Dr. William Rassman – Page 1151

October 6, 2010

My Donor Hair Got Weaker After My Hair Transplants! – Balding Blog

I’m a year post-op on my 2nd HT procedure, 6300 grafts total including my 1st round.

While my results are dramatic and I am quite pleased for the most part, the crown area is still somewhat sparse, and upon my recent 1-year follow-up, I am told there is the issue of some donor hairs that have, according to my doc, become thinner in diameter or possibly even miniaturized due to genetic programming that came with those grafts (in other words, at the time the grafts were transplanted, they were of even diameter and size, but some weakened and shrunk according to him). He took some extreme closeups and showed me the photos on a computer.

I had always believed from my research, that miniaturization is halted or cannot occur in transplanted hairs. Is this not true, and what do you recommend to protect my investment other than finasteride and/or minoxidil?

It’s difficult to provide an accurate answer to your question, because I do not know what you have…

Donor hairs do not normally miniaturize for men with male pattern baldness (MPB), so I must assume there is something more going on or there’s something that wasn’t diagnosed. I would ask your doctor about the cause of your problem and what you can do to for it (in other words, you need a diagnosis). If you do not receive a satisfactory answer, get a second opinion from another physician!

For example, I have seen a few patients over the years who had hair transplants by other doctors, but didn’t know that they had diffuse unpatterned alopecia (DUPA). Their donor hair had significant miniaturization and the transplanted hairs eventually were also miniaturized. I am not implying that you have DUPA, but this gives you an idea of how things are not so simple when undergoing a hair transplant.

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October 6, 2010

Teen Girl Losing Her Widow’s Peak – Balding Blog

dear doc,
i am a 15 year old female and im starting to bald. its scaring me very much. i have a not so noticable widows peek and im thinning really bad rite there. also on the side of my head by my temples and a small patch on the back. if you could please please answer me back that would be great!!

I tried replying to you directly, but the email bounced back. Folks, if you want a better shot at a response, use a real email address please.

There’s many possible causes of female hair loss, including birth control, stress, malnutrition, iron levels, etc, etc. You can learn more about this here. You should talk to your doctor about this and get a parent involved. There’s no easy answer I can give you, unfortunately.

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October 5, 2010

Hair Loss InformationHow Can I Thicken My Side Hair to Blend with My Hairpiece Better? – Hair Loss Information – Balding Blog

I’ve worn hairpieces for years and have been generally satisfied with them. As I’ve aged (now in my 60’s) my side hair has also thinned considerably-but it’s still there and I wonder if anything can stimulate its growth? I don’t expect crown hair, of course, but thicker side hair would make wearing a hairpiece much easier and more natural, as there’d be a better base to “comb into”.

Any thoughts or suggestions will be much appreciated. Thank you.

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Usually you cannot thicken or regrow hair on the sides unless you have a hair transplant to add the hairs to those areas. Sometimes minoxidil might work. These are generalizations though, and your case may or may not be amendable to either of these two approaches. You should speak with a hair transplant doctor to get a better idea of what your options are.

There are significant number of patients who do have hair transplants to augment their hair piece. Some have hair transplants to the frontal hairline so that at the start of the hairpiece it would look more natural.

October 5, 2010

After 8 Years on Propecia, I Think Stress is Causing Noticeable Thinning – Hair Loss Information by Dr. William Rassman

Dr. Rassman,
Thank you for providing this informative blog.

I have a question, I have been taking Propecia for 8 years now. But in just the last 3 months I lost hair noticeably in the entire area from the mid section to the front hairline. I think this is the result of stress, lack of proper sleep and not using Minoxidil since the beginning of the year. Can I “hope” that if I start Minoxidil 5% (I had used 2% for over 12 years), reduce stress and get more sleep, I may see some of that hair back? My experience so far is that once I lose hair, it’s gone, I just try to keep what is there.

I’m 48, male, and have had 5 transplant procedures over the last 14 years.

Thank you!

There’s no clear cause for the rapid hair loss you’ve seen in the last 3 months. Since you have had multiple hair transplant surgeries, perhaps you should follow up with your transplant doctor and get a good examination.

The hair loss could be stress related, but it can be anything. You can try getting your stress under control to see if that helps slow the loss down, but I cannot provide more input from such limited description.

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October 5, 2010

I Want Finasteride to Maintain Minoxidil Growth! – Balding Blog

Hello,

I just started taking finasteride for two months now and I am thinking of adding minoxidil to my regime. After 12 months I plan just to maintain taking finasteride. If the minoxidil added extra hair growth will I loss that hair if I discontinue minoxidil but remain on finasteride?

Thank you

Yes, unfortunately any benefits (hair growth) you saw from minoxidil will disappear if you stop using it. Finasteride (Propecia) won’t maintain hair grown from minoxidil… and vice versa. Some patients elect to use both medications, but they’re lifelong commitments.

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October 4, 2010

Still Shedding a Ton of Hair 5 Months After Starting Propecia – Hair Loss Information – Balding Blog

Hi,
I’m a 22 year old male and I have noticed my hairline receding and thinning out for about 2 years now. About a year ago I started using 5% rogaine on my temples and vertex and it seemed to slow down my receding hairline and I experienced some regrowth on the vertex but they were very thin hairs.

On April 20th, 2010 I was prescribed propecia and have been on it ever since (about 3 months into treatment I was running low on $ and pills so I took a pill about every other day for 1 1/2 week, but have been taking propecia religiously ever since), I also stopped taking applying rogaine the same day.

I am writing because today marks month 5 and I am still consistently shedding 200+ hairs a day. I wake up with hairs all over my pillow. I wash my hair with shampoo/conditioner and my hands are covered in hair. I dry my hair after the shower and hair is on the towel. I’m at the point to where I don’t know what to do. I would currently classify myself as a norwood III, with thinning on my vertex and I have a weird thin patch that shows scalp at the midpoint on top of my head.

From reading this site and others, I know that shedding like this in month 5 is not normal. I know there is not much you can say w/o pictures but I was curious as to your opinion, or if you have seen any cases like this.

Thank you

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Perhaps you’re not a good responder to Propecia. I don’t know what you’re seeing, so it’s difficult to offer much about that. You’re right about severe thinning not being normal 5 months after starting the medication. You should follow up with your prescribing doctor about it.

One thing I am sure of, Propecia doesn’t keep any growth you saw from the Rogaine, so you’re likely seeing the Rogaine-grown hair fall out since you stopped using it. You might consider getting back on Rogaine if that worked for you in the past.

In general though, you need to understand that there is no cure for hair loss and that even medications such as Propecia or Rogaine have limitations.

October 4, 2010

Any Shampoo Ingredients I Should Avoid? – Balding Blog

I am well-aware, as an avid reader of your blog, that there is no shampoo that will help to treat hair loss. This question is different. Are there any shampoos, or ingredients within shampoos, that you would recommend against. In other words, is there a particular ingredient that may cause damage to hair, or increase hair loss in some fashion? Thanks very much for your time and wonderful site.

Shampoo I do not know of any shampoos to actively avoid. Over the years, I’ve read unverified reports from readers that suggest Head and Shoulders causes their hair to fall out, but if that were the case I’d expect there would be warnings and news items all over the place about it. It’s a very popular shampoo, but there’s a very active comments section at this old post.

I’ve also received emails from readers over the years asking about hair loss from sodium lauryl sulfate (SLS) found in many shampoos, but I’ve pointed out before that it seems to be propaganda used by some companies just to sell SLS-free shampoo.

I don’t think there’s anything in commercial shampoos found on store shelves that will cause you problems, unless perhaps you’re allergic to something. I generally recommend that everyone try different shampoos and use the one that they like the most. I don’t have any particular shampoo preference over another.

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October 4, 2010

Hot Cap — The Hot Tub for Your Scalp – Balding Blog

Hey doctors!

Here’s a pretty funny looking invention that claims to prevent hair loss by putting hot water on your head. I know you’re both inventors and wanted to get your thoughts on this one.

Link: A Hot Tub On Your Head

I always like to see new inventions, and the more absurd, the better. I quite enjoyed seeing the Hot Cap, but it is better for general entertainment than for your hair. Removing sebum doesn’t prevent genetic hair loss, but this is creative nonetheless.

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October 2, 2010

I Changed My Finasteride Dose Based On Your Blog! – Hair Loss Information – Balding Blog

I read a post on your website that said 0.5 mg of finasteride is %80 as effective as 1 mg. I decided to try it. I wanted to see if I could get the same results with less medicine in my body…and possibly save a ton of money.

It didn’t work. I did it for about 7 weeks and lost ground in the front. I actually used .625 because it was a Proscar pill. I was on 1mg for 6 months doing wonderfully before that so I’m hoping now that I’ve gone back up to 1mg I’ll grow back what I lost since it was only 7 weeks.

Terrible advice!!!

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It wasn’t advice! Nowhere in that post you’re referencing did I tell you (or anyone) to change the dosing of your prescription medication. The tidbit about “.5mg is 80% as effective” is something I read about, and not something I ever instructed anyone to try without talking to your doctor first. Changing the dose of finasteride is something you and your doctor need to discuss. I am not your doctor.

When I see a patient where I recommend a lower dose of finasteride, it us almost always because of side effects. I always give the warning that although it may work, it will be less effective than the therapeutic dose of 1mg. Just because I write about what we do for our patients under given circumstances, that does not imply that we are recommending a particular treatment to you personally. If you did it on your own and something goes wrong, don’t point the finger at us.

October 1, 2010

QR678 – Hair Loss Information – Balding Blog

Hello Doctor,

I find the article on the invention of new molecule QR 678 for stimulating hair growth in one of India’s top newspapers. Here is the link to access the website of the clinic.

Please let me know your view on this. Best regards

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India There must’ve been quite the media blitz about QR678 in India, because I got a bunch of emails from people in that region asking about this.

First, I don’t like to depend upon a single set of tiny photographs with different lighting to determine hair growth… and that’s what I see in the article. A proper study would have been “blind” so that a placebo group is compared with a treatment growth in a statistically valid protocol. That’s not what this article points to, so I would be reluctant to believe anything that is not done the way I know proper research needs to be done and validated.

In digging a little deeper, one of the creators of QR678 says that there was a double-blind study done and he even summarizes the results on his blog, but as of writing this post, I’ve not seen the actual study nor has it been published in a peer-reviewed journal where it can be evaluated for legitimacy by qualified professionals. Thus, I’m forced to look at QR678 on its own merits and treat it like any other hair loss treatment that I’m asked about.

So many companies and doctors are trying to be among the first to offer a new stem cell treatment (because “stem cells” are great buzzwords right now) and from what I am understanding, that’s what this seems to be. It seems that this is something (stem cells?) injected into the scalp 8 times followed by a lotion rubbed on the scalp. As any regular reader of this blog knows already, I’m a skeptic about the majority of new hair loss treatments announced, and this case is no exception. The evidence is severely lacking that QR678 does what it claims, and so far, I’ve yet to see the proof beyond high praise from the creators of the product itself.