Chemo After Lung Cancer 2 Years Ago – I Lost Most Of My Hair

I had lung cancer and my last chemo treatment was in July of 2012. I finished radiation in October December 2012. I had some balding prior to the Chemotherapy that you might classify as a Norwood Class 6 pattern, but there was still hair throughout the head. It was just thinning. It has been almost two years and now my hair loss pattern is very clear and all of the thinning hair has not come back. I have a few sparse hairs all over my head, but they are very sparse. I am off my medications at this time. Will my hair come back and what can I do to help it. I have used Nioxin for two years and just recently started uses minoxidil. Are there vitamins to help? Just what can I do?

I do not know how to help you. You clearly had male pattern balding that was not complete and the chemotherapy stressed your fine, miniaturized hairs and finished the balding process in them. One of our patients had used the ‘Cold Cap’ when the took Chemotherapy and lost less than half of the hair. Few doctors are aware of this treatment. At this stage, I believe that you can expect that hair regrowth will not occur. We have a treatment that may be worth looking at, called Scalp Micropigmentation (scalpmicropigmentation.com). Many patients convert from a Class 6 or 7 pattern to a full looking head of hair by taking on a shaved look. Just like the star of Breaking Bad, many men look great with the shaved look and your case does parallel the main character’s appearance. This is something to consider. Many times I ask myself if SMP was available when I started to treat my hair loss, would I have chosen this option. The answer is yes, but at my age, this is not something that I would do considering that my hair loss is gone and my hair transplants were 100% successful in addressing by large crown loss.

Testosterone Shots and Transplanted Hair

This email came from a transplant patient of mine from years back…

About eight or nine months ago, I had a low testosterone test result and began taking testosterone shots to respond to this. My urologist assured me that the shots would not cause hair loss, but I’d appreciate knowing from you your thoughts on the subject if possible. To my viewpoint, my hair seems to be thinner, but I am not objective (or rationale) on the subject.

If you have been taking testosterone for 9 months and have not seen an impact causing hair loss, then you should be safe with regard to this potential problem. I would assume that those hairs which are genetically impacted by the balding process are all gone by now and all you are left with is hair that will not fall out with testosterone. Your transplanted hair falls into this category.

If you were a young men and still had active balding, then you would have seen hair loss by this time from the testosterone.

Not Hair Loss News – Marijuana’s impact on brain function

Dr. Stuart Gitlow of the American Society of Addiction Medicine says “we’ve known that people who use marijuana when they are younger tend to have cognitive abnormalities”. He studied were people in their 40s who smoked about 6 joints a week when they were 18-20. Brain scans were done which showed volume, shape and density changes in two key regions of the brain. These areas deal with emotion, motivation and decision-making…. “This is the part of the brain you don’t want to mess with”. says Northeastern University psychiatrist Hans Breiter……” The more marijuana that users smoked, the more their brains differed from normal brains…..

As we move to more and more legalization of this drug, we should ask ourselves what is the price we will pay? This will obviously impact schooling, and everyday life. Can you afford to take this risk?


2014-12-12 11:52:08Not Hair Loss News – Marijuana’s impact on brain function

The Big Lie: by John Vincent

This is an important book to read for those of you who are experiencing hair loss from a man who went through it. He discusses the pitfalls in the commercial side of the hair transplant business which you should all know about. John Vincent has offered our readers a free copy of the book by emailing him here:

John Vincent john@hairconsultant.com


2019-07-17 07:12:48The Big Lie: by John Vincent

My 7 Year Old Daughter Has Many Bald Spots On Her Head

Dr. Rassman

My daughter has many bald spots on her head, we noticed this back in August of last year and it dosen’t seem to be getting better. I am at a loss as to what to do. I have had her saliva tested and put her on a vitamin and mineral regiment. She has also started to eat more vegetables at our urging to help with her problem. She is seven years old and has always been concerned with her appearance, I am very concerned that this will progress and affect her forever. Please send me any information that you think may help us.

Take her to a good dermatologist. Spots of hair loss are signs of something wrong like a fungal disease of the scalp or alopecia areata or a variety of other conditions. This is not the place for the amateurs (or even online opinions) and your daughter deserves a good professional opinion from an expert in person.

The Internet Rumor Mill Says Dr Rassman Was Paid By Merck

This is part of a comment someone posted that I wanted to address:

I was disheartened last night to read that Dr. Rassman was paid to present to a Merck Committee which could perhaps explain his bias. I don’t know how much he was paid, how often it occurred, or if the company used any psychological manipulation on him, but I am starting to feel he’s lost for good. It is a very scary world in which we live, if one can trust their own animal instincts over the educated and experienced opinions of doctors.

To clarify, I was never paid by Merck. Anyone can post comments on forums, but this is bordering on slander.

Over the years of writing my BaldingBlog, I have come across a select group of critics who have an issue with Propecia and I address those issues here without censorship. To clarify again, I prescribe Propecia, the only FDA approved oral medication for genetic androgenic alopecia (AGA) to my patients who have been diagnosed with AGA. The risks and benefits are explained to them as an optional medication.

I do not make money from selling Propecia, as I sell it in my office for almost my cost (just enough extra to cover stocking costs). In fact, most of my patients go to a drug store to get the generic finasteride 5mg, which they cut in quarter doses. I have nothing financially to gain from recommending Propecia (finasteride). Since I make most of my income from hair transplant surgery, it would actually be advantageous for me NOT to recommend Propecia. So where is my bias?

I Am Taking Hormones And Losing Hair

I started to lose your hair this July. About that time I also went on hormones, DHEA, and antibiotics. Could these medications have caused my hair loss. I recently stopped taking these medications and think that the loss may have slowed and some reversal may be going on. Is this possible

I believe that considering the short period of use and the known relationships between DHEA and hair loss, it is reasonable to expect that the hair loss you had might be related to the medication. You think that the hair loss is reversing upon stopping the medication so it is reasonable to expect that your progress will continue. You need to determine the status of your hair in and around your head, get the hair and scalp mapped out for miniaturization and if this is normal, that would make the process most probably reversible.

The “Sean Connery” of Hair Restoration?

Hello, doctor. I do not mean any disrespect in my question, but I do believe it is an important one. I am considering surgical hair transplantation, and I’ve heard that you are one of the better surgeons in Los Angeles. My concern… my question is, how old are you? I ask this for two reasons. (1) Have you passed your surgical peak? (2) Will you be there in a couple of years when I may conisder another procedure?

Thank you. Again, no disrespect intended, but I am looking for a relationship with a physician who is not only qualified but who will be there when I need them.

What crystal ball does anyone of us have? Do you know when you cross the street that you will make it to the other side and not get hit by a car?

I am 63 years young. I have performed surgery on a couple of billionaires this past year and a number of top celebrities, one head of state, many CEOs of large companies, four patients from the TV show Extreme Makeover, construction workers, a bus driver, a grandmother and a mother of 7 kids, and many others who asked similar questions. My health is good, my maternal grandmother lived to 114, my maternal grandfather died at work when he was 102, my father’s grandmother lived to 99, and many uncles and aunts lived into their 80-90s. Like Sean Connery, I like to think that I get better with age. Mr. Connery turned 75 a few months ago, so he’s got many years on me yet.

I received the hair restoration industry’s equivalent to the Acadamy Award for Best Actor, called the Golden Follicle Award in 2004 at age 62, published the FUE technique when I was 59, and am probably one of the few doctors world-wide who does it well today. The FUE technique has to be the most taxing surgery in hair restoration that there is. I wrote chapters in text books and published scientific and other papers in the past 18 months numbering about a half dozen. I can not run the marathon (nor could I when I was 23), bench press some 500 pounds (also not able to do it when I was 23), or sprint the 100 yard dash (no comment is needed here but for that I am clearly out of shape). However, I ski regularly, scuba yearly to depths of 100 feet, ride my bike about 16 miles a day when I am not over-working and can play the piano for hours (my fingers, at least, hold up well). I can work longer hours than any of my staff and can get along on 3 hours of sleep per night if I must. If you get a younger doctor, ask to see patients of his/her which were done this year. I can show off many of my patients (which we do monthly) at our open house events and have done it for 14 years consistently. I tend to take my responsibility seriously, and have often helped my patients through many personal health crisis that were unrelated to their hair transplant. One patient of mine stands out (age 44) when he discovered that he had John Ritter‘s vascular diagnosis (actor known best for his role in “Three’s Company”). Mr. Ritter died just a few days from his 55th birthday from a rupture of his ascending aortic, so I became involved in the diagnoses and open heart surgery decisions that saved my patient’s life from Ritter’s fate. There is no doubt that had this patient not had a hair transplant, his diagnosis would probably have not been made and as his cardiac surgeon told him, he probably would have died in a year or so. If you would like, I can ask this patient for a reference that would back up this claim.

When you get to my age, you appreciate people for their value, hopefully gain wisdom, and with wisdom should come temperament that allows an artist to perform finer work, perfect his art, and refine and hone judgments that generally take years to define (just like Sean Connery has done for acting). I believe that what I bring is judgment and wisdom to my patient’s problem and potential surgery, and provided that my vision holds out and my hands remain as steady as they have for the past 35 years of doing surgery (from war torn Vietnam, to orthopedic, vascular, and general surgery), I fully expect to be doing hair transplants for some time, at least, on a selective basis.

Come meet with me and judge for yourself:

  1. if you like me
  2. if you respect me
  3. if you trust me
  4. if you think that I will be around for the duration of your needs

Your call, of course. When and if you come, please refer to this blog answer as I would love to connect with you, see the smile on your face and understand your motivation for writing this question to me. At the least, I enjoyed writing this answer, and at the most, maybe we will have things in common. I have made many friends amongst my patients, including many who did not ask traditional questions when they met with me.

Good results from SMP (photo)

I had just my first of four sessions of SMP. Look how great it came out?

These results are exemplary of the value of SMP (see here: https://scalpmicropigmentation.com/gallery/thinning-hair/ ) We have a break-through at two levels in this field: (1) a new laser tattoo system that allows the process to be done in a single session ( https://newhair.com/wp-content/uploads/data/docs/pubs/Tattoo%20Pigment%20Delivery%20with%20a%20laser_final.pdf ) and (2) a totally new ink which is encapsulated and is not free to spread once it is placed into the scalp. Spreading of the ink is the #1 problem with today’s SMP. The new ink can still be removed with a laser but it will be much more stable in the scalp. At this time, our group will be the first group in the world using this new ink in the next month or so.


2020-04-25 12:54:49Good results from SMP (photo)

There appears to be a risk for type 2 diabetes for people who take finasteride in the treatment of Benign Prostate Enlargement

https://www.bmj.com/content/365/bmj.l1204

Conclusions The risk of developing new onset type 2 diabetes appears to be higher in men with benign prostatic hyperplasia exposed to 5?-reductase inhibitors than in men receiving tamsulosin, but did not differ between men receiving dutasteride and those receiving finasteride. Additional monitoring might be required for men starting these drugs, particularly in those with other risk factors for type 2 diabetes.


2019-12-02 14:23:23There appears to be a risk for type 2 diabetes for people who take finasteride in the treatment of Benign Prostate Enlargement