Dr. William Rassman – Page 1208

March 16, 2010

Alcohol and Finasteride? – Balding Blog

Hi doc,
First I appreciate you on providing expert level suggestions to people all around the world. I think it is really helpful for many patients. I am on Finax (Dr Reddys) for the past month taking daily 1mg at night. I have two questions:

1. I am very much tempted to take alcohol on weekend nights and skip the pills for those days to be on the safer side, and continue on the weekdays. I want to know whether I will get the benefit of the medication or it will slow down the effects?
2. Can I take the pills in the morning during breakfast even if I am on drinks in the nights, does it also effect the medication?

Please help me in understanding my concerns. Thanks in Advance!

I think you’re under the impression that alcohol cancels out the effects of finasteride, but that simply isn’t the case. There’s no adverse reaction to taking alcohol and taking finasteride on the same day. If you want to give in to your temptation of drinking alcohol on the weekend nights, it is not for me to judge or to advise you on. I wouldn’t down a bottle of booze with Propecia (or the generic Finax), but having both on the same day won’t make the finasteride ineffective.

I prefer to take the medication in the morning, but you can take the medication at any time of the day or night. Just take it every day.

March 16, 2010

I’ve Been Losing Hair for Over 20 Years and Just Saw Regrowth from Propecia – Balding Blog

Hi Doc! I really enjoy your blog and it has made a difference in my decisions regarding hair loss. I started losing hair when I was 17. I am now 39 and still have a lot left on the sides and back. I had transplants done on the top front half with good success (about ~1000 grafts) when I was 22. I started Propecia 4 months ago and notice a ton of regrowth in the area that was transplanted. Does Propecia normally work better in the crown or will that need to be transplanted also? With the success I’m having in the front, and even the original hairline from 20 years ago, I’m “hoping” that the crown will sprout healthy hair soon. Thanks for your time!!

Propecia is more effective in the crown than in the front. It’s great that you’re seeing so much success with the medication, but it’s quite unusual for someone that has been experiencing hair loss for over 20 years to see regrowth like you’re describing. Your story is interesting and may have value to some of our readers. Thanks for sharing!

March 15, 2010

Hair Loss InformationHair Transplants by John Lord – Hair Loss Information – Balding Blog

i was googling the address for John lord when I got your article. im in my 40’s and want to inquire about hair transplant. someone i knew went to him and was happy about the result and it was also inexpensive. wanted to try it but very scared about his history, outcome if i were to go elsewhere and the amount i will end up paying. my hair is thin and i just want a thicker full hair especially front area.

Block Quote

Cemetery John Lord is not a doctor, but somehow owns a surgical hair transplant clinic. This is illegal in California, but he was able to skirt the law. His clinic was responsible for the only reported death in the history of hair transplantation just a few years ago. The patient who died came to see me a couple of weeks before he had the transplant that killed him. Our clinic fees were a bit higher so to save money he ended up at John Lord’s clinic. And well… you know what happened next.

Our facility is fully accredited with the AAAHC (Accreditation Association for Ambulatory Health Care), which guarantees that our processes are first rate, infections are very rare, and safety is paramount as it is built into our system. We are audited every three years and all of our records are reviewed by this agency for safety and poor outcomes. We’re one of the very few hair transplant clinics to go through this rigorous auditing and accreditation.

I had the opportunity to see a few of the patients from John Lord’s clinics and the results were clearly substandard. Maybe the bad transplants are the only ones that came to see me for repairs. As for the cost of hair transplantation, that depends on how much hair needs to be moved. I’m in Los Angeles if you’d like to make an appointment (it’s free).

March 15, 2010

AutoloGel PRP Therapy – Hair Loss Information by Dr. William Rassman

I just saw this press release and wanted to know your thoughts on AutoloGel. I know you’ve been critical of PRP recently, but I’m wondering if you’ve read the doctor’s article in the Forum magazine for doctors in the industry that you’ve mentioned.

Cytomedix’s AutoloGel(TM) System Highlighted in Hair Transplant Trade Journal

I did read the article about AutoloGel in the recent Hair Transplant Forum industry newsletter, but the science behind it didn’t impress me. The findings are worth discussing further, but it is just one doctor’s review. I am not a supporter of things like this that have not had proven peer-reviewed articles written about it. The use of PRP (platlet rich plasma) is all conjectural and adds to the complexity of the surgery, possibly increasing the risk of infections with its use.

You can read the article that the press release discusses here (PDF file).

Paid advertisements (not an endorsement):

March 15, 2010

Excessive Rubbing and Eyebrow Hair Loss – Balding Blog

About 6-8 months ago I noticed that my eyebrows appeared sparse compared to my youth, particularly on the outer third to half. No outright baldness just sparsity as they moved toward the outer edge. This alarmed me considerably and I went to see a doctor who had my thyroid tested. The results came back negative for any disorder. The doctor also explained that eyebrows can lose density with age and at 33 that should be something to consider. Well feeling self conscious about something tends to lend itself to fixation as it has in this case. Since my unsatisfying diagnosis I’ve taken to touching or gently rubbing my eyebrows – both in an attempt to stimulate growth and a tactile way of assessing further loss. As well I routinely add a tiny amount of hair sculpting paste to the brows which seems to add to their shape and give them the illusion of increased density.

Through my attempts at alleviating my anxiety over thin brows I’ve actually added a new fear – the fear of further loss resulting from brow manipulation. I’ve noticed that when I stoke the brow or apply the hair product brow hairs will appear on my fingertips. Not every single time I touch them but frequently and at least a few hairs daily, sometimes 8-10 hairs. Unlike hair loss on the head there isn’t much information on what is considered “normal” loss when it comes to brow shedding. I don’t pluck the hair nor aggressive rub the brow, these hairs fall out with little encouragement. Should I assume that these hairs will grow back unlike those of chronic pluckers? How long does it take for these hairs to replenish themselves? Are my actions causing this shedding or is this the natural cycling of brow hair? How many brow hairs are considered “normal” to lose daily? I really can’t find much information out there and would be greatly appreciative of your insight. Thank-you.

Eyebrow hair goes through a normal life cycle just like the hair anywhere else on your body, but this doesn’t sound like natural cycling based on what you describe. If you have been rubbing the eyebrows (more about the repetition as opposed to the aggressiveness), this can cause traction alopecia to the hair on the brow. This can result in permanent hair loss.

If you do not get the return of your eyebrows in another 4 months or so, then a hair transplant can work well. While you wait it out, you might try Rogaine (minoxidil) on the eyebrow to see if it might regrow hair there, but just be careful not to get it in your eyes.

Paid advertisements (not an endorsement):

March 15, 2010

Fiber and Propecia – Hair Loss Information by Dr. William Rassman

Hi, I’m currently taking fiber supplements as part of my diet. On the bottle there is a warning stating that a laxative should not be taken within 2 hours of any other medication.

Do you know if fiber can impact the effect of Propecia if taken within the 2 hour time span?

I doubt that the fiber will impact Propecia. I generally suggest taking Propecia upon waking up, first thing in the morning.

Paid advertisements (not an endorsement):

March 12, 2010

Hair Loss InformationWhat To Do When You Don’t Like Your Patient? – Hair Loss Information – Balding Blog

Dr William Rassman This isn’t a hair transplant related post, but it is a trip down memory lane for me. Allow me to indulge myself…

I was recently talking with a friend, and I was asked to think back on a case where I had a patient that I simply did not like. While I do get along well with all of my patients today, I thought for a few moments and remembered an experience I had in my first year in surgical practice (before my life as a hair transplant doctor). The chairman of the hospital board of trustees, a very fat, nasty, and ugly man, was an obstructionist to everything that the doctors, nurses, and local politicians wanted to improve, not only the physical facility, but he was also against changing policies that would make the hospital a more patient-friendly place. He was a political person with strong prejudices and he was despised by most of the doctors as he exercised power over them by vetoing everything they asked for. I remember wondering how I’d react if he came into the emergency room bleeding to death from some type of accident and I was be the surgeon on duty. Then one day, that wonder became reality as he was rolled into the emergency room with internal bleeding from a really bad car wreck.

There was no question how I was going to behave, how I must behave — that I would do my best to save this man’s life. This was no ordinary effort, as he had major bleeding from his liver and a ruptured spleen. By the time I got him to the operating room, his blood pressure was barely detectable. We pumped many units of blood into him, got his blood pressure up a bit, opened his abdomen, removed his spleen, and sewed up his liver. I got him out of the operating room barely alive. If he had died, his injury would have justified it… but not for me. I thought that my subconscious might have tried to work against him. I remember staying at the hospital for 2 days and nights, barely sleeping. I stayed at his bedside and did not go home for over 50 hours. Slowly, he got out of shock, remaining very sick for some days until eventually he recovered. When he came back to his chairman duties months later, he was changed. Anything I would say would become his cause cÃ©lÃ¨bre, so when I endorsed various hospital agenda issues like any improvements in hospital policies, in the hospital’s physical plant, etc… he became an advocate.

This experience was unique for me. I knew if he died, I somehow might be responsible for his death. I did not give him any better care than I would give any of my patients, but my prejudices towards him made me so aware of how vital and important it was for me to be impartial.

March 12, 2010

Loniten (Oral Minoxidil) and Hair Growth? – Hair Loss Information by Dr. William Rassman

I have a question about Loniten (oral Minoxidil). This isn’t considering using it as a replacement for topical Rogaine, but does Loniten show ANY major scalp hair growth? I know it’s an unstable blood pressure medication, but if someone who was suffering from hair loss were to take it, would it show benefits? What dosage would you think it would take to show benefits? I’m always curious about knowledge

Loniten I have no first hand experience with patients taking Loniten to really base an opinion on the amount of hair growth seen from it. I don’t even know the proper dose that would produce hair growth side effects, and I don’t believe that it is equal across all people, ages, and sexes.

I realize you understand this, but just as a warning to those that DO want to take a minoxidil pill to possibly regrow hiar — the risks for taking this medication orally to treat hair loss would make it something I’d not recommend trying. If you’re going to use minoxidil to treat your hair loss, topical is the way to go.

Paid advertisements (not an endorsement):

March 12, 2010

My Recipient Sites Are Still Red After 16 Years! – Hair Loss Information by Dr. William Rassman

Hi Doc! I have another question that I haven’t been able to track down an answer via search engines. I had my last transplant surgery 16 years ago, and all the recipient sites where they put the grafts are light red in color. Is this usually a histamine reaction or some kind of blood stain? It shows more after I get out of a warm shower. Please let me know what this is, and if there is a fix for it (laser resurfacing, etc.) Thanks a bunch!!

16 years is a long time for recipient sites to look anything but normal. Histamine response to heat may be possible, causing increased circulation with the shower heat… but I am just guessing and I’m not enthusiastic about that explanation. I would like to see you if that is possible, but if you’re located too far from my offices in California, I’d suggest you go see a good dermatologist.

Paid advertisements (not an endorsement):

March 12, 2010

Transplanting Body Hair Into Strip Scar from Previous Surgery – Hair Loss Information by Dr. William Rassman

Hi! Been reading your blog for quite a while now. I know that you are against body hair transplants onto the scalp, BUT — I don’t want to have body hair transplanted anywhere but into my strip scar. The reasons I saw you give in the past for avoiding body hair transplants were because body hair doesn’t grow out very long, so it would be bad for styling. Well, I would like it transplanted into my scar so I can cut my hair much shorter than I currently can without it being noticeable.

I have looked at my chest hair, and they’re not curly. I plucked out a few and compared them to my scalp hair. They’re quite similar. Is this still a terrible idea? I honestly don’t want to FUE scalp hairs because in case this simply doesn’t work and I end up deciding to just say “Screw it…I’m shaving my head and i’ll live with a visible strip scar,” I would then also have to live with little white dots all over the back of my head. I know, they’re not supposed to be very visible, but I don’t want to add to more scarring on the back of my head. I really don’t.

It’s actually not a terrible idea. I am not against using body hair to repair a scar on the scalp, provided that you realize that the telogen (resting) phase is very long… which means only about 50% of the hairs will be growing at any point in time. I would want to evaluate you first if you want me to do this.

Paid advertisements (not an endorsement):