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We were explaining our hair transplant and Scalp Micropigmentation procedures to a group of patients today and we were shocked to find our pictures lifted off of our various websites and now appearing on the web sites of other doctors. This, of course, is a copyright infringement so letters are now being sent out by our lawyer informing these doctors that if they do not remove these photographs, then we will take legal action against them. They appeared on doctors websites and various other clinics from all over the world, not just the United States.

There was a case many years ago when I brought one of my patient to an international ISHRS medical meeting. This patient who was completely bald (Norwood 7) had phenomenal results in one session due to his unusual high donor hair density. Doctors were photographing him at the meeting. Later I found these photos on the doctor’s websites claiming that he was their patient! I guess that being a thief is really a matter of what is best for your pocketbook when it comes to unethical practices.

There seems to be a problem for many doctors wanting to get into Scalp MicroPigmentation but they do not have good before and after photos or reviews to show prospective patients. They take a short cut and plagiarize pictures they need off of the Internet. There seems to be no moral scruples among these thieves. Even a doctor can be a thief. We even found some of our photos with our own NHI WATERMARKS on them, telling those who see them that these photos originate from the New Hair Institute. We even found one of our celebrity patients on the site of another doctor.

What does this mean? It means that as a buyer, you must be careful for what the doctors are showing you, as what you are seeing may not be what you are getting.

Hi Doctor Rassman, how much daily hair loss is normal? some say 50-100, others say 100-150-200 is normal. From your expertise what is normal for an average male with no hairloss.

I believe we wrote about this subject many times over. The average person can loses 0.1% of their total hair count per day as these hairs go into telogen. You must also remember that the person is growing back about the same number of hairs each day. Assuming that the average telogen cycle recurs every 3 years and you have 100,000 total hair count, that calculates to about 100 hairs/day. The numbers are clearly not fixed by nature, so it may vary based upon individual circumstances, genetic patterns, your age and sex.

I really enjoy visiting the website and reading the wealth of information that is posted on here.

I know dr.rassman has mentioned a few times that if a person is genetically balding their hair has a certain lifetime (example 5 or 10 years) , with or without the use of finasteride, before it completely dies. If that is the case, what is the point of taking finasteride if the hair is going die anyways within 5 or 10 years? Could finasteride prolong the hair from falling out early?

Male pattern balding (MPB) also known as androgenic alopecia (AGA) is genetic. There is no cure. But there are two drugs: Propecia (finasteride) and Rogaine (topical minoxidil) that can SLOW the process down. In some men it can sometimes REVERSE and grow NEW HAIR! But eventually over time, you will continue to lose hair in the genetic pattern.

If you are rapidly losing hair in your 20’s and 30’s and you can take a medication to slow or sometimes reverse the balding process down for about 10 years, that may be worth it to some people. It is an optional medication with a low side effect profile. The most significant side effect for finasteride (Propecia) is sexually related (erection issues) or reduced sexual drive and it occurs in 1 to 2% of men who take the medication. The side effects are reversible once you stop taking the medication. But there are a subset of men out there who claim that the side effects are permanent. It is very difficult to prove or disprove the permanence of the validity of long term sexual dysfunction, but this is a consideration you must weigh if you take this drug. The risks and benefits should be individually discussed with your doctor.

The following is a LINK of before and after photos of men who took Propecia with great results.

I have been off of finasteride for about 7 days and I’m scared of PFS. I have been taking Propecia for 9 months. How common is it for guys to get permanent side effects?

Do you now have sexual side effects? If you have made the decision to stop the finasteride, then it is highly unlikely (statistically) that you will get PFS. Your sex drive should come back after a month or possibly two. Don’t talk yourself into a problem as the placebo effect is real.

I had major hair shedding at age 19-20 all of a sudden. My father said he experienced the same (!) when he was young and he’s now 51 and still has a full head of hair, he just loses a lot (but he has a lot of hairs just like me). But his father went bald in his mid 20’s and because the hairloss was so agressive (you could compare it to the shedding of hair from animals at a certain period in the year) i thought for sure i was going the same way. So I visited 3 doctors/dermatologists and they all concluded it was genetic hairloss, although they didn’t seem to know much about how hairloss/hormones exactly work and were easily agitated when you asked a lot of questions.
Anyhow, i got prescribed proscar together with minoxidil (and nizoral shampoo) and took it for 1-1.5 years, after that I just stopped taking it, followed by rather intensive hairloss (which is normal, and it wasnt the same as when i was 19) i never saw a bald spot. Now at age 25 I still have all my hairs left, although I do lose a lot of them, there’s never a bald spot. I should have listened to my father who said he experienced exactly the same thing(!) when he was younger, he’s now 51 and he still has a full head, and yes he also loses a lot of hairs on a daily basis.(we both have a lot of hairs aswell).

Since i know for a fact that my father and brother both grew (2-3 inches, 5’9 and 5’11 respectively) after the age of 18 and i didn’t (i was 5’7.5 at age 15-16 and still am at age 24) i am very certain that massive hairloss was a testorone surge, and as such probably the start of a second growth spurt.
And i’m quite certain that because of taking proscar I caused premature closure of the growth plates (more production of estrogen due to DHT blocking?). Is this hypothesis correct Dr.Rassman? It’s really depressing to know that one small pill can mess your future up in such a grave way, as my height truly bothers me now. I thank you in advance for your effort.

I am not sure what you are asking. I assume that you lost hair after you stopped taking Propecia and minoxidil and that you noticed that more hair is falling out, yet you still have a full head of hair. Stopping these medications should not cause you to lose more hair than you would have ordinarily lost. I use the term ‘catch-up hair loss’ which means that your hair and scalp will behave the way it wound have gone without the retardation impact of these mediations on your hair. Now you are saying that you have a reasonable head of hair, but that there still may be thinning present and want to know if short term bursts of testosterone could cause hair loss. The answer to this question is yes, but generally when this happens, the lost hair is permanently lost. I have discussed many times on this blog, the need to have your scalp mapped out for miniaturization to establish a working diagnosis. If you have miniaturization in any pattern, you may still lose hair, so one would want this process to be an intelligent process with some metrics to understand what is changing on your head over time.

Taking away the Lion’s mane in the Donald, would be like castration for him as he wouldn’t be able to function but he has a good looking skull shape for a balding man.

Doctor,

You’ve said it before, and I agree with you that people suffering from hair loss, in their hopes of being delivered from their pain, are willing to believe too resolutely in products that
promise them a cure.

This article says it all: Threats To Hope: Desperation Affects Reasoning About Product Information

I hope everyone reads it and thereby removes the poor decision-making skills that sometimes accompanies their desperation.

Excellent. Thank you for sending this!