Category: Hair Products

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Temporary SMP? – Hair Loss Information – Balding Blog

Hello, I read your blog everyday and wanted to thank you for the information you provide. I am a 40 year old male and been on propecia and minoxidil for over 15 years with pretty good results. I find now my crown is getting pretty thin and wondering if SMP would be an option for covering up the crown for my hair which is a light brown/sandy blond .Is there such a thing as temporary SMP that might only last a few years?

Thanks

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Scalp MicroPigmentation (SMP) should be considered permanent. If you want a temporary solution, I would suggest you research topical camouflage products such as DermMatch or Toppik.

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Where is Nizoral Lately? – Balding Blog

Hi Dr,

I’m a patient of Dr. Pak who came to the office in March. For the past year or so, I have been using a combo of OTC Nizoral and T-gel to combat an itchy scalp. I alternate between the two each day.

However, I can no longer find Nizoral anywhere — it’s gone from Amazon, drugstore.com and any physical pharmacy I’ve gone to. Any idea what happened? I can’t find any substantiated reason for the disappearance online. Also, in the absence of Nizoral, do you have a suggested replacement I could put in my routine?

Many thanks.

NizoralI haven’t followed the sales or availability of Nizoral (ketoconazole) shampoo. I’ve had a few readers ask about it, but I’ve not been able to find any news. I have no suggestion on a replacement shampoo. Have you contacted the manufacturer?

So I’ll open it up to the readers — have you read anything about why Nizoral has disappeared from shelves?




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Hair Extensions Pulled Out Some of My Own Hair – Hair Loss Information – Balding Blog

I recently had loc extensions placed into my hair because my hair is very fine and soft and refuses to lock on its own. In the process of it one of the locs on the back of my head was done to tight and eventually came out pulling my own hair with it there is some what of a bald spot there and the hair growing is very very very fine thin and small. I recently shaved my head to get everything on the same level while the rest of my hair is growing at a normal rate this patch is still very slow is this permanent or will it grow back if not is there anything i can do to help it

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Hair extensions can produce traction alopecia, leading to permanent hair loss. Since you just shaved your head, I hope that means you’re going to discontinue using extensions. At this point, you’ll just have to see what happens over the next few months.

If there is permanent loss from the tight pulling, you’ll know within a year or so. Hopefully it isn’t the case, though.

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UK Newspaper Reviews Hair Loss “Cures” – Hair Loss Information – Balding Blog

Dear Dr Rassman,

I thought your readers may be interested in this article. The Daily Mail, here in the UK, reviewed some common hair loss “cures” including your favorite product the laser comb :). Not surprisingly, they were all found to have little or no effect apart from regaine.

Here is the link: From a laser comb to rubbing coffee on your head, the His and Hers guide to hair loss cures

Best regards

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Aside from the fact that there is no real hair loss cure, this is a decent round-up of some of the over-the-counter hair loss treatments. It doesn’t surprise me that that highest marks for the products they reviewed went to Rogaine (Regaine as it is known in the UK), and treatments like fish extracts and saw palmetto lotions got low scores.

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My Diffuse Loss Has Regrown After 5 Months, But Do I Need to Continue Propecia? – Hair Loss Information – Balding Blog

I began to experience Propecia side effects about one month ago, and about two weeks ago stopped taking the drug. After two weeks without the drug the side effects had disappeared. My dermatologist told me to take Propecia every other day from now on to limit possible side effects. In addition to Propecia I am taking Procerin, applying Rogaine, and shampooing with Nizoral three times a week. I wrote in in February about diffuse hair loss through out my head; today you can hardly tell I lost any hair. I have been taking propecia since March 4.

My main question is if this drug could have provided such benefit in such a short time, and if not how can i be sure that I do not need it? As learned in my other question, I had been through very stressful times before the loss occured. I am 18 years old with no immediate family history of hair loss. On a side note, my temple points had seemed to be gone back in the winter, though now they are back in full.

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It sounds like you are getting the response you need and want from Propecia (finasteride 1mg). You’ve been taking it since March, and so it’s entirely possible that you saw regrowth in that time from the medication.

I doubt that the other things you are using are helping as much, but that’s one of the risks in using a few products at once. You have no way of knowing which one is the most beneficial. Stopping the finasteride could result in losing the gains you’ve made… or things could maintain if the finasteride didn’t actually help you (for example: if your loss was temporary and related to stress). I have no way to know that for sure via the Internet, though.

You’re under the care of a doctor already, so you should be asking these questions to him/her. Regardless of how you regrew your hair, I’m pleased that you’re seeing success with your regrowth goal.

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Garlic Gel for Treating Alopecia Areata? – Hair Loss Information – Balding Blog

For those of us with Alopecia Areata, – this study may be beneficial to you guys. The study is quite positive. Please read the link below:

Link: Local Study on Garlic for Alopecia Areata

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GarlicNice find and thanks for sending. I don’t recall seeing too much about using garlic as an alopecia areata treatment.

This was a small study of 34 people presented last year at a conference in Australia. It does sound interesting, and I found another small alopecia areata study discussing the use of topical garlic gel in combination with betamethasone valerate, but I don’t know that the study mentioned in the link you sent was ever published in a peer reviewed journal. While the article is from the Philippine Dermatological Society site, it just mentions that the presentation was by one of their members…not that it was published in a medical journal.

I am glad there are new alopecia areata treatments being explored, regardless of how stinky they may be. And it’s worth noting that a few years ago the NY Times wrote about unlocking the secrets of garlic for use in medicine.

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Hair Loss InformationLLLT for Temples? – Hair Loss Information – Balding Blog

Hello! I am writing you because I have thinning hair in the temple area. I am a 25 year old black male that hair in the temple area have been thinning. I have not tried any medicine to date, but am looking for a good doctor in my area to go see for information on a way to regain my hair. Also wanted to know is laser therapy a good way of doing this and what is the average price range? Thanks in advance!

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I have written about the laser hair therapies in the past, and I’ve been unimpressed with the results compared to the promises and claims the companies make. This goes for the in-office large machines and the at-home handheld lasers. I’ve yet to see regrowth as claimed.

You can read those past posts on the blog, listed under LLLT (low level laser therapy) here.

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Open Pores and Hair Loss – Balding Blog

Hello Doctor

I understand that the “clogged pores due to dirt and buildup” is a hair loss myth. But what about open pores? Is it safe to use things like a spray leave in detangler, right after a warm head wash?

Pores are there to secrete oils to coat your skin and hair. Hair spray, lotions, and leave-in detanglers should be safe to use.




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Hair Loss InformationProsthetic Follicles? – Hair Loss Information – Balding Blog

Do you have any knowledge or opinion about prosthetic follicles? I was imagining a tiny hypo- or non-allergenic device of plastic, silicone, etc that could even eject broken hairs and be reloaded. If they can replace heart valves and if they can make silicon wafers with microscopic transistors, artificial follicles hardly seems unfeasible. I googled my idea and actually found something:

A hair prosthesis consisting of allogeneic hair and polypropylene mimicking follicular units: long-term result and histocompatibility in rabbits

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This sounds wonderful for balding or bald rabbits. There’s still a lot that needs to be done before it is shown to be safe for humans.

There is reasonable experience in artificial hairs and the history is not pretty, with infections that really mess up the scalp. I have personally seen the results of artificial hair over the years and have removed them in patients I’ve seen, but the problems never seem to clear. They look good when they are initially done, but hopefully people will live long enough to regret the decision to do this.