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Hi Doctor, you say that one lose on average 100 hairs each day. On what basis you say that? is it based on a scientific research and finding or just your own guess based on average number of hairs on someone’s head and the percentage of hair in telogen phase and length of the latter. If any of these parameters is in fact different, which is likely to be, then your assumption will not be accurate or correct. Thank you for all

The 100 hair loss a day has been widely published and accepted as the normal shedding of hair. Also note that it is not actually 100 hairs a day everyday, but “UP TO” 100 hairs a day.

If you take in to account that our hairs are also growing in cycles or telogen (resting), anagen (growth), catagen (transition) phases 100 hair loss a day out of 100,000 hairs is 0.1% of your total hair count. Also take into account while you are losing 100 hairs there are likely another 100 hairs that are starting their anagen (growth).

Anagen phase in measured in years, telogen phase in measured in months so more hair is actually in the growth phase in a normal cycle.

There are always exceptions to the rule, and not everyone is the same.

Many people ask me if anyone will detect that they had a hair transplant immediately after it. Of course, there will be a ‘beard’ present but if you keep your hair long, it can disappear. I have posted patient pictures to show you what you would look like immediately after a hair transplant.

https://baldingblog.com/actual-limited-frontal-hair-transplant-600-grafts-4-days-photo/

https://baldingblog.com/two-post-operative-patients-shown-one-day-hair-transplants/

https://baldingblog.com/patient-just-4-days-following-1700-grafts-with-photos/ (This patient used is hair and combed it forward because his hair was black and his skin was white)

https://baldingblog.com/class-23-patient-just-5-days-after-fue-procedure-with-photos/

For the long term, finasteride has been very effective at holding back the balding or slowing it down. Some of my patients who were on it for more than 10 years, tried and stopped it and they all reported significant hair loss within 3 months of stopping the drug.

Minoxidil has made this bald spot bigger and made my natural healthy hairs thinner it’s been six months and the hairs in the bald spot that minox grew don’t look good and my healthy hairs have not thickened, should I stay on and give it longer or come off now ?

Minoxidil doesn’t reverse the hair loss you have, but it grows new hairs. Additionally, many of them are very small hairs and are not enough to build bulk. Observations show that it peaks its value at about a year with continuous use.

Dear Dr. Rassman,

How is this possible? I’ve noticed this celebrity whose entire forhead is bald except for a little stubborn patch in the middle. It doesn’t make any sense. How can the entire forhead go bald while a little patch remains? Does not DHT miniturize all the hairs? Here is the picture of the celebrity below and another picture I found with a gentlemen who has the same pattern.

Celebrity – John C. McGinley

PG.com patient

I’ve been asked about this before, and I always point to David Letterman, who has a persistent forelock and hair loss around it. This is a genetic trait (shown well in your photo references) which is common in some families. I see it quite often.

Finasteride gets its peak results in 18 months, although many people see the hair loss slow or stop in a few months

I appreciate your helpfulness! Keep in mind a lot of this is performed on rodents and in vitro. However in 2015 there was a study on females that supplemented with fish oil and saw a significant positive impact with a sample size of 100+ if I recall correctly.

https://pubmed.ncbi.nlm.nih.gov/25573272/

 

I have quite a few more but they are quite dense in information but if you’re interested I can show you.

https://pubmed.ncbi.nlm.nih.gov/22440736/

https://pubmed.ncbi.nlm.nih.gov/14668211/

https://pubmed.ncbi.nlm.nih.gov/16304452/

https://pubmed.ncbi.nlm.nih.gov/9973380/

Firstly your site has done wonders to increase my knowledge. However, I first noticed losing my hair at the age of 27 in the crown. I am now 37 and the loss has increased dramatically all over, so much so that I am receding into my bald crown. My hair grows unevenly but now only hair on the top grows but at different lengths and rate. My receding hairline is now moving into the middle of my head which is now very thin. Miniturisation is throughout. I thought that this process would have slowed into my late thirties. Should this be the case or is this a very long balding process? In fact it has sped up over the last 18 months, Is this normal? Been on propecia 4 1/2 months with little effect. In my situation will propecia have some impact at all? Thank you very much

First of all, I would expect that you should see slowing of the balding process about now. The full value of Propecia takes a full year or so. We use general rules about balding and although most men slow down their balding process in their 30s, some don’t follow the doctor’s rules. Hair loss is a progressive process in most men, but fortunately it slows down to a ‘crawl’ by the time most men reach their 40s. You should be followed by a good doctor with yearly miniaturization studies. At the least, it will give you a good metric as to how you are doing. Good photography will also help define what is happening to you. You need to have a good dialog with a doctor who can work you through the process you are going through.