Dr. William Rassman – Page 1761

August 10, 2006

Asymmetrical Facial Hair Loss – Hair Loss Information by Dr. William Rassman

I have a question about facial hairloss. I am 34 years old male and have never had a problem with hair loss untill about 5 months ago. Thats when I noticed a diamond shaped bald spot on the side of my chin it was at the time smaller than a dime. It has since grown to be over two inches. About a month ago I saw two more small bald spots on the other side of my chin. They have since grown together and are now about the size of a nickel.

Can you tell me what might cause this and do you think I need to see a doctor?

Any info you have would be very helpful. Thank you

Balding spots that are not symmetrical may represent infections like ringworm, or autoimmune problems like alopecia areata. I would suggest seeing a dermatologist.

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August 10, 2006

Copper Peptides for Follicular Enlargement? – Hair Loss Information by Dr. William Rassman

Have you ever heard of copper peptides for follical enlargment, hair growth, wound and scar tissue healing? Is there anything to it?

skinbiology.com

thanks

That site suggests that if you have guinea pigs, pigs, rabbits, rats, dogs, and a few other mammals, that they can repair their tissues and possibly live longer. I am not sure that I want my 14 year old dog to outlive me, but perhaps that’s just me.

I actually have used copper peptides to reduce the degree of redness in wounds in those people who are prone to get red after a scratch or surgery. Originally, the company claimed that it accelerated hair growth after a hair transplant, so we tried that on a number of people and did not find that it worked as a growth accelerator. The observation of reduced redness is what called my attention to some value for the compound.

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August 10, 2006

Hair Breaks 3 Inches From Root – Hair Loss Information by Dr. William Rassman

I have a question for my friend.. She has had hair breakage about 3 inches from the root. She has had over 15 surgeries in the past 7 years due to a motorcycle accident.. Her hair breaking has been an issue for over a year or 2.. She has had blood work done and nothing was found wrong. She has made an appointment with a hair specialist to do a test on a piece of her scalp. Is there any other simple reason that the doctors would be looking over like her nutrition? I am concerned for her and I wanna help her as much as I can.. If you have any answers for me I would appreciate it.

Stress from surgery can cause hair to fall out. I have often stressed (no pun intended) the importance of miniaturization mapping of the scalp to see the pattern of hair loss. This may be of benefit to your friend.

With regard to hair breakage (if it were you), I would want to know more about how you manage your hair, how you brush/comb it, what shampoos and conditioners you use, what changes you have implemented prior to noticing the breakage problem, and what the nutritional status of your body is (the hair may reflect vitamin and other nutritional deficiencies).

August 10, 2006

Hair Loss from Anemia – Hair Loss Information by Dr. William Rassman

i was recently in a hospital for severe iron deficenty my red blood count was 2 out of normal of 14. it was determined that i have been aneimic for close to a year. i experienced a lot of hair loss during that period. my question is if aniemia was root cause will the hair grow back? thank you doctor

From your description I am not certain if you are male of female. The cause of hair loss is generally very different between men and women. Gender differences aside, hair loss from severe iron deficiency anemia should reverse if it is corrected. However, people generally respond differently to such stress on their body and the hair growth may be varied. If you are a female, anything that causes hair loss can become permanent if you have the genetic code for female genetic hair loss. In other words only time will tell.

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August 10, 2006

Scalp Pimples Cause Hair Loss? – Hair Loss Information by Dr. William Rassman

Male – Age 20, Question: Do Scalp Pimples cause any amount of hairloss whatsoever?

Hi, usually over the summer i get oily hair for some reason and with that i get scalp pimples. they occur in random places all over and can get to a decent size. they hurt only when i would accidently scratch over top of them or when i try to pick one. my question is, do scalp pimples in moderation cause hairloss, i mean i was wondering because since its a pimple it would cover the hair follicles resulting in no oxygen, etc.? and when the pimple drys out it leaves sorta a scab like cap over the hairs until its washed away or picked off. prove me if i’m wrong here. i’m just concerned. thanks

Pimples in the scalp generally do not cause hair loss unless infection gets out of control. You need to see a good dermatologist to control them, for that is no way to live.

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August 9, 2006

Taking 0.5mg Finasteride Twice a Day – Hair Loss Information – Balding Blog

Hi Sir,
I take Proscar and break the pills in 1/4. Considering the fact that finasteride remains only a few hours in the body, would it be better if I’d break the pills in 1/8 and would take it twice a day?

thanks

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What you say may be true. The problem is that the 5 hour half life is a reflection of blood levels for the drug (5 hours drops the concentration in the blood by half). The more important number may be tissue level of bound drug that binds to the receptor targets. I believe that this number is much longer than 5 hours (maybe a few days). Thinking this through is an intellectual exercise only:

The pill might be able to be taken less often, rather than more often.
A smaller dose might be just as effective. I was told in a personal communication some years ago with Dr. David Whiting (who was involved in the original Merck studies to determine the best dose to use) that half of a Propecia (0.5mg) is 80% as good as a whole pill.

It may be in nobody’s interest to really solve this problem for you so your guess is as good as anyone. I tend to stay with what is known and that happens to be Merck’s story on the commercial pill. Other than saving some money, I am not sure that for most men without any side effects of the drug that taking less of a dose has any advantage over the recommended dose.

August 9, 2006

If I See White Bulb on the End of Falling Hair, Does That Mean It Is Lost Forever? – Hair Loss Information – Balding Blog

I am a 22 year old male. I have noticed more shedding than usual in the past months. When I look at the individual hairs, there is definitely a tiny white follicle on the end of each one. My question is, since there is a follicle on the end of the hair that has fallen out, does that mean more hair can never grow back from the location it fell out in? Thank you for your time.

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The white dots you see at the end of the hair shaft do not necessarily mean your hair will never grow back. That is not the way we diagnose hair loss. When you pull on normal hairs, some will come out with a white dot on the end. This is normal, but the key is how many hairs came out with such a pull. More than 10% would be abnormal, requiring an expert to evaluate you (see FPNotebook.com – Hair Pull Test).

August 9, 2006

DHT and Follicles That Are Transplanted – Hair Loss Information by Dr. William Rassman

Dear Sir/Madam,
I would like to know how a hair follicle falls off. I was told that as DHT accmulates at the bottom of hair follicles hair falls off. This DHT is produmed by male harmones. Is this true? If this is the case even after hair transplantation DHT will be accumulating and it will cause the transplanted follicle to fall off. Then how is hair transplantation a permanent solution?

I think you have it wrong. DHT does accumulate in body tissues, but it has no hair loss impact unless there is a genetic defect in the hair follicles. The hair in the back and around the sides of the head have no genetic defect, so the DHT does not impact these follicles. The follicles are, for all intents and purposes, immune to DHT.

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August 9, 2006

How Soon After 1st Transplant Can I Have Another? – Hair Loss Information by Dr. William Rassman

after 2,360 graft transplanted . . . how soon could i have the second session. months?

I generally tell patients to wait a full 8 months so that they can see what they got. Prior to the first transplant, the patient has little real appreciation for what is going to be done and what he will look like. After 8 months (post op), the patient for the first time can appreciate what he got and what any disappointments may be. Often it is touch-ups (some want more bulk and thickness), and other times it is another area that becomes more important after the first area is hairy. Do not rush the second transplant. Take your time and now you can take control of what is happening to you

August 9, 2006

Propecia and NutraSweet Products – Hair Loss Information by Dr. William Rassman

I am a male of 39 yrs old with Norwood scale 3 vertex. Have been prescribed propecia and am taking propecia for 8 weeks now but I see no effect.

I have read on the internet that if one is taking propecia to stop hair loss and consuming nutraweet products (artificial sweetner)at the same time than the nutrasweet makes the propecia ineffective because the nutrasweet converts to something in the body which does not allow the propecia to work. Please let me know what you think as I trust your opinion on this much discussed topic.

I looked it up and could not find anything on it. Essentially, I don’t have a clue. Can you send me a point of reference?

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