Author: Dr. William Rassman

I want to bleach my hair blonde for a party but i wonder if this will cause any permanent damage? I use fin/min/nizoral and derma once a week. Could this cause anything permanent?

If you want to bleach your hair, make sure that you get an expert to do it. I have seen too many people do it on their own and get a permanent burn to the hair follicles and develop localized balding from it.

When the contrast between hair and skin color is minimal or when hair is very blonde, hair loss does not show well. I have seen many people in the office over the years with this situation. Contrast with a man with fair skin color and black hair (most Asians), especially when their hair is straight, balding stands out with less than 50% hair loss. I believe that a platinum blonde person can lose 85% of their hair, if it is a distributed, without seeing the loss.

The color contrast between hair and skin color is very important in determining the fullness of your hair. This man has lost a lot of hair, but because he is light blonde, his hair loss doesn’t stand out like a newspaper print of black hair on white skin.

When you bleed with microneedling, it shows you are at the correct depth. From a numbers perspective, I recommend a 1.25 mm depth. I particularly like the “Dr Pen” device because you can hold it over each area and deliver an effective injury to induce the healing cascade. Once per week is adequate; more frequent use is unnecessary. The photograph shows that you are using it where you want your hairline to return. I can see that clearly by the bleeding that shows in the photo.

There is little that can be done at this time. Go through the post-operative care with washing until the recipient area cleans up. Then look at this recipient area very closely. You may have to wait a full 8 months to know what needs to be done, if anything

I recall reading a couple years back that some doctor interviewed in a mens health mag said that taking a baby aspirin is recommended as it increases blood flow which may be of benefit to men losing there hair

your thoughts on this theory? as well as the whole concept of blood flow bringing nutrients to the hair? perhaps MPB is directly correlated to poor blood circulation? ok this is far fetched but can it be ruled out?

I do not know of a scientific correlation. The concept of blood flow contributing to hair loss has been well disproven. The hair gets what it needs, but the genes that cause balding will cause the cells to die (medical term is apoptosis — see ResearchApoptosis.com).

Men who use muscle-building supplements (MBSs) that contain creatine or androstenedione may have up to 65% increased risk of developing testicular cancer, according to a case-control study published online March 31 in the British Journal of Cancer. So many of our readers are focus on body building and use these supplements as a way to enhance the benefits of working out. This is a disease that hits many who are just too young.

I did two hair transplants on a very bald psychologist who was age 52. After he got his hair back, he felt like a hairy person, not a bald man with low self-esteem. He told me that he underwent 18 years or psychoanalysis for his self-esteem problem and was angry that he thought he could have had a hair transplant 18 years earlier and solved his problem. I have performed hair transplants on many celebrities. Many of them felt that they could not be themselves without hair and once they got their hair, the never focused on hair but their careers. They each told me, regardless of their age, that the hair made them feel like themselves and freed up their creative side. Thanks for the nice write-up.

Body image issues and why getting your hair back isn’t going to change your problems. from tressless