Author: Dr. William Rassman

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Depleted donor area from too many FUE grafts

I went to Turkey and had about 4,500 grafts. Now I can see that my donor area is see-through. I am now one month since my surgery and I want to know if it is going to get better?

You should wait a period of 6 months from the time of your surgery. If it is not better, you can assume that the surgery removed too many grafts that cause thinning in your donor area. If it does not recover, then the only solution for you is Scalp MicroPigmentation which works well to address this problem. See the link below.

https://scalpmicropigmentation.com/scar-covering/

donor site depletion can be fixed with S

Scalp MicroPigmentation can fix donor area depletion.

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DermaRoller

Can you please comment as to your opinion of the dermaroller? Thank you

Honestly… it looks painful. Its a roller with little spikes on it to open the scalp so that it can absorb minoxidil better. The site claims that it is pain-free though. I cannot really comment on how much of a benefit (if any) it has or if it really works, but the theory and concept seem valid.

Actually, I have one next to me as I am writing this blog. I ordered one to see it for myself. While the idea sounds good, like many good ideas, they often fail during the implementation. I’ve seen these for sale at a variety of online stores, from Amazon to Saks Fifth Avenue, so I’m sure there are plenty of users out there. If anyone has had experience using the Derma Roller, please write in to share your findings.

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Depo-Provera Caused Hair Loss?

I took a shot of deproprovera 2 1/2 years ago, and 3 months after I decided not to get another shot (b/c of weight gain and shoulder/neck aches) may hair started falling out like crazy, now it is 2 1/2 years later and it is still falling out, about 30-50 in the shower/combing out every morning. I’m down to about 1/2 the hair I had 2 years ago. Any advice? It is so frustrating. My 3 sisters have not hair loss issues (in fact 2 of them complain about too thick of hair). My mother’s hair has thinned the last 5 years because she is on strong cancer/rheumatoid arthritis drugs, but no problems before that (all my male/female relatives have hair also-my dad’s is thick at 68 years old-no bald men in my family, and woman all have hair too. Help. 2 dermatologists say I have TE and to ride it out.

Depo-Provera is a contraceptive and has hair loss as a known side effect (between 1-5% of women), as do many birth control pills. Female genetic hair loss does not follow the patterns of genetic inheritance that run on the male side of the family, but it is not unusual for women who have genetic hair loss to have other women (mothers, aunts, sisters, grandmothers) with similar histories and findings.

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A Dermatologist Just Looked at Me and Told Me I Had MPB. Is It That Easy to Make This Diagnosis?

Well, my dermatologist just looked at my hair and said I have androgenic alopecia. The thing which is troubling me is that she didn’t take any tests. And again, I don’t have a family history of hair loss. So I don’t know why I’m suffering from mbp.

See another doctor who specializes in hair loss. You can find them on the ISHRS.org website. I would look to find a local doctor from that site. You need a real examination and don’t need to live in fear.


2018-05-17 08:08:44A Dermatologist Just Looked at Me and Told Me I Had MPB. Is It That Easy to Make This Diagnosis?

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Depression and finasteride

I have a history of severe depression. Will finasteride harm me?

With a history of depression, you need to discuss taking finasteride with your doctor. There are potential side effects with people who have a history of severe depression so great caution should be exercised when taking this drug and a close supervision of your doctor is important. I have written a post on this subject here: https://baldingblog.com/2017/05/23/finasteride-can-increase-depression-increase-actions-self-harm/

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Dermaroller: How deep do I have to go?

Just picked up two dermarollers. One that is 0.5mm, and one that is 1.5mm. 0.5mm seems fine, peach-fuzz length, I’m fine with it. 1.5mm seems like it is going to puncture through to my cortex

Logic would dictate a depth of about 1mm as adequate as the scalp epidermis is only 0.5mm thick so needles need to go down to a depth of at least 1mm just below it to where the stem cells can get activated. Use minoxidil with it as it helps.

 


2020-12-16 10:18:22Dermaroller: How deep do I have to go?

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Desperation Affects Reasoning

Doctor,

You’ve said it before, and I agree with you that people suffering from hair loss, in their hopes of being delivered from their pain, are willing to believe too resolutely in products that
promise them a cure.

This article says it all: Threats To Hope: Desperation Affects Reasoning About Product Information

I hope everyone reads it and thereby removes the poor decision-making skills that sometimes accompanies their desperation.

Excellent. Thank you for sending this!


2007-07-20 10:33:32Desperation Affects Reasoning

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Why does my dermatologist say that no hair treatments can make things better?

I was just diagnosed with androgenetic alopecia at 33 years of age. My dermatologist told me that there are treatments available, but opened with the disclaimer that none of them will ever stop the progress of the condition, only slow it. I took home some minoxidil today and just based on quick searches, it seems like it’s super effective? Am I misinterpreting what my dermatologist told me? Is it more that, the underlying condition will continue to get worse, but I can mask it as long as I use a treatment? Also, the minoxidil I’m using is a spray. The application is pretty messy. When I spray, it seems like way too much liquid and the excess tends to run down my face. Should I spray further away or am I supposed to just get better at targeting? Also, if excess spray is constantly running down my face, will that cause weird growth or does minoxidil not work that way?

The best way to use minoxidil is with a dropper, placing it directly on the scalp. Part the hair as it is applied and what you want is the medication on the scalp, not the hair. Best to do it at night, after a hot shower when the scalp will absorb more of the minoxidil and then wash it off in the morning. This way you can use it just once a day.


2019-01-12 13:33:25Why does my dermatologist say that no hair treatments can make things better?

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DermMatch and Toppik

I came across your website and was impressed with the information you provide. I am a 35 year old caucasian male with black hair who has been losing his hair for the last 6-8 years. I may eventually have a transplant and while I am saving my pennies, I would like your advice on a temporary short-term cosmetic solution to give me thicker hair. I have read about many of the botanical solutions you discussed and I know you cannot believe most of the stuff you read on most websites about hair thickening techniques. However, in at least one blog post you said that DermMatch helped improve someone’s appearance. Can you recommend which of the above topical solution, and let me know if they are safe?

Toppik and DermMatch are good products that can be looked at like cosmetics for hair. DermMarch can be found at DermMatch.com and Toppik can be found at Regrow.com.

The products work differently. DermMatch is a scalp coloring agent (like a cosmetic for the scalp), while Toppik has fibers that cling to the hair. Each have their advantages, but you need some hair for either one of them to bring value. They are relatively inexpensive, worth trying both at least once. They wash right out in the shower.


2006-10-24 14:48:44DermMatch and Toppik