Hair Loss InformationLA Times List of Cancer Patients Hair Loss Resources – Hair Loss Information – Balding Blog

The Los Angeles Times posted a resource list of head coverings (hats, turbans and wigs) for patients that have gone through hair loss from life-saving treatments that I wanted to point you to. Also in the list is contact info for the American Cancer Society and information about a book that teaches you how to use makeup to alleviate some of the self-esteem issues chemotherapy patients may face:

Getting Your Money Back from Hair Loss Product Manufacturers? – Hair Loss Information by Dr. William Rassman

I used Kevis for a year – with no results. I asked the company for the money back and… they suggested I buy more of their formula at a discount. (yeah right)

Any suggestions?

In the case of a “money back guarantee” that is not met, the best way to deal is to take them to small claims court after you document your attempts to get their promise fulfilled. They will have to hire a lawyer to represent them in court, so most of the time these situations just work to get your money back before the court date in order for the company to avoid hiring a lawyer. Also, some companies will respond to customers that file complaints with the Better Business Bureau, though that isn’t a sure thing and being in the BBB is voluntary.

In the case of Kevis, I’m looking at their site and don’t see anything about a satisfaction or money-back guarantee. You might be out of luck. My suggestion? Try a medication that is proven to work and don’t waste your money on unproven junk.

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In the News – North Korea Leader Orders All Men to Get Haircuts – Hair Loss Information by Dr. William Rassman

From the article:

North Korean leader Kim Jong-Il, making his presence felt amid speculation about his health, has lashed out at football players sporting long hair, a Japanese newspaper said Monday.

The bouffant-haired dictator was outraged at the hairdos while watching a university match and ordered all men to go clean-cut, the Mainichi Shimbun said in its evening edition, quoting an unnamed source close to the regime.

Read the full article at Yahoo News UK

The story goes on to say that the dictator’s reasoning was because he couldn’t tell if he was watching a women’s or a men’s football (soccer) match since some of the players had long hair. Some may say clothes make the man, others feel the mane of the lion indicates it’s might… but if you can’t tell the difference between a man or a woman because of the length of their hair, you should perhaps consider never telling anyone, ever.

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Is Stress Causing My Rapid Hairline Recession? – Hair Loss Information by Dr. William Rassman

Dr Rassman,

I know that I am in a completely different country, but your website has been extremely useful for when i need some reliable information about hair loss. It would be great if you can answer my question.

I’m a 21 year old Asian male and for the last couple of years i was a Norwood II, but about 6 months ago, I had an extremely stressful University examination period. A month after the exams were over I noticed that the front of my hairline was thinning, and a month after that, my hairline had receded about a cm. From then on I’ve just been obsessing about my hairline, wondering if its just the stress causing the rapid hairline recession, if I’m heading towards Norwood III and wondering if the hair in that area would ever grow back. There is some miniturisation at the front of the hairline and some at the temples.

Any information would be a great help

Thank you.

Without mapping out your hair for miniaturization, I really couldn’t tell you if what you experienced is the normal progression to a mature hairline or just early balding. I’m hoping you’ve already read this post about the mature hairline, but you need an honest doctor to give you an opinion that can only be rendered after an examination.

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Lost Hair from ScalpMed – Hair Loss Information by Dr. William Rassman

Yeah i just bought scalpmed for men and i am 20 year old male and when i bought the item i had a receding hair line and thin hair. So i applyed scalpmed to my receding hair and about two weeks later my hair was falling out alot faster i iknow i need to stop using scalpmed because was making it worse is there anything i can do to get the air i lost from using scalpmed back!

There may be a money back refund with some products, but I do not believe there is a hair-back refund. Unfortunately most of the time, hair that is lost from genetic balding is permanent. I doubt ScalpMed (which is basically a boutique minoxidil) would cause hair loss from the product itself, but there may be a component of genetic balding that you are noticing. I cannot make a diagnosis of why you are losing you hair over the Internet without an exam. I would suggest you go see a physician if you are concerned about your hair loss.

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Rogaine Trigger Shedding, So I Started Propecia and Now I’m Shedding Again! – Hair Loss Information by Dr. William Rassman

Hi Doctor Rassman I am a 28 year old male that noticed that my hair was slightly thinning a little over one year ago. I decided to start taking Rogaine which triggered a major shed. I went to dermatologist who recommended that I stop taking Rogaine and start using Propecia. After about 2 weeks using propecia another shed started that has not stopped. I just started my 7th month on propecia and haven’t seen any signs of my hair loss slowing down or regrowth. Should I stop using the drug or stay the course?

I would want to examine you and perform miniaturization studies on you before you went on these drugs and after. Now add to the complexity that you are reporting a failure of the medications to work and want an explanation from me. That’s a very difficult thing for me to do over the Internet.

Go back to your doctor and ask those very same questions and then follow the advice you are given. Usually, the acceleration of hair cycling that comes about with both Rogaine (minoxidil) and Propecia (finasteride) stop in a few months. I would wonder if you are in an accelerated loss phase from your genetics.

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Scarring Acne and Hair Transplantation – Hair Loss Information – Balding Blog

First off, excellent blog. What a fantastic resource!

I’m in my late 20’s, have never had a HT procedure before, and I’m considering a strip procedure in the near future. I have read that people with scarring in the recipient area might be at risk of experiencing poor growth/yield of transplanted hair into that area. (discussed on another forum somewhat here: hairlosshelp.com )

Though mostly clear today, in the past I have had acne at my hairline and behind it (on the scalp), sometimes in hard cystic form. Some of this acne may have caused some scarring at my hairline and behind it, though it is difficult to notice any visible scarring on my scalp. I do have acne scarring on some areas of my face from cystic acne, and it appears that the cystic acne led to a loss of fat or collagen in some areas, given the depressed look of the scarred areas. I also have some pitted scarring in my temple areas (where the hair is also receding), which is an area where I hope to have hair transplanted.

Could acne scarring from cystic acne affect the growth of transplanted hairs in the recipient area (e.g. hairline, scalp or temple area)? Or, when people talk about the risks of scarring in the recipient area, are they mostly talking about scarring possibly resulting from incisions made during previous HT procedures’ (or even the result of grafts from previous HT procedures being removed or extracted)? I read in a message (found in the thread I linked to above) that scarring in the recipient area could inhibit blood flow and hinder growth of transplanted hair.

Have you ever heard of acne scarring leading to poor transplanted hair growth? Also, if acne scarring could pose a risk to transplanted hair growth, is there anything that one can do before surgery to try to minimize that risk, other than try to prevent any further breakouts?

Thank you for any information!!

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I have not heard of a one to one relationship between acne scarring impacting hair transplantation. If there is any active acne present, it could well have an impact. If you are concerned, you can have your doctor perform a small test transplant into the scar and see what grows. Using a FUE (follicular unit extraction) technique for a quick procedure will take less than 10 minutes. It is not unusual for me to do test transplants on a limited basis in people with scarring alopecias. Wait a full 8 months and then you will know what the risks are. As I can not examine you, I can not really render an opinion at this time.

Castor Oil On My Eyebrows Made Them Fall Out! – Hair Loss Information by Dr. William Rassman

Two months ago my thick eyebrows started to fall out rapidly after I applied some castor oil to them for 2 weeks. Yet, at the same time new ones started growing out. A doctor determined seborrhoeic dermatitis so I started using ketoconazole shampoo. The shampoo only makes the eyebrow flaking worse and I noticed my face became much more oily. My condition worsens if my skin becomes particularly oily and improves when it’s drier. I’m not sure if it’s connected to the weather or diet somehow. I’m thinking of returning back to my basic dandruff shampoo because I can’t see any long-term improvement.

Can you give me some advice? Thank you

Castor oilCastor oil is a trick many women use to make the eyebrows appear thicker and eyelashes grow longer, but I’ve read some unverified claims on the web that it can cause eyelash loss. The same may be true for eyebrows. I don’t know all of the beauty secrets out there, and this was new to me.

Did your doctor recommend you start using the ketoconazole shampoo? Was it over-the-counter (1% ketoconazole) or the prescription strength (2%)? Regardless, if you’re not seeing improvement from that shampoo (and it’s making your face oilier), I’d think you’d want to switch shampoos. Without examining you I can not tell what you have. I’d rely on your doctor at another visit. Sorry it’s not much advice, but you’re in a physician’s care that has the benefit of being able to examine you in person and form a medical history, something I can’t do based on one email.

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In the News – 12 Year Old Girl Gets Hair Transplant – Hair Loss Information by Dr. William Rassman

From the article:

When Ashley Stewart was just two years old, a pot of soup fell on her. She was badly burned and lost some of her hair on the front and left side of her head.

On Wednesday, the now 12-year-old Fridley girl is getting a new lease on life and new locks.

I wasn’t able to see any before photos to render an opinion on whether the 3600 grafts that she received will do the trick. The quotes in the article seemed to be a bit misleading (or over-confident, I suppose), but it’s good to read stories of children having their confidence restored.

Read the full article — Girl, 12, Gets Hair Transplant; New Found Freedom

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Stress and Hair Loss – Hair Loss Information – Balding Blog

Dear Doctor

I would like to ask some questions about stress and hair loss. I know from reading your blog that stress can contribute to hair loss, well what kind of stress do you mean here? is it the normal daily stress that a person may suffer? or is the a kind of heavy or emotional stress? does it have to last for a couple of weeks or months in order to accelerate hair loss? i mean what if a person gets heavy stress that lasts only for 2 or 3 days, would it still contribute to hair loss??

I wish you can answer my questions soon. Thank you

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We all have normal stress in our lives. The stress I generally mean with respect to hair loss is major stress — physical or emotional — such as a major illness where you are in the hospital for several weeks/months or major stress of extreme depression for several months where it starts to impact your physical health. Some people do not handle stress well, so many college age men lose their hair from the stresses of college. Also keep in mind heavy stress will also manifest with other health issues aside from just hair loss. Knowing that you are balding can cause more stress, which will accelerate the balding process. Sometime, it seems some men can’t win.

Heavy stress for a few days or few weeks should not cause hair loss. Remember, the most common cause of hair loss in men is genetic balding.