Did Propecia and Creatine Turn My Hair White? – Hair Loss Information by Dr. William Rassman

Thanks for your time.
I have been on Propecia for a year. I am in my twenties, and I had seen good results, until i used creatine monohydrate for a month with my workout regimen and it seemed to stop the effect of propecia. this is not my question however. Over the last month on propecia, after i had stopped creatine around 2 months ago, I have noticed that a small area of my hair in the front has begun to turn grey or white. As i said, i am in my twenties and have long-ish black hair. I was merely curious as to if you have heard of this ever happening before? Thanks again.

There is no evidence that I could find that links white hair to either Propecia or to creatine monohydrate.

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Tinea Capitis / Ringworm Scars (with Photos) – Balding Blog

I had Tinea Capitis as a child and i would pick them off of my scalp leaving these scar spots. I was wondering how much it would cost to fill in most of the “bald spots” also if i get them filled in would it be possible for me to cut my hair and the hair that was transplanted will regrow?

Iam 19years old Male, You have permission to use my pictures if needed.

First, thank you for allowing me to publish your photos. This is an extraordinary case, and one that is ideal for follicular unit extraction (FUE), where we can re-arrange the hairs from one place to another.

What I’m wondering, though, is whether you’re going to experience male pattern baldness. There is a genetic test that will tell you if you carry the balding gene, and it would be worth getting tested. If you do not have genetic MPB, then I would perform FUE all over your head, redistributing the hair from one place next to the balding areas, one at a time. If you are carrying the balding gene, then we would have to rethink the strategy. Cost might become an issue, as there is a great deal of cumulative balding, and although the fees are generally charged per graft (group of hairs), I could work with you on pricing due to the unique nature of the case.




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Is DUPA Progressive or Stable? – Hair Loss Information – Balding Blog

You’ve mentioned the condition Diffuse Unpatterned Alopecia (DUPA) as being the miniturizing and loss of hair on the sides and donor zone, and that your pretty much screwed if you got it.

What I want to know is if (DUPA) is a stable condition or is it a progressive condition, meaning will a person with (DUPA) eventually lose all his donor hair or will it just become thin and stay thin?

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DUPA can be stable once it appears… or it can be progressive. The other day I met with a young man who clearly had DUPA a year ago with 50% miniaturization in the donor area. When he came in this time after being on Propecia (finasteride) for a year, the miniaturization rate was down to 10% (a figure I’d call normal). Successful treatment for DUPA with finasteride is in the minority of patients I see, but his hair loss needs reflected a Norwood Class 3 pattern, so he might become a candidate for FUE if the process remains stable.

I Was Told the Pull Test Was a Good Hair Loss Indicator – Hair Loss Information by Dr. William Rassman

Hi, I’m trying to figure out if I’m balding or not. I’m a 24 year old male (Korean), with thin and straight hair. I recently heard a “good” test is trying to pull on hair and see how many come out. I pulled (relatively hard) on my hair on the top of my scalp and got about 5 hairs to come out. After that, I tried to do it again, and got about 2 hairs to come out, once again, pulling pretty hard, but not ripping it out. I did it again, and got about 2 more hairs to come out.

Is this normal? Did I pull too hard? I still have a little tingly feeling on my scalp from all the hair pulling. I tried searching through your blog, but couldn’t find an answer. Thanks for all your responses.

I realize there is such a thing as a hair pull test, but this is used to identify hairs that have moved out of anagen and into the telogen cycle (read about the hair cycles). When gentle traction is placed on a group of 50 or so hairs (pull test), if more than 10% of the hairs come out then that would indicate there are hairs in telogen, and the condition we call telogen effluvium is present. Genetic balding does not give you a positive pull test.

I generally do not subscribe to the hair pull test for genetic balding. If you pull to the point of pain, you are pulling too hard. Aside from it being variable and not very scientific, the patients would likely be mad at me for pulling out their hair. The “good” test is a microscopic assessment of how each of your hair shafts look under a microscope, and seeing what the variability is around different parts of your scalp. That is in essence a miniaturization study.

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Is FUE² Just a Gimmick? – Balding Blog

Can you explain the technical differences between FUE and your new FUE2 “breakthrough.” It’s not clear from your website or you lengthy explanatory page how exactly you are harvesting the hair differently from regular FUE, except that you say the results are “better.” Frankly, it comes across as the same kind of marketing gimmick we so often see on the Internet and that you typically deride. I think you audience would love to understand the procedure better.

FUE2If you look at the grafts that are shown (see photos), the quality of the grafts extracted with this new technique speak volumes to what our new method can do. The new technology is presently being covered by a U.S. Patent application, which I believe will eventually allow me to keep the technology restricted to ethical surgeons.

If you look at my history, you will find out that all of the great breakthroughs we have done, including follicular unit extraction (FUE) itself, were published with appropriate videos, photographs, and a full explanation of the process in peer reviewed journals. I won’t go so far as to call it a mistake, but showing my hand when it came to the initial FUE technique opened the doors to any and every doctor offering this surgery, and many were doing it wrong. I trained a great deal of physicians, but I can’t train everyone. Patients were getting sub-par results from untrained doctors, and I want to limit that this time to protect patients. My history speaks for itself and I have never marketed anything that did not work. This tiger (me) does not change his stripes.

What I have learned so far is that the new FUE² technology does not work 100% of the time, so I am still performing the FOX biopsy to select the approximately 5% of patients where the technology does not seem to work well. This information will be critical when the first set of articles are published on it. Included in that group of patients are those who have massive scarring in either the donor area (Open Donor Technique of old) or scars in the recipient area which I would love to harvest directly from the large plugs (for repairs) with the FUE technique. I have yet to use the technology on body hair, but one patient who is presently out of donor hair wants body hair in the crown, so I expect I will be able to report that at an appropriate time, possibly here on this site.

I appreciate that you recognize that I “typically deride” unethical doctors and marketing gimmicks, and I make no apologies for that. I’ve always been outspoken about it, and here is no different. There is so much marketing hype on FUE graft numbers that your attention should be directed to asking for proof that what those doctors do really works to the degree that they say. The FUE² technology is no gimmick, and I strongly suggest you ask any physician to show you photos of the graft quality they can achieve with currently FUE technique and compare it with what we have shown with FUE². What you’ll undoubtedly find with some of the docs out there, is that they use damaged grafts which may provide poor growth, if any. FUE² eliminates that problem.


Update 10/10/08 5:10 PM PST: As I was about to go home, I received an email from a man who has had many FUE procedures, all failing. He read my blog and wanted to know if the failures of his FUE procedures were caused by something wrong with him. This is exactly what I am referring to with the unfortunate situation where doctors are selling a process that they do not necessarily command. Doctors are supposed to “above all, do no harm” and we have sworn to this when we took the Hippocratic Oath.




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Procerin… with Alcohol, Adderall, and MDMA – Hair Loss Information by Dr. William Rassman

Hi Doc. A good friend of mine is thinking about using Procerin as a way to regain his hair. He is 22 years old and drinks alot of alcohol. He also takes medication (Adderall) and occasionally does ecstasy (MDMA). I was wondering if there are any interactions with his medication or any of the things he does. He is mostly healthy, since he lifts weights and does a lot of cardio, and overall pretty healthy. Thanks.

What is his problem? He uses a product that has questionable value (Procerin) and adds more things to his regimen (including illicit drugs?!)… and he lifts weights to stay “mostly healthy”? I am not sure what you want from me. I can not endorse Procerin or Ecstasy as a way to stay healthy with a full head of hair. I’ve written about Adderall and hair loss before.

Procerin’s “active” ingredient is saw palmetto, and I’ve yet to see any clinical studies that prove to me that it does anything to treat hair loss.

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Tonic from Bell Peppers, Onion on the Scalp – Balding Blog

Hi Doctor!

I read somewhere that there are natural remedies to reversing receding hairlines. Some of these remedies included rubbing oils on the scalp, applying tonic made from red bell peppers, and rubbing an onion on the scalp… have you ever heard of any of these remedies, and of their effective, or non-effective results?

Thank you!

I also read somewhere rubbing semen from a monkey on your head is also effective for hair loss. I wouldn’t recommend trying it, though. I do wonder how the first person stumbled upon that discovery…

There are many urban legends out there about hair loss treatments, and I’ve yet to see any of them work. Your proposition does not seem very harmful, so you can try it, but I also think you won’t have many friends that want to be around you after rubbing onions and bell peppers on your scalp. Keep me posted.


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FUE with Longer Hair – Hair Loss Information by Dr. William Rassman

I am very interested in getting a HT using the latest FUE2 technique. I have a few questions regarding the technique. I know that performing FUE with longer hair takes more time than standard FUE. If I choose not to shave my hair, I wonder if the fee is higher and how many grafts can be transplanted in one session.

Thank you very much for your response.

The price per graft does not depend upon the amount of hair you allow me to shave. If you look at the photos below, you will see that there is a limited amount of hair that I can take. We might be able to get 500-700 grafts without heavily clipping the hair in the head if your densities are good. Much higher numbers of grafts can be extracted with more hair clipping.

Left: FUE grafts extracted; Right: Hair combed down to completely cover donor area

 

The fee for follicular unit extraction (FUE) is $8/graft for surgeries done by Dr. Pak in our Los Angeles office — and this is a special rate valid until November 30, 2008. This uses our new FUE² technique.

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Hair Loss After Staph Infection – Balding Blog

My son is living in Mexico and he was recently diagnosed with a staph infection on the scalp. He had bumps that looked like blood filled boils that would drain and leave bald patches. He was given dicloxacillin but the condition did not improve. He was referred to a specialist who switched the medication to Augmentin, plus an anti inflammatory medicine as well as a topical cream. The main concern for my son is the infection but he is also very concerned about the bald spots that he now has all over his scalp. Does the hair usually grow back once the infection is cured?

Thank you for your time.

Many of these infections have a course as you outlined with your son and often the hair will grow back after all of the infection is gone. He must wait a full year to see if there is regrowth. If not, a hair transplant is an option worth considering (I don’t know enough about his hair loss history, age, etc, to say whether he’s even a candidate though).




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In the News – HairDX Clinical Trial of Female Hair Loss Therapy – Hair Loss Information by Dr. William Rassman

What are your thoughts on this out today?

HairDX Announces Clinical Trial Of Genetically Tailored Therapy for Female Baldness.

If one were to preselect women with the genes for hair loss and then treated them with a drug that would impact hair loss in women with the gene, the study would require a large population with good statistics to see the value. The important variable here is the drug that is selected and how it works. They don’t state what the drug is called at this stage, so I can’t research it at all and can’t really make further commentary on it.

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