Why Could I Be Losing Eyelashes? – Hair Loss Information – Balding Blog

I am 29 yr old female and I am losing some eyelashes on the middle part of my upper eyelid. Is it do to a lack of some kind of vitamin or could it be because I had an eyelash perm? But I was losing a couple before I had that done.What do you think?
Thanks for your time

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Eyelash loss is often due to blepharitis, which is an inflammatory condition of the eyelids. Any mechanical manipulation may cause eyelash loss. It may happen with false eyelashes or eyelash perm. The other possible causes include hormonal problems, such as a thyroid problem (hypothyroid), and pulling eyelashes due to psychological conditions (trichotillomania). Your eyelash loss may be part of a condition called alopecia areata, which is an immunologic disorder that may cause patchy hair loss in different areas. I recommend that you see a dermatologist for this problem.

Taking Propecia with Vitamins – Hair Loss Information – Balding Blog

Hello – my question is quite simple.. I understand that taking Propecia in the morning is best (due to increase in hormones then).. But what about taking it with other pills? Have you ever heard of, or have any reason to believe that taking it with a Multi-Vitamin as well as an allergy medecine (Zyrtec-D) might affect Propecia’s effectiveness?

Thanks!

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To my knowledge, there are no negative effects of taking all those medications at once. I suggest that you consult your prescribing physician.

Cyst Removal on Head Causing Female Hair Loss? – Hair Loss Information – Balding Blog

i have been on the depo shot for about a year now and have noticed that my hair on the top of my head is thinning. now i didnt notice this until about august i think it was after i had a cyst removed from my head. it is by the area where it was removed but all they did to remove it was make an incision and it was tough coming out so they had to pull and dig a little. my question is could that removal of that cyst have caused this and in either case, will it grow back?

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Any procedure in the scalp may trigger hair loss at the surgical site. Two main factors may cause this local hair loss:

  1. Shock loss: If you are predisposed to balding, you may have already had miniaturization to some degree and the surgery on the scalp may have only facilitated the process of hair loss. This phenomenon is called shock loss, and it may or may not be reversible. It varies per person.
  2. Undermining the edges of incision: In order to remove a mass or cyst from the scalp or sometimes to reduce the tension of the skin edges, the surgeon may cut some of the hair follicles. Dissection of hair usually results in permanent baldness in the affected area. This baldness in a scarred area is similar to the hair loss that patients get after a craniotomy or scalp trauma.

My suggestion is to wait it out for 6 months. If the bald area doesn’t grow hair during this period, the baldness may be permanent. At that point, if the location of the scar is noticeable, you may want to see a hair transplant surgeon. The treatment options for this condition will be either to primarily remove it if the scar is small enough, or to use hair transplant to fill the bald area if it is too large.

Vitamin A & D and Female Hair Loss – Hair Loss Information – Balding Blog

(female) regarding hair loss. I have tried it all, propecia, rogaine, the works. what i’d like to know is, I take loads of vitamins and supplements. I have hashimoto’s which I read I should take among others Vit.A and/or omega 3 fish oils. I was taking 5,000-10,000 of A and 400 iu of D. Then I thought I should get my a & d from fish oil instead. I take (2) 2500 Vit a and 250 vit.d a day.My question now becomes this. Would I need to take the same amount of Vit.a & d in the fish oil as in a regular a/d capsule which is from say carotene. I know a & d can become toxic and causes loss of hair and I’m wondering if that is my problem. What is a safe amount?? And which/ or both do you suggest.

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As a rule, a normal healthy diet should provide you with ALL the essential vitamins and minerals for a normal healthy person. Millions of dollars are spent on marketing supplements to a health conscious society and it gives a skewed perspective on our health and subliminally gives us the message that we need to take these extra supplements to make us better (lose weight, grow hair, increase our sex drive, build muscle, feel happy, get smarter, reverse aging, etc). As long as things are not done in the extreme and it seems to help, there is nothing wrong with taking supplements. But there is no hard medical science to support majority of the claims.

With respect to Propecia, it is only FDA approved for male pattern hair loss in men. It is not approved for women. For more information on the use of Propecia in women, see: Treatments Available for Female Hair Loss. With respect to Rogaine, you can try it out, but it would take about a year to notice any benefit. I do not know if you had tried it for a year before you abandoned it. With respect to vitamins and supplements, if they work for you, then I see no reason to change the regimen. With respect to your thyroid condition, you should follow up with the doctor who is overseeing your treatment and follow his recommendation. It is not something you cure with just supplements.

Diagonal Balding Line on Scalp – Hair Loss Information – Balding Blog

I’ve had some fairly serious events occur in my life as of late and have been very stressed. I’ve gone to a doctor and am believed to be suffering from depression/anxiety. I noticed recently that I have a strange part on the top/back of my head. It starts about where my cowlick is and runs diagonally for about 4-5 inches. It is very noticeable and I am pretty sure I haven’t had this before.

I’ve had thinning all over, including the front, and have been on propecia for about a month resulting in a decreased amount of shedding. I look at other people and pictures of those who are balding and I have yet to see such a distinct line of no hair on anyone. What could this be?

Thanks

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Without seeing you and examining you, it would be impossible to guess on what is happening to you. If you are losing hair from genetic causes, then the character of your hair (the way the hair lays down) can accentuate the thinning in one area over another. You must be examined by an expert.

Can the Triple-Flap Procedure Give Me a Full Head of Hair? – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassman,

Can someone who is completely bald (everywhere, except the very back and sides) have a full head of hair like that of a teenager by the triple-flap procedure?

Is there any procedure or combined procedures to give a completely bald person that final result?

Best regards

There was an article in the news last week about this very procedure, which I am assuming is what prompted your inquiry.

The triple-flap is a corrective procedure, generally used to repair patients where slot deformities were created by scalp reduction scars (surgeries that tried to remove the bald spot). This article seems to be misleading, because it does seem to make clear enough that the triple-flap procedure should only be used to repair deformities of the scalp. If there are defects in the scalp that are not the results of multiple scalp reduction surgeries (like a burn), then many of these people need balloon expanders to shift large areas of the scalp. In any event, this is a very specialized field and something that I can not comment without examining you. Please send me photos (you may cover your face) and I will evaluate what you are talking about.


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More Aggressive Prostate Cancer While on Finasteride? – Hair Loss Information by Dr. William Rassman

I’ve seen some studies that suggest those who *do* develop prostate cancer while on finasteride may have a greater change of seeing a more aggressive variety. There seems to be conflicting views on whether or not this is true. The general consensus I’ve gathered is that the preventative nature most men see far outweighs the risk, but its something to keep in mind nonetheless.

There seems now to be an agreement amongst the medical community that the appearance of a more aggressive cancer in those patients on finasteride may be a distortion of the way the data is collected. In addition, people on finasteride shrink their prostate when compared to people not on finasteride. If one assumes that both the control group and the treated group start out with the exact same number of cancers (or pre-cancers), then the smaller prostate (when biopsied) will show a higher rate of cancer detection than the larger, more swollen prostate. Each man in the original study was over 55 years old, and as cancer is more prevalent in men over 55. That is why the age group was selected for this study. The men who had an apparently more aggressive cancer had what appears on biopsy to be worse cancers, had the same long term result as than the control group of men. In conclusion, finasteride probably has no more negative effect on producing an aggressive cancer of the prostate than those people who were not on the drug, but the incidence of cancer was 25% less in the treated group than the control group.

For more information, please see Archives of Dermatology – Finasteride (Propecia) and the Promotion of High-grade Prostate Cancer.

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Supplement Ingredients and Hair Loss – Hair Loss Information by Dr. William Rassman

Hi Doc, I have purchased 3 supplements for working out…ce2 ethel ester (creatine), papaya enzyme, nitro tech whey protein made by muscle tech. Are you aware of any of the ingredients in these that cause hair loss?

No, I am not aware of any specific ingredients in any supplements (when taken as directed) that could cause hair loss. Some of the supplements that may have steroid type effects cause hair loss. Keep in mind any medications, supplements, and food when taken in excess can be harmful to your body.

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Will Propecia Only Prevent Shock Loss in Younger Men? – Hair Loss Information by Dr. William Rassman

Dr. Rassman,

You frequently mention the safeguard of taking Propecia to prevent shock loss. You also mention how shock loss is more frequent in younger men and so I’m left with the impression that Propecia will only help young men prevent shock loss. I’m 36. I seem to have stabilized my hair loss with propecia. If I’m a NW 3 and have been on propecia for 15 months, what are my chances of shock loss? Also, if I’m going for a mature hairline, how many grafts are needed for a typical NW3?

Thank you

I believe that Propecia can and does prevent shock loss in anyone having a hair transplant at any age (although nothing is 100%). The young man is most vulnerable to this complication. At your age, your chances of developing shock loss are slim.

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Hair Loss InformationHairless Spots on My Leg – Alopecia Areata? – Hair Loss Information – Balding Blog

Hi Dr Rassman, I have 2 round, completely hairless bald spots on my leg, very slightly pitted & ridged fingernails, and some hair loss on the sides of my head. I have read a lot about alopecia areata and was relieved to find out that al. areata hair loss is usually in clumps, but then I came across a website that said that there is a type of alopecia areata that is a general thinning of the hair (not talking about dupa), I have also read on this site that there can be several reasons for round hairless patches other than alopecia areata, and lastly I have read that there can be many reasons for pitted fingernails, my question to you is can you tell me the list of tests I should have done to evaluate what I am experiencing? I plan to see a Dr. regarding this as well, but I also wanted to ask your thoughts. Thank you.

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You have 2 round and hairless spots on your leg along with pitted and ridged fingernails. Although alopecia areata is frequently seen in clusters, it is not unusual to see just one area involved. Accompanying signs like pitting and ridging fingernails are found in alopecia areata (AA), but it can also be found in fungal infections as well. It is a good idea to see a dermatologist and if presenting typical signs, you may not need any other tests. If AA has an unusual presentation, your doctor may choose to take a skin biopsy to confirm the diagnosis.