/day immediately.

Is it possible for DUPA to behave like a massive TE? It looks like DUPA were stress triggered, and acted on onsets rather than progressive. Thank you.

This does sound like telogen effluvium, since the shedding started after your stress from the inflammation, pain, and subsequent insomnia. I would hope that if you started dutasteride, you’re already under the care of a doctor that prescribed it to you… but if not, you need to see your doctor for an examination.

Hi Dr. Rassman i have been using the minoxidil foam for a couple of weeks now. I have a question, whenever I apply it and massage my hair, I see like a ton of hair on my hands. Is this alright? I try to use just my tips to massage

Some people get an initial shed when they start with minoxidil. Also, the goal is not to put it on your hair but on your scalp. If you are roughly applying minoxidil foam to your hair, you can pull out your hair.

 

 

I’m 28, hair thinning. I notice my scalp is often really sore for no reason. It feels better if I rub it. Does this have anything to do with my bald spot? Does anyone actually know?

There are folks that sell massages for three times a week for hair loss. They often put on some oils under the guise that it works. I have seen young men pay as much as $500/month for such treatments. They actually may harm you because massages can pull out weak, miniaturized hairs. Even harsh hair brushing can do this.