After Miniaturization Mapping, How Accurate is the Norwood Class Diagnosis? – Hair Loss Information – Balding Blog

I have ceased to be amazed by the vast amount of information this site provides to all of us hair-obsessed patrons-Kudos to you balding blog!

My question is pretty simple (i think):

How soon is one able to tell what Norwood class he will develop into? Put another way, if you’ve been mapped for miniaturization, how accurate an assesment is this of your final balding
pattern?

Block Quote

I think I understand your question. You want to know if the mapping of your scalp for miniaturization will indicate your eventual hair loss pattern? The mapping of miniaturization will show you more about your balding pattern than you can see with your naked eye. Most likely, you would progress to a higher Norwood classification if there is miniaturization in the areas which appear hairy and the more miniaturization present, the more likely your balding will extend to those areas. You may not completely bald in the areas where miniaturization is present and if you took drugs, that may be more likely then if you let nature take it course. If you did nothing to arrest the process of MPB, the likelihood that you will see a more advanced pattern is high. But if you use medications like Propecia, you will be slowing down the process. If you’re looking for a numerical value to show the accuracy of a hair loss pattern, I unfortunately don’t have one for you.

Can Minoxidil Be Taken Internally? – Hair Loss Information by Dr. William Rassman

Dear Dr. Rassman and Medical Staff

I had used minoxidil 5% for 2 years without good result So I switched to Provillus a month ago. Can minoxidil be taken internally? Most of them are sold as topical product. Would Scalpmed work for me? Thank you

Minoxidil was originally an oral preparation for the treatment of high blood pressure. It was unreliable for its intended use, but the observation that some women grew facial hair while taking this caught the attention of the drug company. Good drugs are often discovered this way and through serendipity, the observations are made and new applications evolve. The oral form of the drug is not available nor is it approved by the FDA today.

Provillus and ScalpMed apparently use minoxidil as their active ingredient, and both products have been discussed on this site before.

Testosterone Supplement Caused Massive Hair Loss Within 4 Days – Hair Loss Information by Dr. William Rassman

I’ve been taking propecia and using Rogaine for 8 months now with great results. Recently, I purchased and started to take a natural testosterone supplement. Within 4 days I witnessed an enormous amount of hair loss. I immediately stopped taking the product and since then my hair has stopped falling out. Will the hair I lost every come back? Will I recover from this stupid mistake?

While in theory what you describe is conceivable, it seems very strange a supplement can cause such rapid (in 4 days) hair loss — even if it was a testosterone supplement. I really do not have an opinion on whether your hair will grow back, since I really don’t know what caused your hair loss. You may consider seeing your doctor for his/her opinion and an in-person examination.

The Term “Mature Hairline” Sounds Like Something Made Up – Hair Loss Information by Dr. William Rassman

The term mature hairline sounds like a cop out to me made up by doctors. Explain if I am wrong here. A mature hairline is considered some slight recession that most men get at a certain age regardless of if they are balding or not. Wouldnt then it follow a NW 7 would simply be a hairline that is more mature then the normal hairline and hence balding would not even exist as a term right?

I do not believe you are understanding the difference between the mature hairline and male pattern baldness (MPB).

Most Caucasians (95%) will have a mature hairline as they “mature” from their teens to twenties, but about half of the men will have genetic balding, otherwise known as androgenic alopecia (AGA) or male pattern baldness (MPB) by the time they reach the age of 50. The term “mature hairline” is not some hype or concocted term, as it does describe what happens as the juvenile (your 12 year old hairline) changes into an adult hairline. Use your eyes at shopping centers and observe men over 30 and you will see just what I am talking about.

Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


Very Oily Scalp Is Itchy and Flaky – Hair Loss Information by Dr. William Rassman

i am 23 male. when i wakeup in morning a oil comes on my head and thats oily material also come on back of my ears too and between those ears and bit on nose. if i dont rinse my hair that oil turns in to flakes and scales on my head and gets itchy. i am losing my hairs too. whats treatment to that problem? what can i use to cure the hair loss and what is that disease?

I could list many disease possibilities that could be causing your problem. Are you really losing your hair? Do you have miniaturization in the hair, suggesting balding? Without being able to examine you, I can not give you a diagnosis. I would recommend you follow up with your doctor in order to properly diagnose your problem.

Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


Will There Be A Better Medication for Regrowth by 2010? – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassman i recently wrote you about the 19 year old who thought he was a good canidate for a hair transplant. It’s not that I am going to plunge into it i was just wanting more advice. Furthermore i know you have probably had to answer this a million times and your sick of it but like do you think by 2010 that there will be atleast a better medication for regrowth? I honestly can’t go through my life being bald its affecting me so much man. all my confidence is gone. if you could , could you just respond to me in email ? im honestly so bummed out about this ordeal ive went from being so happy to depressed.

I don’t know what advice I can give. I don’t see the average 19 year old as a hair transplant candidate. If the hair loss has advanced to a place where it is stable and further loss isn’t likely to occur, a hair transplant may be a viable option, but without an exam I couldn’t begin to make that determination. Please note that very few 19 year olds would fall into this category.

There is a medication that is in FDA trials for treating hair loss, dutasteride (Avodart), and it has been shown to work better than Propecia (finasteride) in some cases at high doses, but with that comes much greater risk of sexual side effects and possible permanent sterility. It is still in the testing phase, however. You can learn more about dutasteride here — Update on Dutasteride. Note that there is no cure for hair loss.

I understand your confidence issues, and suggest that you may want to seek some help for any depression you may be experiencing.

Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


Dr Rassman Named Pioneer of the Month by ISHRS – Hair Loss Information – Balding Blog

Hair Transplant Forum International is the official publication of the International Society of Hair Restoration Surgery (ISHRS), and I’m pleased to announced that I was just named the Pioneer of the Month (Volume 18, Number 1)! The article, written by Dr. Jerry Cooley, is presented below. It serves as part biographical, part information that hasn’t been found elsewhere on the Internet until now. I hope it gives you an insight into my background and goals for the future.

William Rassman, MDAs a young man, Bill Rassman had “one focus in life, to make a difference.” To say he’s made a difference to the specialty of hair restoration may be one of the greatest understatements ever. Creative and controversial, Bill has made his mark and it’s hard to imagine how hair transplantation would have evolved without him. Because of Bill, our lives are very different indeed.

Bill was born in 1942 in New York. He grew up in Brooklyn, the son of Russian immigrants. After medical school in Virginia, he entered general surgery residency at the University of Minnesota and Cornell. This was interrupted by military service in Viet Nam. Before military service, he did a cardiovascular fellowship where he played a key role in pioneering and commercializing the intra-aortic balloon pump. After returning, he finished his surgery residency at Dartmouth. Bill entered private practice in Vermont where he practiced for six years. He then relocated to Hawaii, practicing surgery there for four years.

Feeling bored and in need of adventure, Bill left medicine and became an entrepreneur, starting a company that developed commercial applications for windmills. After this became a multi-million dollar business, he sold the company. With the money he made, Bill funded his next adventure, a start-up computer software company, which did not progress the way he wanted. After four years of working to develop this, he decided to reenter medicine.

ISHRSBill joined Bosley where he soon became its president. Unhappy with the state of hair transplantation at that time, he left Bosley and in 1991 began visiting prominent surgeons, such as Walter Unger and Emmanual Merritt. During this time, he developed his ideas about procedures with large numbers of small grafts, the “megasession.” Bill began doing hair transplants, which in the beginning meant only 400-500 grafts where he did all the cutting and placing himself.

With increasing staff came increasing session sizes. More staff also allowed Bill to focus on further innovations, such as the Densitometer to quantify donor hair and help estimate the number of grafts that could be harvested. It also allowed him to open more offices, including one in New York where he met Bob Bernstein. Together, they developed the concept of using naturally occurring follicular units as the fundamental building block of hair transplantation.

In the mid-90s, Bill’s practice was booming and he was very busy. One issue that became obvious in the “megasession” era was the dependence on large numbers of well-trained staff. To give the surgeon more control over the procedure, Bill began experimenting with follicular unit extraction and new tools to automate the procedure. His interest in FUE continues and he reports that he may introduce a new tool that “reflects a completely new paradigm” for FUE. His interest in automation led to the development of the Carousel Implanter (1997), and instrument he still thinks works great. Unfortunately, he was unsuccessful getting a company to manufacture a reliable instrument.

Bill’s current activities include maintaining his Balding Blog on the Internet, he he daily gets 5,000 visitors and 700 emails. Bill also enjoys writing and is currently working on a book entitled “Hair Loss for Dummies,” which is part of the popular consumer book series.

Another current interest is completely outside the field of hair restoration. Bill is founder of a company (Maven Technologies) focused on “personalized medicine,” with proprietary technology used in a diagnostic instrument to rapidly assay thousands of abnormal proteins, glycoproteins, and disease markers in patients for early disease detection and staging. Eventually, he hopes that this technology will become a backbone instrument used by pharma for the development and testing of new drugs. He refers to this project as one of the most exciting things he’s ever done, which is quite a statement in light of all his career accomplishments.

When he has free time, Bill likes to scuba, ski, read, and compose music on the piano, as well as spend time with his four grown children.

I Quit Smoking Pot and Now I See Rapid Hair Loss – Hair Loss Information by Dr. William Rassman

Just recently I have noticed a rapid increase of thinning on the front of my scalp. I have recently quit using marijuana on a regular basis, could this be the reason for my sudden intense loss?

I am 20 year old, I have been noticing a receding hair line since my late teens. Thank you.

Hair loss is complex. I wish I could just say that this is or is not the cause, but it isn’t that simple. Genetic hair loss has its own cycles and stress can precipitate it. If you found great stress from going off the pot, perhaps the stress induced genetic hair loss. I suggest that you get yourself examined by a competent doctor who can do miniaturization mapping on your scalp. From that, you should have an idea why you have hair loss.

Mexis – Hair Loss Information by Dr. William Rassman

Hi,

Have you ever heard of Mexis? I have read about it in a couple of magazines, but can’t find much more info than that…it looks appealing as an anti-hairloss solution.

www.mexis.gr

It would be interesting to find out what ingredients are in the product, since their site doesn’t say anything about what Mexis contains. I am always skeptical of anything that guarantees 100% results. They do not quote any clinical studies to back up their claims. This is concerning, yet they state that it is a safe product. Once again, where are the studies to back this up? I would be extremely cautious about this product. Sound like a lot of bells and whistles and no substance.