Author: Dr. William Rassman

Posted on

Any Photos of Transplanted Younger Patients with Advanced Balding?

Hi Doc,
Could you be able to post some photos in HT on younger men (30-40) with advanced balding patterns (class 6 or higher) in your blog or at NHI site. I am 32 years old south asian considering HT with NHI, but I havent been able to find how younger patients fare with HT.
Thanks for this great blog.

Take a look at our patient photo galleries on the NHI site. There’s over 300 patients shown there with thousands of pictures. There are many young men on the site that fit what you’re asking for. I used the search box and found these to get you started: Patient LT, Patient EE, Patient XG, and Patient MU.

If you come to one of our Open House events, you will actually meet some men in their late 20s or early 30s who have been transplanted.


2012-03-12 10:51:18Any Photos of Transplanted Younger Patients with Advanced Balding?

Posted on

Any Point in Taking 5mg Finasteride to Treat Hair Loss?

Dear Doctor,

I just wanted to know if there is any point of taking 5mg proscar for hairloss? From my research I think the answer is no but I have taken 5mg for last 6 weeks. I have noticed a lack of motivation and being a bit down but I am not exactly sure if they are related to taking the 5mg or due to other things in my life. Could there be any side effects for taking for the 5mg for the past 6 weeks? If I just cut down to the quarter Proscar tablet (1.25mg) will my body take long to readjust after having taking 5mg dosage?

Thanks you for your time,

Kind regards

There is no point in taking finasteride 5mg (Proscar) for treating hair loss. Aside from the increased side effect possibility, it will not work any better for hair loss. I really cannot comment on your lack of motivation and its relation to the medication. Maybe you have the holiday blues? Side effects from medications should generally reverse in about a week or two.

Posted on

Any NeoGraft and Artas® Robot Alternatives?

What other “automated” or similar hair restoration systems are available besides Neograft and Restoration Robotics?

The follicular unit extraction (FUE) technique is a simple and elegant technique conceptually, but it is highly variable or difficult in practice. Since I published my FUE article in 2002, hundreds of doctors have adapted their own automation and instrumentation. I encourage this, as one superior technique or machine may emerge. But as of 2011 it has not.

There are handful of doctors who have invented their own technique in some form or another. NeoGraft and the Artas® robots are just commercial adaptations. Both Dr. Cole and Dr. Harris have developed instruments which are diametrically opposed as to how they work. There is also Dr. Boudjema in France (one of the brightest and most creative people in the hair business) who first invented an FUE automation machine back in the mid-1990’s called the Calvitron (which is similar to NeoGraft). He always has a new approach and just recently talked with me about his most recent innovation (brilliant as always).

Real inventing requires ‘out-of-the-box’ thinking, but most of what is out there are just minor variations of each other. There are powered punches that vibrate, twist one way and then the other way, that are slow in RPMs, that are fast in RPMs, that claim sharper punches or duller punches as the key to best results, etc.. The Artus system uses sharp followed by dull punches and the Neograft uses very sharp punches. Each doctor will likely say ‘his’ instrument is the best.

Posted on

Any New Hair Loss Drugs Coming Up?

have you heard of any new hair loss drugs in the pipe-line;if so what sort of amount of time will they take to become available to the general public

The FDA is the place to go to look for new drugs. These drugs must go through a clinical trial and there is no assurance that a drug that starts the process will qualify to meet the safety and effective standards of the FDA. In summary, I have no way to tell you what may happen. We all have to wait out the clinical trials.


2006-08-22 06:26:32Any New Hair Loss Drugs Coming Up?

Posted on

Any Patients Take Propecia and Still Have Shock Loss?

Just wondering as you have said a few times that being on propecia will decrease your chance shock loss after a hair transplant if you are under 30.

Have you had any patients under 30 who have had shock loss after being on propecia for a considerable period of time? And if so to what extent was the loss? Thanks

When I saw the great majority of shock loss cases, it was before the availability of Propecia (early 90s). Since that time, most of my patients take Propecia to protect themselves from shock loss, and there was far less of the fall out after the surgery… but it did still occur for some.

I don’t have statistics on the extent of loss or precise age, though.

Posted on

Any Propecia Interaction with L-Montus?

Dear doctor, I would like to know whether Propecia interacts with L-Montus.

I have been using Propecia for almost 1 year and it really did wonders to my hair. My hair texture is thickened and it covered almost all my thinning areas. Thanks for all the education you provide through this website.

I wasn’t familiar with the name L-Montus, so I researched it and found that it’s a nasal congestion medication made by Indian pharmaceutical company Fourrts. The medication is actually levocetirizine and montelukast.

Montelukast is more commonly known as Singulair, and levocetirizine is more commonly known as Xyzal. I don’t see any interaction problems for these medications with Propecia (finasteride), but double check with your prescribing physician.


2011-01-06 10:05:10Any Propecia Interaction with L-Montus?

Posted on

Any Way for Women to Prevent Further Hair Loss?

(female) I am 27 years old and have been steadily losing my hair for 4 years. My mom is almost completly bald on the crown of her head and I really don’t want to end up like that. Is there anything I can do now to prevent any more loss. I can already see my scalp and it’s getting harder to do combovers. I’ve done several blood tests and all have come back normal. Any suggestions?

You might see an expert on hair loss (some dermatologists or hair transplant doctors might be helpful). The only FDA approved treatment available for women is topical minoxidil (Rogaine).

Posted on

Anybody on fin long term & had good hair improvement?

I just had a36-year-old man visit me in my office. He has been on finasteride for 10 years and tells me that this drug has increased his sex drive very heavily ever since he started it.


2020-04-19 08:53:14Anybody on fin long term & had good hair improvement?

Posted on

Any Radiation from Robot FUE Systems?

Hi. I’m a bit of a hypochondriac, but do the robotic FUE hair transplant systems like ARTAS and others emit radiation?

Thanks

I believe all electronic equipment, such as the computer monitor you are staring at and the microwave oven you cook your meals in, emit radiation. These aren’t hazardous levels of radiation, though.

The ARTAS FUE robot likely emits some level of radiation like any other electronic equipment, but it isn’t anything to be concerned about. The FDA’s Center for Devices and Radiological Health was likely involved at some level before the robot was made commercially available.

Posted on

Any Solutions for Severe Dandruff?

Dr. Rassman,

For the past 3 to 4 years, i am suffering from severe dandruff. I have also been diagnosed with PCOS last year which is now under control. Mine is long hair and this dandruff is also cyclic. Some times it is perfectly clean and sometimes at its worse. I have used topical products like diprovate with minimal improvement and the shampoos are also not giving the desired result. The dandruff is primarily flaky which is very embarrassing to me. Please suggest me if there is any solution to it. My hair is thinning day by day.

Dandruff may be the sign of a skin disorder like seborrhea, psoriasis, etc. You need to see a good dermatologist and find out if you have some scalp disorder causing what you are seeing and calling dandruff.