What Happens When a Doctor’s Car and Mansion Payment Is More Important Than You? – Hair Loss Information – Balding Blog

Here is a man who had hair transplant surgery some years ago. He had hair then and the doctor put in about 600 grafts throughout his thinning area. After the surgery, his hair loss accelerated and when the grafts grew out, other than seeing some small plugs, he did not find any value to having had the surgery in the first place. Since his surgery, he lost all of the hair on the top and crown of his head. Now all he has left is the transplanted grafts that are now unnaturally scattered over his head. The doctor who did this was either ignorant or immoral. A properly done hair transplant should stand on its own, or the doctor should tell you otherwise. That is what is required of the doctor by law. There was NEVER a possibility that this patient had anything of value and now he has negative value that he will carry around for the rest of his life unless someone completes his hair transplant in a logical way. Even with a properly done job, he will not have enough hair to cover his crown. Still, the man he sees every day in the mirror should be much more normal looking after his ‘fix’. Unfortunately, too many doctors are quoting small and large transplant sessions where and when they are NOT NEEDED. These doctors are just out for the almighty dollar. Immorality has not been wiped out and the crooks are still out there. Don’t be fooled by slick ads and particularly watch out for doctors that use salesmen to push, push, push you into making a decision. Again I say, “Let the Buyer Beware“.

Click the photos to enlarge.

 

Does DHT Play a Role in the Sex Drive? – Hair Loss Information by Dr. William Rassman

Why does Propecia have such a significant effect on the sex drive? Does DHT play a role in one’s sex drive?If a 1 mg dose has such an effect on one’s sex drive, will 5 mg have an even greater effect?

I have heard that there will be a generic propecia, can you confirm? Thanks.

At 1mg of finasteride, the suppression of the male sex drive is about 1% of men taking the drug. The U.S. patent held by Merck for the 1mg tablet has years still left, so I doubt that there will be a legally available generic 1mg pill anytime soon.

Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


How Long For a New Hair to Emerge Through the Scalp? – Hair Loss Information by Dr. William Rassman

Under normal circumstances once a hair has been through the resting stage and fallen out, how long does it take for a new hair to emerge through the scalp. Thanks

You should be aware of the various hair cycles, as follows:

  1. Growth phase (Anagen phase) — lasts anywhere from 2-6 years. This is the phase where your hair is actively growing at approximately 10cm per year. 85% of hair is at this phase at any given time.
  2. Transitional phase (Catagen phase) — lasts about 2 weeks. This is the phase where the hair follicle shrinks and prepares to enter the resting phase.
  3. Resting phase (Telogen phase) — lasts about 1-6 months. This is the phase where hair does not grow but stays attached to the follicle. Some hairs are shed at this phase, but at the end the hair follicle re-enters the growth phase to start the cycle over again. 10-15% of hairs are at this phase at any given time.

Freshly transplanted hair will emerge from the scalp anytime within 6 months of the time that it is transplanted. In about 5% of patients, hair growth is immediate, but largely the hair takes about 3-5 months to start growing at about 1/2 inch per month.

Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


Taking Avodart and Propecia Together – Hair Loss Information by Dr. William Rassman

Doc,

I’m a little alarmed after reading a few posts by some people who are taking both avodart and propecia simultaneously. You’ve written before about how the combination sounds redundant, but I’m wondering if it can hurt anything besides our wallets. Isn’t there a possibilitity that the two drugs could compete with one another and perhaps be counterproductive?

You should always speak with your doctor before taking or stopping any prescribed medication. I am not your doctor. Generally speaking, you should not be taking Avodart (dutasteride) and Propecia (finasteride) together for hair loss. Avodart and Propecia taken together may push the side effects such as suppressed sexual drive, breast enlargement, etc.

Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


Dental Treatments Cause Hair Loss? – Hair Loss Information – Balding Blog

I’m experiencing excessive hair loss 4 months after baby.It is still happening,now that baby is nine month old.When will it end? Also,i have read that dental treatment casues hair loss.I had dental fillings ( mercury alloy) after my delivery also. Does dental treatment causes hair loss and if so what kind? Eg, Dental implants or crowning?

Block Quote

Postpartum hair loss in women is not uncommon. It should return within a year or so. Stress can cause hair loss in those that are genetically prone, and so I have seen hair loss in men and women who had stressful dental surgery — or any stressful surgery or illness. There is no connection between implants and crowns and hair loss that I know of.

Can a Tattoo on Your Body Cause Scalp Hair Loss? – Hair Loss Information by Dr. William Rassman

I’m 24 and experiencing a lot of thinning. I was going to get a tattoo in honor of a friend that passed but I was told that the ink stored in your body can cause hairloss on the scalp because of the toxins. I’m trying to keep my hair in tact as long as possible. I read your one post about tattoos but I’m still curious. Is it possible for the ink to cause hair loss on the scalp? Thank you doctor. I really appreciate your time!

Look at the rock stars and bikers out there covered in tattoos with long, flowing hair. Or even the ones with short hair. I haven’t read anything that would suggest tattoos would cause scalp hair loss — unless perhaps you were tattooed on the scalp and there was damage to the follicle. Even then, I’ve met people with their scalps tattooed and haven’t seen hair loss. In other words, it is very doubtful.


Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


Hair Loss and Autoimmune Diseases – Hair Loss Information by Dr. William Rassman

I am 42 years old and have had progressive thinning of my hair for about 12 years. Thinning is mostly on the top of my head. I have been to Rheumatology who has referred me to Dermatology. I am a University of Michigan patient. I have had every lab possible (I think) drawn. Only thing that is positive is my ANA. My nuclear antibody titer is >=1:2560 NAB pattern is HOMO. ADNA is negative. Do you think I should ask to have my androgen levels tested? Should I be asking to be referred to Endocrine? I’m at a loss. I’m ready to visit a hair loss center but before that I want everything else ruled out. I NEED YOUR HELP!

If you have an elevated ANA titer, one might worry about autoimmune diseases that can cause hair loss. Please see Lupus.org – My ANA Is Positive… What Does That Mean?

First, I would get your hair mapped out for miniaturization and see if your pattern shows one that is typical for male patterned loss (I am assuming that you are male, if not then there are many other things that can play in the causes of hair loss). Working with a good rheumatologist should shed light on any autoimmune component. Keep with the good doctors you seem to have and pump them for information, adding to it what you might learn from a miniaturization analysis of your hair shafts.

Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


Hair Shedding After Stopping Propecia — Is It Lost Forever? – Balding Blog

Hi Doctor, I had a question regarding Propecia. I know you mentioned on your blog that the good thing about Propecia is that the side effects should stop once you stop the treatment. I started Propecia but after a few months I was having sexual disfunction so I quit. My question is, will all the hair that’s been falling out from shedding be lost forever? Does some of the hair have more growth cycles left or is all the hair that falls out, hair that was destined NEVER to return? I recently had blood tests to make sure something else wasn’t going on, but they all showed I was healthy. The shedding has continued far past me quitting Propecia (3 weeks). When should it stop, and will any of that hair grow back? Thank you so much for your help! I have a lot of anxiety about this issue.

Shedding of hair after stopping the Propecia will take its toll on the weak hairs. There is a time when the hair will fall out and Propecia alters that time by delaying it. When you stop the drug, your normal hair loss will occur and continue until the worst of the miniaturized hairs fall out. Many of the hairs that fall out may not return. You may see shedding for months. I know this is not good news, but hair loss is a progressive process.


Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):


The Beard After a Hair Transplant – Hair Loss Information by Dr. William Rassman

Hey Dr.,

I’m coming in for about 1000 grafts next month. I do have a slight concern, however. I’ve seen pictures of this “beard” effect, in which you can noticably tell there is a dark area where there has been transplants. How long is the beard usually visible? Would it be as drastic with just about 1000 grafts in the front?

Thanks.

The beard effect you talk about is from the short transplanted hairs that are visible immediately after the hair transplant. It usually lasts one to four weeks before it sheds. It is not readily detectable if you have other hair to cover it, but if you are a class 6 (completely bald) obviously you cannot hide it. I would then suggest that you clip it short or let your facial hair grow out as this will detract from your head viewing. If you already have facial hair (a beard or mustache) shave it off for the shock value and it’ll draw less attention to the top of the head. This works very well.

Training for a Marathon — Is the Extra Testosterone Going to Speed Up My Hair Loss? – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassman,
I am a 38 year old male with recent thinning at the vertex. I’ve been training all of last year for the LA Marathon with weight and long distance running. Would all the extra testoterone from working out have an effect or speed up the process of mpb? Thank you.

I doubt your exercise and training will result in the progression of MPB, even with a slight elevation in your testosterone level. If you are genetically predisposed to lose hair, you will lose hair. Even if it has a slight effect would you do anything differently? Would you not run a marathon or not exercise and become a couch potato? Perhaps a couch potato with more hair?

Balding Forum - Hair Loss Discussion

Paid advertisements (not an endorsement):