Complications of minoxidil

Dr. Rassman in your practice have you ever had a patient with an adverse reaction to oral min? Thanks so much!

Yes, some people can’t tolerate this medication for one of many reasons, and the blood pressure effects can be disabling for a few people, with lightheaded and rapid heart beat. Here is a list of some of the side effects of minoxidil. Some of these side effects only relate to the topical application of minoxidil.

  • Fluid retention
  • Facial hair growth
  • Fast heartbeat
  • Hair shedding
  • Irritation
  • Nausea
  • Acne
  • Burning of scalp
  • Chest pain
  • Fainting
  • Headaches
  • Application site redness
  • Difficulty breathing
  • Hypertrichosis
  • Redness
  • Swelling of face
  • Breast tenderness
  • Burning
  • Low blood pressureReddened skin
  • Weight gain
  • Hair texture changes
  • Heart palpitations
  • Cardiac Tamponade (very rare with a lot of early signs of it but potentially deadly)

Confused about SMP and FUE, can you help me?

Hi Doctor, I am thinking about getting a SMP and have some apprehensions. I saw a few of your posts and you seem to be quite upfront and honest about the procedure. I would mean a lot to me if you could please verify some of the information I have been told. The clinic where I got my consultation told me the following: Trico SMP procedure does not yield as good of results as regular SMP and there can be possible discoloration and blue tint as it fades, so they recommended that I go for regular 3d looking SMP. Their permanent SMP tends to last 5-8 years, they seem to be suggesting that it will mostly fade away unless touch ups are done. I had the following questions: Initially the idea of Trico SMP really appealed to me, as I don’t mind going for this treatment again but the few samples of work the clinic showed me had inferior results as compared to regular SMP. Also there was a bit of blue tinge as the pigments started to fade, leading me to seriously consider regular SMP. Do you know if trico SMP can achieve the same results as permanent SMP? Will it look really awkward as it fades away if I don’t want to get a touch up done and just let it fade away? How does the regular SMP look as it fades away after 8-10 years? Will that look really bad if I decide to not get any touch ups in hopes of it fading away as well? Essentially the permanency of having a tattoo really concerns me. If these pigments just naturally get lighter and sort of do so in a way where it doesn’t look awkward then I am fine with it. I also wanted to consider getting FUE procedure done after my SMP to add some density around my scalp, for a more natural rougher buzz cut look if possible. I was also wondering if I should opt for FUE before hand, but I have quite thin donor area. If you could please provide some insight I would really appreciate it. The clinic and artist I am most likely to get my SMP done is quite reputable as well.

In regard to FUE, if you never had a hair transplant before, then most people have enough hair for FUE. The question is how big is the balding area that is going to be covered. I need to see pictures of you for that with the pictures in your worst light.

The Trico SMP sounds like a sales pitch. Temporary SMP is not good because it becomes an excuse for bad work that then assures the patients not to worry because it will go away in a year or two. Black pigments turn blue or green based on the trichomatic theory where the eye perceives blue or green against the background of your scalp color. Look at the veins in your hand, they are green but your blood is red (I think, yes?). People who use black pigments cause blue and green SMP. There is also the issue of the pigments that are used. Many people use pigments that contain toxic metals, we use only organic pigments.

Send me photos and set up a telephone consultation, its free. if you end up coming to Los Angeles, we subsidize travel as part of our service.


2019-02-12 07:02:31Confused about SMP and FUE, can you help me?

Congenital Adrenal Hyperplasia and Hair Loss

I’m 32 years old/female. I have recently been diagnosed with CAH and wanted to find out if there is any chance my hair will grow back if my condition is being treated and the hormone levels (DHEA-S and 17a-OH Progesterone) return to normal levels. Does hair loss in the pubic region, eyebrows, and eyelashes also occur in patients with adrenal disorders?

The scope of hair loss varies with individuals that have CAH. If you happen to have the genes for hair loss in women, then CAH could activate the process. If you get your hormones under control, chances are that your hair loss may grow back. You might have to wait one or two hair cycles (5-12 months) to know one way of the other. Hair loss could occur anywhere on the body, including the pubic region, eyebrows, and eyelashes. See eMedicine for more information.


2007-04-24 12:31:26Congenital Adrenal Hyperplasia and Hair Loss

Concerns About NeoGraft

Just after I published a post about the NeoGraft tool, a phenomenon began occurring in the community. I’ve been seeing an increasing number of press releases that get brought to my attention from readers and from Google Alerts, announcing that some doctor with no experience in the art of hair restoration is now the first in his area to offer hair transplant surgery using this new NeoGraft tool. It could just be due to the marketing efforts of the makers of NeoGraft or it could be doctors following other doctors in issuing these press releases (and also the machine being shown on the Rachael Ray show)… but some of these physicians often have no real training, and this machine offers them another source of revenue with the ability to do what we have been doing manually.

Michael Oakes, president of NeoGraft Resource Group (makers of NeoGraft), even brags about the ability to sell the tool to doctors that have no prior experience performing hair transplants. In his Plaxo.com public profile, Oakes writes that the NeoGraft machine “opens up opportunity for non transplant physicains [sic] to add to there [sic] exsisting [sic] practice.” This is quite alarming to me!

I am writing this as a warning for those who are considering a NeoGraft transplant. Some additional comments that Dr. Robert Bernstein made on his site about the risks of the NeoGraft tool suggest real problems that will, almost certainly, produce failures of the transplant. I have seen one such failure recently from an experienced surgeon who used it. If you’re still considering having surgery with this tool, just be sure to check out the technology and the doctor who is performing it. Ask about the physician’s training and also ask to meet some patients who have had successful hair transplants with this tool. The proof is in the pudding.


2010-03-16 15:23:48Concerns About NeoGraft

I Am Confused About My Hair?

So I have no receding in the front or temples, basically it’s NW1, but the crown is somewhat thinner I think and having some hair fall Went to the dermatologist and she said there’s no indication of MBP, but I can feel my density has decreased from the year before

Hair loss often starts in the crown in some people. Also in young men, the hairline evolves from its rounded, juvenile concave shape to a V-Shaped convex shape called the mature hairline. If there is thinning in the crown (which I would confirm with the HAIR CHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-and-what-its-value/ ), then I would start the person on finasteride and minoxidil applications, which in combination work well to stop or probably reverse the crown loss. To see the effectiveness of this treatment, I repeat the HAIR CHECK test yearly.


2020-03-10 12:53:51I Am Confused About My Hair?

Confusion About Generic Propecia

Hi Dr.

This is a follow up question to the statement you just posted about generic 1mg finasteride. You mentioned a little while ago that Dr. Reddy’s lab received the right to make generic 1mg finasteride and that you called to find out when it would be available and said it may take a “couple of months” to get it out. Now you just said that the patent hasnt expired with Merck and it would take years. Im a bit confused now?

Sorry for the confusion. It was confusing for me as well. After doing more research and personally calling a Merck (makers of Propecia) representative, the story is that Propecia (finasteride 1mg) is still under patent protection. The confusion came from the FDA, which gave permission to allow generic Propecia on the market, but with patent monopoly controlled by Merck, the legality to sell it is in the hands of Merck. At least, this is how it was explained to me by Merck. If things change and generic Propecia becomes available (legally) in the US, I’ll certainly post about it here.

Confused About Hair Loss and Regrowth. What Are the Stages of Typical Hair Growth and the Amount of Time It Would Take to Regrow?

Anagen is the growth phase which lasts between 2-6 years depending upon sex and age.

Telogen is the sleep phase which lasts about 2-6 months.

These hair cycles occur in every human being on the scalp. It starts when we are born and continues until we die unless we have genetic balding.


2018-09-14 08:54:39Confused About Hair Loss and Regrowth. What Are the Stages of Typical Hair Growth and the Amount of Time It Would Take to Regrow?

Considering hair transplant. Would hair fibres and hairspray every day/two days for 10 years be harmful?

Inert hair fibers like Toppik do not cause harm to the hair. Hair spray does not do damage provided that when you style your hair that you don’t tug your hair as tugging on the hair can pull out the hair at its roots and in the long term cause permanent hair loss and/or hair damage


2019-12-16 06:28:39Considering hair transplant. Would hair fibres and hairspray every day/two days for 10 years be harmful?