Dr. William Rassman – Page 1309

May 19, 2009

I Had Extra Grafts After My Hair Transplant – Hair Loss Information – Balding Blog

Hello Dr. Rassman and Staff
I am norwood 3 pushing 4. I recently had a FUHT with a very respected surgeon. I was transplanted 1500 grafts and ended up having a few hundred grafts left over after all of the desired areas were filled in. The left over grafts were placed behind the newly placed ones in the healthier hair. These grafts ended up being preventative grafts. This minor mistake was done by accident but if you know your likely to lose the hair why isn’t it a common practice to transplant more grafts for major preventative measures? (Initially we even planned for some preventative grafts but it ended up being more than what was planned.)

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I have objected to preventive hair transplants for many years, because they line the doctor’s pocket with money and do not offer much for the patient. Preventive hair transplantation is quite common and many times they induce further hair loss.

On the other hand, extra grafts are not uncommon… and when I have them, I increase the density in the transplanted area. A well planned surgery should have predicted the ‘overage’ of grafts. When I see doctors performing preventive hair transplantation, I add them to my personal “bad doctor list” (which I never share with anyone).

May 19, 2009

Hair Loss InformationDoes Telogen Effluvium Act Like This…? – Hair Loss Information – Balding Blog

Thanks a lot for this site, good sir. I have a question related to TE and MPB. I have diffuse thinning on the top of my head. While I haven’t been to a miniturization check, I would say some (though hardly all) of the hairs that fall of my dome are thin. I went through a 2 month phase where I lost very thick and dark hairs, but this has stopped (I guess they’re gone?)… I am possibly a NW 2, but I’ve always had a high forehead. The hairline has receded, but there are still hairs at the base of what is basically the original hairline. Basically what I’m explaining is a very unclean hairloss at the top of the head…the hairline is more of an abstract idea than a line, if you follow me…it’s very irregular and uneven.

Does TE ever “act” in this way? Or am I just kidding myself and it’s MPB? Father with hair, mother with hair, mother’s father with hair, father’s father with hair…

Cheers

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I don’t think I quite understand what you are describing. I would be happy to examine you and then I will understand what you are talking about. As you state you have not gotten a miniaturization check, which could point to genetic balding. Moreover, it may be something very early, as you categorize yourself as a Norwood Class 2.

From what you describe, it sounds like you’re losing your hairline due to genetic causes and have a few remaining hairs that haven’t fallen out in the same area. A telogen effluvium likely won’t be focused at the hairline.

May 19, 2009

Why Can’t We Transplant Hair from the Dead? They Don’t Need It! – Hair Loss Information – Balding Blog

I have very little hair. I have very little hair anywhere on my entire body (except my eyebrows and chin hair). What little hair I actually do have is very thin and very fine. For my entire life, I have never had much hair. I am a female and tired of not having enough hair.

I cannot believe you cannot easily take some hair off a dead person (their not going to need it anyway) and use it for hair plugs. The body will actually reject hair plugs from another (dead) person? I thought hair transplants were superficial and not “deep” implants? I could not take the hair from my back or side of my head (or anywhere else other than eyebrows & chin) I simply do not have enough hair anywhere. I’m not losing hair, I simply never had enough.

Is it possible to get donated hair plugs from a son? My middle son has tons of beautiful thick hair (like my husband) and has offered to donate some? I’m tired of wearing wigs. DNA wise, I took after my father, hardly any hair. Got a very raw deal for a woman not having enough hair in this society sucks.

I’m tired of not having enough hair to be considered “average” looking. I’m tired of wigs. I’m really tired of hearing other women say “oh I have too much hair, it’s such a pain”. At which point I am tempted to rip some of their “too much hair’ right out of their head.

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Nature plays dirty tricks on us (genetically). But if you use the hair of a dead person or even your son, it will be rejected just like any organ transplant (kidney, heart). The medications to stop rejection are dangerous, and as hair transplantation is not a life-saving procedure, the risks wouldn’t be worth it. I discussed this before here.

May 19, 2009

Mixing Latisse Into Rogaine? – Hair Loss Information – Balding Blog

Dr Rassman
I have a script for Latisse and i added it to a bottle of Rogaine and started useing it,do you think it will help supercharge the rogaine and grow more hair.Can you please tell me what your thoughts are on it. Thanks

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Although Latisse (bimatoprost) has been shown to grow eyelashes, the formulation is not known to be effective for scalp hair. If you do decide to try it, I’d be curious as to what you find, but I can not recommend this approach to you.

May 19, 2009

I Started Seeing Growth 24 Days After My Hair Transplant – Hair Loss Information – Balding Blog

I recently had a hair transplant. I started shedding my newly transplanted hair on day 9 and lost most all of it shortly after. I started noticing new growth around day 24. Is my growth ahead of the average patient? Will my hair growth be suffice before the 8th month? ( I’m also very young and very healthy.)

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About 5% of patients get growth within the first month, but most do not. Consider yourself lucky if it continues.

May 18, 2009

I Upped My Finasteride Dosage and I’ve Seen Big Changes! – Hair Loss Information – Balding Blog

Hi doctor, i presently use dermatch to cover my hair line area, and i recently feel that the hair has been shedding . Is it because of the applicator pulling the hair or is it because the scalp pores get clogged? If it is does the hair come back.

Second question if i may, ive upped my dosage of proscar to 2.50 mg a day and ive seen big changes, 1 mg did the job before but stopped its effects. I think each person is different and larger dosages lower more dht levels. Any comments regarding this?

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Proscar I don’t believe that DermMatch will cause hair loss with the applicator provided that you wet it when using it. Scalp pores aren’t the cause of your hair loss.

I have recently been advising some patients to increase their finasteride dose to 2.5mg (half of a Proscar pill) provided that there are no significant side effects. I make this recommendation when the drug is losing its visible effectiveness and some of the patients have reported a benefit, although it is early in my experience. You’ve already upped your dosage, but for everyone else reading this — I’m not suggesting everyone should be taking a higher dose, as it should be up to your prescribing physician. I’ve made the 2.5mg recommendation to a select number of my patients (and I have a medical history on them when doing so).

May 18, 2009

Does Rogaine Work Better for Coarser, Darker Hair? – Hair Loss Information – Balding Blog

Hi Doctor Rassman,

I’m 28 and have had very fine/curly blond hair my whole life. I’ve never had to do a terrific amount of shaving and have very little body hair. My maternal grandfather was bald from a fairly young age. My younger brother (3 yrs younger) has darker, thicker hair and had to shave whilst in high school – he (now 25) has lost a lot of hair.

My hair began to thin out a lot starting about 3 yrs ago – I started finasteride about 9 months ago – it seems to have stabilized my loss and slightly thickened up the hairs I had.

That said, I’ve been studying pretty intensely lately, and have noticed the top/back of my head seems thinner. I was thinking of rogaine but am rather hesitant.

Do you typically see the patients get a shed on rogaine if they already had one on propecia about six months earlier?

Also: There are internet rumor that rogaine works better for coarser darker hair, and I’ve also read comments from people who had their hair shed with rogaine but not grow back – My hair has always been very fragile blond and fine, does this make it more vulnerable to a rogaine shed and the possibility of not growing back?

Thank you in advance for answering!

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I don’t know of any correlation between Propecia and Rogaine shedding, but stress (like intense studying may bring) could bring on more hair loss. You can stick with just Propecia or give Rogaine a try, as it does tend to work best in the crown area that you’re describing. The shedding is pretty rare, though (see here).

I do believe that minoxidil works better on coarse hair from a visual point of view, but not from a pharmacological point of view. I say this because a 20% increase in thickness in a coarse hair may be equal to the total amount of bulk of doubling the thickness of fine hair, making it easier to see. Remember the pi R squared math formula means that small increases in the diameter of a circle will increase the area of that circle (or in this case, hair). Go to math.com or mathwarehouse.com to review the math formulas from a hands-on point of view.

May 18, 2009

Hair Length and Hair Loss – Hair Loss Information – Balding Blog

Is there any truth that the length of your hair has anything to do with hair loss. I know alot of guy’s who started losing there hair and got buzz cuts because there barbers told them it would make there hair stronger and less likely to fall out. I would like to grow my hair long but this is a concern. I’ve had two small procedures with Dr. Berstein in N.Y.

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Cutting your hair short or growing your hair long will not impact your hair loss. What you were told was an old wives’ tale that has been around probably for hundreds of years, but it is not true. The hair transplants you had should last your lifetime no matter what length you have.

May 18, 2009

Can I Take a Half Dose of Propecia if I See Side Effects? – Hair Loss Information by Dr. William Rassman

Hi, Doctor Rassman,
Im a 27 year old male,my hair has been thinning since I was 23.I still got hair on top and at the front but is thinning on the crown. After tried herbal remedies like Provillus (waste of time and money, honestly) and tried different topical lotions like Revivogen( the same as Provillus,waste of time and money.) Please guys don’t even think about this kind of products,they don’t work!!!

I just decided to try Propecia after a year of research,Im still bit scared about the side effects but I think I’m going to give it a go and see if it works for me. My question is: is possible to take a dose of 0.5 daily in case I get any of the side effects? Is this safe an effective?

Thanks

You should take 1mg of Propecia (per your doctor’s prescription) and if you develop side effects, you can cut the dose… but going the other way makes no sense. 99% of people do not get sexual side effects addressing sexual performance. Why would you assume you are in the 1% group of the population?

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May 18, 2009

I Stopped Finasteride After a Year, Now I Want to Try Homeopathy – Hair Loss Information by Dr. William Rassman

I have hair loss probelm and genetic history of baldness, i started hair loss at about early 20 at vertex, but it became severe at age of 25-26 when i was in struggling period of life full of tensions and strees. at 28 age i started minixidill and finasteride, it worked well particularly finasteride, but after regrow of complete hair i stopped using it. and in few months my problem again became severe, then i again resume finasteride but it don’t works now even after 1 year. now i started homepathy and stopped finasteride. what r my chances to regrow the hairs

You took finasteride for a year, but I’m not sure what you were looking for as far as results. Why would you stop it if you initially saw regrowth? Then after you restarted it, the finasteride might not have regrown hairs that were lost, but it likely maintained your hair as is. In other words, it was doing its job. Now that you stopped taking it after a year, I wouldn’t be surprised to learn that you’re seeing even more hair loss, as your loss is playing catch-up right now (it’ll get to the point of your balding pattern that you would’ve seen had you never taken the medication).

I don’t believe that homeopathy works at all for treating hair loss, but you’re open to try whatever you want.

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