Category: Hair Loss Causes

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Hair Grew Back Wavy After I Stopped Shaving My Head – Hair Loss Information – Balding Blog

Hey Dr. Rassman..My question might be a little stupid but I’m hoping you could help me out.. I’ve been on propecia for about 2 1/2 yrs now (I’m 26 yrs old).. During most of that time I shaved my head.. I grew my hair out recently and it came back very wavy. Since then I’ve noticed a large amount of hair shedding.. However the shedding is limited to only when I shower. Between washing my hair (40-50), towel drying it (10-12), and combing it (15), I see almost 80 hairs a day.. After that I put in alot of hair spray and gel and dont see a single hair fall out. Not on my pillow, not on my desk.. nothing.. Is the large number of hairs I’m seeing in the shower ones that just couldn’t come out randomly during the day? My hair is still fairly thick so I wasnt sure if they get caught in my wavy hair..

thanks for the help..

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It is normal to lose about 100 to 200 hairs a day. You may also benefit from following up with a doctor who can map your scalp hair for miniaturization to keep a quantitative record of your hair loss pattern as you continue your Propecia. With your hair short for many years, the hair loss you are now experiencing may have been happening with the short hairs such that you never noticed the fallout. The rougher you are with your longer hair, the more hair you may experience. Be gentle with the hair washing as hair that is miniaturized (impacted by genetic balding) is more far more fragile than thinning hair.

With regard to the change in hair character from straight to wavy, it is not unusual for hair character to change as we get older or as genetic balding starts to kick in. Stay on the Propecia.

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Burning Sensation on Hairline – Hair Loss Information by Dr. William Rassman

My scalp on the left side of the hair line has had a feeling of burning off and on for the past 6 months and in the area the hair line is thinning and receding. I am 19 male and was just wondering if it is normal to feel pain if you are going bald geneticly.

Male pattern hair loss is not physically painful. The burning sensation may be secondary to an inflammatory process or an underlying medical condition. You should see a medical doctor for a correct diagnosis.

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Using a Slant Board to Increase Blood Circulation in Scalp – Hair Loss Information – Balding Blog

Dear Dr.Rassman
Thank you firstly for your assistance and for answering previous question. My question, I have read that using a slant board is good for increasing blood circulation to scalp, 15 mins a day etc. Seems logical,is this okay to do after FUE surgery, I am nearly 2 weeks post-op. Many thanks again.

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BatI had a patient who had gone to Brazil and amongst his many treatments for hair loss, he hung upside down for 20 minutes four times a day. He was told that it would increase his blood flow to his balding scalp. Bats are not bald so maybe that is where the people in Brazil got the idea. He continued to bald even after 6 months of upside-down treatment. Maybe it would work better in the Northern Hemisphere.

If you like the slant board, I do not see a problem using it. Just make sure the tilt does not distort your perspective. And yes, at 2 weeks post-op you are fine to hang upside down.

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Low Hormone Levels and Hair Loss – Hair Loss Information – Balding Blog

Thanks for all the insights. I began worrying about how loss at 21. 6 years later, it’s no longer a fear. It’s a certainty. In the past years I’ve spent researching hair loss, I’ve found your site provides the most honest and reliable advice and information anywhere. It might not always be comforting, but at least I know it’s backed by experienced professionals.

A while back ago I saw a physician after hearing hormone levels may affect hair loss. I learned my testosterone levels and HGH levels were extremely low. This doesn’t suprise me, because I can probably still pass for a 16 year old.

But if this were the case, DHT shouldn’t be the cause of my thinnning hair, right? I’ve read HGH therapy can grow thicker hair, but I’ve also read the opposite.

Also, my hair isn’t thinning in the same pattern as most of the pictures I’ve seen online. It’s thinning equally from front to back. Is this normal, and do you think hormonal therapy might be a viable option to regrow hair in a case like mine?

– Thanks again

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HGH (Human Growth Hormone) therapy is a known cause of hair loss. I think that you are looking for therapies, solutions, and causes in the wrong places. I do not have the luxury to examine your hair loss pattern, but you may not have a typical male pattern hair loss. If you are concerned about hair loss and a definitive diagnosis, you need to see a good doctor who can view you scalp hair under a hair densitometer and map your scalp for miniaturization patterns. It is impossible to give you a medical opinion on the cause of your hair loss without a proper examination.

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Bald at 3 Years Old – Hair Loss Information – Balding Blog

I am most pleased to contact you from Tbilisi, Georgia. I am male, 24 years old.

I would like to tell you about my problem which occurred at the age of 3 when my hair started falling out (circumscribed alopecia) which has resulted in full baldness and continues till today. It should be noted that a genetic factor is absolutely excluded as far as no one in my family have ever had similar pathology. My parents associate this disease with a strong stress and fear. The treatment which I have undergone over many years in my country yielded no result and therefore, I am kindly asking you to assist me.

I learned about your clinic a week ago and I was greatly delighted as after many hopeless years, I am filled with strong hope. Please advise me if you are able to cure me at your clinic and let me know terms and conditions of treatment.

Thanks for attention! It is interesting to me, what result have been received at treatment total alopecia(circumscribed alopecia) in your clinic. Whether in my case probably treatment in your clinic and what result will be received? How many will manage the treatment in your clinic?
Thank’s for your attention

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I believe what you are describing is a condition we call alopecia universalis. There is a population of people who have this condition appear at about 3 years old. The hair falls out in clumps and takes less than a year to complete. The end results are bald children and the condition is not curable. Please send me pictures of yourself now and if you have pictures of you at 3 years old, that might be helpful.

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Chemical Burn from Foil Highlight – Hair Loss Information – Balding Blog

A customer is claiming she recieved a chemical burn in my salon but I don’t think it is the correct diagnosis. She claimed that several days after she recieved a foil highlight with bleach she noticed a bald spot in her hair. She was not burned on the skin and the hair is not broken off but a bald spot is present. She felt nothing unusual during the service but insists it is from the foil. Is it possible we are responsible even with no scalp irritation or does it seem more likely there is another explanation.

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Your question is a delicate matter in terms of liability and almost certainly will have legal implications. All chemicals and or medications may have a potential for side effects. It is impossible to know the cause of your customer’s hair loss without examining her scalp and hair. We all look for a cause and effect relationship, but sometimes the two may not be related and be serendipitous in terms of cause and effect. It is possible that the bald spot was there at the time of the bleaching (and not noticed) or that it would have developed, even without bleaching. Unfortunately, this person has control over what they will do about the bald spot. Aggressive lawyers may see $$$ while a doctor may look for a diagnosis like alopecia areata. The decision on her response is clearly out of your hands. In conclusion, there may or may not be a relationship with the bleaching she underwent. Even if there is a relationship, you may have done nothing wrong.

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15 Year Old Losing Hair From Sides and Back of Head – Hair Loss Information – Balding Blog

For the past year I have been noticing my hair loss, and it is getting to the point where I can’t hide it. The part that scares me is that I am only a 15 years old male. Could this be male patterned baldness at 15? It is not just falling off the top of my head but also falling out the sides and the back. Is any of this normal?

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While it may be normal (but rare) to be affected with male pattern hair loss at the age of 15, it should not affect the sides and the back of your head. You may consider visiting a medical doctor who can evaluate you for any treatable medical causes for hair loss, because your hair loss may be secondary to a medical issue. If you had a ‘typical’ case of genetic hair loss, there will be patterns of miniaturization seen in the distribution patterns typical of those defined in the Norwood chart. Mapping your head and scalp for miniaturization will show this if that is the case. Otherwise there are rare conditions such as alopecia areata or diffuse unpatterned alopecia (DUPA) which are generally not easily treatable conditions.

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Hair Loss InformationWhat Causes Missing Facial Hair? – Hair Loss Information – Balding Blog

i just wanted to know what causes the bald spot in my beard and will it ever grow back? please help me

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A very short question without any detail is hard to answer…

  • If the bald spot is from a scar, it will likely not grow.
  • If the bald spot is genetic, it will never grow. American Indians and some Asian people do not have full facial hair and this is genetic, easily treated with transplants.
  • If the bald spot is from you pulling or plucking your hair, it will not grow unless you stop. If you pulled it too long, it may not grow.
  • If the bald spot is from a cancer, you should see a doctor.
  • If the bald spot is from shaving, it will grow back.

I hope this helps.

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DHT and Transplanted Hair – Hair Loss Information by Dr. William Rassman

I would like to know how a hair follicle falls off. I was told that as DHT accmulates at the bottom of hair follicles hair falls off. This DHT is produmed by male harmones. Is this true? If this is the case even after hair transplantation DHT will be accumulating and it will cause the transplanted follicle to fall off. Then how is hair transplantation a permanent solution?

DHT is created when your body metabolizes testosterone. It is mostly made by your liver. For people who have the gene for genetic balding, when the hair is at the point in time when it is susceptible to the effects of DHT, it usually starts to get thin (we call that miniaturized) and as it thins out more and more, eventually the hair will permanently fall out. Sometimes the hair just falls out rather than going the route of miniaturization.

Transplanted hair does not have the faulty genetic code, because hair from the sides and back of the head (for reasons not clearly understood) have normal genetic code. These hairs are not vulnerable to the effects of DHT. Look at the people who are genetically bald. They always have hair around the side and back of the head, always. I can not tell you why that is the case, but I know for certain that these hairs around the side and back of the head are programmed to grow for life, so when they are moved in a hair transplant (to a new home in the front), they keep growing as they did at their old ‘home’ in the side and back of the head.

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