2020-03-20 02:59:152020-03-09 11:00:457 weeks finasteride plus microneedling
Is Triangular Alopecia from Menopause?
I saw some of your pictures of triangular alopecia and it seems to be what I’m experiencing except that it is not congenital and I am a 53 years old. Could it be menopause? Is there is anything I could do about it?
Triangular alopecia is not related to menopause. Triangular alopecia is an entity in and of itself, which both men and women may get and could appear almost any time, but usually is congenital. It can be treated with a hair transplant surgery very successfully.
Triangular alopecia has many appearances, but the common thread is that the hair loss is on the front/side of the scalp. These pictures from Google Image Search give some good examples of the diversity of its presentation.
8 months on finasteride & Minoxidil (photo)
The photos say it. I suggest that you note his hair styling. 
itching and scratching the scalp
I know this question might be silly, but I’m a little concerned. Some nights I find myself waking up from my sleep while itching my scalp really hard, like nails digging in a little in my scalp. Nothing too intense of course, but just enough to have some flakes peeling off.
I’m kind of freaking out that I’m causing some bad damage to my scalp. I was looking for input from people knowledgeable on the matter, or have had any similar experiences and know good remedies.
Any input would be appreciated.
Scalp scratching causes hair loss and can introduce folliculitis. Never scratch your itch other than rarely and softly
2019-12-11 04:27:142019-06-22 09:27:34itching and scratching the scalp
90 lb weight loss and bald spot on back of my head
20 Y/O male here. Made a doctors appointment, he said my hair looks like its thinning but he thinks it’s from losing 90 lbs in 7 months or from other causes. I then asked to see a dermatologist but will a derm be able to tell if it’s TE or balding? I know everyone wants it to be Telogen Effluvium but I had a awful diet and other signs of TE (beau’s nails). I’m worried the dermatologist won’t be able to tell the difference and won’t be able to give me a definitive answer.
Men rarely get Telogen Effluvium but balding is common. Get a HAIRCHECK test to find out if you are balding. https://baldingblog.com/2017/01/10/value-haircheck-bulk-measurements-two-patients-seen-today/
I’ve Been Taking 2.5mg Finasteride Daily for 3 Years
Dear Dr. Rassman,
I started using Proscar (5 Mg. divided into 2, 1 part daily) about 3 years ago. 6 months ago I added the use of Minoxidil just once daily (every morning), opposed to the recommended 2x daily, since it is only to aid the Proscar. Am I doing the right thing?
Best
The recommended dose of finasteride is 1mg for treating hair loss, sold under the brand name Propecia. Taking 5mg or 3mg or 2mg will not grow more hair, but will produce more negative side effects. Changing doses from 5mg or 2.5mg to 1mg will not likely affect hair growth. Merck’s research has shown that 1mg is as good as a higher dose, so if you are taking a higher dose and then bring it down to the normal 1mg does, there should be no negative effect.
2007-11-28 12:33:012007-11-28 12:33:02I’ve Been Taking 2.5mg Finasteride Daily for 3 Years
A Good Hair Transplant Made Great (with Photos)
Once you have a follicular unit transplant (FUT), if the procedure was done with care, there is no question that the results can’t be detected in any casual encounter, or even on close inspection in most circumstances. Yet with that said, there is still a difference between patient results that go beyond the characteristics of (1) hair shaft thickness, (2) hair character, and (3) hair color.
Let’s take a look at a patient who had two hair transplant procedures. The patient is Dr. Jon Perlman, the well-known Beverly Hills plastic surgeon that has been featured on ABC’s television show, Extreme Makeover. After his first session, he had good results that nicely framed his face when his hair was groomed. But on close examination, his hair was somewhat see-through. Dr. Perlman has very fine hair, so the bulk of each hair shaft was lower than average. By undergoing a second procedure, the bulk was doubled and the results shown in the pictures below say a great deal about the change he experienced. He was more-than-satisfied after the first procedure and thrilled after the second one. A good transplant became a great transplant.
Sometimes patients will tell me something like, “I don’t want it too thick and I am afraid if I put too much hair there, it will look unnaturally thick.” In all of the years of doing this surgery, I have never, ever had a patient who told me that I had made the hair too thick in a single session. We have seen many of our patients (initially satisfied, but wanting more hair) receive another transplant and become transformed back in time to their youthful look. By performing NHI’s pioneering dense packing procedure, we can increase the density of hair in a single procedure, often reducing the number of procedures needed to obtain results like the one shown here, but when the hair is super fine (like the example below) then two sessions may be needed. For many people, hair is like money — the more you have, the better it is.
Click the photos to enlarge.
Before and After 2 procedures (2890 grafts total):
For more photos, click “read more” —
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Before (left) and immediately after surgery (right):
After 1st procedure (1529 grafts):
After 2nd procedure (1361 grafts):
2006-09-14 15:36:362011-02-03 13:24:30A Good Hair Transplant Made Great (with Photos)
I’ve Had Sexual Side Effects Since Switching to Generic Finasteride 2 Years Ago
Hey Dr. Rassman,
Have been taking propecia for approximately 4 years and for the past two switched to finasteride due to it being cheaper. Have had fantastic results with my hair (have more hair now at 30 than I did at 24!)
However, I have slowly been developing sexual side effects over the past 2 years which has come to a breaking point recently. It is now difficult for me to get and maintain an erection and my semen is watery/decreased volume. I am currently taking 1.25 mg of fin a day. I am seeing a doctor today to get my hormone levels checked. I have two questions for you:
1. Do you think these side effects may go away if I lower my dosage to 0.5 mg/day and do you even think that is worth doing? I would love to keep my hair but I am worried I am poisoning my body.
2. If I want a hair transplant in the future, will me being off finasteride significantly limit my options?
Thanks
Lowering the dose of finasteride may lower the side effects, as I have seen this in my practice. Always discuss your medication changes with your prescribing doctor.
While it is advantageous to be on finasteride when considering a hair transplant surgery, it is not an absolute factor. Many patients undergo hair transplantation without taking finasteride.
A Person with DUPA Should Never Have a Hair Transplant (Photo)
I wrote the original article on Diffuse Unpatterned Alopecia (DUPA) and yes, a hair transplant should never be done if you have this condition. However, too many young men assume that they have DUPA, and that is wrong. Get the diagnosis confirmed by an expert like me with microscopic examination of the donor area and a metric on the degree of miniaturization present in the donor area. The picture below cannot, without such a miniaturization analysis, arrive at a DUPA diagnosis.
2020-01-24 04:00:232019-11-22 15:42:05A Person with DUPA Should Never Have a Hair Transplant (Photo)
I’ve Been Using Rogaine and Got a Headache from It. Should I Stop Using It?
A headache could be a sign of reduced blood pressure from the Rogaine (minoxidil), so I recommend speaking with your doctor and to get your blood pressure checked out. Minoxidil was originally developed as a treatment for high blood pressure, so if you have normal blood pressure and the blood pressure becomes low while on the drug, then you can get headaches as the first symptom of the medication.
2018-11-02 06:49:132018-10-25 07:39:27I’ve Been Using Rogaine and Got a Headache from It. Should I Stop Using It?