Hair Loss from Z-Plasty Incision in Scalp – Hair Loss Information by Dr. William Rassman

Doctor, I recently have had a spot removed from the top of my head. It was necessary to do a z plasty, which is roughly 4 inches in the longest part. I have no natural hair loss, but have been on Propecia for roughly 14 months. Since the surgery, (6 weeks ago) I have significantly thinned in a z pattern on my head, where the incision was made. It actually looks worse than it did 1 week after the surgery. I am very concerned and would like your opinion if I am experiencing what some might classify as shock loss, and if my being on propecia for a year prior would lend itself to me getting my hair back. Thank you

Having any scalp surgery in an area where you are genetically balding will accelerate the hair loss, and it quite possibly may be permanent. Even a scalp surgery like what you described can cause hair loss in non-balding people. Shock loss is usually best prevented by Propecia (finasteride 1mg) in men with genetic hair loss. You will know what will happen in 6-8 months. You may need transplants there if it does not self correct.

For those curious about a Z-plasty, Wikipedia has a nice explanation here.

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Liver Problems and Facial Hair Loss? – Hair Loss Information by Dr. William Rassman

I was brought to your site by asking the question about missing facial hair. I am a 31 year old Male, I have first stage chyrosis of the liver, I was born with biliary atresia, other than that I have been very healthy throughout my life and lead an active lifestyle. Up until about Easter of 2008 I had a full face of hair, then a small spot appeared about the size of a pencil eraser, now I have three patches about the size of a silver dollar all located by the chin bone. Should I see skin specialist of just ask my Internist if this is related to my disease. Thank you.

It sounds like you are a fortunate man, as so many people do not live a good life with biliary atresia (see Wikipedia). I would imagine that you should first consult your primary doctor, then a good dermatologist. Patches of hair loss can reflect a wide variety of problems and I am uncomfortable with evaluating you for them over the Internet without examining you.

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Wellbutrin and Hair Loss – Hair Loss Information by Dr. William Rassman

(female) Does wellbutrin cause excessive hair loss? I’ve been on it for almost a year and a half and started noticing hair loss 7 months after I started the medication. Now I’m loosing 115 or more hairs (I’ve counted – those are just the ones that didn’t go down the drain) just by washing it and styling it in the morning. More falls through the course of the day. My family doctor doesn’t think it’s the medication but internet research seems to indicate something different.

Wellbutrin (bupropion) is amongst a group of similar drugs known to cause hair loss as a side effect. As far as I am aware, any antidepressant medication can cause hair loss in some people. I have had patients report this Wellbutrin side effect to me directly and certainly the internet is replete with comments to that observation.

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Hair Loss InformationDairy Causes Hair Loss?! – Hair Loss Information – Balding Blog

Blog comment from reader:

Dairy causes hair loss. Inuit and Native Americans have no MPB at all, and dairy is not a part of their diets. Only when they start eating dairy and become westernized can they become susceptible to hair loss. Same with Asians. If you don’t believe this check this out. My mom’s dad had hair until he was 85 when he died, and was lactose intolerant. My uncle (mom’s brother) also has all his hair at age 60, and grew up in the same household as my grandfather. I’m 1/8 Native American from my dad’s side (he is 64 and is 1/4 Native American and has slight hair loss) and my hair is slightly thinning (but my hairline is the same). I have a feelign the dermatoligist could’ve made an erroneous opinion, but nevertheless, it could be right. And I am a big time natural gym rat, and I drink milk products like it’s my job. Everyday. You name it. Milk, cheese, pizza, whey protein, yogurt, etc. And I have 3 older brothers, two of which have no hair loss and hardly take in dairy, and one of which has slight thinning (according to me) and drinks milk like it’s his job. I am on minoxidil and omega 3 fatty acids, and am starting saw palmetto and also I stopped dairy products as of yesterday. And if you still don’t believe me check this out. My mom has a twin sister, and that sister has a son, who is 34 (I’m 24). He has no hair loss at all, and guess what, that’s right, he’s lactose intolerant. How do ya like them apples now?

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Email from same reader:

Let’s say there is a risk of hair loss directly associated with dairy consumption. If this is theoretically true, does this mean that if we stop dairy consumption the dormant hair follicles may grow more hair? Also, is the hormone problem in milk the same as the hormone problem in chicken and beef? In canada they banned growth hormone almost 10 years ago and, assuming most people there eat either chicken or steak, I haevn’t heard of a significant decrease in male pattern baldness.

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DairyYou raise some interesting connections with dairy products and diets in general that might be worth investigating. So while there may be some connection with dairy or diet and hair loss, I am afraid I can not tell that from your family history alone. In fact, your family history isn’t exactly proof — I’ve had lactose intolerant patients that are still obviously balding. Your cousin likely doesn’t have the hair loss gene expressing itself, meaning he dodged the genetic bullet on that. Or his hair loss may just show up late in life, although that is rare.

Thanks for the stimulating comments. I loved your questions and enthusiasm, but I won’t go so far as to say that dairy and hair loss are linked — just that it needs to be investigated in a scientific way.

Hair Loss InformationJohn Travolta’s Hair Revealed? – Hair Loss Information – Balding Blog

Hi Dr.,

Just thought I’d send this link to a photo of John Travolta. He’s on the set of a new movie and isn’t wearing his hairpiece!

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Travolta

Thanks for sending this in! We’ve known for some time about John Travolta’s hairpiece, and this new photo from last week shows what I believe to be the real Travolta hair (or lack thereof). He is still the same good looking man, just with a different look.

The full size photo is available at Yahoo’s OMG entertainment news.

photo by Grant/X17 Online

Hair Loss InformationPanicked Man Losing Hair, Provides a Family History – Hair Loss Information – Balding Blog

i start loosing hair when i was of eighteen years. my skin is oily. i have dandruff problem. Now on THE NORWOOD/HAMILTON SCALE I am at 3V position

father = bald at 30
mother = normal
siblings = normal
paternal uncle = bald at 30
maternal uncle = bald at 50
grandfathers = bald at 50

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Honestly, there isn’t much I can tell you just based on what you’ve given me. I’m not even really sure what your question is. Your dandruff isn’t your cause for hair loss.

See a doctor, get your hair mapped for miniaturization, and if you have male pattern baldness (which is what it probably will be based on your family history), Propecia (finasteride 1mg) is the best medication to use.

FastTrack Method? – Hair Loss Information by Dr. William Rassman

I was looking at the fast track method and was wondering if you had any pictures of the procedure. I am a little confused as to how it is different besides it is more hair in one session.

“FastTrack” as we define it, is putting more hair with dense packing (hairs closer together). The term was how we originally introduced the technique in 1993, when there was nothing comparable performed by other surgeons. Today, the combination of maximizing the number of graft per square centimeter is performed by a small group of surgeons worldwide today.

If you want to see an example of it in a patient followed closely over 15 months, look at radio broadcaster Steve Hartman’s hair transplantation procedure, where he achieved a full look without multiple surgeries.

Hair Loss Information » Lift Weights and Go Bald? – Balding Blog

Dr. Rassman, read this please:

The Sun — Weight training makes you bald

It says that men who lift weights are more likely to go bald. To the best of your knowledge, do you know if there is any truth to this article?

Also, will taking propecia perhaps help to offset these alleged effects of weight lifting on hair? Its starting to bug me because I recently started lifting again but have been having success with propecia for around a year now. I dont want to lose benefits that propecia has given me so far. I’d appreciate a response, thank you.

Many men who lift weights also take anabolic steroids, which cause a man to accelerate hair loss. I doubt the truth in what I read here and remain skeptical. Just keep doing what you like and continue taking Propecia (finasteride 1mg). If your hair loss gets worse, then see the doctor who prescribed it to you and discuss your Master Plan with him/her.

My Bulimia Is Gone, How Can I Get My Hair to Grow Back? – Hair Loss Information by Dr. William Rassman

(female)
I used to have very thick hair, but I suffered bulimia which caused my hair to thin over the years. Both my parents have full hair. I have been cured now and back to a regular healthy
diet. I was wondering is it possible to get my hair back to the way it used to be?

When one loses hair from dietary deficiencies, it could trigger some element of the hair cycle such that the hair evolves into an ‘older’ type of hair. Genetic factors can also be triggered and these may not be reversible. You should really see a professional who can analyze your hair and look to other causes of hair loss. Just because you lost your hair from bulimia, does not mean that this was the only cause. Get a thorough check up by a good doctor.

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Hair Fell Out When I Stopped Taking Estrodex – Hair Loss Information – Balding Blog

Hi there, I hope you can help me with my predicament.

About two and a half years ago I purchased a laser comb with a years supply of shampoo, conditioner & anti inflammatory scalp lotion. Also included was a years supply of estradex drops.

I applied the shampoo etc once a day, the estradex twice a day as instructed & the laser comb 10 mins six days a week. I couldn’t believe how well it worked for me! It stopped my hair falling out, I no longer had the itching scalp that accompanied my hairloss & my hair looked healthier than ever. Everything was great until the years supply was up at which point, when I bought more of the treatment I was given regaine instead of estradex. (I believe estradex was banned for being unsafe?)

Anyway, since I could no longer get estradex my hair has been falling out rapidly, despite trying a number of other treatments ie regaine, provillus, nism, nutrofollica etc..

Currently I am using nism shampoo & conditioner with procerin tablets, but I think the combination of dht blocking shampoo, anti inflammatory lotion, conditioner & estradex, coupled with the laser comb was what worked best for me.

So based on what I’ve told you I was wondering if you could let me know if there is some sort of topical serum currently out there with similar ingredients to estradex? I never took any tablets like procerin when estradex was working for me, so I believe it is an anti inflammatory shampoo & topical treatment I require. Any advice you have for me would be much appreciated

Thanks

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The marketing material for Estrodex says that it “creates an anabolic environment by decreasing estrogen and increasing testosterone levels”. I am confused here — are you male or female and why are you taking something that impacts your hormones? You are all over the place with your drugs and treatments and I suspect that you are messing up your body. You have no Master Plan and no diagnosis that seems to make sense and yet you bought into every snake oil that is sold on TV and elsewhere. Procerin, LaserComb, Estrodex, Profillus, Nism, Nutrofollica… your list reads like a who’s who of trial and error.

The only FDA approved drug treatments for hair loss are minoxidil and finasteride. At least you used minoxidil (also known as Rogaine or Regaine). First get your act together and go see a doctor who knows the field and will tell you what is happening to you. Then follow your doctor’s plan and have patience. If you’re male, your plan should probably include Propecia (finasteride 1mg) if you do have genetic male pattern baldness.