Best Post-Op Shampoo? – Hair Loss Information by Dr. William Rassman

Are there any post op shampoo’s and/or conditioners better than others? I am currently using Nizoral, but I thought I read somewhere it has not shown to be productive in maintaining hair loss? I have had two follicle transplants and it seems the hair that was in place has thinned even more. I am hoping once the new hair gets into place it will appear much fuller than the previous transplant.

Also, I have heard that some anti-inflammatory organic products with Tea Tree oil and Rosemary can be beneficial. Is that true?

Topicals in shampoos, including tea tree oil and rosemary, will not impact the rate of hair loss. After our surgeries, we use Progaine and supply one bottle of it to the patient. You can find it for sale online at Amazon.

Update: Sorry, I had a brain fart. We use GraftCyte and provide that to patients.

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I Want to Turn My Hair White! – Hair Loss Information by Dr. William Rassman

hello there, i was wondering if you could help me, i wondered if there was any way to make my natural hair colour white because my natural colour has no reflection on my personality, please can you help me?

I don’t know much about your personality but if you are uncomfortable with your hair color and want white hair, it can be bleached (best by a professional who knows how to do it).

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I Upped My Finasteride Dosage and I’ve Seen Big Changes! – Hair Loss Information – Balding Blog

Hi doctor, i presently use dermatch to cover my hair line area, and i recently feel that the hair has been shedding . Is it because of the applicator pulling the hair or is it because the scalp pores get clogged? If it is does the hair come back.

Second question if i may, ive upped my dosage of proscar to 2.50 mg a day and ive seen big changes, 1 mg did the job before but stopped its effects. I think each person is different and larger dosages lower more dht levels. Any comments regarding this?

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ProscarI don’t believe that DermMatch will cause hair loss with the applicator provided that you wet it when using it. Scalp pores aren’t the cause of your hair loss.

I have recently been advising some patients to increase their finasteride dose to 2.5mg (half of a Proscar pill) provided that there are no significant side effects. I make this recommendation when the drug is losing its visible effectiveness and some of the patients have reported a benefit, although it is early in my experience. You’ve already upped your dosage, but for everyone else reading this — I’m not suggesting everyone should be taking a higher dose, as it should be up to your prescribing physician. I’ve made the 2.5mg recommendation to a select number of my patients (and I have a medical history on them when doing so).

Sabiway Shampoo – Hair Loss Information by Dr. William Rassman

Hi, Doctor Rassman, I’m a 25 year old female, I found another colombian product: Sabiway shampoo for hair loss it is intended also in cancer patients I would like to know any expert information on this product. the website where it is been sold is: http://laboratoriosabiway.8m.com/

Please I need to know if this product can be good for this problem!!!! I think that maybe can help me.
thank you.

I am having a tough time with this site. They offer an English translation, but it is very poorly worded and difficult to understand. From the looks of it, this is just a fungus treatment shampoo. I don’t see anything in it that would regrow hair for a person with genetic hair loss. You can try it, but I doubt it’ll do much good (unless you have fungal problems). They also claim to regrow hair for alopecia areata sufferers, and that right there explains why a product like this will never legally be sold in the US. The FDA would be all over it, because you can’t make impossible claims (like being able to regrow hair for those with alopecia areata) without backing it up with proof. It sounds very misleading and entirely untrue.

Plus, the fact that they use a free website host and a terribly amateur website makes me even more skeptical. It doesn’t look professional, and I can’t see how anyone would take it seriously (at least from a marketing perspective). But taking that out of the equation, common sense tells me that if this fancy shampoo worked like they said it did, it would be known worldwide… particularly if it’s been sold for the nearly 20 years that their website says. My guess is that it won’t do much more than any other anti-fungal shampoo out there.

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What If HairDX Tells Me I’ll Bald But I Won’t Go Past Norwood 2? – Hair Loss Information by Dr. William Rassman

Hi Doc,

posted this on the website as well but I think this is a great question!

With this HairDX test, I understand it detects the gene associated with balding. However, most men experience some hairloss during their lifetime which doesn’t always succumb to full out pattern baldness. They may just have the mature hairline. So my question is, if you’re a NW2 with a mature hairline and have experienced some balding, will you still have this gene? I’m a NW2 and I would like to know if I have the gene, but at the same time, I don’t want to freak myself out if I have the gene but am only going to a NW2 pattern and not further.

Just need some clarification so I know whether or not I want the test.

thanks in advance!

Norwood 2I do not call the Norwood Class 2 pattern balding (see graphic at right), as this is just a mature hairline. Also it is important to realize that the expression of the balding gene is another variable here. You can have the gene(s) for balding, yet still not express it. So on one hand, the HairDX test could be helpful, but on the other hand, if you know you’re just going to freak yourself out about it, maybe you should wait until if/when you see actual hair loss.

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Nanogen Products – Balding Blog

What do you think about the website www.nanogen.co.uk and it’s various products? There’s some pretty big claims on the site about effectiveness of their products, what do you think of them? Are any of them any good or are they all just lies?

To be honest, I’m not familiar with them by name. They make a few products, but their Nanothik sounds like DermMatch or Toppik… and their Nanogaine is being marketed as an alternative to Rogaine. The line of products may be of good quality, but they shouldn’t be claiming that it’ll regrow lost hair or preventing hair loss. In the United States, the FDA regulates claims like that, so if a shampoo or cream were to be labeled as a preventative measure for hair loss (for example) the FDA can shut the company down if they do not pull all mention of outlandish claims. This company is UK based though, so I’m not sure how it is regulated.




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Balding Forum - Hair Loss Discussion

Chemical Burn 5 Years Ago — Will My Hair Grow Back? – Hair Loss Information by Dr. William Rassman

Hi.. 5 years back a lady left the relaxer too long so I had a bad burn and ever since hair started to get thinner & thinner. I ended up with a bald area on top of my head. its pretty big in size. around 2 inches wide & 1.5 inches deep. Do you think my hair would never grow again in that area? are there any products that you suggest I use to help me fix this mess?

Its very unlikely that you would see hair growing back again at this stage. It sounds like the chemical treatment may have caused scarring to that area of the scalp or burned the hair follicles resulting in permanent hair loss. This could be confirmed with a scalp biopsy.

On the assumption that you have a good supply of donor hair at the back and sides, hair transplant surgery could restore hair to a reasonable result. Another option is a reduction or excision of the hairless scarred area. This excision might be likely to need scalp expansion in your case if the area is very large.

Without further information, I cannot recommend any products that would restore significant hair in your case. However, you can try temporary camouflage type products like Toppik that can disguise the loss when the need arises. The picture on the right shows a badly damaged hair with the fibrils inside the hair shaft broken out like the spindles inside electric wires.

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Using the LaserComb After a Hair Transplant – Hair Loss Information – Balding Blog

I used the Hairmax Lasercomb for 6 months or so. I expected major new growth but saw nothing to that extent. The only thing the product really did was make my remaining hair appear healthier. Overall i don’t know what to think of the Lasercomb. From what i’ve read it doesnt seem to target DHT or regrow the long lost hair lost due to DHT. “It is only to be believed to promote healthy anagen hair growth” (From hair follicles that have not been damages from DHT im guessing?). So wouldn’t the LaserComb be great for newly transplanted patients?

I’m two weeks post op. My grafts are securely anchored and the transplanted hairs are shedding, would it be safe for me to use the lasercomb and how effective would it be?

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I don’t think that the LaserComb would produce any harm to transplanted hairs. I doubt it’ll be “great” for them, but if you’re happy with your hair health on non-transplanted hairs, by all means…

Hair Loss InformationBalding 22 Year Old Woman (with Photos) – Hair Loss Information – Balding Blog

This 22 year old patient came to see me for hair loss she’s been experiencing for the past 2 years. She did all of the right things, saw two dermatologists, and received a complete medical work-up for a variety of disease entities and vitamin deficiencies and was found to be normal. What I told her is as follows:

  1. Obtain a new test for androgen sensitivity of her hair based upon a genetic test
  2. If she is sensitive to androgen, we might try her on an androgen blocker such as finasteride or dutasteride in the hope that this will block enough of the androgen to allow better hair growth.

The science is minimal that support this thesis, but it is better to try to block the androgens on women who are positive to the genetic test for androgen sensitivity than to put all women on the drugs.

In addition, as we could not offer her an immediate benefit with drugs, we used a concealer treatment on her hair and showed her how to do this herself. Her comment after the application of DermMatch was, “I have been reborn”.

I apologize for the blurriness of the before photo. Click the photos below to enlarge. Before (left); After (right)

 

Hair Loss InformationFoltene – Hair Loss Information – Balding Blog

In the local pharmacies in the UAE a hair-loss treatment product by the name of Foltene is readily available. What are your thoughts on it’s components and do they hold any merit on it’s effectiveness? foltene.eu

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FolteneI haven’t heard of Foltene before, but I checked out the site. The ingredients are a bunch of vitamins and something they are calling “Tricosaccaride”, which according to information I can only find on their company site, is something that they discovered in the 60s. Common sense time — If this really worked as claimed, don’t you think in the past 40+ years it would’ve been a little more well known? The vitamins in the ingredients will nourish the hair, but I have no idea how they can assume that means it’ll regrow hair. Looking a little further into what Tricosaccaride is, it seems like it is an acid that helps with blood circulation to the scalp. The idea of poor circulation leading to hair loss is false. See here for more on that.

The product claims to change the number of hairs in the anagen (growth) and telogen (sleep) phases. In other words, it claims to be able to tweak the cycling of your hair growth. Hair cycle is something that is controlled below the skin (genetics) and not above the skin… so a topical treatment that can do as they claim just doesn’t make sense.