Is Finasteride Making My Eyes Sensitive to Light?

Hi Dr. Rassman,
I saw my Dermatologist recently and after a quick scan of my hair, he prescribed me Proscar for early stages of MPB. I’m 28 now. I started taking 1/4ths and after 3 months decided to cut
it into 1/8ths to stay below 1mg per day.

About a month in, I noticed a few things with my vision. I noticed a couple of floaters, I was more sensitive to light especially at night with headlights and street lights and my eyes
were more dry. A trip to the eye doctor revealed no issues, but the effects still persist periodically.

In your experiences, have you had any patients report any changes to their eyes/vision? I’ve read some posts on message boards with the same issues but don’t find them reliable.

Many thanks! and this is a great board!

First, I commend you in having the skill to break such a small pill into 8 equal pieces.

Second, I doubt finasteride is the cause of your eye problem. I’ve not had any reports of this from any patient I’ve prescribed finasteride to and I haven’t seen anything in the medical literature about vision issues from finasteride. It is unclear if you were seen by a optometrist or an ophthalmologist (the latter is a physician who specializes in eye problems). Seeing “floaters” may be benign, but it may also herald other medical issues.


2007-07-25 14:32:44Is Finasteride Making My Eyes Sensitive to Light?

Is It Genetic Hair Loss or a Mature Hairline? (with Photos)

I know my hairline has receded in the last few years, but I’m not sure if I’m showing signs of genetic hairloss or if it is a mature hairline. I’ve been to a dermatologist and a thricologist and neither seemed to take a serious look and just said it didn’t look to bad, but I wasn’t really convinced.

I am a 25 year old male. My dad is bald and probably started balding in his 20’s, my older half brother is bald and my two uncles on my mother’s side are bald. My mother’s father never went bald but had a high hairline, and my dad’s father started balding probably in his 50’s. I’ve realised that I’ve always had a fairly high hairline, and it has always been a bit higher on my right side. I can remember I used to part my fringe a certain way when I used to gel my hair when I was in my mid teens.

In terms of just measurements, my hairline corner (right side) is 1 inch above my wrinkled brow, and 2.5 inches above my eye brow. The middle of my hairline is 1 inch lower than that. The hairs in the corners of my hairline seem finer and less dense I think so I don’t know if that means it’s going to move up higher up.

Thanks again and thanks for the site, it’s very helpful. I wish I could stop by in person but unfortunately I’m on the other side of the Atlantic.

Click the photos to enlarge:

 

You sent a lot of photos, but I chose the above three that tend to show the best angles. Thanks for sending them.

It appears that you have a Norwood class 3V balding pattern (not a maturing hairline) and the frontal area appears to be thinning where you have hair. The crown is early in the balding process. The photos aren’t the crispest or in the best light, so it is difficult to really make any specific determination. You need to see a good dermatologist or hair transplant doctor to be evaluated. Medications like Propecia (finasteride) are the only way you may halt the progression of the hair loss.

Since you’re on the other side of the Atlantic, you can visit Dr. Bessam Farjo in London or Manchester. Or if you happen to be planning a trip out to Los Angeles, we’d be happy to see you.

How a hair transplant changes a man’s life

Have your patients reported to you that their life improved was improved from getting a hair transplant (E.g. Confidence, more time etc)? I’m thinking about getting it done and I’m really worried about the first day travelling home.

Almost all of my hair transplant patient regret not doing it earlier. The average age for a hair transplant in my practice is mid-thirties. The older the man is, the more they regret not getting a hair transplant and living with balding. Almost 100% tell me hair transplants were a life changing process. I started doing large session transplants in 1991 with follicular units back then. I never did a ‘plug’ surgery

Is My Barber Possibly Pulling Hair Out?

Hello i think this website is great. I had one question…im experiencing some thinning in my bi-tempural areas. I get my hair shaved (not bald) every two weeks. I notice that my barber is a little rough with the clippers/shaver…could this be pulling my hair out??? Would this cause further miniaturization??

Does rubbing your scalp really work at reviving thinning hair??? thanks

If your barber is pulling out your hair, he is not furthering his business. Being rough with hair brushing will not accelerate miniaturization, but it can loosen hair that is on the way out to produce premature thinning.

Rubbing the scalp feels good, but you have to be careful that the rubbing does not pull out the weak hairs that are miniaturizing.


2006-10-02 12:09:56Is My Barber Possibly Pulling Hair Out?

I Had 5000 FUE Grafts and Now Can’t Wear My Hair Short Anymore

An FUE surgery of 5,000 grafts is most likely too many grafts for the donor area in 98% of the population. As a result, you have a problem with over-harvesting which produces a see-through donor area. The original density may have been too low to support the number of FUE grafts you had done. You now have a depleted donor area, and since your hair appears short in the photo, this problem is made worse. If you let your hair grow out more, maybe it will cover this overharvested donor area. One reasonably good solution is Scalp Micropigmentation.

Whatever you do, do not do another FUE as your situation will become worse. FUE is often promoted as a scar-less surgery, but clearly, it is misleading as in your situation. You can either let your hair grow longer to cover it or get Scalp MicroPigmentation which will camouflage these bald areas exceptionally well.

See here: https://scalpmicropigmentation.com/scar-covering/

Is My Receding Hairline from Wearing a Bandana?

Hey Doctors,

I already saw the post from 2005 concerning bandannas and hair loss but I would really like some clarification. I am 21 and have been wearing a bandanna around my head since I was 16 every single day. My mom called me out this past weekend at home concerning a receding hairline I seem to have developed, despite having absolutely no family history of hair loss on either side.

I imagine this must be linked to my bandanna, but what I need clarification in understanding is whether or not the hair loss is actually related to my bandanna. I question this because my bandanna sits right above my eyebrows under my hair

Thanks for allowing me to post the photo you sent. Click to enlarge.

 

From the looks of it, it appears that you have typical hairline recession commonly seen in genetic hair loss. If it was due to extreme bandana wear, you would likely have some form of traction alopecia where the hair loss would occur around the tight pressure spots where the bandana constantly rubbed on your scalp. I don’t think you wear the bandana that high up on your hairline, so I wouldn’t expect traction is the cause.

Overall it seems strange that you would wear a bandana every single day and I wonder if you wore this due to early perceived hair loss recession. Finally, having no immediate family history of hair loss does not necessarily mean you are immune from genetic hair loss.