In the News – Receding Hair in Older Women – Hair Loss Information by Dr. William Rassman

Snippet from the article:

Mavis Bradley has always prided herself on her appearance. ‘Ever since I was a young girl, I’ve always followed what’s in fashion and tried to look my best,’ she says.

Despite this, she accepted that growing old gracefully would also change the way she looked. So when her eyebrows gradually faded away a few years ago, she put it down to old age.

‘Because that had happened, when I noticed about four years ago that my hair looked a little thinner at the front, I didn’t pay much attention. I presumed it came with old age.’

In fact, Mavis was suffering from a type of alopecia that affects post-menopausal women, damaging the hair follicles so that the hair falls out and cannot grow back.

Read the full article — Receding hair, the new epidemic in older women

Bad hair days turn into bad hair years as some people’s hair change as they age. The article covers some interesting points.


Balding Forum - Hair Loss Discussion

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Is the HairDX Test Accurate If It Just Tests the X Chromosome? – Hair Loss Information by Dr. William Rassman

Hi my question is about the HairDX test. If male pattern baldness can be inherited from either side of the family, is the Hair DX test only about 52 percent accurate since it tests the X chromosome only? And is it even less accurate in regards to actual hair loss because of the complex gene expression?

Men have one X chromosome and one Y chromosome so the impact for the test on a man’s only X chromosome is clearly from one parent or the other. The overall predictability is only about 70% and possibly the cause of the difference between 70% and 100% are the other factors associated with gene expression and possibly other genes not tested.

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Learn How To Select Your Hair Transplant Doctor! – Balding Blog

Dr RassmanEach and every day, I receive emails from readers asking about individual doctors’ and their reputations or even wondering if the doctor they just met with is a good doctor. Most doctors care about you and are competent and ethical, but there are a few who really don’t give a damn about you and look at you as a way to simply make more money. The unethical doctors often push men who are too early to have a transplant (like most 20 year olds) into getting one when they don’t need it, or they expand the number of grafts in a transplant procedure into areas that do not have hair loss under the guise of performing preventive hair transplants which happen to push their fees higher. Unfortunately, there are too many unethical doctors doing hair transplants and while I’m always willing to help when I can, I’m disappointed when I hear how some doctors take advantage of people in an attempt to line their pockets with your money.

In the years I’ve been posting on BaldingBlog, I’ve accumulated a lot of content about avoiding doctors that don’t put patient welfare as priority #1. I’m outspoken when it comes to patient advocacy, so I’ve also written much about how to select your hair transplant doctor. Most of my comments have been put on the daily responses I write to questions posed to me, but I’ve never put all the information in one easy-to-find place and organized it in a way that makes the job easier for the reader. So with that being said, I now present you a new “How To” type of series. These are MUST READ articles for those interested in having hair restoration surgery.

Selecting a Hair Transplant Doctor

How to Avoid Dishonest Doctors

 

TravelI also write about why it’s important to shop around for the best doctor before committing to a hair transplant. Don’t be afraid to have to travel to get a surgery that is PERMANENT and on your head! Don’t settle for someone you’re not comfortable with just because it is convenient. At NHI, we offer travel discounts, so factoring travel and hotel costs into your surgery should not be a concern.

Why Should You Visit Us?

 




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Balding Forum - Hair Loss Discussion

Segals Solutions – Hair Loss Information – Balding Blog

Dr,

I am hearing lot of ads about ‘Segals Solutions’ in India nowadays and heard that this product is from Canada and claims to be working well for a long. Does this really help in growing new hair or reducing hair loss? Appreciate if you could pick up my question and give your valuable review/response,

Thanks in adv

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SegalsThe Segals Solutions website says the product is “100% effective” and then just below it is says an independent study shows “67% noticed a reduction in hair loss”. So it works 67% of the time, every time? Uh huh. It then goes on to say that it is very convenient to use, in that you only need to rub their lotion on your scalp and leave it there for a minimum of 6-8 hours, then shampoo your hair with their product, and then take their pill in the morning. Where is the convenience?

I haven’t heard of this hair loss “treatment” before, even though they say it’s been made for 30 years. You’d think that with 30 years of success, there would be more than 2 before/after photos available on their site (and even those are smaller than my thumb, making it hard to see what’s going on). The lotion you leave on your scalp for 8 hours contains biotin, saw palmetto, B vitamins, and some other stuff, but the shampoo is just listed as containing “herbs”, and I have no idea what is in the pill. They say the entire treatment contains African “herbal technology” including rooibos, which is a tea common in South Africa. It goes on to discuss a French lab study showing hair benefits, but no further details are given, I can’t find the study, and I doubt it’s been peer reviewed.

I’ve gone over this before — there are two proven treatments that are FDA approved safe and effective, minoxidil (Rogaine) and finasteride (Propecia). If anyone wants to give Segals Solutions a try, by all means don’t let me stop you. Just keep in mind you’re probably wasting your time and money, as even their own marketing information sounds confused about what results you are “guaranteed” to see.

Hair Loss InformationImproving on Minoxidil? – Hair Loss Information – Balding Blog

Dear Doctor,

You routinely advise people to stay clear of Scalp Med, Follicare, Spectral DNC and other similar products. Your reason is that all of the aforementioned products contain minoxidil and if they work, at all, it is simply due to the minoxidil contained in them. Your conclusion: Just buy plain minoxidil!

Well, I would agree that many products have probably a zero chance of working. Fabao, for example, contains nothing more that Chinese herbs and is formulated based on folklore and an ancient meta-physical concept of disease. I seriously doubt it does anything. On the other hand, products like Follicare and Spectral DNC take a known active ingredient (minoxidil) and try to improve on it. These products take many promising ingredients that have been shown to grown hair, to some degree, in certain studies, like Adenosine, Amenexil, free-form fatty acids, caffeine, etc. They also add other things like either DMSO (in Follicare) or nanosomes (in Spectral DNC) to increase absorption. Clearly, the makers are going all out to “turbo charge” ordinary minoxidil.

Although none of these ingredients are effective enough to be used as a stand-alone treatment, nor are any of them proven, they all, at some point, showed some degree of promise or effect. Dr. Peter Proctor, in a Q & A session on one of the forums, said that “any ingredient that has ever been claimed to grow hair, probably does to some degree — in some people.” With logic like that, these companies take the “best of the best” of the unprovens and add them to a proven ingredient (minoxidil.) With few exceptions, I think most of these companies have good intentions to make the most effective product they can with what is currently available to them. I think very few are outright, deliberate scams.

It seems clear and logical to me that when these extra ingredients are added to a proven minoxidil base, there is bound to be some beneficial, synergistic effect.

The Million Dollar Question: Putting aside cost and value, which I don’t think should be a factor in choosing treatment, do you really believe that one of these products is not likely to be more effective than plain minoxidil?

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Could the opposite be true — manipulating the basic minoxidil may make it less effective? Where is the science here? I don’t believe everything I read and when someone or some company is self-promoting the product or process and then makes claims of benefits, what proof is there really? I need to see actual proof before I can even remotely consider giving something a thumbs up. And as you suggested, most of these products seem like they’re just combinations of every herbal that is rumored to have hair benefits, along with a proven treatment like minoxidil. So then when the minoxidil ultimately helps, they can say “See, our product works!” — but in reality, it’s just a more expensive version of generic minoxidil with added vitamins that may or may not be of any use to the hair growth process.

Good intentions or not, it is a buyer beware process and these companies are ultimately just out for your money (makes sense being a business). Cost might not be a factor for you, but I don’t think many people would agree with that notion, especially in this poor economy.

Hair Loss InformationPetroleum Jelly Clogs Pores, Causing Hair Loss? – Hair Loss Information – Balding Blog

Two questions. I was at CVS and looking at the back of an olive oil hair conditioner product. It said that product, unlike petroleum jelly, does not clog hair follicles. So does petroleum jelly actually clog hair follicles and would this cause hair loss?

Also, this is not a new occurrence, but I often feel little bumps on my head that seem to be caused by dry scalp, but these feel like tiny pimples that cannot be popped. Does this have anything to do with MPB? Perhaps they’re inflamed hair follicles?

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Vaseline petroleum jellyAlthough the popular theory seems to be that clogged follicles have their growth inhibited (hair being unable to grow because it is blocked), it is blatantly untrue. I do not believe petroleum jelly causes hair loss. The product you saw probably just had clever marketing and semantics so consumers will buy one hair conditioner product over another.

With respect to the bumps on your scalp, maybe it is pimples, and maybe you should have it checked out by your primary care doctor or dermatologist. I doubt it has much to do with balding, but I can’t tell something like that without an exam.

Hair Loss InformationCould Transplanted Hair Fall Out? – Follow-Up – Hair Loss Information – Balding Blog

I was wondering if you could expand on your entry “Could Transplanted Hair Fall Out Months After a Successful Procedure?

Does all of the transplanted hair fall out or just some of it? How long after the HT have you seen this occur? From what you’ve seen does it happen in younger or older patients? Most importantly can you re-transplant new grafts into the area? Would the same thing happen again or could there have been a mistake made during procedure?

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I am not sure about your question. The newly transplanted hair usually falls out in a month or so after the surgery and it comes back 2-5 months after in waves of hair growth. Once you’re past the 7th month, everything should be stable and your transplanted hair should be there for the rest of your life. If transplanted hair falls out, it may reflect hair that was not taken from the permanent zone and in that case it may reflect an error from the surgeon.

Hair Loss InformationI Want Specific Solutions to My Mustache Problem! – Hair Loss Information – Balding Blog

I’m looking for an explanation on why all of a sudden I have a bold spot in the right side of my mustache. I read about other persons having the same problem in your site and asking the same questions, but at that time, no specific answer was provided besides going to an specialist and sending you a photo. Any changes lately?

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Just because I am a doctor, it does not mean I have all the answers. The sudden appearance of a bald spot could reflect a series of medical conditions such as ringworm, alopecia areata, and/or other autoimmune diseases. You need to see a good dermatologist if you want to know more.

Hair Loss InformationMy Doctor Took the Strip Out of the Wrong Place! – Hair Loss Information – Balding Blog

I got my hair transplant done in Dec of 2008. During the consultation the Doctor showed me the area that he was going to cut. After the hair transplant was done I found out that he has cut the wrong place , he has cut right under my crown area. He has cut the wrong spot and I have gone to 4 different Doctors and all of them have told me that the cut is to high and the doctor that has done the transplant didnot know what he was doing. He has taken hair from part of my head that he has told me that I will be going bald and placed it in the front. So What can I do about this. Can anyone help me with this . Oh. by the way I paid for 2500 Grafts and he told me he only did 2100. I do not think he is telling the truth about the 2100 also. Everyone of the doctors that I have seen after the Hair transplant have told me that my hair transplant is not 2100 . They all said it looks like may be from 800 to 1000 grafs. Please if anyone knows what should I do please help me out. Thank you.

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LegalAs you indicated you are in the area, a visit to my Los Angeles office will allow me to really understand the damage you have. The hair that was transplanted is not permanent hair if it was taken from too high on the back of the scalp. I would want to examine that area today and measure the degree of miniaturization, which will tell me how long that hair may last. Donor strips taken from the crown tend to scar badly — is that the case with you also? If it is, it will need to be transplanted as well. You have legal recourse against the doctor for not only the costs of the surgery, but the damage that he did which may have a long term consequence to you. These options also should be explored. I look forward to meeting with you.

Doctor selection is doing your research, knowing the experience of the doctor, his patient results, his skill and artistry, and his overall integrity. Hair transplantation is a lifetime process and often can not be reversed.

Hair Loss InformationMerck Study Shows 0.2mg Finasteride Almost as Good as 1mg? – Hair Loss Information – Balding Blog

Dear Dr Rassman,
According a study done on behalf of Merck, patients treated with 0.2 mg finasteride showed approximately an increase of 61 hairs versus an increase of 77 hairs in 1 inch square treated with 1 mg of finasteride over the 6 month period. So can we say that taking 0.5 mg of finasteride may yield nearly the same results with 1 mg treatment

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Split PropeciaYou are correct. We have known about this for many years (and have reported it here), though the standard dose is 1mg. For those who have unwanted side effects, taking 1/2 of the standard dose of Propecia should be considered, which we have been advising for many years.* Some of the original studies suggest that 1/2 the dose can be 80% as effective as the full dose and 1/4 of the dose could be half as effective as the full dose.

The original Merck study wanted to know the best and most effective dose, and the statistical data suggested 1mg. This was across a large population and if you assume that there is a bell curve, there is a wide range of responses. That also may mean that as many people as impacted by 1/2 the dose with 80% effectiveness, one might see that a sizable proportion of the population may require a higher dose than 1mg. When we see the response fall off, or a poor response, we are now recommending doubling the dose provided that the side effects do not appear.

*As always, discuss any changes to your prescription medication dosing with your prescribing doctor.