Author: Dr. William Rassman

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Hair Loss InformationIs My Hairline Normal for an 18 Year Old (with Photos) – Hair Loss Information – Balding Blog

I am a 18 year old male. My dad is 50 with somewhere between a Norwood III and IV. My grandpa is probably a IV but I doubt V because he has a fair amount of hair. I am wondering if my hairline is normal for my age? What about the corners? I’m sorry if the pictures aren’t decent enough.

You may publish my photos.

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I guess we can let the readers comment. If you want to setup a consultation in our office, please call us at (800) NEW-HAIR. In a consultation (one on one with a physician) you can have your hair evaluated for miniaturization and bulk measurements of your hair can be performed which will rule in or rule out if you are in the beginning of the balding process. From these photos, there is no way to tell.

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Does Propecia Stop or Slow Muscle Growth? – Hair Loss Information – Balding Blog

Hey Dr., while taking propecia for hair loss. Does propecia stop muscle growth, slow muscle growth, or effect muscle growth in any way? cause some people say your muscle wille be slower and weaker some other say normal. I am getting confused with all the different responses on the net. One source says dht is essential for muscle development. I simply just want the truth. Please respond as quickly as possible. Thank You.

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Propecia has nothing to do with stronger or weaker muscle growth. Dihydrotestosterone (DHT) is a metabolic byproduct of testosterone production, as testosterone is broken down by the liver into DHT. Testosterone plays a role for muscle development, therefore DHT may reflect it. The more testosterone your body produces, the more DHT will be produced- but this does not mean you will have more hair loss, per se. Theory does not always correlate to real world observations.

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Hair Loss InformationI Took an SSRI for 18 Months and Saw Hair Loss for the Past Year – Hair Loss Information – Balding Blog

I was on an ssri for the last 18 months and have had telogen effluvium for the past 12. Hair loss is from all over the scalp as is minaturization. It has not thinned out too noticably except on the courners of the hairline where it is very noticable. Can i expect regrowth, what time periods would i expect?

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I do not know what to expect. I would follow up with your doctor for a good examination. Telogen effluvium generally takes up to a year for the hairs to grow back. It may take longer and it may not grow back to its original density.

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Hair Loss InformationEyebrow Transplant of 189 Grafts (with Photos) – Hair Loss Information – Balding Blog

Hi doctors,
Are eyebrow transplants something that men have done? My eyebrows are not that thin but I am very particular about them, border line obsessive. Can I have maybe a couple hundred grafts done just to fill them in around the edges? Is this something that looks good when all is said and done?

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Yes, we’ve transplanted the eyebrows of many men. I have a patient that sounds like what you’re describing, with great looking results that strengthened the overall brow by filling in the edges (and thankfully he’s given me permission to share his photos below).

This man had a eyebrow transplant procedure of 189 grafts about two years ago.

Before (with lines drawn in):

 

After (189 grafts in 1 procedure):

 

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Hair Loss InformationHow Can I Help My Strip Scar Turn White Faster? – Hair Loss Information – Balding Blog

Hi,
Are there any ways to speed up the process of the strip scar turning white? I have had mine for just over 2 years and although it is slowly fading it is still a light pink colour. Does vitamin E or steroid cream help as I have heard people mention these.

Thanks!

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I would ask your doctor first for an examination and a diagnosis for the correct treatment plan. Sometimes, just giving it time may be the best treatment. It generally takes over a year for a scar to settle, but if it has been over 2 years, I would consult with a doctor. Most of the time the redness is very difficult to treat.

Some doctors may recommend over-the-counter steroid creams, but the redness is sometimes due to superficial blood vessels, in which case a cream would likely not be effective. Be careful, as this type of medication can be absorbed by the body with prolonged use.

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If I’m Itching from Minoxidil, Should I Stop Using It? – Hair Loss Information – Balding Blog

If minoxidil is causing itching probably from the PG [propylene glycol], would it be counter-productive to use it?

I had problems with the foam, so its not an option. I’m afraid to stop because I used a non PG formula for years that’s no longer available. So my hair is probably dependent.

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If you are having issues with an ingredient in minoxidil, then you should not use it. It does not matter if you are dependent on minoxidil or not. If there is an unwanted side effect, you need to address it. I would discuss your options with your doctor.

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In the News – South Carolina Woman Raises Awareness About Alopecia Universalis – Hair Loss Information – Balding Blog

Snippet from the article:

Faith Spells said it wasn’t always easy to accept her alopecia universalis diagnosis.

The 31-year-old Orangeburg resident has lived with the autoimmune skin disorder since she was 4. Her condition is the most uncommon form of alopecia, and is characterized by hair loss extending beyond the scalp to total body and facial hair loss.

“I remember waking up some days and the hair on one side of my whole head was gone,” Spells said. “It was devastating, but I never really had time to regroup because I was so young. I just knew that my mother and her friends wouldn’t let me go outside if it was too hot because of fear of me getting scarred.”

There is no known cure for the condition, but hair regrowth may occur even without treatment and even after many years, according to the National Alopecia Areata Foundation.

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Read the rest — Bold and beautiful: Local woman raises awareness about autoimmune skin disease

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Hair Loss InformationSince I’m Sweating Less in the Cold Weather, Is That Why My Hair Looks Better? – Hair Loss Information – Balding Blog

I’ve been taking Propecia for around 6 months. Recently, I’ve noticed that there seems to be improvement in my diffuse crown thinning – however, this coincides with the recently colder weather. Would the less sweat from summer cause that big of a difference in perception of thinning? If I recall correctly, I don’t sweat that much from my scalp.

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In some animals, the fur coats get thicker in the winter. We have never recognized that hair cycles change based upon seasons, so the official answer to your question is that no, it should not get thicker in cold weather. That being said, many patients have told me that their hair appears thicker in the winter, so that suggests that the scientists should get better data on human moulting.

Humans have an asynchronous hair cycle, which means that we grow and shed our hair in cycles. The shedding cycle for head hair (catogen) lasts 3-6 months and the growing cycle (anagen) lasts 2-4 years depending upon the age and sex of the person. In body hair, the catogen cycle is often the length of the anagen cycle, and I would expect that the anagen cycle should be longer in winter if the body hair cycle responded to cold weather.

So in conclusion, animal hairs respond to cold, but human hairs do not (officially) respond to cold weather. I don’t have any idea if you have more or less scalp sweat today than you did in the Summer months, or if it makes a difference in your crown’s appearance.

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If I Take a Break from Propecia, Will That Help Regain Its Effectiveness? – Hair Loss Information – Balding Blog

Hi, I’ve been taking propecia for around 5 years now and I’ve really seen my hair loss slow down. However, recently in the last year I’ve noticed my hair loss seem to be getting slowly worse again and it would appear the propecia seems to be loosing it’s effectiveness. I was wondering if I had a break from propecia for perhaps a few weeks before restarting it that this would help regain it’s effectiveness? Thanks

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Stopping Propecia (finasteride) will cause a loss of its effectiveness. What you’re suggesting isn’t going to help. Even if you think the medication isn’t working as well as it has in the past, stopping it will make the loss even worse.

I have seen men go off of Propecia for a few months, lose hair, and then go back on it when they realized the mistake… only to find out that the hair loss that ensued could not be reversed to the state it was in when the drug was stopped. This is known as catch-up hair loss and and it’s not likely that you’ll regain what is lost if you restart the medication.

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If My Hair Can Be Pulled Out Easily, Does That Mean Rogaine and Propecia Are Becoming Less Effective? – Hair Loss Information – Balding Blog

Hello Doctor,

I have been loosing my hair since the age of 16 and finally took notice months before my 18th birthday. Currently I am on both propecia and 5% Rogaine and have been for the past year (prior I relied on just 1.25mg finasteride).My current results with my regimen have been satisfactory, as I can not for sure say what I’d look without the medication.

My question is regarding the ease of hair falling from the scalp when rubbed and the amount of hair strands that can been pulled by gently using your index finger and thumb. Recently I have been able to pull about 3-5 strands at a time out of head and hair tends to fall out easily when I rub it (a common habit of mine while studying). This has been occurring on and off for the past couple of months- especially after I was off rogaine for a period of 2 weeks in January while I awaiting for new shipment to arrive (I order the foam online through ebay since it is not available in Canada).

Do these symptoms indicate that the drugs are becoming less effective now, leaving genetics to take its course? Is there any shampoo or conditioner that you recommend or heard from prior patients to help strengthen the hair follicle?

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Maybe you should stop pulling on your hair. How easily your hair falls out has no real clinical significance with Rogaine or Propecia use.

There is no magic drug, shampoo, conditioner, or potions that will help strengthen hair. There are hundreds of products out there. Try them. I am not against them, but you WILL end up spending a significant amount of money and likely be left without any benefit.