My Teenage Son Has Alopecia and Wants Laser Hair Removal – Hair Loss Information by Dr. William Rassman

My son, has had alopecia since age 13, when he turned 19 this year he started having laser treatments on his scalp to permantly remove the rest of his hair in order to look more uniformed and without patchiness. After 6 treatments already, the patchiness still exist, but permant damage was done in some areas. Is he now scarred for life @ age 20. Please help!!! He would like all of his hair removed nice and smooth skin, I wish he never would have had laser to begin with and had hoped for hair to regrow. Is regrowth ever possible now?

Regrowth of hair in the presence of active alopecia areata is likely not possible. I would need to evaluate him to understand the complex process and findings you are telling us about. Am I correct to assume that the lasers produced skin damage? Was it skin discoloration or is it real scarring? Is your son also balding from genetic causes? What was the last time he had a diagnosis for determing if the alopecia areata is active now? There are a number of doctors who specialize in the treatment of alopecia areata — has he seen any? It seems your son wants to be bald. There is nothing wrong with being bald (or shaving the head), but being scarred is a problem. Please send me photographs and if they are good quality, I can review the problem with you.

As an aside, bald has been coming into style in recent years and has been more accepted by the “hip” young men of today. It should be clear to most people that the option to shave the head may be lost if you have a hair transplant procedure performed. Anyone with a good hair transplant that uses strip harvesting would have a noticable scar if the head was shaved, even if the scar was only 1mm width in size. This is also true even with the minimally invasive follicular unit extraction (FUE) technique where punctate scars (1mm in size) may be present. The presence of a Master Plan is critical in whatever you do.

Hair Loss Information » Taking Biotin to Prevent Hair Loss? – Balding Blog

I am a 22 year old male, and have just recently started noticing minor thinning in the front of my hairline. Male-pattern baldness runs in my family. I consulted a stylist who told me that taking a supplement with Biotin can prevent hairloss. I am not worried about regrowing any hair, as it isn’t a problem yet, only maintaining what I currently have. I ordered 3 month supply of Provillus, which contains both Saw Palmento and Biotin. My plan is to see if it has any effect or not. Is this a good approach and also what else could I do if this doesn’t help?

Why experiment when we know that if the diagnosis of genetic hair loss is confirmed, then finasteride works? Every day, every month, and every year you experiment, you will allow your irreversible hair loss to get worse and worse and worse and worse. Stop playing Russian Roulette. Biotin is no answer to your problems, unless you are deficient of biotin.

Hair Loss InformationBald People are Bitter and Mean Spirited – Hair Loss Information – Balding Blog

Dr. Rassman,

Why are many bald people bitter and mean spirited?

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I haven’t been aware of that concept being part of the myths that are associated with bald men, but there are stereotypes that are unfortunately part of our culture. Some are realistic based on history, e.g. the man sick with tuberculosis would frequently become bald because of the wasting nature of the disease, so women looked for hairy men to avoid getting men who would not live long enough to support them and their children. Of course, women with TB also became bald, but as they were not looking to marry other women, the observation never took hold as part of the culture of the times.

Hollywood may be partly responsible for some typecasting. The romantic lover in films almost always has a full head of hair. The audience associates a full head of hair with virility and a high sexual drive. In old Hollywood films, the castrated priests (eunuchs) were often portrayed as totally bald men (this is not genetic unless they have a form of genetic alopecia that is relatively rare and takes the eyebrows, underarm and the pubic hair as well), linking the image of sexual impotency to their appearance, but that was a razor cut by the Hollywood make-up artist, not the impact of genetics.

Prejudice: In an issue of Men’s Health Magazine a few years ago, a study of the linkage between successful politicians and hairiness was made. Less than 10% of bald men got elected and made it to their political office. We see the same prejudice in job promotions, which seemingly ties trustworthiness to appearance. Could this have been the result of some defamatory movie, play, or novel that worked its way into our culture?

Bald men, unfortunately, take more than their share of hits. In the young man who is sensitive to balding changes, all of the issues involving health, sexuality, and styling come forward and feel ‘second class’. They feel excluded from the norm. When there is not enough maturity or a poor self-image, balding becomes a curse in the very young men. Imagine a lion without its mane (it would look like a lioness). For those targeted as victims of this typecasting, please realize that bigotry is bigotry and unfortunately it flies in the face of logic and common sense.

Alternative to Propecia – Hair Loss Information by Dr. William Rassman

I do not want to go on medications for the rest of my life. What are the alternatives to DHT blockers like Propecia (finasteride)?

Alternatives for finasteride (approved by FDA for treating hair loss) and dutasteride (not FDA approved for treating hair loss):

  1. going bald
  2. getting balder
  3. getting thinner and thinner hair
  4. receding hairline or hairless crown

The choice is yours!

Diabetes and Hair Transplant Complication – Hair Loss Information by Dr. William Rassman

I have a related diabetic question and would like your opinion… I am diabetic, and I had a 1000 graft procedure done at a reputable shop. I had a severe complication, my scalp ulcerated, the “skin” just disappeared and left me with a large hole. I then had to have balloons placed under my scalp to stretch the skin and two surgeries under general to close the hole. Do you have any knowledge or experience with such a disaster?

I generally tell my diabetic patients that they are no more at risk from a hair transplant than any other person. I would want to know more about the surgery and what happened at the time of the surgery. This complication is one I have seen before when poor decisions were made at the time of the surgery by inexperienced doctors. I am not saying that this is your situation, but if your doctor was a good and experienced hair transplant doctor, I would probe more about why this happened to you.

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Hair Loss During Pregnancy – Hair Loss Information by Dr. William Rassman

i’m in my 28th week of pregnancy and me and my husband whose a doctor noticed recently more hair loss and increase in body hair growth. i’m very concerned and worried. please help. Thanks in advance

I am assuming that the hair loss on your head and the growth of some body hair will be a temporary finding, which should stop once you deliver and reversal is most probable in the months following delivery. There are many hormonal changes that occur during pregnancy, so I would not get alarmed.

Vitamin A – How Much is Too Much? – Hair Loss Information by Dr. William Rassman

Dr, how much is too much vitamin a. I take supplements and a few of them have large amounts of vitamin a like 5000 iu of vit. a.

For most people, up to 25,000 IU (7,500 mcg) of vitamin A per day is considered by some authorities to be safe, but the Food and Drug Administration has established a daily recommended allowance (RDA) of 5,000 IU for vitamin A. Toxicity in the fetus of pregnant women may occur in doses above 10,000 IU. A complete analysis of vitamin A is presented in Solgar Healthnotes.

The dose should be adjusted for pregnant women and children and a doctor should be involved in that. If vitamin A is being used for treatment of vitamin A deficiency, higher doses are required and it should be done under a doctor’s supervision. Complications (overdose) include liver damage, hair loss, blurred vision, and headaches. Sound like you are in the normal dose range.

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I’ve Been Taking Propecia for Years, But I Notice My Hairline Getting Worse Now – Hair Loss Information by Dr. William Rassman

First of all congratulations on the great web site. It’s really useful! My question is about Rogaine. I’m 32 y.o. and have been on Propecia for the last 7 years. It seems to be working OK but for the last 18 months or so I’ve noticed my frontal area may be a little worse. Should I consider adding Rogaine to my treatment or will it be useless on the frontal area? Thanks in advance for any help!

You can try adding Rogaine. Chances are, it won’t help a ton in the frontal area (it works best in the crown), but it is worth a shot. I like the idea that only one change will be implemented so you will know in about 6-9 months if the addition of the Rogaine works. As you are probably aware, Propecia will not stop the hair loss all of the time, but it always slows it down. Congratulations on staying the course. This is what every balding man should be doing.

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

I had really bad swelling three days after my hair transplant. My right eye closed completely. Is this usual?

The swelling we see three days after a hair transplant is dependent swelling, working its way down from the scalp to the face. Clearly it takes time to work its way down.

The other day, a patient called me on the evening of the third day telling me that one ear was an inch away from his head, had shifted in position and was pointing downward. I told him that I did that intentionally so that he would be able to hear ground termites in his older house. I’m joking! Actually, I found out that he slept on the side where his ear had the problem. I blessed him, told him to take two aspirin and it would be better in the morning. Indeed, by morning his ear was fine. Dependent edema!

A few years ago, we did a study on the use of steroids, with small, medium and large dosages used. As the dose went up, the swelling came down both in frequency of occurrence as well as the amount of swelling seen. At the dose we use today (40mgs prednisone daily starting the morning of the surgery and going out 4 days) swelling is rare and significant swelling is even rarer. It was so obvious, the study was stopped and the higher dose became our routine.

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What If I Take Propecia, But Don’t Need It Yet? – Hair Loss Information by Dr. William Rassman

If you take proscar 5mg tabs & cut it into 4’s, will it work the same as propecia ? That’s what i’ve been doing. It’s cheaper. Also, if you take this & don’t need it, could it make you lose your hair ??

Proscar is the same medication as Propecia — finasteride. They just come in different dosages.

Never take a drug that you do not need. Get your hair mapped out for miniaturization to find out if you need it and if you have genetic balding that needs to be treated. Taking Propecia when you do not need it may have some long term problem that was heretofore not discovered yet. Why take any risks?