Author: Dr. William Rassman

Posted on

I Have Crown Balding, and the Area Is like a Circle 4 Inches in Diameter. I Have No Loss in the Front. (Photo)

The crown often takes more hair than other areas of a similar size because the swirl is present in the crown and the hair changes direction. The swirl draws the eye to the scalp. A 4-inch area will take anywhere between 2000-3000 grafts, depending upon the thickness of your hair shafts. More coarse hair requires less grafts when compared to fine hair.


2018-06-21 08:51:12I Have Crown Balding, and the Area Is like a Circle 4 Inches in Diameter. I Have No Loss in the Front. (Photo)

Posted on

cut my dose of finasteride by half and the sexual side effects went away

I posted a while back asking if anybody had any anecdotes for taking smaller doses to alleviate sides. Well I bit the bullet and bought a pill cutter last Thursday and from then until Monday took 0.5mg fin every day. It was by the Monday that I woke up with proper morning wood for the first time in weeks and had the horn all day. At this point I noticed more hair in my hands than normal after washing, so went back to 1mg Monday night.

You should probably stay on the half dose as it is 80% as effective as the full dose.

 


2019-05-10 12:43:14cut my dose of finasteride by half and the sexual side effects went away

Posted on

Crusting on recipient grafts and orderly placement of hair grafts (photo)

This patient is one week after surgery and did not aggressively wash his hair so that crusts form around each graft. Crusting comes about because of leakage of serum from the recipient site. This can be washed off as it occurs with a good washing technique that we deploy for all of our patients?. It will take a few weeks for these crusts to shed with good shampooing. The grafts are secure provided that the crusts are not plucked of the grafts could come out. The grafts are placed like soldiers, all aligned in an orderly pattern. This is not how hair grows as growth is randomly distributed

soldier hair

Posted on

CT Scan and Hair Loss

Hello Dr – I read with interest your answer about MRI scans and how there is no link from them to hairloss as they use magnets. What then, would be your opinion on CT Scans? Could these cause hairloss and if so over what time period? i.e – a few days after the scan or a few years? Thank you for your time.

The amount of radiation that a CT scan (also known as a CAT scan) will administer is not sufficient to cause hair loss. It takes much, much more radiation to cause radiation sickness and have the side effects to cause hair loss.

For more information about CT scanning, please see: Wikipedia – Computed tomography


2006-10-10 16:15:41CT Scan and Hair Loss

Posted on

Curious About The Hairline My Transplant Doctor Gave Me

I recently had a hair transplant done and I was curious about the way my doctor had done it. I naturally have had a widow’s peak but it has receded some. The way the doctor put the graphs in was sort of also in a M shaped form just out to the sides. Will this restore my natural hairline?

I cannot answer your question without seeing a current photo and comparing it to what you looked like before you lost your hair. More importantly, you should have addressed this before the surgery to make sure that your doctor understood your goals and expectations.

The standard practice at NHI is for the physician to draw a hairline with an erasable marker prior to surgery and have the patient look at the general shape and position so that he/she can approve or modify what the doctor planned. Generally this take a few minutes as the patient has specific concerns and requests (such as adding a widow’s peak). In the end, both patient and doctor are on the same page in agreement before the surgery starts and we take good pictures to document what we had agreed to. After the hairs grow in, we can then go back to the drawing on the head and see if the hairline we had tried to produce, was actually produced.

Posted on

Curis and Hair Loss

How long will you think CURIS take to be produced commercially? Also, does it have capability to grow hair on already balded areas?

This is a most interesting and exciting technology in its early stages. A great deal of work will be required to take this from the animal study into the human realm and it may not transport easily. What this does show is the many faces of the regrowth phenomenon in hair regeneration. Generally this process, under FDA regulation, will take years. To answer your question, I really do not know exactly how the medication works, but as I find out more, I will let the blog readers know. Thanks for pointing this out to me.

For those interested in learning more, please see Curis Presents Study Showing Stimulation of Hair Growth by Small Molecule Hedgehog Pathway Agonist.

Posted on

Cutting My Propecia Dose in Half Eliminated the Side Effects

Hi Dr,

I tried Propecia about 2 months ago and got sides (could not maintain full erection during sex after a week). I stopped for a month and have now take .5 propecia for the past 2 weeks with no problems. I am 25 and have a bald spot in the back forming with diffuse thinning down the middle of my scalp.

What do you advise as my plan of action for re-growth, would you recommend me to up the full dose soon? Rogaine? Have you seen good results with adults my age range?

thanks for you help

If half the dose of Propecia works, you will get about 80% of the value of the drug, on average. That may be enough to accomplish your goals. You can try increasing the dosage up over time, but I really don’t want to give dosing recommendations for someone that isn’t my patient. This is a prescription medication, so you should go over your options with your physician.

You can try adding Rogaine to your routine, which is sold over-the-counter.


2010-01-15 09:54:18Cutting My Propecia Dose in Half Eliminated the Side Effects

Posted on

Cutting Finasteride Tablets

I cut all of my pills the day i get my prescription refilled. Is this bad practice? Do the pills lose potency when exposed to air?

Yes this is a bad approach because the cut pills will absorb water from the atmosphere, and lose their value over time.


2019-11-22 15:29:43Cutting Finasteride Tablets