Dr. William Rassman – Page 1572

September 20, 2007

Any Correlation Between Father’s and Son’s Ages of Balding? – Hair Loss Information – Balding Blog

Hi,
My dad started balding at the age of 40, and now at the age of 60 he shows diffused hairloss on top of scalp. I am 26 and I started to show the begining of his pattern last year. In your experience, is there any correlation between the dad’s age of balding, and the son’s, provided that the only “gene” for baldness comes from the dad? Can I maybe expect some stabilization now untill a later age?

Thanks a lot

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I am just a doctor, not a fortune teller. Male pattern hair loss is genetic, but there are no firm correlations on how it is passed on from father to son and at what age it will occur. Most bald men experience balding early on in their 20’s and 30’s. If your hair loss follows your father’s pattern and rate of hair loss, you might assume that will be your destiny. Find others in your family (mother and father’s side) and see whose patterns reflect the pattern of your hair loss.

September 20, 2007

Why Does DUPA Effect People Aged 16-23 More Than Others? – Hair Loss Information – Balding Blog

Hello i have a few questions about DUPA, i was wondering how long it took for your patients who responded well to propecia to notice visible result, coz ive bin on it for about 3 months and was wondering if i should quit.

also why do people aged 16-23 get dupa the most, what is causing this do you think?

And also i heard you say once that you prescribe dutasteride to patients with dupa if they dont respond to propecia why is this? has there been someone with dupa who has responded to dutasteride and not propecia.

please can you answer these please i would be most pleased

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I do not believe that DUPA (diffuse unpatterned alopecia) is most common in the 16-23 year old age group. I believe it is found in people of all ages. The effects of drugs like Propecia (finasteride) or Avodart (dutasteride) are not confirmed for the treatment of DUPA, but they are the only things available for it. I have seen some benefits from Propecia on DUPA patients.

September 20, 2007

What is the Next Big Development in Hair Loss Treatment?! – Hair Loss Information – Balding Blog

Hi there,

I have a question about new developments in the treatment of male pattern hair loss. Apart from the clincial trial of Dutasteride, has there been any news in the field of novel medical
hair loss treatments which are being developed, tried and/or tested? Or is everything subject to strict confidentiality?

Thanks

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No new groundbreaking developments that I am aware of at this time. At the ISHRS meeting later this month, I will be able to probe many people for answers and will ask about what is coming down the pike.

September 20, 2007

Some People Use an Extensive Treatment Regiment – I Just Take Propecia – Hair Loss Information – Balding Blog

I have recently begun usage of propecia and am happy to see noticably less hair falling out of my head however when i’ve researched hairloss medications online I have come upon forums in which people talk and regiments, xandrox 15, procerin, nizoral and all manner of things i’ve never heard of (eg. hairlosshelp.com forum post). My question is is my regiment of once a day propecia pill adequate or should I be using a regiment of extensive drugs and shampoos like these people to combat my hairloss? Thanks

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I do not give much credence to the value of the other approaches mentioned. One pill of Propecia each day should be adequate and it is certainly less complex.

September 19, 2007

Finasteride, Prostate, Muscle, and Hair Loss – Hair Loss Information – Balding Blog

I am 43 with some recent thinning in the back crown area and slight thinning in the front although it is not noticeable. I am in an industry where my appearance is important. To look at me, though, you’d never notice hair loss. Dr. Bernstein prescribed Propecia but frankly I am concerned about:

Muscle loss/decreased ability to build muscle

Affect on prostrate

Study indicating higher risk of higher grade prostrate cancer

Can you please comment. Thank you

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You can also ask these questions to Dr. Bernstein (in New York). He is a very reputable doctor and would trust his judgment.

Propecia does not cause muscle loss or ability to build muscle.
Propecia is finasteride in 1mg dose. Finasteride in the form of Proscar is a 5mg dose and it is used for men with benign enlargement of their prostate. It is also thought that finasteride in 5mg strength decreases prostate cancer risk by about 25% (Source: New England Journal of Medicine – July 17, 2003; vol. 349 no. 3). Men should NOT take finasteride to prevent prostate cancer.
The same study stated that when prostate cancer was found the grade of cancer was higher at the 7th year of the study. The reason for that disparity was not clear. I personally do not believe the reports of higher grade prostate cancer with finasteride, because it is based upon somewhat dubious standards and a scoring system that is, in my opinion, outdated. When genetic testing is established (just like breast cancer), then the grading should be more reliable.

My opinion is that finasteride is a good medicine for both hair and prostate. Taking 1mg of finasteride (Propecia) is certainly a much lower concentration than the Proscar (finasteride 5mg) which was cited in the above study. The 1mg dose was determined to be equal to the 5 mg dose for hair loss. You must always judge the risks versus the benefits when taking any medication.

September 19, 2007

Chemical Burn from Antifreeze Caused Hair Loss – Hair Loss Information by Dr. William Rassman

I have a patch baldness on the front left side (left side of hair line)on my head. I have gotten burned there a few years ago by antifreeze, fresh from the car radiator. The result was after a good half hour, the skin began to peel off at the spot the antifreeze touched. I was wondering, will my hair ever grow back again or do i have to take another route to solve this issue? I have another issue, I am losing hair on top of my head, I do not know why it is happening but I want to solve this issue too. It is said that it runs in the family. Do you have any suggestions in solving both problems? If so please inform me along with prices. Thank you.

It sounds like you have a couple of things going on. The chemical burn might be secondary to genetic male pattern baldness. To get the diagnosis of genetic balding, you should get your hair mapped out for miniaturization and consider taking Propecia (finasteride 1mg) if indicated by your doctor. I really can’t tell you if the hair will grow back after the chemical burn, as I haven’t seen the area you’re talking about. You may be a good candidate for hair transplantation, but again, there are some factors in play that I don’t have the answers to yet without knowing more about you.

If you are in California (or willing to travel), I have offices in Los Angeles and San Jose and can be reached at 800-NEW-HAIR if you’d like to setup a free consultation. If you are not in California, you can send me photographs here (please reference this post when sending).

September 19, 2007

Does Better Blood Flow on Side of the Scalp that I Sleep On Lead to Thicker Hair on that Side? – Hair Loss Information by Dr. William Rassman

After 4700 FUs one side of head is clearly thicker then the other.

Hi Doctors,

I’m curious to see if you’ve heard of this before. I had two hair transplant sessions totalling 4700 FUs in the past 2 and 1/2 years. I’ve been noticing that the hair on the right side of my head are much thicker than the ones on my left. Someone said that it is because much more blood flows to my right side, since that’s the side I sleep on. I thought this was foolish, but I’ll try anything to get the left side as thick as the right. So I started to sleep on my left side and I’m hoping this will help. Do you think it is because more hairs ont the left side are going into the rest cycle? Any suggestions?

Thank you.

I do not believe that there is any difference with respect to sleeping on one side versus the other. What I do know is that in a hair transplant, the right side often grows more hair than the left. This is related to the teams of people placing the grafts — right handed people place more efficiently on the right side of the head and the left side is often a slower process. Most technicians are right handed and prefer to work on the right side. This is an important element in the quality control of the doctor’s team.

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September 19, 2007

Going Through Menopause and Losing Pubic Hair – Hair Loss Information by Dr. William Rassman

I have been having thinning pubic hair for about a year, I am 59 and have gone through menopause, although I still have the hot flashes, just not as strong as they use to be. I take no horomones at all, I am just managing on my own. Could this problem be hormone related, or is alopecia as you sometime refer too? I have no other hair loss at all, I have always had very thick head hair and still do. What do you think? thank you

If the loss is just limited to your pubic area (or underarm area), then I would assume that it is hormone related. Many people feel fortunate to have thinning pubic hair in today’s culture. If it bothers you and you are healthy, hair transplants from the scalp to the pubic area is something that is available. We do a few of these each year.

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September 19, 2007

If I Get a Hair Transplant, Will the Volume of My Long Hair Be Noticably Thinner? – Hair Loss Information by Dr. William Rassman

I am a 42 y/o male,(Norwood 3)no “V” as of yet and I have long hair that reaches past the middle of my back. Should I ever require a transplant procedure will the volume of hair that flows down my back be noticibly reduced since follicles must be harvested from the back of the head? BTW, I have taken Avodart for 2 years with great success. I was getting a little thin in the crown area and now the crown has filled in very nicely, however, no such luck with the receding hairline.

Thanks

There should be a minimal reduction of hair volume from one hair transplant. I am curious to know why you are not taking Propecia (finasteride 1mg). Stronger medicine does not necessarily mean it works better. You may have had the same impact from Propecia alone.

September 19, 2007

Miniaturization Mapping on the East Coast? – Hair Loss Information by Dr. William Rassman

Hello Dr.,

I read your post on mapping the scalp for miniaturization. I have been to several hair clinics, and no one provides the type of service you are describing. (mapping the scalp for miniaturization, and taking microscopic photos) I wish I could visit your office to get this type of service, where i could gauge my progress on propecia. But it is across the country.

Is there anyone in my area (NJ/NY/PA) that you know of that provides this service? I saw you recommend Dr. Berstein several times on this site, but i have visited him already, and he definitely does not do this.

I don’t understand why others don’t do it. One does not have to take pictures, just make an assessment of the degree of miniaturization by the anatomy of the scalp. I am sure Dr. Bernstein examined your hair with the densitometer, which is a manually held instrument and can give the exact same information. I have spoken with him about doing a more formal mapping of the hair for miniaturization and he has agreed that if you ask for it, he will do it.

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