Dr. William Rassman – Page 1522

January 15, 2008

Transplanting Hair Into a Bald Spot from Birth Mark – Hair Loss Information by Dr. William Rassman

I was hoping someone could shed some light on hair transplatation for life-long bald spots. I have a bald spot (birth mark) about the size of a quarter over my right temple. I have a full thick head of hair otherwise… I can obviously hide such a small spot but prefer to have my hair cut short. Would this type of bald spot be a candidate for hair transplantation or because hair has never grown in this spot,it would be unlikely to grow via a transplant. Thanks in advance for your insight.

I would have to see the bald spot (send a photo and reference this blog post), but a hair transplant would probably work. If you want to keep it short, it would require a high density hair transplant.

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January 14, 2008

Juvista for Healing Hair Transplant Scarring? – Hair Loss Information – Balding Blog

I know this is years down the line, but when Juvista comes out, do you think that Juvista combined with tricho closure on HT scars (either after the process or in a revision) will allow men to cut their hair down to a 1 grade or even to the skin without the scar being too obvious? I know your response would be conjecture at this point, but it would be interesting to get your thoughts.

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Renovo The scarring may be reduced, giving it a better ability to blend in (without being hyper- or hypo-pigmented or raised), but the hair will not grow on the scar. Scarring is very individualized. Even under the worst case scenario without a trichophytic closure, some people heal great and are able to cut their hair really short without visible scarring in the donor area. How well you scar is also a genetic factor (much like hair loss) and there is only so much you can do.

If Juvista does as it sets out to (eliminate scarring with a simple injection at incision site), it could be great for a percentage of those that it works for, but the drug just failed in its most recent clinical trial. Read Renovo, Shire Developing Anti-Scar Drug and Bad news on drug rocks Renovo for more.

So, the short answer to your question is… probably not.

January 14, 2008

Increasing Density of Pubic Hair with Transplants – Hair Loss Information – Balding Blog

can i get an idea what the price would be to increase hair density in pubic area? male 50 yrs, good health. donor area good.

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We charge per hair graft — a hair graft contains one, two, or three hairs. Generally, a hair graft is approximately equal to two hairs. Our complete fees are available on the Fees and Financing page, but in short it is $6 per graft (or $5 per graft on stand-by basis).

The pubic area requires anywhere from 500 to 1000 grafts. This is an over-generalization and depending on the patient you may need more or less.

January 14, 2008

I Am Taking Coumadin for the Rest of My Life – Hair Loss Information by Dr. William Rassman

(female) I am taking coumadin for the rest of my life,Is there any thing that will stop the hair loss?

There are many potential causes of hair loss and you need to be evaluated for the cause of your loss. In your question, you are assuming the hair loss is related to the drug Coumadin (warfarin), but that may not be the case. Get a complete medical work-up for hair loss first. Coumadin is clearly important for your life, so that is not an variable that you can control.

January 14, 2008

Oh Boy, Reader Suggests Killing All Balding Men to Eliminate Balding Genes – Hair Loss Information by Dr. William Rassman

I have come up with a solution for balding just kill all bald males in this world and by then at least there will be a signifcant of ppl who will inherit the genes. The method is slightly extreme but my logic is undenyable. As a proud former bald (thanks to revivogen which you so blantently knock great doctor… not) i say get rid of these hairless idiot so our children can just…….. live better lives, im sure you will find time to read this as you are not a real doctor thanks for your time

I wasn’t going to even bother posting this, as you’re either an unnecessarily angry moron or a just “hilarious” prankster. Hopefully you’re joking, but I’m posting this as a shocking reminder that prejudice and discrimination exists for hair loss. The ironic part is that you stated that you are a “former bald” — meaning you most likely carry the same genes for baldness that the men you want to eliminate have. Talk about self hate!

To give a positive slant to this ridiculous post — of interest, the American Indian has no history of balding and is the only race that has that unique distinction. Some have postulated that in the migration from Alaska (only this group of American Indians have no balding), that ethnic cleansing may be an explanation, but if that happened, it was part of a barbaric process in a primitive people. Your solution falls into this category.

January 14, 2008

Scalp Stitches from Sports Injury — Will My Hair Regrow There? – Hair Loss Information by Dr. William Rassman

I recently had a sports injury on right above the hair line in the center of my scalp. Six stitches were put in and later removed. it has been over a 2 months now and very little hair growth has occured since the injury. The scar is about an inch long vertically and about 1/4 inch wide. I was wondering if there were any ointments or other treatments other than a hair transplant that I could use to encourage hair growth. Thank you in advance for your timely response.

Based on what you describe, I doubt hair will grow on the 1″ x 0.25″ scar, and while there are no medications or products that will cause hair growth on this tissue, hair transplanted into the scar will work in most cases. A small scar like what you are describing should not cost a lot to get it fixed. First, I would wait out a period of 6 months before concluding that it is a permanent problem. Without examining you, I can not tell.

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January 11, 2008

Can You Dismiss Propecia Information on the Web? – Hair Loss Information – Balding Blog

Dear Dr. Rassman,

I have heard from people on the Internet, especially from the following two websites, that the sexual side effects of Propecia can be permanent, along with many others. Can you dismiss all the information on these websites?

propeciasideeffects.com and propeciahelp.com

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Megaphone Anyone can write and publish anything on the Internet. You can you find contrary evidence to those sites you listed at Propecia.com. I can’t dismiss everything on these anti-Propecia/finasteride websites, because I simply don’t have time to go through every post made there. I’m sure some of the claims made there are based in fact and might have some validity — and those have more than likely been addressed here before (search for “Propecia side effects”). I’m also sure that much of the info on those sites is created by people that have no medical background and simply write what they believe to be true based on FUD (fear, uncertainty, and doubt).

The people that speak the loudest are usually the people that want their complaints to be heard. In other words, you don’t necessarily see a lot of people visiting message boards just to tell others that Propecia works great for them, but you certainly will see the unsatisfied few going to every website they can find to make their opinions known. When doing your research online, try to find out if you’re getting information from fact-based sources. Are these other sites just shills for the various snake oil products on the market today? What better reason to shoot down a proven treatment like Propecia than to promote your non-proven treatment that sells for double the price. I’m not saying that this is 100% the case, but anything is possible. Take BaldingBlog (this very site), for example — I’m a hair transplant surgeon, yet I’m not trying to “sell” people on hair transplantation procedures. I write a lot about Propecia because I get asked a lot about Propecia, and because I’ve seen first hand what this medication can do to treat hair loss. I don’t want to see anyone go through an unnecessary surgery when a simple daily pill could be the answer to their problem. I, along with the other doctors that write here, are just trying to help.

It seems what you really want is a doctor’s reassurance. Although I am a doctor, I am not your doctor… and you need to discuss these concerns with your doctor. You may not even be a candidate for Propecia.

January 11, 2008

Your Assertion About Normal Hair Loss is Misleading and Quite Untrue – Hair Loss Information – Balding Blog

Dr. Rassman:

In one of your replies to a question about Scalpmed, you stated that it is “normal” to lose 100-150 hairs per day. While this may be true for people with NW 0, it certainly is not the case
for NW2+. I would imagine that daily hair loss is PROPORTIONAL to the amount of hair left on the head. Your assertion is misleading and quite untrue.

Thank you

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I’ve often said that a “normal” range of 100-150 hairs (sometimes even 200 hairs) are lost some days. While it is true that this is a generalization, the importance of a miniaturization (microscopic) examination of your scalp is all the more relevant if you believe you are losing more hair and not growing it back. For a man who lost 50% of his original hair, for example, the daily loss of hair will be half of the original daily cycling loss, reflecting the population of hairs that remain.

The one thing I stress most on this site is the importance of a miniaturization study and not just making assumptions based on the fixed number of falling hairs you may be seeing.

January 11, 2008

5 Months After Transplant, There’s a Tiny Lump in the Transplanted Area – Hair Loss Information by Dr. William Rassman

i had a hair transplant about 5 months ago and everything seems to be fine and the hairs are growing fine, however recently i have had a tiny small raised lump on the transplanted area which looks slighlty red and hurts to touch. It doesnt look at all infected. What might this be and will it go its self.

It is probably an inclusion cyst (ingrown hair or a pimple). Warm compresses or a simple incision and drainage (squeeze out the cyst) should do the trick. This should have been a part of your normal post-operative care instructions. You should speak with your surgeon.

January 11, 2008

I’m Missing the Connection Between DHT Reduction and Muscle Gain – Hair Loss Information by Dr. William Rassman

Doc,

I’m confused! We all know that finasteride reduces the amount of DHT in a man. This hormone is known to be the cause of secondary male characteristics, like hair growth and muscle development. So with reduced DHT levels, it should be HARDER to gain muscle, right.

Then how come in many of your previous posts you mention that taking finasteride makes it easier to build muscle since it increases testosterone levels by almost 20%? Granted testosterone levels increase since more of it doesn’t convert to DHT, but DHT, which is more responsible for muscle growth than testosterone, decreases!

How do you explain this?

I’m not seeing the connection here.

To clear any confusion, DHT blockage with Propecia may give you a small transient increase (not permanent or persistent) in testosterone levels, reported as high as 15%. These minor changes in hormones will not likely affect muscle mass (gain/loss) and are not long term.

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