Category: Uncategorized

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Will finasteride stunt my growth?

I am an 18 year old, turning 19 in a month who’s been on fin since December 12th and was wondering if it will stunt my growth. I’m not sure if I’ve stopped growing but in the past year I went to the A&E twice for unrelated reasons and realized that between those two visits, the latest being on NYE, I had grown a few cm according the nurses measurements. Is there any chance fin could stunt my growth and if I should stay on it or switch to min till I’m older.

I haven’t seen stunted growth in the many years using it on men of 17 or older. I routinely prescribe finasteride for men over 17 with parents permission


2021-01-23 10:37:35Will finasteride stunt my growth?

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I am now one year since my transplant (photo)

Although the front looks good, the back does not look as good as I expected. What do you recommend?

What you got now is about what you will get and no more. Usually all of the grafts have grown out in a year? If you want more density, you will probably have to meet with your surgeon again and ask for a second surgery for the crown or consider Scalp Micropigmentation (https://scalpmicropigmentation.com/gallery/thinning-hair/#!https://scalpmicropigmentation.com/wp-content/uploads/2016/04/scalp_micropigmentation-new_hair_institute-042-thinning_hair.jpg).


2020-08-08 09:43:33I am now one year since my transplant (photo)

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Will I Go Bald?

Dear doctor, I understand that you’re a busy person, but I’d really appreciate if you took the time to anwser a few questions. I’m a 19 year old male; full head of hair without any signs of balding. My father and my paternal grandfather both have thick hair with no signs of balding. However, I once read an article about baldness being inherited from one’s mother and my maternal grandfather has no hair at all. Does this mean that I should be worried about going bald? I guess all men lose at least some hair due to old age; around what age would you say that natural balding starts to occur?

The leaning to one’s mother’s genetics is 51/49%. You probably won’t inherit any balding based upon what you told me, but if I am wrong, you will see in in your mid-20s or later.

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I am worried about Shock loss from a Hair Transplant

I am a candidate for a hair transplant but i don’t want to use finasterade or minoxidil. A surgeon told me that the transplanted hair would create a shock loss to my existing hair and speed up hair loss. Is this true? What happens in shock loss?

When you have a hair transplant, the native hair that is going through some degree of miniaturization could speed up the miniaturization process even to the point where the hair will fall out. Finasteride can protect against this process, not minoxidil. I personally believe that this is secondary to the local anesthetic and the stress of the surgery on your body, regardless of if you feel any stress.. Carefully and judicious use of your donor hair is a critical that your surgeon must fully not only understand, but implement it in how he approaches you with a Personalized Master Plan going forward with a hair transplant. You should know what is your worst case scenario, and plan for it so that there will be no surprises.


2020-02-12 11:33:12I am worried about Shock loss from a Hair Transplant

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Will My Eyebrows Regrow After Overplucking Once?

Hi! I recently overplucked 1/4 of top of both my eyebrows and this just happened once but I was just wondering if they will EVER grow back and for how long do I have to wait. I naturally have thick and dark eyebrows. Please help I need your advice.

Only time will tell. Most people will regrow the eyebrows.

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I Can’t Take Propecia, I Don’t Want to Bald

Dr. Rassman, what approach do you take with young men who are not able to take Propecia. Do you never do transplants in them? Do you sometimes do transplants? I am a norwood 2 going on a norwood 3. I am considering getting small transplants to keep up with my hairloss starting in about a year when I will be 23 years old. Is is a bad idea? Going bald is not an option for me, so its either transplants or a system.

I hope you read the blog entry from last week where a patient whom I did not recommend getting a hair transplant was not happy with my recommendation and got a hair transplant from another doctor. Now he is worse off and more bald because he lost more hair due to shock loss.

I would not normally recommend a hair transplant to a Norwood class 2/3, but every patient is different and it would be impossible for me to give you personal medical advice without a person to person consult. You may be a Norwood 2/3 now but without a good exam and a good medical history, there is no way of knowing what Norwood class you would be at the age of 50 (this is where the Master Plan comes in). If you have miniaturization in the areas behind the frontal corners (like the top and crown of your head), then it would be suggestive that you are in for a lot of balding in your future and fixing a Class 2 pattern may not be good timing just now. Alternatively, if there is no miniaturization in the rest of your head and your family history does not show advanced balding, then maybe with the right doctor / patient relationship, a hair transplant could be considered. I am not excited about the idea of doing a hair transplant on someone with such a pattern and at your age, because the pattern of your future hair loss is not going to show up for another few years.

I would also question why you are not able to take Propecia.


2006-05-09 12:46:18I Can’t Take Propecia, I Don’t Want to Bald

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Will a simple test eventually predict balding?

Genetic prediction of male pattern baldness.
Abstract
Male pattern baldness can have substantial psychosocial effects, and it has been phenotypically linked to adverse health outcomes such as prostate cancer and cardiovascular disease. We explored the genetic architecture of the trait using data from over 52,000 male participants of UK Biobank, aged 40-69 years. We identified over 250 independent genetic loci associated with severe hair loss (P<5×10-8). By splitting the cohort into a discovery sample of 40,000 and target sample of 12,000, we developed a prediction algorithm based entirely on common genetic variants that discriminated (AUC = 0.78, sensitivity = 0.74, specificity = 0.69, PPV = 59%, NPV = 82%) those with no hair loss from those with severe hair loss. The results of this study might help identify those at greatest risk of hair loss, and also potential genetic targets for intervention.
PMID: 28196072
Full paper is available in the open source journal PLoS Genetics:
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I Developed Small Lumps at Temples After Applying Minoxidil for 2 Weeks

Dear Doctor,

I recently have been trying to apply minoxidil into my receding temples and frontal area. There has been no shedding, and some minor itch and redness. after about two weeks i have felt some small swelling in my temporal area. This swelling is similar to, 2 little goose eggs/ or small lumps. They don’t hurt, just itch slightly.and they are also not noticable unless you touch the front of my head?

whats that all about anyways? I know minoxidil is not 100% intended for the frontal/temporal areas but im just trying to stop or possibly slow the hair loss process down.

thanks

Perhaps you are sensitive to minoxidil. I really can’t say for sure in your case, but some patients cannot use minoxidil due to skin sensitivity and/or allergic issues. You may wish to speak with a doctor about that… and consider asking your doctor about finasteride, an oral hair loss medication that tends to work better than minoxidil.


2010-08-03 09:50:54I Developed Small Lumps at Temples After Applying Minoxidil for 2 Weeks

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I Experienced Shock Loss After My 2nd Transplant

Please talk about shock loss to grafted hair as I lost a lot 10 days ago in my second operation. What can I expect generally in this situation?

Shock loss is the state of losing miniaturized hair as a result of stimulation from surgery or any other stress. It is most commonly seen after the first hair transplant in patients who have significant miniaturization in the area. Younger patients are more susceptible to this condition. Widespread use of finasteride has significantly minimized the occurrence of this condition within the last few years.

Grafted hair is considered permanent and is resistant to shock loss. If you lose any of your hair at all, it would be the native miniaturized hair in the recipient area, not the transplanted ones. In my 16 years of doing this, I saw transplanted hair lost due to shock loss about 5 times and each and every time the hair came back. This would not necessarily be the case if the hair was impacted and miniaturized, and that is why the risks are there for the first transplant, not the subsequent ones.