Author: Dr. William Rassman

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I am very depressed, Am I balding?

I recently noticed my hair thinning and it has put me in a state of sadness. There are times during the day where I can’t bring myself to do anything because of how upset I am about my hair loss. I am a 23 year-old Asian male with what I suspect to be diffuse thinning. However, I have not seen any hair fall out on my pillow and just a few fall out when I shower. Would it be possible for you to look at some pictures of me to give me a confirmation? I want to take Finasteride but I am scared to death of the sides.

I don’t think that you are balding. Asians often have lower than average hair density and with your black hair and light skin, the see-through of low density reflects the high contrasts between skin and hair color. To find out if you are balding, you need to see a doctor who has an instrument called HAIRCHECK which will tell you if you lost hair bulk in any part of your scalp. In men, this is caused by genetic hair loss. I suspect that if you get this test, it will show that you do not have hair loss but to be sure get the test. Even if you are not balding but your hair appearance is not satisfactory, you can get Scalp MicroPigmentation and reduce the contrast between your scalp and your hair. See https://scalpmicropigmentation.com


2020-02-11 08:21:50I am very depressed, Am I balding?

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I Bleached My Hair at 15 Years Old and It’s Been Falling Out Since

(male)
I’m 17 and I’ve noticed that the hair on the top of my head has been thinning and falling out alot in the past two years. I strongly think that the problem was caused when I bleached my hair unprofessionally two years ago. After I bleached it and washed it off, I felt irritation and burning sensations on the scalp for about half an hour to an hour or so. What has happened to me and what can I do to prevent my hair loss? Also what products can I use to help?

Maybe the bleaching was coincidental to the natural genetic male pattern balding. Do you have a pattern to the thinning? In general, bleaching your hair doesn’t cause hair loss. If it did cause your hair loss, I wouldn’t expect it to reverse now that it has been 2 years since the insult happened. I don’t know of any products that will regrow hair that fell out from chemical damage.

I also can’t advise you without seeing you, or at least a set of good pictures.


2013-11-07 10:56:39I Bleached My Hair at 15 Years Old and It’s Been Falling Out Since

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I Based My Hair Transplant Doctor Decision on Promotional Materials

i understand that you are under no obligation to answer my question, but i am a 27 year old male and just yesterday i had my first hair transplant of 1200 grafts. i went with [name removed], and made the huge mistake of basing my decision soley on their promotional material. now, everywhere i look says that theyre crooks and im going to wind up looking like a monster. could you provide any answers?

Today’s transplant by that particular medical group is much better than their internet reputation indicates. Even the groups which do large scale promotion are now performing much better work. Wait it out and have hope and faith. Next time, follow through with the type of investigation I outline in The Truth About Cheap Hair Transplants. You generally get what you will see when you meet the doctor’s patients and you should see enough of their patients (face to face) to get the type of quality work you need.

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I am worried about Shock loss from a Hair Transplant

I am a candidate for a hair transplant but i don’t want to use finasterade or minoxidil. A surgeon told me that the transplanted hair would create a shock loss to my existing hair and speed up hair loss. Is this true? What happens in shock loss?

When you have a hair transplant, the native hair that is going through some degree of miniaturization could speed up the miniaturization process even to the point where the hair will fall out. Finasteride can protect against this process, not minoxidil. I personally believe that this is secondary to the local anesthetic and the stress of the surgery on your body, regardless of if you feel any stress.. Carefully and judicious use of your donor hair is a critical that your surgeon must fully not only understand, but implement it in how he approaches you with a Personalized Master Plan going forward with a hair transplant. You should know what is your worst case scenario, and plan for it so that there will be no surprises.


2020-02-12 11:33:12I am worried about Shock loss from a Hair Transplant

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I Bathe Daily, But Without Washing My Scalp

Dear Sir,

I moved into Hyderabad about an year back. They say that the water is hard here. I take bath with hot water daily, but not on scalp.

I had always had a dandruff problem and i applied nizoral, and the problem was in control. From about 7 months back, I am experiencing hair fall, about 15-20 strands each time I brush (even with a soft comb). There are dry scales on the hair. I have tried consulting doctors who say this may be due to psoraisis, and I am taking homeopathy medicines – psornium-200 daily, besides nizoral – 2 a week, 2 a week propysalic (a steroid having salicylic acid).

There is no signficant relief. Please advise if I should go for a trichoscan, if it helps.

I used to put coconut oil on my hair earlier, but not after moving to Hyderabad. Please advise…

If you are not washing your hair, you are probably building up considerable dead skin (what you are calling dandruff) and waxy debris. When you brush it, this debris may be anchored to the actual hair shafts. This will result in hair appearing in the brush — more hair than one might expect if you washed and used a hair conditioner for it. This would be the most likely cause of your hair loss. When you feel the ground shaking and see a herd of charging elephants coming your way, the first thing that should not come to your mind is an upcoming thunder storm.


2006-08-10 15:17:54I Bathe Daily, But Without Washing My Scalp

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I believe I have diffuse thining

Diffuse thinning may or may not be uniform thinning. See the distinction in a recent commentary I published in the HT Forum: https://newhair.com/pdf/Kumaresan-Muthuvel-Bernstein-Rassman-Commentary.pdf You need to see magnified views of your hair in different parts of your scalp. By going to Amazon, look for hand microscopes and for under $50 you can get good digital photos of your scalp at the hair roots. Then get a map of the head from Google, label each area you photo (a, b, c, etc) and then send them to me and I will look at them and give you a diagnosis. Be sure to include your donor area from the back of your head.

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I Burned My Hair With an Iron as a Teen and Have a Bald Spot

Hi,
I am 33 years old female and have a bald spot on the top of my head from an iron burn since a teenager. There was no scar but definitely a linear bald spot as my iron was linear. Is there anyway I can regrow my hair. Would vinegar work? or alternatives? Thank you.

There is no way to regrow that hair, as it would’ve regrown on its own by now in the 15 or so years since you burned your scalp. Depending upon the wound that is present, it is often easily treated with hair transplants. I have corrected many of these types of problems with hair transplants.

Vinegar won’t do anything for hair regrowth.


2012-06-14 09:19:20I Burned My Hair With an Iron as a Teen and Have a Bald Spot

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I Can Only See 1% of My Grafts 5 Months After My Hair Transplant!

Hi Dr Rassman
I had a hair transplant done 5 months ago by a board certified doctor with lots of experience. I recieved 1750 grafts (aprox 4300 hairs estimated). After 5 months it looks like maybe 43 new hairs have shown. The only difference between now and before the procedure, is that now I have a donor scar on the back of my head keeping me from shaving it all. I am very discouraged/upset by this.

In your experience, or to your knowledge, do some people not respond to hair transplants (the new hairs don’t ever grow)? If this is not reported as so, then does the length of time before ANY new hair shows ever take longer than 5 months? I realize it generally takes 9 months or so for the hair transplant to be fully realized, but I was told (and read) that by month 5 significant new growth should be visible. Your answers and info is much appreciated.

Thanks

Take a look at this patient and watch his hair grow over time. At 5 months after his single hair transplant procedure, he had some short hair growing… and by the 7th month it was styling length. Some people grow faster or slower (by about 2 months). Ask your doctor in another 2 months to judge if your hair growth met his expectations and match it to yours.

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I Can’t See Much Difference Between Avodart and Propecia

i like to know if avodart is better treatment then propecia? i’m taking avodart for 8 months and i cant say that i see so much different….

Avodart (dutasteride) should be reserved for those who do not respond to Propecia (finasteride). It is an off-label use, which means that the FDA does not authorize Avodart’s use for hair loss. In most people, the difference should be non-existent, but for the few who are unable to get Propecia to work, Avodart may have an advantage as it is a more powerful DHT blocker.