Can dying your hair whilst taking propecia effect it from working properly?
Nope. Propecia has nothing to do with the external hair shaft.
I Want to Grow a French Beard – Hair Loss Information by Dr. William Rassman
I am wondering if there is a fix for spare beard growth. I cant grow a french beard because I dont have hair under my lower lip connecting to my chin. What can I do about it without invasive surgery?
Although you do not want to have surgery, a small Follicular Unit Extractation (FUE) procedure may be worthwhile. The hair that exists under the lower lip usually reflects very small quantities of hair. The entire procedure can be done in an hour with no significant pain and certainly no visible scars. The transplanted hair will grow like the rest of your beard and you can shave it if you get tired of it.
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My Dermatologist Said I Have Telogen Effluvium, But I Don’t Believe It – Hair Loss Information by Dr. William Rassman
Hello,
I am a 28 years old female, I was told diagnosed by my Derm when I was 24 years old …up to recently I have had extremely mild case of AA but starting in May on this year I got 5 spots and diffuse hair loss with the end of the hair from the scalp looking very dystrophic for example it looks like the hair is tapered feathered like.
I have seen four different Derm the last one was referred to me by NAAF she took some hair samples told that I have Telogen Effluvium but I don’t believe it.
The hair that is falling is almost dead like..and it short and I have long curly hair also I did get some Kenog injection and my spots are slowly filling in but the diffuse hair loss is continuing..I am lost here I am also using 5% minoxidil for men two cups full daily but I see more of hair shedding. please help me if you have any ideas
The dermatologists you visited with had the advantage of being able to observe you and examine you closely. They can perform a pull test and elect to do a biopsy if they wish. They can examine the hair microscopically on the head and look for miniaturization. I can not do this through the internet and I’m particularly reluctant to take a position against these other doctors who had the opportunity to examine you. Sorry.
Shaving the Head Before a Hair Transplant? – Hair Loss Information by Dr. William Rassman
So, when you get a transplant, MUST you shave your head? Kind of negates the whole deal. I have a very public job (actor) and the last thing I want to do is show up bald for a performance… thanks
Nope. Some doctors recommend shaving or clipping the hair close, but like you said, it would be a deal-breaker for most men who do not want their lives or their looks to change immediately after a hair transplant. The doctors who require shaving believe it is better to see the balding pattern, but I believe it is just to make it easier for them to perform the surgery. The expertise to keep everything looking the same and not call attention to the transplant is what we get paid for, though.
At NHI, we do not shave any of our patients recipient area for a hair transplant unless they really want us to. Rarely does anyone ask for this.
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Transgender Male-to-Female Taking Dutasteride – Balding Blog
Hi Dr. Rassman,
I am a genetically born male, who just turned 23 years old. I am a transgendered and just recently began taking hormones 2 months ago to transition into a woman.
At age 21, as a male, I noticed my hair thinning in the temple regions. My mother father began balding pretty heavily in his 20’s. I knew I was transgendered but was unable to afford transitioning and beginning hormones at that age so I went to two dermatologists and was prescribed Propecia both times. I was on it for a little over a year. Surprisingly after a year I seemed to have less hair in the temple region and front hairline region. I can’t say it didn’t work because who would have known if I would have lost that hair anyways and Propecia helped me loose less? I’m not sure. My hair is definitely thinner and some family noticed but it’s not “socially” noticeable.
Two months ago I stopped taking Propecia I began a female hormone regimen to transition into a female begin that I am transgendered. I take 6mg of Estrace as well as Avodart daily. I also get a monthly injection of Depot Lupron 7.5mg used to treat advance prostate cancer in men and is similar to a “chemical castration”. So needless to say my testosterone levels will be taken WAY down and hopefully Avodart will absorb the leftover DHT in my system. However, at this point, now living as a female with female hairstyles I still have an issue because my hairline has started to mature in a masculine look and it’s very thin in the temples and at my hairline.
With my situation, and based on the medication’s I am taking – should I expect more hair growth than I did on Propecia? Honestly I think I need a forehead reduction but this could be particularly tricky with my thus receed hairline. What are you suggestions, or observations? Should I give it time? I CAN NOT loose ANYMORE hair and I REALLY need regrowth! I haven’t tried Rogaine because I was told in doesn’t work in the temple region on genetic men – but now that I’m on female hormones does that change that?
PLEASE HELP ME DOCTOR!!!!!!
Thank you SOOO much for this wonderful opportunity!
You have chosen non-surgical, hormonal treatments for eliminating your male hormones. Dutasteride, although not yet FDA approved for regular male pattern baldness, is studied and believed to be more potent than Propecia (finasteride) for prevention of male pattern baldness. You are right in that using other anti-androgen medications are also important to slow down the process of your male patterned hair loss. I am not sure whether Rogaine can add anything to the medication regimen that you are currently on. You have to know that it is unlikely that you can grow your receded hair completely back and medical treatment can only prevent further loss and in some cases thicken the miniaturized hair in thinning area.
For treating the receded areas that are not recovered by the maximum hormonal treatments that you are doing and to make a female hairline, the available options include hair transplantation and possible hairline lowering procedures. The latter runs a risk if you should continue to bald from your genetics, while a hair transplant has been successfully used for people like you who have male pattern hairlines and wish to migrate to a feminine hairline. Please consider coming in for a consultation so that a Master Plan will have will be clearly defined for you.
Transplanting the Scalp of a Cadaver to a Living Person? – Hair Loss Information by Dr. William Rassman
I saw an episode of the Simpsons many years ago that had a premise where Homer had a scalp transplant from an executed criminal. His new beautiful head of hair was possessed. I think it was a Halloween episode. Anyway, now I’m reading that this could be true (without the possessed hair from a criminal)!
Here’s the link: USA Today – Hair-raising ideas to cure baldness
Regarding that Simpsons episode, I found what you’re talking about in a brief description here. Fantasy meeting reality? Well, not exactly.
Dr. Maria Siemionow is a plastic surgeon who has performed many face transplants in research animals. She has also shown that cadavers may have value as a source of donor scalp/hair, but I would not hold my breath for this to become clinical. The research is mostly on rats, and to my knowledge no human has ever been tested. Her focus has been using such transplants for severe injuries, like the face transplant that was done in France a few years ago. The article makes for interesting reading. Thanks for sending the link to us.
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Hair Loss InformationUnfortunately, Some Hair Transplant Doctors Are Crooks – Hair Loss Information – Balding Blog
Last week, I met with two patients who came to me with thinning hair. One was 19 and the other was 22. The 19 year old had very early miniaturization, evident by the measurements that were taken of his scalp, and I built a Master Plan for him and advised him to go on Propecia. The 22 year old had clear thinning in the frontal 2 inches of his hairline with 40-50% miniaturization and a thin type hair shaft. The thin hair shaft made his miniaturization look worse than if his hair had been more coarse.
Both of these young men went to these doctors before they came to see me (and no, I won’t name names). In my opinion, both patients should not have hair transplants at this time; certainly the 19 year old is not a candidate at all and probably will not be for years, and the 22 year old may become a candidate if the Propecia does not stop or reverse his hair loss to meet his goals. However, the 22 year old might be able to avoid a hair transplant if the Propecia works well for him. The lack of ethics of the two doctors who viewed both men and gave them both recommendations of 3000 grafts each reflect the ‘scum’ of the hair transplant industry. I know I’ve written on this topic a few times before, but it truly outrages me and demands this repetition. Performing surgery when it could be avoided with a simple daily medication shows that the doctors were chasing their patient’s pocketbooks, not pursuing their patients best interests. Fortunately, both patients liked my advice and will see me for a follow-up in a year or so. I am sure that they will get calls from these two doctors and/or their sales staffs and I strongly advised them to resist sales pressures to sell them what they do not need.
To make matters worse, in my normal examination I measured the hair density of the donor hair on these patients and found them both to be lower than average. That means that they might be limited as to what they can expect from a hair transplant when and if they balded. Both of the doctors that they met with just ran their hands over the patients’ scalp in the back of their heads and magically reported that they were unusually blessed with “lots of donor hair”. Neither of these doctors made a measurement of the donor density on either of these patients and as if by magic — *poof* — they had enough hair to meet the doctor’s income requirement. These scams are unfortunately common in this industry and I always warn patients that if the doctor does not precisely measure the donor density, they should run for the hills when told that their donor supply is good. Worst of all is the fact that if these men had undergone hair transplantation, their donor hair (which was limited in the first place) would be depleted, wasted, and worse yet, put in the wrong place. Over and over again I warn patients to do their diligence on the doctors they see and choose. This again, is a Buyer Beware market.
I Was Diagnosed with Stress-Related Hair Loss or Alopecia – Hair Loss Information by Dr. William Rassman
Hi Doctors,
I’m new to this blog, as I just started noticing my hair loss about 3 months ago. I’m a 30-year-old woman, and 3 months ago I had a healthy head of hair. Now it seems that every time I look in the mirror, more and more is thinned out along the part. I have a bald spot now. I’ve seen a couple dermatologists and one GP, and they’ve wavered between diagnosing me with just stress-related hair loss, or androgenetic alopecia.
I’m a little skeptical about the alopecia diagnosis because the hair loss is so fast. Like I said, 3 months ago, I was fine. I was wondering if it is possible that I may have a fungus or bacterial infection on my scalp? I travel a lot and have just returned to the US from living in Africa for the past year. It would not be the first time that I’ve somehow contracted a fungus or some sort of skin infection.
I mentioned this to my doctor and he may do a scalp biopsy. Do you happen to know, whereabouts, how much such a procedure costs? I have no insurance at this time, but regardless, it would be worth it to get it done to save my hair.
Thank you so much for any information you could provide.
You clearly have a problem and you need a good, knowledgeable doctor to manage your situation. Much can be learned by getting a hair pull test and a miniaturizationstudy. This can be done at the time the doctor visit occurs. Cultures of the scalp (to check for diseases that you may have contracted in Africa) need to be assessed as well as looking for chronic telogen effluvium, diffuse alopecia areata, and others. Good luck.
My 7 Year Old Son Has a Very Scaly, Flaky Scalp – Hair Loss Information by Dr. William Rassman
my son is a 7 years old african american. he is having the worst problem ever with his scalp. i have tried every kind od dandruff shampoo there is and still no relief. i wash his hair 2xs a week now because the flaking and the scabs are so embarrassing. after i wash his hair its looks clean and free of scales and flakes but his scalp is red. usually after 2 days of washing this whole process reoccurs with the itchy, scaly flakyness. what should i do?
If I had a 7 year old son, I would want an expert to examine and diagnose him. You need to take him to a pediatric doctor, one with an interest or experience in dermatologic conditions. There are many causes of flaky scalps and you need to consult with a good doctor.
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Propecia Withdrawal and Massive Hair Loss – Hair Loss Information by Dr. William Rassman
I have been on Propecia for 10 years. I was out of the country and lost the bottle, so was off of it for 5 weeks. When i got back I started up again, but now obe month into restarting I am losing a ton of hair throughout the scalp. It is now very noticeable. Does that mean I lost the “propecia hair” for good after stopping for only 5 weeks? Will it come back now that I am back on it?
It may not all come back, but hopefully most will. The important lesson here is to stay on Propecia unless you want to undo the hair maintaining or regrowth benefits you received.
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