How Can Follicles Be Unclogged? – Hair Loss Information by Dr. William Rassman

Dr. Rassman-

Is it possible for hair gels or styling products to have any effect on hair thinning? Could they hasten the hair-loss/thinning process? I recently read on your website that chemicals could possibly seep into hair follicles. How can these follicles be cleared out or “unclogged”? Thank you for your time and insight.

It would be unusual for hair gels to be the cause of hair loss/thinning. Yes, certain chemicals can seep into your follicles and cause damage, but these are not the simple typical over-the-counter products you see at the drug store on the shelf, but things like dyes and chemicals that straighten or color the hair. The chemical has to be toxic to your follicles to impact their growth or the character of the hair. Good washing should suffice to keep your scalp clean of sebum and other oils.

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Is Hair Loss from Stress Easily Reversed? – Hair Loss Information by Dr. William Rassman

When stress is responsible for the acceleration of hair loss, is it more easily reversed than typical MPB after alleviation of the responsible stress?

The best I can predict is that if the stress is managed successfully, the impact will be less. If there are other changes like taking Propecia (men only) added, it may be possible to reverse, particularly if you are younger than 30. The younger you are, the more likely the reversal, but when the balding process starts in men, unless something major occurs (like Propecia) the best you can hope for is that the balding cycle (and it is a cycle of rapid loss moving to no loss) will calm down and go into remission. In women, on the other hand, releasing stress is more often able to reverse hair loss that is induced by stress alone.

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Is There a Link Between Shape of Head and MPB? – Hair Loss Information – Balding Blog

Hi Dr, I’m 19 years old and I was diagnosed a few months ago with MPB. I’ve noticed something that I told to my doctor that laugh at me. My question is : is there a link between the shape of your forehead and MPB? I explain myself. A few months ago when I start to lose my hair, I’ve noticed that it was preceded by a change in the shape of my forehead : two bumps appears in the middle and two lines or holes are reaching the side. It’s a very agrresive shape that makes feel I’m going to be bald very fast. I can give you some examples of celebrities who have this shape and started to lose their hair very early such as prince william, pablo puyol, tony blair… I’ve noticed that in the university where I’m studying medicine, a great part of the young people like me who are becoming bald have this shape of forehead. My cousin started to lose his hair at 17 and he has this shape of forehead whereas his brother who is 30 has got a full head of thick hairs and he hasn’t got this shape of forehead. can you give me you opinion on this…

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ConeheadsThere is no connection between shape of the forehead and balding. I believe that what you are observing is the normal shape of the individual’s forehead, which was covered by hair until the hair receded. Most hairy boys have so much hair that you have no idea what shape the skull is below the hair, but when it goes from genetic balding, then its shape dominates. For some people like you, the forehead shape seems to be a surprise.

One very famous celebrity that I transplanted about 8 years ago focused upon his flat head as the main drive for getting hair. He had crown balding and did have a flat skull. I placed the hair in such a manner as to give the back a good lift and the illusion worked well. He has strong wavy hair so his hair type helped a great deal and he was never bothered by his flat head again. I know this because we do talk from time to time and have maintained a cordial relationship over the years.

Another LA Times News Article on Hair Loss – Hair Loss Information by Dr. William Rassman

LATimes.com – Gone today, hair tomorrow

The above link to an article in the Los Angeles Times is a nice overview of the status of today’s technology and our understanding of the hair loss phenomenon. The review of the upcoming advances is thorough and worth reading.

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Monitoring Your Stress Level and Hair Loss – Hair Loss Information by Dr. William Rassman

Hello Dr Rassman,
Let me first state that I am so thankful for this free service. All of the posters on this board are richly rewarded to have access to a service like this.

I realize the following, somewhat meandering, question may be vague, but I will ask it anyway, as it is of considerable concern to me. (I am a 23 year old male.) Do men with the genetic potential to experience MPB at some point in life need to be constantly monitoring their stress level?

I run my own small business, and find that during the busiest weeks of the year, I become extremely stressed. Usually this stress lasts only for 2-3 weeks, and then I take some time off to de-stress. I always worry that those periods of stress will do permanent damange to my slightly receding hairline(between Norwood 1 and 2. If 5-8 weeks of high stress a year is dangerous to my hair health, I would immediately begin taking on less inventory and earn less money. I know myself well enough to realize that I’d rather be an average income earner with hair, than a business tycoon without! And their isn’t a shred of doubt about it!

Thank you Good Dr.

MeditateGood question! Stress is part of life. Managing stress is a matter of balance and there are many ways to manage stress properly. As the Bobby McFerrin song from the late 80s says, “Don’t worry, be happy!” Not a bad philosophy, so the key is to manage stress better without necessarily changing your life direction to address the fear of going bald, for example.

I would never be so bold as to suggest that potential hair loss is something that you need to worry about. If you wish to take that extra step, then get your hair mapped out for miniaturization from time to time, which is a way to show (with good measurements) if there is anything to worry about with regard to genetic balding. It only takes a few minutes and it will give you peace of mind. Meditation is also a good way to manage stress, so spend some of that money you are making and learn the art of meditation. That might give you the best of all worlds.

Steroids in Animals and Hair Loss – Hair Loss Information by Dr. William Rassman

Hello Doctor!
Great site you have I really like all the info on it, it seems to be like a great library of info…most of the information on the internet can be found but it is scattered everywhere and has to be pieced, so I thank you for having it all available here…Now with regards to my question. In this era, I’m sure you know that sometimes there are a lot of animals being pumped full of steroids. Couldn’t this have something to do with hairloss? It would elevate testosterone, as if I recollect, steroids are lipid soluble, so they would tend to be found more accumulated in lean meats such as chicken…again correct me if im wrong, but this is just what I recollect from Bio class. I am starting to think it had some kind of effect on me, because I did enter puberty much earlier than my parents, everyone in my family was fairly resistant to acne, well I tend to be moreso, and I grew up to be much taller than anyone in my family…I am a full 5 inches taller than my dad and noone in my family has ever broken the 6 foot barrier. I do realize that there is such a thing as recessive genes that may not be expressed, but my younger brother who has lived a somewhat different lifestyle than me, seems to be in much better shape overall. Whats your take on this doc?

Your theories are interesting, yet there are plenty of vegetarians who are bald. While it is true that some animals may be subjected to anabolic steroids, I doubt any significant levels (if any at all) would be found in the consumables. Even if it is, heat would denature (or make ineffective) any steroid in the meat. Futhermore there are strict guidelines that the United States FDA sets on meat and poultry products.

With respect to your second question, genetics may play a part in your physical appearance, but other factors such as your lifestyle and even pure randomness will also play a part. It has been noted that first generation Americans are almost always taller than their parents, with a larger frame as well. This is even taken to second generation Americans, as the diet is more and more Americanized.

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Catch-Up Period When Stopping Finasteride – Hair Loss Information by Dr. William Rassman

Hi Dr Rassman,
Can you please explain the ‘catch up period’ scientifically when someone stop using proscar?
Kind regards

Propecia and Proscar (both Finasteride) block the effect of DHT on the impacted hair follicle. In simpler terms, it interferes with the ‘dying’ cycle for that particular hair. Each hair is programmed to live a particular number of hair cycles. It is believed that either the hair cycle is prolonged or another few hair cycles are obtained when the DHT is blocked. When the DHT is released from the blocking effect of Propecia, then it remembers where it should have been and goes directly to its genetic programming, whatever that destiny is. We see similar effects when we treat leukemia with one of the newer magic bullets. The same is true for Insulin and Diabetes, and Steroids for Addison’s Disease (John Kennedy had it). Provided that the patient stays on the drug, the disease is blocked from taking its normal course. If the medication is stopped, or the drug is not maintained at its recommended dose, these diseases may take the life of the person, or by maintaining the drug they may hold off the effects of the disease indefinitely. Propecia may hold the hair in a more healthy state for long periods (each person varies with the power of the inherited genetic profile found in that particular individual). As we are each different with different genetics, some people will have a long, more effective course with blocking DHT than others. The good news is that we are not talking life or death here, just hary or balding.

Hair Loss from Accutane – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassman,
First off, thanks for the helpful site. My question is regarding accucate-induced hairloss. I am a male and started losing my hair in a diffuse pattern, all over the head but more severe on the top, after a course of accutane when I was 15. It has been a very slow, gradual loss but now at age 21 it is extremely prononunced. I probably have a little less than 50% of my original density. I wasn’t sure that the hair loss was a direct result of accutane until I had a scal biopsy done by a dermatologist recently and she confirmed that it was accuate-induced (not sure how she knew that from the biopsy but that’s what she told me – I think it was something about the “properties” of the follicle). I’ve attached 2 pictures – these were from about 8 months ago and the hair loss is considerably more now than it was then.

My first question is whether there are any clinics/hospitals/studies you are aware of that are studying the side effects of accutane – either in order to test treatments or just to track users that are experiencing side effects. I’m pretty sure that my condition is untreatable and I’m just going to have to live with it, but I would be open to trying experimental treatments in order to help others out. Second, do you think there is any use in using propecia/minoxidil to try to slow the loss, or would they be useless since this loss is probably acting by a totally different mechanism? I have used both in the past without evident results, but it’s hard to tell if they were slowing the loss or doing nothing at all.

Thanks very much for your advice.

Unfortunately, there are no solutions to your Accutane problem, other than to stay away from that drug. If you have genetic balding on top of the Accutane problem, then you should get your hair analysis for miniaturization to be sure one way or the other, the status of genetic balding compounding the problem you already have. I do not have any people to recommend who are experimenting with problems like yours. Also, please see previous Accutane related posts.

I Am 75 and My Hair Started Falling Out 2 Months Ago – Hair Loss Information by Dr. William Rassman

I always had a very heavy head of hair and thick eyebrows until about two monts ago. one eyebrow is gone and the other is gone in places. the hair on the top of my head is getting very thin i am 75 years my father died after his 93rd birthday and he had a full head of hair as did my mother. what could be causing this?

Be sure that you are healthy and do not have some early manifestation of some progressing medical problem. Sometimes, hair loss is an early sign of something going wrong. If I assume that it is not a medical problem, then Propecia may work to stop the process, if the hair loss is genetic with very late on-set balding. I have seen this late on-set balding in some 60 and 70 year old men, although it is very rare to commence at your age.

Is Alopecia Areata Contagious? – Hair Loss Information – Balding Blog

I am an army medic stationed in iraq. I had a soldier come to me a few weeks ago with a small bald spot on the back of his head. I looked up the condition online and found out that it’s probably alopecia areata. My question is can the condition be contagious? Keep in mind that we don’t live in the most sanitary conditions. I have recently seen about 8 more guys in my company with the same condition, and their bald spots are spreading fast. One guy’s spot is about 1 1/2 inches now. What do you think it is and what is the treatment? thank you

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To my knowledge alopecia areata is not contagious, but I would worry about other problens like infections which may possibly be causing the balding. It could be something contagious like fungal diseases, which cause patchy hair loss. Get your patients to a competent and knowledgeable doctor there who might take scrapings and appropriate cultures looking for something contagious.