Author: Dr. William Rassman

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Filling In Thinning Areas

I have a question. I would like to know if areas which are only slightly thinning can be filled in as most doctors will not do this. Also laser therapy,does it actually regrow hair and is it worth spending my money on. I hope you can answer my questions. Thank you kindly

Transplantation of hair is generally not a good option to take just to thicken an almost normal head of hair. Hair lasers (called Low Level Laser Therapy) is gaining popularity. Many article writtin in Europe indicate benefit from LLLT and one new article in the US in a new medical journal has suggested benefits to this therapy. A study I am aware of is presently being done will conclusively establish the value of this modality shortly.See my extensive written piece on lasers here.

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Finasteride 3 years (photo)

This man sent many photos all showing tons of hair. The only one I included was an orderly view that compares favorably to the photo he took 3 years earlier. This man clearly enjoys his hair.


2020-08-17 13:50:40Finasteride 3 years (photo)

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On finasteride for 3 months and still don’t see much results

I am writing because I’m am wondering about the effects of finasteride on my hair. I understand you said to wait until at least a year to see results. I go through various mini sheds where I notice a portion of my hairline receding. I started fin when my hair loss was minimal and it has only sped up or continued to recede on finasteride. I have had no sides. Will my hair go back to what it was when I first started taking finasteride or am I stuck with what I have until the sheds finish. I am slightly confused because I don’t necessarily feel like I’m shedding more then the average person would. It has been 3 months today. Any advice or clarity would be much appreciated. Thank you

You must be patient. There is no guarantee that finasteride will work on you, but although it may not reverse the hair loss in a year, it will probably slow or stop it


2019-01-04 12:45:19On finasteride for 3 months and still don’t see much results

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Finasteride (abstract review of 33 articles)

https://www.tandfonline.com/doi/abs/10.1080/09546634.2020.1782324?needAccess=true&journalCode=ijdt20

Topical finasteride for the treatment of male androgenetic alopecia and female pattern hair loss: a review of the current literature

Received 07 May 2020, Accepted 30 May 2020, Accepted author version posted online: 13 Jun 2020, Published online: 26 Jun 2020
Abstract

Background: Androgenetic alopecia (AGA) is a frequently encountered dermatological concern that impacts a patient’s self-esteem and quality of life. Finasteride is a selective 5-alpha reductase inhibitor that has been approved for the treatment of male AGA and the off-label use in female pattern hair loss (FPHL); however, its adverse effects may limit its use. Topical finasteride is a new formulation that aims to decrease complications caused by oral administration.

Objective: This review assesses the pharmacology, current therapeutic use, and safety of topical finasteride for the treatment of AGA and FPHL.

Methods: A PubMed search was conducted to include all English language articles on topical finasteride from January 1992 to January 2020.

Results: A total of 33 articles including 28 topical finasteride related articles and five AGA related articles were included in this review. Multiple studies on topical finasteride as the treatment for male AGA and FPHL showed positive results with a favorable safety profile.

Conclusions: Topical finasteride is a promising therapeutic option. We emphasize the importance of continued research for the establishment of a novel therapeutic agent.


2021-02-24 09:30:03Finasteride (abstract review of 33 articles)

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Finasteride 3 months (photo)

These photos, although not identical ‘shots’ does show movement towards reversal. More time and better photography should be dramatic.


2021-01-23 13:40:42Finasteride 3 months (photo)

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Finasteride 3 years (photo)

This young man was 19 when he started the finasteride and his crown loss disappeared. He should stay on the drug or he will lose the hair again. This drug works well in very young men.


2020-08-25 08:32:54Finasteride 3 years (photo)

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I Have Been on Finasteride for 2 Years and Seem to Be Staying Thin. Should I Transplant This? (Photo)

If you are over 26, you might be a reasonable candidate for a hair transplant. Why 26? Because the patterns of balding become more evident at the age of 26, but the risk or more balding make it difficult, at times, to plan appropriately. If you use up your donor hair as many men do, then you are left deformed when the balding patterns finalize.


2019-02-20 08:58:38I Have Been on Finasteride for 2 Years and Seem to Be Staying Thin. Should I Transplant This? (Photo)

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I Have Been on Finasteride for 3 Months and My Right Nipple Breast Looks Bigger Than the Left. Do I Have Gynecomastia? (Photo)

Yes. If this is a change, then it is possible that you have developed early gynecomastia of the right breast. If there are no lumps (painful or otherwise), then you should see your doctor for advice on what to do.


2018-07-19 05:38:59I Have Been on Finasteride for 3 Months and My Right Nipple Breast Looks Bigger Than the Left. Do I Have Gynecomastia? (Photo)

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Finasteride After 18 Months

What do you mean that after 18 months of finasteride it wont fully stop hair loss anymore and just slow down? i thought finasteride efficiency never deteriorates for decades

Finasteride will not hold off hair loss forever, but it does slow it down for many, many years in some men.


2019-12-09 15:12:52Finasteride After 18 Months