Author: Dr. William Rassman

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Can I make my own topical finasteride with alcohol?

Took fin orally and got bad sides, stopped and they went away quickly but hair loss is back lol. I’ve read studies about topical finasteride working to an extent and producing no side affects as DUT is only reduced 5% systemically. How to make it but without using minoxidil as the aqueous solution in the mix?

Mixing finasteride pills with alcohol will not give you anything worthwhile. The drug has to be mixed professionally with a liposomal compound that can allow it to go through the skin.


2020-07-16 08:27:58Can I make my own topical finasteride with alcohol?

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Can I Have a Hair Transplant Into a Scalp Scar I’ve Had Since I Was a Kid?

I have a large scar from a head surgery from when I was young. Hair does not grow there, and it looks very bad with my hairstyles.

I am currently 18. Would I be a good candidate for hair transplantation onto the scar, especially as regards to shock loss?

Maybe, but I can’t really say without an exam. You should see a hair transplant doctor for a better idea.

At NHI, we routinely perform surgeries to cover scalp scars as long as realistic expectations are understood. In other words, each case is different.

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Can I Take a Half Dose of Propecia if I See Side Effects?

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?


2009-05-14 15:04:09Can I Take a Half Dose of Propecia if I See Side Effects?

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Can I See a Trichologist to Diagnose Hair Loss?

Would trichologists be a good place to go to diagnose genetic hair loss. Consultation with examination is a bit expensive so I’d like your opinion on it. I’m seeing one in 2 days and what he plans to do is take some of my hair and examine it under the microscope. Would you have any idea on the effectiveness for diagnosis with this method vs the scalp mapping for miniaturization? I’m 26 asian male with a full head of hair (although not as thick or a lot compared to in HS)Is it still a good idea to see these specialist anyways even though Im not exhibiting any clear observational signs of balding (my diabetic father thinned and had bad hair loss at 46 and his younger brother balded in his teens…grandfather on both sides have hair although diabetic mother on father’s side has extremely thin hair pretty much balding)

I can not tell you what the trichologist will see or what he/she is looking for. Without miniaturization studies I do not believe that hair loss patterns for genetic hair loss can be anticipated. The miniaturization study is a microscopic examination of your scalp. If your trichologist is doing this, and knows what to look for, then you’re a step in the right direction.

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Can I Take Finasteride Temporarily to Protect from Shock Loss?

Hypothetically can Finasteride for shock loss be discontinued after a period of time has elapsed after the Hair Transplant operation and the risk of shock loss has receded?

Yes, you can take finasteride temporarily to just protect against shock hair loss. I generally tell patients to take it for 8 or so months to bridge the gap between the transplant procedure and growth from the new grafts.

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Can I treat hair loss at 17 years old?

If you are losing hair, you should meet with a good doctor and develop a Personalized Master Plan for your long term hair loss problem and its treatment. Be strategic and don’t mess with being your own doctor. There are good drugs for you that work very effectively such as finasteride and minoxidil.


2020-07-21 14:20:55Can I treat hair loss at 17 years old?

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Can I take dutasteride and finasteride?

How long do I have to wait to see the benefits of dutasteride and finasteride, both taken daily?

Sometimes these medications don’t work. It takes a full year to see benefits. Taking both dutasteride and finasteride just increases your potential side effects. Twice a week dutasteride is fine by itself. Check with your doctor


2021-09-13 21:42:19Can I take dutasteride and finasteride?

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Can I reverse my bad hair transplant?

I had a 1500 follicle FUE transplant about 8 years ago by a surgeon on Harley Street. I regret having it done now. I get the feeling that others can see the gap between the transplanted hair and behind it where my hair is thinning. Also the transplanted hair stands straight up which accentuates the difference between it and the rest of my hair. I don’t want to have another transplant as I feel that I will always be chasing the receding hair!

I went to see the surgery a couple of years ago about a reversal and they advised against it. However, I wondered if anyone had experience/knowledge of whether it was possible to have the transplanted hair removed?

I would want to see your hairline and get some good pictures of what you are looking like before rendering an opinion. I have fixed well over 1000 hairline patients. I find that the best way to fix it is to create camouflage that will take advantage of the poor grafts and fill it in with follicular units around and in front of the existing grafts (see here: https://baldingblog.com/actor-joe-penny-shows-off-his-repaired-hairline-with-photos/ ).

For those who need more, I add Scalp Micropigmentation (see here: https://scalpmicropigmentation.com/gallery/#!https://scalpmicropigmentation.com/wp-content/uploads/2016/04/new_hair_institute-scalp_micropigmentation-patient_photo-066b-smp-wm.jp here: https://baldingblog.com/repair-of-hairline-transplants-photos/. Also here is another fix: https://baldingblog.com/repair-of-hairline-transplants-photos/


2020-12-04 11:32:17Can I reverse my bad hair transplant?

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Can I Shave My Head Bald After FUE?

Well I am black male and currently shave bald. I want to continue to shave bald. I am thinking of FUE to give me some hair in a thinning area. I have few questions: What does the donor area look like when you shave bald after FUE, does it show scarring? I mean razor bald like MJ. Is it worth doing?

I’m confused as to why you’d want a hair transplant only to shave your head bald. All wounds to the scalp will cause some scarring. With FUE, the scars are tiny dots, instead of a straight line scar like that of the strip transplant and they may have a white color to it that would show up after healing an FUE donor area. With dark skin, that might be a problem and one way to tell that is to have a test FUE session done of just 2-4 grafts and assess the healing at 3 months. These tiny scars allow you to keep your hair very short without noticeable scarring if the whitish scar does not appear, but that being said, completely shaving your head may make these scars visible. Again, a test is worth a try.


2008-11-05 12:45:37Can I Shave My Head Bald After FUE?

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Can I Prevent Stress Hair Loss?

I am going through a divorce and heard that stress can cause hair loss but it will probably grow back when the stress subsides. Is this true? Is there anything that can be taken to prevent this?

Some people do lose hair all over the scalp due to extreme stress, but there’s no pill to take to treat or prevent this. Stress management is an art and a science. You should contact your family doctor if you believe that your stress is impacting you with hair loss.


2010-05-21 10:45:31Can I Prevent Stress Hair Loss?