Dr. William Rassman – Page 1718

November 1, 2006

Man Unaware of Shock Loss After Transplant – Hair Loss Information – Balding Blog

I am 37 years old male and I had hair transplant with 800 grafts four years ago. after hair transplant i lost my original hair which i had before transplant and now i left with only the hair which i transplanted. i have two question. first, is it normal for everybody that once you did hairtransplant you will lose your original hairs due to shock that our scalp get. my other question is regarding after transplant. since last year after getting shower the next day when i touch my scalp i notice the dead hair bulb ( i think it is called hair bulb or hair follicule, the material which hair grows from it ). it scared me alot. i have oily skin and when i touch my scalp i notice them it is like more then 10 per day. would you please give me some idea that why i lose my hair bulb besides my hair. and what should i do to prevent it.
thank you

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Shock loss after a hair transplant occurs in some patients and it is best prevented by taking Propecia (which I prescribe to everyone having a hair transplant just to minimize this possibility). It is probably related to the degree of miniaturized or weak hairs that were in active loss phase when you had your transplant.

Regarding your second question of a ‘dead hair bulb’, I do not know what you are describing. It is normal to lose up to 100 hairs a day. What you are probably seeing is a hair shaft with a little sebum (mucus) plug attached at the end.

November 1, 2006

Can I Get a Consultation Even If I Do Not Want a Hair Transplant? – Hair Loss Information – Balding Blog

Hello, I am 26 years old and in the last 6 months have experienced thinning of hair on top of the scalp especially in the front hairline? Is this normal? and because of this problem can I get a consultation with New Hair Institute even though I do not want a transplant?

Thank You

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Yes, we offer free consultations, even to those that do not want a hair transplant. It is a goodwill gesture. We will map out your hair for miniaturization so that you know what the future has in store for you. Please call our office at 800-NEW-HAIR to schedule.

November 1, 2006

Corticosteroid and Propecia – Hair Loss Information by Dr. William Rassman

Good Day Dr. Rassman,

I am a male in my early twenties and suffering from genetic hair loss. I was wondering if applying a topical Corticosteroid like Clindamycin 2% in Gen-Clobetasol for treating my scalp irritation would have any negative impact if I start taking Propecia? Also, is there any data available showing the benefits of using a shampoo like Nizoral or Neutrogena T-Gel while on Propecia?

Thank you for providing this service, I appreciate your time and expertise in responding to my questions.

You should not be experimenting with drugs. Clindamycin is an antibiotic and using strong steroids can have a balding side effect. To my knowlege there have been no clinical studies showing synergistic benefits of using special shampoos and Propecia.

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November 1, 2006

Hot Flashes from Propecia? – Hair Loss Information by Dr. William Rassman

First of all i would like to thank you for setting up such a great site for MPB sufferers. My question to you is, I’ve been on propecia (1mg finasteride) for almost a year now and about a few months ago i’ve started developing hot flashes as a side effect and it has reached a point where it started bothering me alot. My GP said the only way to solve the problem is for me to go off the propecia for awhile but that also mean i’ll turn bald sooner. What should i do Dr. Rassman? The majority of my thinning happens in the frontal region with a receding hairline(a norwood III vertex). I am 26 y.o.

I hope that I am correct to assume that you are a male. Hot flashes are mostly seen in menopausal women and in men following castration or using anti-androgen medications. Hot flash is a result of an imbalance of sex hormones. In studies with Propecia, no clinically meaningful changes were detected in the levels of FSH, LH, and lactogene that are associated with hot flashes. Hot flash is not a reported side effect of Propecia.

You have been on Propecia for almost a year and just started to experience hot flashes a few months ago. You should be aware of some other medical problems that mimic hot flashes, including thyroid disease. After excluding the other medical problems and if you continue to have hot flashes, you may stop taking Propecia for a month, as most of it will be out of your body in a few days. If there is any association between the symptoms and the drug, the symptoms should go away quickly. If there is no impact of the drug, there is no point to stop using it if it helps maintain your hair. If you continue to have hot flashes, it should be considered a rare side effect, and you may discontinue Propecia and start using topical minoxidil instead. Discuss this with your prescribing doctor before making any changes to your medication, however.

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November 1, 2006

How Long Could I Keep My Results from Minoxidil? – Balding Blog

Hello, I cant seem to find a good answer for my question, I seem to get different answers, every where.

My question:
Im 24 year old, and suffer from mpb, i get bad sideeffects from propecia, my libido disappears.

So im only on minoxidil, 5%, and I have some really good results. But how long can I keep these results without a DHT blocker?
What would you recommend, as an topical dht blocker?

Thank you

There are no FDA approved topical DHT blockers. If Propecia kills your libido, try a half pill a day and then if that does not work, try a quarter of a pill per day. There will be some benefits for DHT block at that lower dose. Just like Propecia, you will lose the effect of minoxidil if you stop using it, but minoxidil, when it works, can last for years and years. The new Rogaine foam is reported to produce better skin absorption and blood levels than the standard minoxidil. That should mean that Rogaine foam may be more effective than the standard minoxidil.

November 1, 2006

Musician Moby Talks About Hair Loss – Balding Blog

Moby Waxes Philosophic About Hair Loss

Some things worth noting after reading this article –

Shaving your head does not cause hair loss and vitamin E does not prevent it. Hair loss has four causes in men:

The genetic balding defect, whatever that is
The male hormone
Stress of all types
Time of exposure to #1 and #2

The sum of 1, 2, and 3 working together in some manner causes less hair loss if a person is not stressed. Without both #1 and #2, stress will not cause hair loss over any period of time. Propecia works wonders at preventing hair loss or slowing it down in those impacted genetically who may become baldwe over time.

October 31, 2006

Hair Loss InformationFUE Training and Tools – Hair Loss Information – Balding Blog

I’ve read your blog with interest, especially having just returned from the ISHRS at San Diego. Could you comment more about the types of punch biopsy that you use, and where one can purchase them. Also, can arrangement be made where I can get some hands-on/observation training on the FUE technique?

Any help would be appreciated.

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I am generally not in a position to train doctors. It takes many months to learn and master the FUE technique. Generally, I believe that a year fellowship is the right solution for the doctor who wants to learn this process. Structured learning is the right way to learn. The instruments are not available for sale yet.

October 31, 2006

If Minoxidil and Propecia Work Best in the Crown, How Can I Save My Hairline? – Hair Loss Information by Dr. William Rassman

I am 33 years of age and my hair line has become considerably thinner over the last year or so. Apart from having a transplant what else can I do to prevent further hairline loss seeing as Propecia and Rogaine only work on the crown?

Also is it possible that hair loss occurs in stages that last a year or so and then slow down?

Hair loss can occur in stages, spurts of hair loss and then a quieter period. Frontal hair loss is difficult to reverse, but Propecia (assuming you have genetic hair loss) does slow the process down. I have seen many men who were losing hair rapidly in the front, then go on Propecia and see the hair loss stop. If they should stop the Propecia (some do for reasons that I do not understand) the hair loss picks up again and makes up for the time the drug was effectively holding the hair there. Get your hair mapped out for miniaturization and then consider the Propecia option, if indicated. You may be concerned about frontal loss today, but taking action with the drug Propecia will help you in the frontal area today. Crown loss can be thwarted as well.

October 31, 2006

Procapil, Nizoral, and DHT Blockers – Hair Loss Information by Dr. William Rassman

Dear Dr:

First, I would like to say thanks for this web site of yours. you’re one of the few sources of hair loss info that i trust. keep up the good work.

my question: what, if anything, do you know about Procapil (www.procapil.com/index/html)? there is a brand of hair care products on the market called MiN New York (www.min.com) and they all contain several DHT-blocking ingredients — copper peptides, saw palmeto, etc. — and Procapil. any thoughts on this company and their products? also, i have read some info re: Nizoral and how it may help regrow hair as well as Rogaine. is this true?

Nizoral contains a drug used to treat a variety of fungal infections of the scalp. So many people think that it is the magic shampoo for hair loss. If it is, there is far more fungal infections than I ever thought amongst the population. Many ingredients like copper peptides and saw palmetto claim DHT blocking capability, but they are poorly documented at doing just that. If saw palmetto is a DHT blocker, it is a weak one. Copper peptides are not DHT blockers.

Procapil reports that it is a patented plant complex that repairs, nourishes and prolongs the hair cycles of the telogen phase of hair growth. There are claims as well that it is a DHT blocker. In my opinion, none of this is scientific or can be substantiated to meet my standards. Again, I warn every reader that this is a ‘Buyer Beware’ business and many people make good money on promotions that may not have good scientific data presented.

October 31, 2006

Propecia and Diabetes – Hair Loss Information by Dr. William Rassman

I appreciate all the information you provide. I am a 30 year old male. It is my understanding from the blog that you believe Propecia to be the most effective pharmaceutical treatment option for hair loss. What advice would you give to a patient who has islet-cell antibodies present in their system? In other words, how would you characterize the risk that taking Propecia would prompt an auto-immune response by the body, thus causing an attack on the pancreas leading to Type I diabetes?

Finasteride (Propecia/Proscar) is a DHT type 2 receptor blocker which does not have any association with the pancreas, therefore I would expect that it should not lead to Type I diabetes. The drug company (Merck) would have recognized any such association if it would have been detected and considering the number of diabetics in the general population, I would expect that such an association (if it existed) would have been reported. Finasteride was originally developed for benign prostatic hypertrophy (which affects the prostate). If you are experiencing genetic androgenic hair loss (male pattern hair loss) Propecia may be a consideration. Propecia, as you probably know, is a prescription medication, so discuss these concerns with your prescribing doctor before taking it.

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