Dr. William Rassman – Page 1611

June 18, 2007

Retin A and Hair Loss? – Hair Loss Information by Dr. William Rassman

Hi, I just read in a previous answer of yours that a side effect of isotretinoin is hair loss. Is this also true for topical retin A, which was prescribed to me for acne? I am 37 year old female and just began minoxidil 5% (prescribed by md) a few weeks ago. Thank you.

Retin A is an acid and burns the skin. That is the very reason it is often prescribed with minoxidil, as it it thought to increase the skin absorption as a result of the irritation and increased blood supply. I do not believe that it causes hair loss.

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June 18, 2007

Water Pressure from Shower and Hair Loss – Hair Loss Information by Dr. William Rassman

Hello,
Im so glad I ran into this website. There is no baldness in my family, however, my hair has been thinning out and i’m only 27. For the past 3 years my shower heads pressure has been really strong and I love just standing there under it for a long time with really hot/warm water. Can too much water pressure be causing my hair to thin out???? and will my hair grow back out once i chance the pressure???

People try to look for causes of hair loss like shower heads and water pressure and you are not the first one to ask, but considering your age, you are probably genetically balding or thinning. Get a diagnosis by getting your hair mapped out for miniaturization and then if you do have genetic balding, treat it properly. High pressure showers will not cause hair loss, that is, unless the hair is ‘hanging by a thread‘.

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June 15, 2007

6 Months After Repair Procedure (with Photos) – Hair Loss Information by Dr. William Rassman

This patient had some of the old hair plugs in his hairline, which we removed with a FUE procedure (2,200 grafts) and then created camouflage to rebuild a new frontal hairline. In just 6 months (see after photos), the early results are very impressive indeed and I would expect that the fullness will double in the next 2-3 months. Click photos to enlarge.

Before:

After (6 months later):

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June 15, 2007

Started Taking 2.5mg Finasteride, Now I Lowered the Dosage to 1mg – Hair Loss Information by Dr. William Rassman

Hello Dr. Rassman. My question is concerning the dosage of finasteride i’ve been taking for the past 7 months. I only split my proscar in half for the first several months (2.5 mg a day), and I believe results have been fairly positive so far (a lot less hair in the shower). What’s concerning me is that I have lowered my dosage back to 1 mg recently. I know that this is the recommended dosage, but could I possibly have hurt the finasteride’s long-term effectiveness by starting at a higher dosage and then lowering it? Thanks.

You did the right thing by bringing the dose to the recommended level. The research on dose suggests that 1mg is as good as 2 or 5mgs. A higher dose of finasteride should not impact future adjustments to the correct dose.

June 15, 2007

Treatments for DUPA? – Hair Loss Information by Dr. William Rassman

You’ve wrote that minoxidil and finasteride may not be effective treatment for DUPA. What might be some of the more common treatments available to men suffering from this condition?

-Thanks

Unfortunately there is no medical treatment for DUPA (diffuse unpatterned alopecia). I have recently seen a patient with substantial reversal of DUPA on finasteride alone, but this is not what we normally see. For this young man, the reversal brought his hair back to almost normal fullness.

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June 14, 2007

Hair Loss After Bump on Child’s Head – Hair Loss Information by Dr. William Rassman

Hello the question i have is about my six year old son. He fell and hit his head causing a large bump. After the swelling went down we noticed his hair fell out in the same spot. Is this normal and should we be concerned? I greatly appreciate any feed back.

Any trauma on the scalp skin can force hair follicles to enter the telogen (resting) phase. The telogen phase may last up to 6 months, so you should expect that your son start growing the lost hair back in about 3 to 6 months in that area. I am assuming that there is no laceration which caused a scar.

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June 14, 2007

I Was Prescribed Propecia, But What If It’s Just a Maturing Hairline? – Hair Loss Information by Dr. William Rassman

hello,
i recently became worried that my hair may be thinning so i saw a doctor in san francisco who quickly looked at my hairline and told me that i had signs of male pattern baldness and prescribed propecia. i wanted him to determine whether i just had a mature hairline or if it was in fact balding because my hair is very thick and i have a lot of it. i want to make sure that i actually need the propecia before i begin taking it. i had hoped to get a miniaturization exam to be sure but he seemed certain that i was thinning. can you give me some advice on how to get a hair miniaturization exam somewhere in the bay area. also, i am tempted to just begin taking the propecia, if i find out later that i didn’t need it, do i risk any irreversible damage to my hair? thanks

Your questions should be easily answered, but without knowing or seeing what you are talking about, I can’t help very much! Propecia should not hurt you if you have a maturing hairline and do not have genetic male pattern balding developing, but the real issue is why take drugs if you are not balding. Telling the difference between a maturing hairline and frontal balding is a bit of an art which hopefully your doctor will have. An ethical doctor is also critical, because you would not want a surgery if your hairline will stabilize at the mature level. I have an office in San Jose, CA — come pay us a visit.

June 14, 2007

Long-Term Stubble After Hair Transplant – Hair Loss Information by Dr. William Rassman

Hello and thanks again for this most helpful website.

I am a female who is just over one year post-op. For months now (no exaggeration), there has been a 1″ to 2″ band of stubble on the top\front of my scalp that DOES NOT GROW. It remains stubble.

I went to my HT surgeon for a follow-up and he said it’s just “slow growth” and we should wait another 8-9 months for another follow-up. The rest of my HT seems to have grown in fine, albeit I wish I had more grafts. How is it possible that this stubble has just stopped growing?

With many thanks and blessings.

Transplanted hair should usually start growing in 3-5 months. They should be all growing in six months and by month 12 they should be a few inches long, as thick as the original hair and long enough to comb. Some variation is seen in the growth rate among people, but no growth in one year is unusual and its causes should be explored further by your hair transplant doctor.

I have on rare occasions seen the presence of persistent stubble in the transplanted area (rarely longer than 1cm). What the stubble (after 6 months at least) should reflect is the old left-over hairs from the transplant. You can confirm this by pulling out a few of these and you should see no bulb at the ends of the hairs (from deep in the skin). If that is what you are seeing, pay no attention and these should eventually come out in a hair wash. You might get a second opinion.

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June 14, 2007

Stopping Rogaine Lost My New Hair Growth – Hair Loss Information by Dr. William Rassman

I used rogaine, it works on my both scalp and crown well. and then i used tricomin with stopping Rogaine and get a special treatment. however i lost my hair after stopping Rogaine in 4 months. If I use rogaine one more, will there be hair-regrown? or not anymore?

You probably will not get all your hair back, but it is worth a try. If minoxidil was working so well for you I am curious to know why you stopped using it…

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June 14, 2007

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

sir,
I have swelling in neck region lymph node from last three months. Positive for TB after FNAC test. Not yet taken medication. Doctors suspects extra pulmonary TB. Lungs are clear in
xray. I have hair loss. Is it just cuz of TB and will it be continue if i take medication regularly? Is it temporary or permanent hair loss? Or i regain hairs after treatment, cuz i have
no hereditary for hair loss in my family. i have very low density of hairs now. no bald spots but hairs density getting lower.

please help respond me soon

Before worrying about hair loss, you need to see a doctor (or continue seeing a doctor) to have your medical problems treated. Tuberculosis can manifest in many ways, which can include hair loss due to weight loss and chronic illness issues. If your hair loss is not genetic, it may be due to the stress on your body from the disease process, but if you add genetic hair loss on the disease problem, it will probably not come back. Generally you hair should return, but there is no guarantees and you do not have genetic hair loss compounding your problem.

From a historical perspective, hair loss was very common in the cities when TB ran wild. That was why a woman looked for a hairy man to qualify a man as a prospective husband. If a man lost his hair, the presumption was that they had TB and would probably die from it, not living long enough to provide family support for the long term.