Dr. William Rassman – Page 1085

July 5, 2011

SMP to Disguise Scalp Reduction Scars? – Hair Loss Information – Balding Blog

I have had in the past scalp reduction and hair transplants which has left me severely scarred and with and unnatural look. It has also caused my hair to start falling out and thinning rapidly as I am now 51. My scalp is often irritable, hot and prickly.

My life is more than ruined as I am in a senior management role and frequently have to deal with people who are too embarrassed to look at me. I am at the point where I may have to leave a company that I helped build and find a job where I can wear a hat. My last chance would be to disguise the scars and create throughout my scalp and cut my hair shorter with perhaps your method of SMP?

Could you please be discreet when returning my email as this is my work computer, although nobody actually uses it, however you never know. I hope that you can restore some normality back to my life!!

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In general terms, Scalp MicroPigmentation (SMP) is a great method to disguise scarring from previous surgeries on the scalp, but you would need to keep your hair shaved. Another option would be a hair transplant to disguise the scars.

A consultation would be best at this point so we can see what you’re dealing with and come up with some treatment options. If you would like a consultation please contact us at (800) NEW-HAIR or use our consult form.

July 5, 2011

I See No Thinning, But I Can See My Scalp in Sunlight – Hair Loss Information – Balding Blog

Worried about “shiny” scalp.

I have very very fine, wispy dirty blonde hair. However, in the sunlight, very often when I walk past a window I feel like I see so much scalp. I have an intact frontal hairline with a low-dipping widow’s peak and lose next to no hair in my brush or in the shower. The distribution of hair *feels* the same all over.

Does this just sound like paranoia? (I won’t go into the genetics question as that’s impossible to answer).

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Yes, it sounds like paranoia. Many thin haired blonds have a see-through appearance where almost anyone can see their scalp in bright sunlight… especially if your hair is wet or is very fine and wispy as you describe.

July 5, 2011

My Hair Went Gray During Childhood and I Lose Hundreds of Hairs Daily – Balding Blog

Hi,

I’m a 22 year old male, for the last 6-7 years I have been losing a lot of hair per day. For example, when I go in the bath it’s absolutely filled with hair 400-600+ strands when I get out, same in the bed every morning. It’s much more than the “50-150″ people estimate as normal loss.

I’ve always had a receded hairline but overall it doesn’t look any thinner or more receded than it did when I was a child (even pictures when I was 6-7 it looks the same as it does now). My hair started greying when I was 12 and I’ve been dying it every few months for the last 9 years.

Once hair loss speeds up to a rate I’ve been experiencing is it likely to ever slow down again, either naturally by itself or any medication? It’s rather embarrassing staying over at somebodies house and waking up with their bed covered in my hair. I’ve been to a dermatologist twice, the only advice they offered was to stop dying my hair for a year (which I did and it made no difference) and that they wouldn’t recommend I take propecia. Any advice would be appreciated, thanks in advance.

I can’t give you any advice, because I do not know what is going on with your hair loss. You need a good physical examination and a diagnosis. Miniaturization studies and bulk measurements at different areas around your scalp may shed some light.

You’ve already been under the treatment of a physician, so I’m not sure what I could offer. Why wouldn’t your doctor recommend Propecia? If you’re a young man with hair loss, Propecia might be your best shot. With respect to greying, I do not believe it has any association with hair loss.

You can not lose 400-600 hairs per day without becoming bald quickly. Just do the math. The average man has 100,000 hairs on the scalp… so that means that you would lose every hair on your head in 167 days if you have an average hair density.

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July 1, 2011

Best Post-Op Hair Transplant Shampoo? – Hair Loss Information – Balding Blog

what is the best shampoo to use after H.T. my head is peeling its been about 2 weeks and when can i start using rogaine again. Thanks

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After 2 weeks you head should not be peeling. You need to just use your regular shampoo and make sure you are washing your scalp properly. Follow up with your doctor and make sure you are washing your hair correctly.

Usually, I’d recommend waiting 7-10 days before using Rogaine after a hair transplant. Talk to your surgeon.

July 1, 2011

After Using Dutasteride Every Day for a Month, My Hair Shed Fast – Balding Blog

Hi Doctor,
I’m 22 yo man and I have a weird experience from dutasteride and wanna know your opinion about this. After a month of daily use of 0.5mg dutasteride my hairs started to shed very fast! and it continued for at least 3 months. now shedding became slower but it’s not halted or regrown! also I think my hairs become a bit slacker and thinner! I think (just think) I have some new growth, little hairs on my hands. I have no decreased or increased in libido or any sexual side effects.

after 4 months on the drug I took a blood test that showed my T=430ng/dl and FreeT=14pg/ml but LH was low and it was 0.91(from 1.1-7).

So doc, what does these results means? If I become hyperandrogenic so why T and FreeT are normal and LH is too Low. and if I have hypogonadism why my hairs sheds and body growth some new?

I cannot interpret your laboratory test results for you. This is something you need to discuss with your doctor that is treating you. It isn’t because I do not want to interpret the test results, but rather I do not know how to correlate the values with what you are experiencing. More importantly, I would want to know what the values were BEFORE you started taking dutasteride.

I do not recommend dutasteride to treat androgenic alopecia and I do not know what the correlation it has with rapid hair loss. This may be a temporary shedding which would reverse in 2-3 months.

July 1, 2011

Did Immunizations Cause My Daughter’s Hair Loss? – Balding Blog

My question is in regards to my daughter. I have an 11 year old daughter who about 3 weeks ago started experiencing hair loss (none before then). She’s always had a full head of hair, but now I can feel the difference.

I noticed her hair started falling out after I brought her in for her physical. She was given two immunization Tdap and Menactra. Could hair loss be a side effect to any of these immunizations? I brought her back this week and her doctor ran additional blood tests, which he said came back normal. I asked for a referral to see a dermatologist because I’m concerned with the hair loss. Can you shed some light on this problem or can you advise as to what I should be asking the dermatologist when we see him?

Thank you for your help.

I doubt immunization caused her hair loss. Menactra is a meningitis vaccine and Tdap is tetanus, diphtheria and pertussis vaccines. I am unable to find any cases referenced that mention hair loss from those.

While vaccines in general don’t cause hair loss, there’s a small study published in 1997 that links temporary hair loss and the hepatitis B vaccine in very rare cases, though most children in the world receive standard immunizations and they do fine. I realize the topic of immunization in children has been in the media in recent years due to a report connecting those shots as a cause of autism, but that turned out to be false.

With respect to your daughter’s hair loss, I really cannot say. I would defer to the doctor who will be examining her. Sometimes hair shedding may be just temporary and you may be overreacting.

June 30, 2011

Hair Loss InformationThe AHI Technique? – Hair Loss Information – Balding Blog

Have you heard of the Ahi technique based on FUE. Is this truly original or simply a marketing spin on the FUE method of hair transplant. The company in question is http://www.ailesburyhairclinic.com/

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Their site says that it’s just follicular unit extraction (FUE) but the difference is, “the AHI variation of this method is that we use a specially designed implantation pen to place hair follicles…”

Many clinics use FUE extraction tools and the implantation instrument they’re likely using is called the Choi Implanter. The Choi implanter has had variable results in its use — many complete failures and some excellent results with those who have mastered it. The Choi is probably the most universally used instrument for implantation, but few use it in the US, where there is more accountability to failures of the transplant.

Dr. Richard Shiell recently reported: “I think the original device was invented by a non-doctor who was doing eyebrow grafts at a Leper hospital in Korea some 30 years ago.” There are many innovative people in this world who, when challenged, rise to the situation and create new technology.

June 30, 2011

Hair Loss InformationAfter Taking Finasteride, I’ve Shed Short Hairs Near My Sideburns – Hair Loss Information – Balding Blog

Hello, I am 21 years old and have been on Finasteride for three months now. Since that time, I believe I have seen benefits from the medication (I no longer pull out any ‘stray’ hairs whenever I run my hands through my hair). However, I have been shedding some short, thin hairs on the sides of my head, specifically above my sideburns. The hair on my sides has always been a bit thinner than the rest of my hair, so is it possible that the medication is reacting harder to regions that are genetically weaker than elsewhere on my head?

Thanks.

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I haven’t heard that before. Anything is possible, but likely not probable. Perhaps there are other issues and you do not have the correct diagnosis of androgenic alopecia.

There is also a rare condition known as triangle alopecia where men lose hair on the side of the scalp in the shape of a triangle at or near the temple peaks on the side of the head. This condition is usually genetic and may impact only one side. Generally Propecia does not work for triangle alopecia, and if this is what you have, transplants work well for it. This is all guessing on my part. You should follow up with your doctor.

June 30, 2011

Is There a Good Way to Stop Taking Finasteride? – Hair Loss Information – Balding Blog

What is the best way to stop finasteride ? all of a sudden or gradually ? , can sudden withdrawal cause rebound effect and more worsening (speaking of side effects not hairloss) ? and if gradual withdrawal is the best then how can i do so ?

thanks

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The half-life of the drug in your body is somewhere between 4-6 hours. That means essentially that most of the drug that you take today will be gone tomorrow. Once the drug levels drop below a certain level, you will lose the effectiveness of the drug and it may take 1-3 months for the impact of the loss to be seen in your hair falling out. Tissue levels may maintain the effect of the drug for a couple of weeks or so.

The answer to your question — there’s no “best” way to stop the medication.

June 30, 2011

Hair Loss InformationIn the News – Genetic Defect Repair – Hair Loss Information – Balding Blog

Snippet from the article:

Doctors have treated a life-threatening blood disease by repairing flaws in the genetic code of a living animal, the first time such an ambitious feat has been achieved. The work raises the prospect of powerful new therapies that can target and repair the genetic defects behind a wide range of human diseases that cannot be tackled with modern medicines.

The new technique, called genome editing, holds particular promise for a group of illnesses that run in families and are caused by faults in genes that underpin the healthy working of the immune system, bone marrow and liver.

To demonstrate the therapy, researchers treated mice that were bred to develop haemophilia B, an inherited bleeding disorder that destroys the body’s ability to form blood clots. Normally, when the body suffers a cut or graze, proteins called clotting factors combine with platelet cells in the blood to make it sticky and form a clot that stops any bleeding.

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Read the full story — Doctors make breakthrough in repairing genetic defects

This is fascinating… and while not directly about hair loss, imagine the possibilities for genome editing in the future.