Dr. William Rassman – Page 1378

December 5, 2008

I Scratched Away Some Grafts During My Hair Transplant Procedure – Hair Loss Information by Dr. William Rassman

I just did a small fue procedure into my scar, I asked to be sedated but during the procedure I scratched away some of my grafts unconsciously. The operating team choose to put some of the grafts back in the scar, can you please tell me something about the grafts survival chances?

For starters, I do not know what, where, and how your surgery was performed. Generally, an FUE procedure may have lower yield and is HIGHLY variable with different medical groups and doctors; the procedure is almost never the same from one doctor to another. Moreover, hair transplantation to a scar may not have a high growth yield when compared to hair transplanted to normal skin.

Graft survival depends on how long it was out of your body with the real issue of graft drying. Grafts that are left in the open hair for 20 seconds will generally die and that is why we are compulsive in keeping the grafts moist as we move them. As you can start to see there are numerous variables at work here and it is not a question I can answer, but most of the time if the grafts come out, they dry and die. Your surgeon is the best person to address your concern (as it always should be).

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December 5, 2008

My Testosterone Is Up Since Starting Propecia – Hair Loss Information by Dr. William Rassman

This is in response to: But, You Said Testosterone Can Cause Hair Loss…

Above was a reply you gave to a question. My question is, in reference to your reply, is it worth taking propecia if all its doing is raising my testosterone, inturn causing higher DHT, in turn making more trouble for propecia causing more hairloss. My testosterone increased when i started taking propecia and hasnt decreased and ive been taking a full year now, longer. So what do you suggest

Higher amounts of testosterone will not stop finasteride from working. The higher testosterone levels have been reported usually get back to normal in 2-3 months. If you have a high, abnormal testosterone level, you need to see a doctor.

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December 5, 2008

Seeing Hair Growth After Finishing Chemotherapy – Hair Loss Information by Dr. William Rassman

(female) i have finished chemo four weeks and i can see signs of hair growth. is it true that my hair may change colour and texture?

Many women with chemotherapy will have hair loss during the treatment, and the hair is pushed into its telogen cycle which usually lasts 3-8 months after the chemotherapy insult. When the hair comes back, it may not return to its full density, but the type of chemotherapy and the full recovery is poorly documented.

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December 4, 2008

How to Fix a Pluggy Hairline (with Photos) – Hair Loss Information – Balding Blog

From time to time, I get emails from men that are incredibly embarrassed about the results they got from an old, pluggy hair transplant. They’re so embarrassed that they request I don’t even publish their emails (even if there’s nothing identifiable in there)… and that’s fair enough. So I just wanted to write a post to quickly explain the best way to fix a pluggy hairline: you need to cut out the plugs and then put transplants in the place the plugs originally were. This is generally done in two sessions (8-10 weeks apart) and we have been doing this for years. It turned out that this man’s scar (from excising the grafts) healed very well, so well that it could not be detected. I put hair wide enough in front of where the scar was so that his hairline was lowered quite a bit. We built a wide transition zone in the leading frontal edge. Here is such a case on a man with black hair.

Before on the left, after on the right. Click the photos below to enlarge.

There’s another plug repair case at the NHI site — Dean’s Story. Be warned, some of the photos there contain surgical content, so if you have a weak stomach, you may want to avoid that link.

December 4, 2008

Hair Loss and Teeth Problems After Cortisone Injections – Hair Loss Information – Balding Blog

Hello, Dr.,
The strangest thing happened to me. I got 2 shots in my shoulder and 1 in my back (cortizone) for trigger point pain of fibromyalgia, then 3 months later I had another one in my back. Very soon afterward my hair started falling out by the handful. Then I began getting lesions on my arms, chest, and face. Both things cleared up after many months. Now the latest thing that has happened is my teeth are dissolving quickly. My teeth were fine a year ago and now I have not one top or bottom front tooth that is intact, they are just melting away. Nobody can figure out what is going on with me. It’s pretty scarey. Any thoughts? Thank you (I am 55 years old)

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Toothbrush Based on what you are describing, I really would not know where to start. The problem sounds alarming, and you should get yourself to a good doctor ASAP for an examination. I’ll try to give some general information, hoping that it relates to what you’re experiencing…

Teeth problems are commonly associated with fibromyalgia, particularly from grinding of the teeth due to Temporomandibular Joint Disorder, also known as TMJD or TMJ. See this article at PsychologyToday.com for more information. As for the hair loss, cortisone shots can sometimes cause it — see Cortisone Shots and Hair Loss.

December 4, 2008

Comb or Brush? – Hair Loss Information by Dr. William Rassman

I was taking a shower the other day and the back of the shampoo bottle said to use a wide tooth comb and not a brush when combing wet hair. What is better to use for combing wet hair, a brush or a comb? I use a small brush that I believe is from an airplane kit, but that I really like.

Well, if the directions say to use a wide tooth comb and not a brush, I would use a wide tooth comb and not a brush. I am sure if you go to a respectable supermarket, pharmacy, or hair salon, you will be able to find a wide tooth comb. I wrote about this previously.

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December 4, 2008

Got a Cut on My Scalp a Week After My Hair Transplant – Hair Loss Information by Dr. William Rassman

I had a graft procedure 7 days ago. I hit my head and caused a small cut about the size of a pencil eraser where I had transplants. Will I lose the grafts in the area?

It would be unlikely to lose grafts 1 weeks post surgery, however, if the skin separated that distance and healed on its own, it will develop a scar in the area. I am sure you have seen many men with these small scars in their heads that came from such injuries.

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December 4, 2008

Hair Transplant and the Flu – Hair Loss Information by Dr. William Rassman

I had a hair transplant a few weeks back and got symptoms of the flu on the 10th day. Is it possible that this will hurt the growth yield of the hair transplant?

Tissue There is no connection between the flu and a hair transplant, either before or after the flu. Many times people will ask if they can go forward with a hair transplant while they have or are recovering from the flu. As a hair transplant is performed under local anesthesia, there is no danger to your health to have a hair transplant with a fresh case of the flu, nor is there any impact on growth from a hair transplant days or weeks after you recover from the flu.

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December 4, 2008

Hairs Come Out from Top, But Not from the Sides When I Pull On It – Hair Loss Information by Dr. William Rassman

When I do a gentle pull test for my hair, I always seem to get about 10 or so hairs from the top front of my head,whereas I usually don’t get any (maybe one or so) from the sides and back. I’m wondering if this has anything to do with MPB or perhaps the hairs on the side and back come out at other times i.e. combing, hands through hair, etc.

Why are you pulling your hair? As the name implies, there is a pattern to male pattern baldness (MPB) — most of the hair is lost from the top and if it is impacted with miniaturization I would expect that you can easily pull out the hairs that are miniaturized. Hair impacted from genetic hair loss that is very early in the process should not pull out with the pull test. So if you have MPB, pulling your hair is not the way to go about diagnosing it. Mapping our your hair for miniaturization will tell you what you need to know for balding purposes.

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December 4, 2008

Remedies for a Bald Spot I Got from an Infection? – Hair Loss Information by Dr. William Rassman

Hello. When I was in 7th grade I contracted an abscess on the back of my scalp resulting in inflammation and pus and as it healed it left a bald spot. I thought it was from the dirty wrestling mats but never knew exactly where i contracted it. I am 29 today and hair still does not grow in that spot. What are some remedies or things i could do to grow hair back in this spot.

It would depend on the size of the spot to see if it could be excised. A hair transplant would solve that problem. I highly doubt medication would help you in a case like this.

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