Category: Uncategorized

Posted on

Blood Flow Stimulators and Hair Loss

I have question(s) that are part product and part physics inquiry:

  1. I have used Nano shampoo for several years, and I’m not sure if its effective or not – any thoughts?
  2. If using a liquid topical (minoxidil, nioxin, etc) would it be best to apply the topical AFTER wetting your hair completely so that ones hairs do not absorb/wick the topical up onto the hairs, so the wet hair will minimize the ability of dry hair to draw/wick topical fluid away from the scalp?
  3. Are there any mild blood flow stimulators you would recommend similar to Retin-A though not as irritating/burning as you repeatedly advise you are not a fan of with Retin-A? Is this the same mechanism the product Procede uses?

(I’m hoping the creativity of my no.2 physics question makes my submission worthy of a response and/or post.)

Thank you!

Retin-A

  1. Probably not. No shampoo will cure balding or help with hair loss. Hair loss is genetic in 99% of men. You can use any shampoo you wish, but it will not help with hair loss.
  2. It is my understanding that the foam version of minoxidil works best with respect to absorption.
  3. Retin-A (tretinoin) does not work for treating hair loss. It is a mild acid that produces a skin irritation that some believe would help when used with minoxidil, because it might make the skin absorb the minoxidil better. There is no clinical evidence of this actually helping grow more hair. In my opinion, you are just irritating your skin. Procede contains thioglycolic acid, which you can learn more about at Wikipedia.
Posted on

More than one hair transplant?

In your experience do patients typically require more transplants down the line, if so how many typically? I can stay on fin to help with this, but I’d like to avoid having to do multiple down the line. Maybe one more in my 30s/40s to keep the hair looking natural if recession drastically continues, but I’m a little hesitant as I don’t want to get roped into having to do continuous surgeries every 5-10 years for the rest of my life.

I have had patients stop at one hair transplant, more common in the older male population when their Norwood Balding pattern is stable. In younger men who jump the gun, following the hair loss with additional hair transplants is not uncommon. That is why careful planning is critical in using up a limited donor supply. A good Personalized Master Plan for every man is needed.

Posted on

Body Hair Transplants

Can you use body hair (like from my back to graft into my head??) All I have left is straight black hair. The brown reddish wavey hair is elsewhere on my body. What about if I want my once wavy hair back?

Does one consider using grafts from the other body areas such as pubic area hair?? As a former Physiology major and Chemist, this in theory seems possible considering the technology being used at the moment yes? Thanks — I’ve many questions, appreciate your bearing with me.

Hair can be transplanted from most parts of the body to other parts of the body. Some of the best work in this area was done by a Dr. Kim from Korea, who transplanted head hair to his leg as part of his PhD project where he tried to get more than one hair from one hair. He succeeded to transplant these hairs to his leg but failed to get more than an one for one yield.

Today, there is much human experimentation in moving hair from legs, abdomen, back, chest and beard to the scalp. It appears to work, but the question is one of value. Is the hair valuable enough to achieve the goals of the patient. How long will it last? How long will it take to grow? What are the growth cycles of these hairs when moved to the scalp or eyebrows? There are many unanswered questions and some answers are appearing to show that these types of transplants work.

All of these body hair transplants are done with the FUE technique. There is not a mystery as to how to do this, but the problems I see are more in the many unknowns for routine clinical use.

Posted on

Multiple Sclerosis and Hair Loss?

(female)
I have noticed that my hair is breaking off. There are several pieces of hair that are only two inches long on the top of my head. I color my hair to cover the gray, but I am also on several medications. I was diagnosed with MS in 2003. Do you have any thoughts on what could be causing this?
Thank you.

Look at the medications that you are using for the cause of your hair loss. Some medications used in treatment of multiple sclerosis (like mitoxantrone) can cause mild hair loss. Speak with your doctor about them.

Posted on

Both presidential candidates had hair surgeries

I know that Biden had hair transplants in the old days with ‘plugs’ but got these repaired some years ago so he looks normal now. Trump I know had a Scalp Reduction (cutting out the bald spot in his crown) but I am not sure if he also had hair transplants. The scalp reduction left him with a scar down the middle of his head. I think that he wears a high end hair piece now.


2020-08-15 08:45:50Both presidential candidates had hair surgeries

Posted on

My beard was transplanted perpendicular rather than normal!

Im considering another beard transplant but am worried it will leave scars on my face – can this be fixed to look more natural? will it leave scars on my face if the hair angles get re implanted? Alternatively im also considering Laser HR on my face but im worried there will be noticeable scars when fully removed? advice please?

You can remove each beard hair and replace it in the proper position. This shouldn’t scar the face if performed with a small punch. A laser would also work but then you would waste the hair


2020-11-02 11:43:50My beard was transplanted perpendicular rather than normal!

Posted on

Breezula

I have a lot of faith in Breezula. I think people really understimate the fact that Breezula not only protects hair follicles against DHT, but also against testosterone. That in itself is massive news. I understand there’s a lot of skeptics because of the trials. At 6 months it performed better than finasteride and at 12 it did worse. I would be interested in what u/wrassman thinks on this. Personally, I do not believe in the upregulation of DHT theory. I also do not believe that hair follicles would develop resistance to this medicine, either. There’s nothing in a hair follicle that would permit that. Anyways, it’ll be interesting to see.

Breezula is an antiandrogen presently undergoing tests on a Third level of clinical trial testing. There is great promise here from what I read about this medication and the best part it doesn’t seem to get into the body when it is applied to the skin. I don’t have experience with this drug.


2020-08-19 15:52:59Breezula

Posted on

My Daughter’s Hair Hasn’t Been Chemically Processed for Years and Now It’s Breaking

My daughter is 15, she has not had a perm in 3 years or more. Just recently her hair began breaking off on the ends and around the edges of her scalp. She uses biosilk shampoo and conditioner and she does flat iron and blow dry her hair at least 3 or four times weekly. What can we do to stop the breakage and promote the growth of her hair? We are african american.

The use of the flat iron could still contribute to damage, but this is best managed by a good hair stylist with lots of experience with African hair types.

Posted on

Burn patient need eyebrow transplant (photo)

An eyebrow transplant will work miracles for this man as it will draw away attention to the burn and frame his face nicely. I picked this photo up on Reddit


2019-10-02 14:17:11Burn patient need eyebrow transplant (photo)

Posted on

My Doctor Diagnosed Me with MPB Right Away

Hey Doctor Rassman, I have a question regarding early MPB. I’m 19 years old and my hair recently started thinning at the hairline and my temples have very slightly receded. It’s not at a stage where the untrained eye would notice, and my friends who I’ve pointed it out to think I’m crazy, to give you a picture of how early it is right now. But my dermatologist diagnosed it as early stage MPB right away when I asked her about it and she prescribed me propecia. So my question is:

Does thinning/receding at such an early age usually indicate a more serious case of balding? Does it generally mean more aggressive balding as well as a eventual higher NW# pattern? I know it can all be so very random sometimes, but I’m just wondering what the average case comparable to mine usually ends up at, if there is such a thing.

Starting age of your hair loss doesn’t indicate degree of future balding. You could start early and get to your pattern quickly… then stop losing hair. It’s different for each person, obviously.


2009-03-31 13:42:29My Doctor Diagnosed Me with MPB Right Away