Central Necrosis from Scalp Micropigmentation (Photo)

This is the first time I ever heard of this complication from SMP. It was clearly done by someone that just didn’t understand the process. It is also clear from the size of the dots, that the operator went too deep which probably accounted for the necrosis complication


2020-06-02 09:42:48Central Necrosis from Scalp Micropigmentation (Photo)

How old do you have to be to have a Class 6 or 7 pattern?

My dad went NW7 in his early-mid twenties. I’m 19 right now and just using minoxidil and nizoral. I’m adding dermarolling soon. I have diffuse thinning, not too bad at the moment (but since I’m light skinned with black hair it’s still a little visible :/) but I really hope minoxidil stabilizes it for at least a couple years

If you take after your dad, you will see the pattern before you are 26. Sorry, but that is the probable truth


2019-01-07 14:13:16How old do you have to be to have a Class 6 or 7 pattern?

Chemical Damage?

Hello Dr. Rassman. I experienced a sudden hair loss and breakage from strong chemicals. In the months since ive stopped using the chemicals there has been no further hair loss. But a few days after putting the chemicals on my hair I noticed that 1000’s of hair strands were markedly thinner. Is it possible that a chemical could just shrink the hair shaft permanently? Also the texture of my hair is different. If I stopped using the chemicals would my texture and hair shaft diameter return to normal or would the follicles continue to produce thinner and finer hair shafts?

I have addressed this question in a variety of forms (see: chemical damage). Please note that even though you think the cause is chemical, there is no substitute to getting a good examination in the hands of a good doctor who can look throughout your scalp at the condition of the other hairs on your scalp that do not seem to bother you.


2006-06-20 11:03:47Chemical Damage?

One Day Post Op 2150 Grafts (Photos)

Please note that there is no scabbing present and each of our patients are trained on how to wash their hair, so that they never look transplanted at any time. The pink color you see here will be gone well before the end of the week.

Children From Smoking Households Suffer From Heart Problems Later In Life

“Study shows that children exposed to smoking at home have more deposits in the carotid artery as adults. Passive smoking is known to endanger health. This is particularly so for the offspring of smokers. Children who are exposed to their parents’ smoking have a considerably higher risk of developing cardiovascular diseases as adults. That is the main result of the “Cardiovascular Risk in Young Finns Study” presented in the Journal “Circulation”.”

One Propecia in the Morning, One Propecia at Night?

Dear Dr. Rassman,

I know there is no standardized evidence to say one way or another, but in your opinion is 2 mg of Propecia (1 mg taken in the morning, 1 mg taken at night) more effective at preventing hairloss than 1 mg Propecia?

The reason I ask is I have been taking 2 mg Propecia daily for almost 3 years now, and have started to experience “clumpy” semen and painful ejaculation. I am thinking this is due to a side effect of Propecia. I am kind of in a dilemma now because I don’t know if my fight against hairloss will be affected by cutting down the Propecia to 1 mg or altogether. I am 26 yrs old and single so hair is very important to me.

Thanks Dr. Rassman!

I would reduce the dose of Propecia to 1mg taken in the mornings. The higher the dose, the more side effects you are likely to see. The 1mg dose has been shown to be just as effective as higher doses in the formal studies of drug dosing done by the manufacturer. I recently saw a patient with a similar complaint, and he halved the dose and the side effects went away. He was taking 1mg and reduced it to half a pill of Propecia, which has been reported to be about 80% as effective (0.5mg vs 1mg). In your case, you’re taking too much of the medication to begin with. 1mg a day is fine.


2009-04-09 09:05:25One Propecia in the Morning, One Propecia at Night?

Class 5A before and after 5 months on finasteride & minoxidil

I would like to believe that this Class 5A patient achieved a complete reversal of his hair loss on finasteride and minoxidil use over a 5 month course; but I can’t believe it because the hair growth to long hair alone can account for the change in this picture. This man, if he wants to be fair, needs to show comparable hair cuts and comparable views.


2021-01-15 10:39:33Class 5A before and after 5 months on finasteride & minoxidil

Only 4% of men get sexual side effects from finasteride?

Only 4% of people have sides? That sounds low. But, everyone online is talking about the side effects and how dangerous the drug is.

If you sat on a nail, you would remember it and every time you sat on a chair you would check for a nail. But sitting on a nail is very very very rare, not as rare as side effects from finasteride but those who have them are like the guy who sat on the nail, get it?


2020-07-21 13:24:17Only 4% of men get sexual side effects from finasteride?

Clonazepam and Hair Loss

I currently take a medication called clonazepam (0.5 mg) once or twice daily as a muscle relaxer. I have been taking this medication since I was 19 or 20 (I am now 28). Could this be a cause in my thinning hair? I do not have a history of men or women balding in my family. My father has a full head (really full) along with both my grandfathers. My hairline is moving back more each year and my hair is all around is thinning and i am extremly worried. I do have a large amount of stress in my life and always have…but is it possible that hair from stress can grow back? I am extremly frusturated and baffled as to why my hair is thinning…If it is the medication, I am willing to get off of it with the consent of my doctor.
Thank you for your time.

Many drugs can cause hair loss, including Clonazepam. Before considering a drug as the source of your hair loss, you should also consider other medical causes. You should see your primary care doctor for a good examination and possible blood work to find a possible medical cause.

In address to the relationship between stress and hair loss, it is well known that stress can accelerate genetic hair loss as it unfolds over time. You discuss the movement of your hairline higher on your head, so I would wonder if this is the normal recession of maturing found in most men (the hairline goes up about 2/3rd inch in the middle and 1 or 1-1/2 inches in the corners). Sounds like you need an expert to evaluate the hair loss as well as your family doctor to assess your medication routine. The question an expert will is address is if you have a genetic component adding to the other factors causing hair loss or are you just seeing a maturing hairline in development. As you indicated you are in Los Angeles, you are invited to visit my LA office for a free consultation. You can call 800-NEW-HAIR to make an appointment, or request additional info via the NHI site.


2006-04-13 08:20:01Clonazepam and Hair Loss

Oral vs Topical Minoxidil in female pattern hair loss

Pharmacology and therapeutics
Female pattern hair loss: a pilot study investigating
combination therapy with low-dose oral minoxidil and
spironolactone
Rodney D. Sinclair1,2, MBBS, MD, FACD

Abstract
Background Minoxidil and spironolactone are oral antihypertensives known to stimulate hair growth. Objective To report on a case series of women with pattern hair loss (PHL) treated with once daily minoxidil 0.25 mg and spironolactone 25 mg. Methods Women newly diagnosed with a Sinclair stage 2–5 PHL were scored for hair shedding and hair density before and after 12 months of treatment with oral minoxidil 0.25 mg and spironolactone 25 mg. Results A total of 100 women were included in this observational pilot study. Mean age was 48.44 years (range 18–80). Mean hair loss severity at baseline was Sinclair 2.79 (range 2– 5). Mean hair shedding score at baseline was 4.82. Mean duration of diagnosis was 6.5 years (range 0.5–30). Mean reduction in hair loss severity score was 0.85 at 6 months and 1.3 at 12 months. Mean reduction in hair shedding score was 2.3 at 6 months and 2.6 at 12 months. Mean change in blood pressure was 4.52 mmHg systolic and 6.48 mmHg diastolic. Side effects were seen in eight women but were generally mild. No patients developed hyperkalemia or any other blood test abnormality. Six of these women continued treatment, and two women who developed urticaria discontinued treatment. Limitations Prospective, uncontrolled, open-label observational study. Discussion Once daily capsules containing minoxidil 0.25 mg and spironolactone 25 mg appear to be safe and effective in the treatment of FPHL. Placebo-controlled