Dr. William Rassman – Page 1078

August 1, 2011

After a Stressful Situation, My Hairline Has Receded – Hair Loss Information – Balding Blog

Dear Balding Blog,
I recently went through a very stressful experience and now 1 month later, I noticed that my hairline has matured or possibly receded around the temple areas. There are many factors I have considered (stress, wearing my hair in a side part, maturation of the hairline), do you think I should begin to take action and see a doctor?

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Without knowing how old you are or any of your medical or family history, it would be impossible for me to say what you might be experiencing. So yes, if you’re concerned you should see a doctor for an in-person examination to help determine what is causing you recent loss. At the very least, you should get your stress under control.

August 1, 2011

I Have OCD, Social Anxiety, and Early Hair Loss — I Want a Transplant Now! – Balding Blog

Dear Dr. Rassman,

If one is in the early stages of MPB, is it possible to have a hair transplant straight away, and then keep having “top up” hair transplants as the hair behind the transplanted hair begins to recede? I wanted to take Propecia to begin with, but I am petrified after reading about the possibility of irreversible sexual side effects. I know that some people, including yourself, believe that these may all be in the mind, but the problem is, I am very fragile mentally (I suffer from depression, OCD, and social anxiety), and so I believe that I could be more likely to suffer from them because of this.

Many thanks.

If you are “petrified” about using Propecia, maybe the drug is not right for you. You are already biased against the drug and if you do have an obsessive-compulsive disorder and anxiety issues, it will be a difficult hurdle. I do find that most people who are very apprehensive about the side effects of Propecia almost always end up with the side effects. This has been corroborated by other hair transplant doctors in the past. In that sense I think there is something to be said about the negative placebo effect. I do not mean to shed a negative light onto your issue with medication, but in the end I believe you should speak to a doctor about your options.

With respect to hair transplants in men in their early 20’s with early stages on MPB, I generally do not recommend transplanting at that age, because you may do more harm than good. The process of hair transplantation may accelerate the MPB and you could end up looking even worse after surgery. This is a generalization and you also need to address this one-on-one with a qualified physician.

In the end, there is no easy answer and I do not have all the solutions.

Paid advertisements (not an endorsement):

August 1, 2011

PRP Video from Wall Street Journal – Balding Blog

Doc – you recently commented on PRP, this video is a few days old, just wanted to send it along.

WSJ – PRP Video

Here’s the video:

This treatment is for autoimmune disease and there are no studies that show it has value that can be replicated in other patients. Many doctors are offering this treatment for male pattern baldness, but with no proof that it offers better results, I still believe this is just a money-maker for the doc doing it.

July 29, 2011

Female Corner Hairline Loss – An Interesting and Unique Situation (with Photos) – Hair Loss Information – Balding Blog

This patient had corner hair loss on one side of the hairline following a brow lift that she had done in 2003. We transplanted that weaker corner with 509 grafts in 2010. This is a unique case since we rarely just do the one corner, but the patient wanted to transplant just the left since the right corner did not show the same severe hair loss. We also treated the scar from the brow lift itself.

The corners of the female hairline often have slower growth than the middle of the hairline, so when one corner is transplanted with donor hair it will likely grow longer, thicker, and faster than the original corner hair. Why? Well, because her native hair in the hairline probably has a hair cycle measured in months rather than years. Now the hair that was transplanted at the left corner will most likely have to get cut frequently to maintain symmetry with the other side. We’re now planning another procedure to balance the sides out.

Anyway, this is a unique case and wanted to share. Click the photos below to enlarge.

AFTER – 9 months post-operation (509 grafts):

BEFORE:

July 29, 2011

Hair Loss InformationWhy Do You Prefer to Prescribe Propecia Rather Than Transplanting? – Hair Loss Information – Balding Blog

You have not made it clear why you would prefer to prescribe drugs for hairloss rather than a surgery. It is safer in every way to administer a hair transplant. Perhaps you realize that patients will opt out of treatment altogether since many men would never consider the very significant and costly method of pursuing a transplant?

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I would use a non-surgical recommendation for a wide range of problems (e.g. many forms of heart disease, Parkinson’s disease, epilepsy, herniated lumbar disc). In some situations, I would recommend hair transplants as I get to know the patient if I am convinced that it is in his best interest. That puts the burden on the patient to convince me about his agenda.

I am not a plumber who is fixing a leaky pipe. I am a caring, responsible doctor who always does the best thing for his patient. Think about how strongly I must feel about this. I would rather offer a free consultation and then prescribe Propecia for a total fee to me of $85. My average surgical fee exceeds $5000… so I must really believe in the welfare of my patients to turn that down.

July 29, 2011

Hair Loss InformationCould Iron Deficiency Be Accelerating My MPB? – Hair Loss Information – Balding Blog

I’m a male who has been diagnosed with Iron-Deficiency at age 20. I also have been noticing hair miniaturization and hair fallout from the top of my head (nothing from sides and back).

My doctor said the reason for this is the Iron Deficiency and I should correct it by multivitamins and minerals and then see if the hair fallout continues, since hair loss is a symptom of Iron Deficiency.

My question(s) is this:
– Would my deficiency be accelerating my inevitable MPB?
– Wouldn’t my deficiency result in hairloss all over my head instead of classic MPB fashion?
– Would correcting my Iron levels result is less shed, maintenance, or regrowth at all?

Thanks!

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I don’t know what tests your doctor conducted to completely eliminate genetic male pattern baldness as a possible cause for your hair loss. If you’re losing hair in a classic pattern, you could have a combination of genes and low iron.

So to answer your questions — Yes, iron deficiency could accelerate your genetic hair loss. It may also cause thinning elsewhere on your head. Correcting your iron levels is important, but it may not impact the genetic patterned hair loss.

July 29, 2011

Hair Loss InformationGrandfather Has Hair, Dad is Bald – Will I Go Bald? – Hair Loss Information – Balding Blog

I’m a 20 year old with a question about balding and family genetics. I have a maternal grandfather who is is almost in his 80s who has a huge full head of hair, and a father who is bald. What are my chances of going bald?

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There’s no telling. The balding gene can come from the maternal or paternal side and can skip generations. There’s no easy predictor just by looking at the family history, but with your father’s baldness, you do have some risk.

July 28, 2011

Hair Loss InformationDoes Spironolactone Cause More Hair Loss? – Hair Loss Information – Balding Blog

Hello Doctor Rassman,
Does spironolactone cause more hair loss? I seen a lot of people on the internet that claims propecia make their hair worse and others says that this is reflex hyperandrogeincity and their argument was “when DHT lessened testosterone increased alot and cause more hair loss!” but what about Sprio? I heard it decreased testosterone itself and also block androgen receptor, so how it could cause more hair loss?

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I’ve always said the Internet is a great source for information, but not everything you read on the web is factual and true. If you want to treat your hair loss with a medication, you need to speak with a doctor. Anecdotal statements or claims found online will mostly mislead or confuse people.

Spironolactone does have theoretical anti-androgen factors, but clinically I have not seen or found credible evidence that it helps with androgenic alopecia. But I do understand that there are patients and doctors who use it as a treatment option. I do not.

Propecia (finasteride) does treat androgenic alopecia. It is not meant to cause hair loss. It is meant to grow hair. I understand there may be controversy on the Internet of Propecia’s side effects and some patients have strong feelings regarding those side effects. My opinion is that each and every individual talk with their doctor and discuss the side effects and understand the risks and benefits. In my practice, many patients use Propecia… and have been using it for over 10 years with no issues.

We can all sit on our ivory tower and debate the biochemical relevance of drugs and mechanisms, but in the end the results (hair growth) is what matters.

July 28, 2011

Hair Loss InformationUlcerative Colitis and Hair Loss? – Hair Loss Information – Balding Blog

I have been on finisteride since 2004 which is working great. I was diagnosed with ulcerative colitis in 2009. Been UC free for two years but got it back in 2010. I still have it a year later, although only in MILD form. My hair did change in texture while a tad thinner. Now, although my vitamin levels have been fine, could the hair thinning be from the UC alone or the medication?

I took Asacol the first time I had it with no side effects. This time, I took it as well as the masalamine enemas. Since it has lasted a year this time around, could it be the meds or the UC alone? Also, any chance of my hair re-thickening? I was wondering how long I should wait until I visit Dr. Bernstein again. It will be greatly appreciated if all questions are answered!!

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Asacol does list hair loss as an uncommon, but known, side effect. Maybe it’s the medication or a combination with MPB… or even the UC itself. I do not treat many patients with ulcerative colitis in my practice so perhaps your GI doctor can address your concerns as well.

Hair loss or hair thinning can certainly happen from major stress or illness on your body. This type of hair loss generally should reverse itself in about a year’s time. But often, I find that patients never quite regain their hair. Maybe you should call Dr. Bernstein for another consultation (I’m not sure when your last visit was).

July 28, 2011

My Family Members Started Balding Around My Age – Hair Loss Information – Balding Blog

Hello there,

I’ve been wondering if I was going to end up bald. My grandfather on my father’s side is bald, as is my own father. Nobody on my mother’s side is bald (though she had no siblings and her mother’s brothers had their hair).

My bald grandfather said he started to bald around 18. A picture of my dad when he was around 19 1/2, he looked like a NW3. I’ll turn 19 in four months and was wondering if I don’t see any symptoms by the time I turn 19 or 19 1/2, will I go bald?

Thank you again.

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There is no way to easily tell if you’ll develop the balding pattern your male relatives showed around your same age. You can have the HairDX test done and get an idea if you have the genes for balding, or you can see us and get a hair bulk assessment yearly to show when and if the balding/thinning process kicks in.

Of course, you can also just watch and wait.