Dr. William Rassman – Page 1832

April 4, 2006

I Had a Hair Transplant, But I Want the Corners Lower Than “Normal” – Hair Loss Information by Dr. William Rassman

Hello, I had 1200 grafts last year, and they have done well, but the hairline is too far back in the corners. It is probably just fine for most men, but I wanted a more rounded hairline. I think that I got the male “template.” I have a widows peak, it does not, nor the area of about 1 inch to either side, need to be lowered, just the area in the corners. I have heard of hair line advancement, could this help? Most literature says that all men should look the same, as it comes to hairlines, its just not what I want. I travel to Sacramento and San Jose frequently. Hope to hear from you.

Picking a hairline is a negotiation between you and your surgeon. I have restored the original hairline in men and if this is part of your Master Plan, then it can be done. Be sure to get a great doctor, because these rounded corners can be a difficult part of the art of hair restoration.

Here’s Patient NU, whom I have featured on this site previously. The corners of his hairline were lowered dramatically and the patient wanted his central frontal hairline to look like actor Andy Garcia. Each of us has a different look and different taste, thank God. If we did not, then the world would be farily dull. The patient shown below had let his hair grow out to shoulder length for a number of years, and then recently cut it to crew cut length. He clearly enjoys the freedom of having his hair just the way he wants. Also, it is worth noting that he had temple transplants many years ago, and his results are available here and here.

Other examples include patients EO, KB, and IU.

April 4, 2006

Propecia Gives Me Pimples – Hair Loss Information by Dr. William Rassman

Whenever I take finasteride 1mg I get these red pimples on my face almost like acne. I think it is probably reflex hyperandrogenicity. Is there any solution to this? Without finasteride I can’t fight my hairloss. How can I stop this reflex hyperandrognicity without stopping propecia? I tried reducing the dosage to .5mg .25mg even .10 mg. But all those dosages still made me breakout in my face.

Check with your dermatologist, for you are guessing the diagnosis here. This is not a common complaint with Propecia, but we do see acne in teenagers that is clearly hormonal.

April 4, 2006

Repeated Bleaching Causes Follicle Damage? – Hair Loss Information by Dr. William Rassman

Bleach - art

Is it possible that hair follicles could have been damaged/destroyed by hair chemicals, such as repeated bleaching of hair? If so, is it possible to restore damaged hair follicles?

Hair follicles grow through the skin. These follicles arise from the bulb which is located 5-6 mm below the skin edge. Between the skin edge and the bulb, there is a ‘tunnel’ which allows the waxy sebum to rise out of the follicular unit to the skin. In theory, this tunnel could become a two way highway allowing chemicals, dyes or bleach to find their way deep into the hair follicles (note: the drawing is simplistic for illustrative purposes only). Through this route, it is possible to damage the machinery that grows hair either by killing it, or damaging it so that the hair that grows out might be a smaller gauge hair that has a different character to it. The question you ask is whether or not this process be reversed, and the answer really depends upon how much damage was produced. Generally the hair is quite a robust organ and will recover from insults. Hopefully in your case, the damage is such that it is reversible.

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April 3, 2006

This Blog Is Biased And Distasteful! – Hair Loss Information – Balding Blog

Do you think you might be biased because you are a Hair Transplant Doctor? Anybody interested in HM knows you are overplaying health risks. as everyone knows this is a different process altogether than most “experimental drugs” because it is not a drug. It is borderline tissue engineering. it is distasteful to lie to people about HM to sell transplants, please stop.

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Dolly the cloned sheep Note: This question / statement was actually posted as a comment to the recent Intercytex and Hair Cloning post, but I’m replying to it here. Also, I believe that the above mentioned “HM” means “hair multiplication”.

I am always open to new ideas and new criticisms. I am also aware some may consider my answers to be biased. However, the posts on this site are my opinions (or that of my M.D. editors). As clearly stated on the homepage, the goal of BaldingBlog is to educate — not to sell hair transplants.

If you have been following this site, more often than not I have recommended a medical approach to hair loss, such as finasteride. In fact, I do not recall a post where I have recommended a hair transplant directly. Twice before, I have even been accused of working for or being paid by Merck (the company that makes Propecia). That simply is untrue. I do not get paid when a patient takes finasteride (Propecia), nor do I own stock in Merck. I recommend finasteride (Propecia), because it is the only medically proven pill for the treatment of hair loss approved by the FDA.

Hair multiplication or cloning is an experimental process. You may want to participate in it, but it is my medical opinion that it may not be safe and it is clearly not effective today (nor will it become a solution in the short term). That is the essence of the BaldingBlog — medical opinion for hair loss from a medical doctor’s point of view.

As you didn’t provide a legitimate email address for yourself, I am inviting you to write once again with the hope that this time you will include a list of your qualifications for your medical insight, aside from perhaps reading company press releases and marketing jargon. I would be happy to discuss this with you further, as long as you can promise to keep the conversation civil and any insults to yourself.

(Photo source of Dolly the cloned sheep: BBC)

April 3, 2006

Hair Loss InformationScarring in Recipient Area After Transplant – Hair Loss Information – Balding Blog

I wanted to know if there is any scarring on RECIPIENT AREA…and this scarring as bad as that in donor area….i mean does recipient area scarring heal fast?? Thanks

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The recipient area rarely shows scars. That is because the wound where the hair is put in is made with a fine needle and a needle does not leave significant tracks. Donor scars usually measure a width of about 2mm, but with a trichophytic closure, that width can be hidden inside hair that grows through the scar. Scarring in the recipient area is very rare. When it occurs, it occurs for two reasons:

When the hair is coarse and the healthy coarse hair has a wider shaft exiting the skin, it may create a very small dimple.
Infections in the area where the hair was transplanted, which will disappear when treated.

With the old techniques, the recipient area had a series of problems that made them quite detectable. That was because the grafts were larger than the follicular units themselves and this older style batched a series of follicular units together into the recipient area. These older graft techniques moved considerable amounts of skin with the grafts and the skin created an obvious whitish disc which: (1) could be higher or lower than the surrounding skin producing a phenomenon called ‘cobblestonning’, (2) would be depigmented make the grafts ‘whitish’ in appearance, and (3) they often clumped the hair within them together producing a stalky appearance, rather than the delicate normal follicular units with the modern technique. With the pure follicular unit transplants, on the other hand, the recipient area should be undetectable in most people within a week, unless there is persistent redness . The abnormalities I discussed above should not be seen with these small follicular units.

April 3, 2006

Taking Propecia and Procerin Together – Hair Loss Information – Balding Blog

Hello, I am 23 and I have a receding hairline. I started taking Propecia and Procerin together about 3 months ago. I feel like my hair in the front is falling out even faster! Is there a possibility that taking both in conjunction with one another might actually be speeding up the process?

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I do not know anything about Procerindirectly. However, I would suggest stopping the Procerin and focus upon Propecia first. Then with one of the substances gone, watch for what is changing. Accelerated hair loss does occur in genetic balding in phases. You may be going through one of those phases.

April 3, 2006

Hairpod – Hair Loss Information by Dr. William Rassman

I saw this article today on the internet. What are your thoughts on it?

Hairpod photo

“Hairpod … stimulates the user’s scalp with low frequency electric current”.

There will always be devices, potions, creams, shampoos, and other such creations for “magically” restoring hair. I am not aware of the Hairpod or its results, though I am familiar with the iPod (though unrelated to this).

I’m only posting this to show the readers this … uh, interesting… new hair device.

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April 3, 2006

I Am Convinced A New Diet Will Regrow My Hair – Hair Loss Information by Dr. William Rassman

Trying to research (and in the process, bypass all the websites advertising products claiming to be the “answer” for hair loss) a solution for my thinning spot. There has to be a biological reason this happens and, thus, a biochemical solution. In other words, I’m seeking a connection between foods I eat and regrowing the hair – a natural way that involves my diet rather than expensive pills or surgery. Are you aware of any research in this regard? Where can I find information about their findings?
Thank you!

There are many causes for hair loss and it is well understood. To date, the only “biochemical solution” they have found is a drug called finasteride (Propecia) which is approved by the FDA for the “biochemical” treatment of male pattern hair loss or male pattern baldness (MPB). You are also correct in stating that certain diets (such as poor nutrition) can lead to hair loss. Unfortunately, the only medical solution to MPB is either taking finasteride or getting a hair transplant. Nothing is guaranteed, and you can find out much more about Propecia, here.

You are under the impression that you are what you eat, and there is clearly truth to this concept, but the complexity of the thousands of vitamins, nutrients, protein, sugars, and other things in our diet weighted against the things that are wrong with us is a daunting task. Just above, I discussed the drug finasteride, but did you know that this substance we call finasteride was actually found in the diet of some primitive people? It was naturally in the food staple of their daily diet. Because they ate so much of it, the explorers that first found the primitive tribe noticed that there were no young boys — just what appeared to be girls. On further examination of this situation, they found many, many hermaphrodites in the population that came from ingestion of this ‘natural food’ substance. This later turned out to become finasteride, a drug used for men with prostate problems and/or hair loss. So here are some important lessons for the natural minded herbalist readership:

Not all natural foods are safe. Arsenic is natural, but it can kill.
There are many good things in what we eat. A good healthy diet will make us healthy.
If we eat anything that is not well understood, then we should take the time to learn and understand the issues of safety and effectiveness if we expect some outcome from what we eat.
There are many substances that work to produce effects we might want. Some natural substances have steroids in them and they may make us feel better, healthier and look more muscular, but the question that must be asked is what is the real costs of such substances? Steroids are harmful in the long term and are not good things to take whether it be natural or in pill form.
Even things like Vitamin A which is healthy in low doses, can cause hair loss in high doses.

If you are concerned about your hair loss or thinning, you should first be evaluated by a hair transplant doctor to map your scalp for miniaturization and the pattern of your hair loss.

Finally, if you find this elusive “cure” to hair loss, please come see me. I would love to be your business partner!

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April 3, 2006

My Hair Splits Into Two – Hair Loss Information by Dr. William Rassman

I’ve noticed that one hair follicle, on my head, can be split into two. In other words, a piece of hair at the end, I see are two pieces, but connected to one. Is there something wrong with my hair?

In the styling industry they call this ’split ends’. I suspect that the hair becomes drier and more brittle as it grows longer and longer. Hair grows for 2-7 years usually at about 1/2 inch per month. That means that the hair that can last for 7 years, will grow to about 42 inches in length (two year growth will bring it to 12 inches in length, etc.). Women often grow hair to the fullest length that their hair will tolerate and when the hair reaches the final length, the ends often split. The split ends are often what precipitates the stylist to cut the hair back. There is nothing wrong with your hair, but it is possible that your hair is very dry and you may want to use wetting agents, (e.g. shampoos or conditioners for dry hair) or just check with your stylist about recommendations to deal with the split ends.

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April 3, 2006

Noni Juice – Balding Blog

Can saw palmetto and niacin or other capsules help accelerate hair regrow on top of using propecia and minoxidil…What other natural products would you say can help the regrow? what about NONI juice…. (TahitianNoni.com)

I’ll paraphrase something I read on BerkeleyWellness.com about saw palmetto that applies to most of the products people write in about. The dietary supplements market in the US is largely unregulated, so you can’t be sure what you’re getting when you buy something like niacin or Tahitian Noni juice or a saw palmetto product (or any supplements, for that matter). There’s many preparations on the market, and because they do not contain the same amounts of the supplement, they may not have the same effects. There is just no way of knowing how much of a particular supplement is actually in a tablet/capsule/juice, even when a specific dose is written on the bottle.

Noni juice sounds exotic (it’s Tahitian!), but it is just a dietary supplement like many others. To be fair, I can’t find anything on their site that even claims to regrow hair.

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