In the News – Enzyte “Natural” Male Enhancer Owner Found Guilty of Fraud – Hair Loss Information – Balding Blog

Snippet from the article:

EnzyteA business owner convicted of defrauding customers seeking male sexual enhancement products and a variety of herbal supplements was sentenced Wednesday to 25 years in prison. Steve Warshak, 42, founder of Berkeley Premium Nutraceuticals, also was ordered to pay $93,000 in fines. He was convicted in February on 93 counts of conspiracy, fraud and money laundering.

Federal prosecutors accused the company of bilking customers out of $100 million through a series of deceptive ads, manipulated credit card transactions and refusal to accept returns or cancel orders.

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Read the full article at the LA Times — Businessman selling ‘sexual enhancement’ sentenced to 25 years

This is a follow-up to when the initial charges were files in 2006. Yes, another non-hair loss issue on a hair loss blog, but the thing to take home here is that promotions are common, but truth is elusive. This man fortunately crossed the line and finally paid for it. Too many other never get caught.

Labor Day and the ISHRS Meeting in Montreal – Hair Loss Information – Balding Blog

We’re taking the day off for Labor Day (the first Monday in September), and so that I can travel to beautiful Montreal, Quebec Canada for the 16th annual meeting of the International Society of Hair Restoration Surgery (ISHRS). The meeting takes place from Wednesday through Sunday, and I’m moderating a discussion on trichophytic closure techniques on Thursday.

Dedicated as always, I’ll still be answering questions throughout the week, so while we may be off today, things will be back to the regularly scheduled blogging first thing tomorrow.

Hair Loss InformationJoe Biden’s Hair Transplant – Hair Loss Information – Balding Blog

Doctor Rassman,

What is your opinion on Joe Biden’s HT? This was the most read article in Politico during the weekend!

Biden’s helmet

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Joe Biden - After
Joseph Biden’s hairline, 2008
[larger version]

 

Joe Biden - Before
Joseph Biden’s plugs, 1987

It was only a matter of time until US Senator and Vice Presidential nominee Joe Biden‘s hair transplant became part of the discussion of the man. I am old enough to remember when he first had it done. It was done in the old style of transplants (the “pluggy” look) and he clearly has had more transplants since then to soften the hairline presentation to be more consistent with the newer technologies being done today. Having white hair solves most of the refinement problems as well.

I remember a very prominent litigating lawyer who came in for a hair transplant when the BBC asked to interview a patient. Under the provision that it not be shown in the United States, the lawyer agreed. A caustic British lady interviewer asked him (while on camera) why he felt so “inadequate” that he had to have a hair transplant to face the world. He responded that he had no problem with who he was. He was happily married with two children and he had a very successful law practice, but the man in the mirror no longer reflected what he felt he should look like. If he had a broken nose, he said, he would of course fix it. So with good technology available, he decided to have a hair transplant and bring back the man in the mirror that he thought he was. Why not? He combed his hair in the morning, put on a tie and a nice suit, wore nice shoes, and created an image of who he was to the world about him. He did it because it made him feel good, not particularly to impress anyone. Hair was just part of his image.

Having vanity surgery (hair transplants, eyes done, face lift, liposuction) or just working out does not mean that people who do this have feelings of inadequacy. People who take charge of their lives should be admired — certainly, I admire them. For the readers of this site, they might like to know that I have had transplants, my eyes done, and a face lift some years ago. I also work out regularly to create who I want to be and to be healthier, but I am no Joe Biden. His hair transplant is just a tiny, tiny footnote in his 35+ year career in the public eye, but I won’t wish him luck in the Presidential election, because men of his stature make their destiny happen.

My Doctor Told Me I Have Keloids On My Scalp – Hair Loss Information by Dr. William Rassman

my derm told me that i had keloids in the back of my scalp. is it normal for a women to get them in there scalp? i have 7 of them in the lower back of the scalp and the and maybe 3 in the middle. they injected them with steroids 1 and they didnt get any better. just got a lil smaller, not to much though. i thought in the back of the scalp was more for men to have.

I would assume that your doctor is right if he diagnosed you with keloids. If you want a second opinion, you can try seeing another dermatologist. Keloids don’t discriminate.

Here is an excerpt from eMedicine: “The prevalence [of Keloids] has been reported to be higher in young females than in young males, probably reflecting the greater frequency of earlobe piercing among females. Keloids and hypertrophic scars affect both sexes equally in other age groups.”

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Does Dr Rassman Think He Is One of the Best Hair Transplant Surgeons in the World? – Hair Loss Information – Balding Blog

Dr.Rassman, this question may sound ridiculous and from looking at your replies to many questions on this blog it seems you are a very modest person. My question is, would you say you are the best hair transplant surgeon in the world. you have the most extensive collection of before and after photos which i must say have not failed to impress. also i have looked on hundreds of other sites and they dont have even half the amount of photos you have., or (evidence) as i say. John lennon once said ‘we are the greatest band in the world and the greatest songwriters, we have had more number ones than any other artist’, what i think he is saying isnt arrogant he is simply saying that they have more number ones than any other act. as you have the best results and more results than any one else would you say for arguments sake you are at least one of the best hair transplant surgeons.

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HornI don’t mean to toot my own horn, but the International Society of Hair Restoration Surgery (ISHRS) awarded me with the 2004 Golden Follicle Award, which reflects what the doctors around the world may think about me. Only about 14 physicians have ever received this award in the history of the society. Our hair transplant organization has outpatient surgery facilities which are certified by the Accreditation Association for Ambulatory Health Care (AAAHC), which is a national accrediting agency for outpatient surgery facilities and holds these facilities accountable to a known standard of care. In the field of hair transplantation, there is no requirement to build a certified facility, but I have been adhering to this standard for the past 10 years and every three years or so, we get a physician reviewer who comes in to judge the standard of care, the outcome of our work, the infection incidence, the accident status, and the things that go wrong. If we have not met some minimum standard, we do not get the accreditation. AAAHCFew hair transplant centers in the United States undergo this process, because it is a difficult standard to meet and the cost to adhere to their requirements on quality cost us well over $100,000/year. Even with this high cost, the comments of the reviewers guarantees that we are constantly observed and criticized to help us improve our quality of care. I generally tell those patients who are considering us to be their doctors, to check out any doctor that they are considering for such national certification. Our facility and our standards are the best and it is backed up by the accreditation of the AAAHC. What I’m getting at is that we strive for the best, and if people see us as the best, then we’re doing our jobs.

I thank you for your direct question, but although I like a pat on the back as much as the next guy, what I see, read, and hear from patients at our monthly Open House events (which we have been holding for over 15 years) says it all for me. I love the people side of this field… the doctor/patient interaction from the patients I meet. The diversity of my patients is what stimulates me to work, to listen, and to help them, and that is what makes me what I am, whatever it is.

Eating Dairy Makes My Scalp Ooze – Hair Loss Information by Dr. William Rassman

Anytime I consume dairy products especially milk and butter and sometimes ice cream,(yogurt and cheese do not bother me), I start getting a secretion on my scalp within a day or so and it hardens while trapping the hairs on the scalp. It is almost like putting gum or glue on the scalp. I wash my hair every day and sometimes I can dig my fingernails into this stuff to try to get it off my scalp but then tons of hair come off with it. Polysorbate 80 works great for eliminating this stuff but I have avoided consuming milk and butter for well over 10 years and that works better. I also notice that by just being overweight(even without consuming milk or butter), I am afflicted with this problem so I have slimmed down. I would like to know what is this stuff that forms on my scalp and why does it do that in the first place?

DairyMaybe you should not consume dairy products at all. Perhaps switching to soy will be a solution. I couldn’t tell you why the sebum output on your skin/scalp seems to be stimulated by the dairy you consume. With regard to polysorbate, Wikipedia says:

“Polysorbate 80 (commercially also known as Tween 80, a registered trademark of ICI Americas, Inc.) is a nonionic surfactant and emulsifier derived from polyethoxylated sorbitan and oleic acid, and is often used in foods. Polysorbate 80 is a viscous, water-soluble yellow liquid.”“Polysorbate 80 is often used in ice cream to prevent milk proteins from completely coating the fat droplets. This allows them to join together in chains and nets, to hold air in the mixture, and provide a firmer texture, holding its shape as the ice cream melts.”

Thanks for the interesting question.

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Why Can’t Science Cure Baldness? – Hair Loss Information by Dr. William Rassman

My question is simple but as of yet still unanswered by science: why can’t they find a cure for baldness? Are they not trying hard enough, getting enough funding, don’t want to cure it? It’s not surely as complicated as cancer or HIV.

I have given up on my medication as Propecia is a waste of time (in my opinion). Ugliness…here I come!

Propecia (finasteride 1mg) is the best medication for balding men and it works. You are looking for a miracle and there is no such thing. The rewards for finding the cure for balding will make another fortune like that of Bill Gates, so there is plenty of stimulus for it.

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Doctor Gave Me Betamethasone for My Hair Loss – Balding Blog

Hi I am 26 years old and I recently moved to a new country for the 6 months but I noticed that I have been gradually losing hair for the past year or so(even while I was still in my home country). I’ve seen a local dermatologist here in Taiwan but I am having some reservations about him. He did a hasty (literally) 2 min. check-up, where he just casually looked over my scalp and he didn’t bother to ask me any questions about my family history or my lifestyle hair. He just immediately related my condition to the stress of moving to a new country. Afterwards, he sprayed nitrogen of some sort into my hair, he told me to come back once a week and then gave me a prescription for betamethasone (apply 4 times a day) and polytar liquid to wash my hair once a day. I am wondering if it’s time to find a new doctor? What kinds of procedures should I expect in my first meeting with my doctor? How should I go about finding a good one? Thanks in advance

I believe that you are right to consider getting another doctor. You actually know what to look for in a doctor by your description:

  • One that gives you the time for him to ask questions about you and your family history of hair loss
  • One that does a thorough hair and scalp examination including a study of the hair for miniaturization analysis
  • One that answers your questions and engages you enough to give you the trust you need

Sounds like his treatments are everything (including the kitchen sink), but I think that you know that the kitchen sink will not bring your hair back. If you were my patient, I would advise you to stay away from betamethasone, as it is a steroid which might hurt you with regard to producing even more hair loss. Good luck.




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My Trichologist Told Me I Had Poor Blood Circulation and Oily Scalp That Can Be Fixed for $5000 – Hair Loss Information by Dr. William Rassman

Hi Doctor,
I just made a trip to a local trichologist (Svenson Hair). They did a scalp and minituarisation study for me. She commented that I have a few hairs growing from the same pore, as well as minituarisation at same parts. She also said I had dandruff that was not flaky, and a sensitive scalp (some slight redness).

So she said that I had these problems:

  1. Poor blood circulation (said my scalp was grey in some areas)
  2. Dandruff clinging to my pores (thus blocking the new hair from growing out. Said it was worse than flaky dandruff)
  3. Oily scalp

The treatment package was going to cost 5000 dollars, and she started to use the words VERY SEVERE as we got along, as she sensed my apprehension. However I’m not sure what she said was true. Can you help me verify the 3 points as above? Are they true??? I’m currently on Propecia.

Thank you very much. I hope no one gets pressured by such trichologists into a 5k package.

In my opinion, none of what your trichologist told you is true. We often grow multiple hair follicles (called follicular units) from one pore. If you have an oily scalp, you can treat it with shampoo formulated for oily hair/scalp, available at most drug stores or grocery stores. Grey scalp from poor circulation? Don’t waste your money! Now that I’ve saved you $5000, if that money is burning a hole in your pocket I suggest that you will get more satisfaction by donating some of it to charity.

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Extreme Makeover – Hair Loss Information by Dr. William Rassman

I saw you (Dr. Rassman) on Extreme Makeover last night. There was a man who had a receding hairline and you did a transplant on him. The procedure involved plucking the hairs from the back of the head instead of cutting a strip. What is the name of this procedure and what are the pros and cons in comparison to other procedures?

This is called follicular unit extraction / FUE (also known as the FOX Procedure) and is a technique I invented and published back in 2002 (see article). More information on FUE can be found here:

Pros are the quick healing time and no linear scar in the back of the scalp (giving you the ability to have a very closely cropped haircut without any noticeable scarring). The cons at the time of writing this would be pricing (it is much more labor intensive, and the fees reflect this) and not everyone is a candidate (depends on a number of issues).

Also, here’s all of my Extreme Makeover cases (these were filmed and originally aired a few years ago) — NHI: Extreme Makeover. I’m glad to hear that they’re still being aired.

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