Category: Uncategorized

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EXT From Hair Club

I currently use the EXT product line from hair club. Are there any other products comparable to EXT?

You should dissect each element of their EXT approach:

  • Cleansers on the scalp do not do much
  • Lasers, in my opinion do not work
  • Lotions that contain minoxidil work just like minoxidil without the packaging
  • Scalp massage feels good but doesn’t grow hair
  • Finasteride works well
  • Vitamins have limited value in a person who is not vitamin deficient
  • Miniaturization studies tell you where your hair is going and how fast
  • Hair transplants work very well with the right Master Plan

I do not offer many of these elements because they may not work, take too much time, and will raise the costs for most people.

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Shedding Different Hair Lengths, Scalp Pimples

I have about 2 1/2 inches of hair, im a 21 male and when i shed, i see short hairs and long hairs, is this normal? and also get about 5 to 10 new pimples every other week or so on my scalp, they are tiny and usually filled with white pus. i wash my hair everyday before i goto work, in the mornings and sometimes at night. could the pimples be causing the different length of hair to be shedding, and do pimples cause damage or hair loss? thanks to whomever read this, would really be appreciated

If you are experiencing folliculitis (pimples filled with pus) then it could be causing your hair shedding. You need to be examined by a good dermatologist and I am certain that once that doctor examines you, he/she will know what is wrong and how to treat it. I can not do this over the internet.

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Facial Hair Doesn’t Fall Out Like Scalp Hair Does?

I have been told, by a colleague, that under normal circumstances, facial hair does not ‘fall out’ as does hair on your head.

Can you tell me if this is true or false?

Facial hair is different than scalp hair, but ALL hairs go through the growth cycle, resting cycle, and shedding (falling out) cycle.

I am not clear what you are asking. Do you have loss of facial hair or are you asking an academic question? The most common cause of scalp hair loss in men is due to genetic causes, and it is often referred to as androgenic alopecia (AGA), male pattern baldness (MPB), or just genetic balding. About 50% or so of the male population will have some degree of genetic balding at some point in their lifetime. Keep in mind that this does not mean 50% of men will go bald. Facial balding patches may not be genetic and you need to see a dermatologist.


2008-04-24 09:27:39Facial Hair Doesn’t Fall Out Like Scalp Hair Does?

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Shedding vs. Thinning, Which is Worse? (from Reddit)

Yes, there is a difference in what you see. Both thinning and shedding of hair are manifestations of hair loss. Sometimes one will shed hair, other times one does not shed and just recedes in the hairline. Sometimes, you see thinning from shedding. All of these are ways to identify that you have a hair loss problem which should be evaluated by a good doctor.

Balding Via Sheeding Vs Via Hair Thinning? Is There A Difference? from tressless


2018-06-19 09:32:24Shedding vs. Thinning, Which is Worse? (from Reddit)

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Fat Burners Constrict Blood Vessels — Would That Lead to Hair Loss?

Hey Doc Rassman, great site. I’ve been hooked onto it since I started losing some hair myself- and of course, the fact that you’re called one of the pioneers of hair surgery just increases the blogs credibility.

I’m an 18 year old male, and I’m a serious teen bodybuilder. I’ve been competing, and recently, I’ve started using a fat burner (Nutrex Lipo 6) which contains a lot of caffeine, synephrine, yohimbe and some other stuff to get into my final competition stage. Now regardless of these ingredients, what concerns me is that all fat burners constrict blood vessels to increase blood pressure, and in turn increase metabolism to burn calories faster. That’s alright, fine with me. But it’s the hair loss I’ve been experiencing since I’ve started using this product that’s causing concern!

Just taking a shot in the air, would you say that the fat burner is causing poor blood circulation due to the high BP (a case associated with cigarettes too as I’ve read), and in turn causing this balding? Would this then mean that people with high blood pressure (something I have a family history of) have poorer quality of hair?What are your views,doc?

I can’t really comment on a specific fat burner as the cause your hair loss. Many medications report hair loss as a side effect, so even this ‘substance’ may have similar side effects. If you have hair loss it is most likely related to genetic male pattern baldness (MPB), otherwise known as androgenic alopecia (AGA)… particularly in a young man of your age. You may consider an examination by a doctor and possibly starting finasteride as a treatment option.

With regard to any connection between blood supply as a cause of hair loss, it is not ABSOLUTELY the cause of hair loss. The fat burner you are talking about can not possibly reduce the blood supply by constricting scalp blood vessels. There is also no connection between high blood pressure and hair loss either.

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Shock Loss in the Recipient Area

HI DR… I would like to know if there is shock loss after hair surgery what is your policy in solving the problem. thanks

I properly inform my patients of the risk, try to mitigate that risk, and am very supportive if it happens. I can not guarantee what will happen to the native hair that is there and which may react poorly to a hair transplant by undergoing shock loss. I have not had a case of shock loss for more than a year. I suspect it is because I prescribe finasteride on all those who are subject to that risk.


2006-11-14 09:20:25Shock Loss in the Recipient Area

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I feel more sub-human the more I bald

Balding so young, I feel like genetic trash. People treat me differently too, well they did. I got some regrowth and it’s absolutely disgusting how people treat you better when you improve your looks. Looks are everything. Anyways, I want to be hopeful for the “treatments” of the future, but history tells us a different story of hope then disappointment, as seen by browsing hair loss forums years ago. Everyone at my college has a thick NW1. Not one balding man. It’s rare this young. I have realized I am subhuman trash, I know my place now. If I ever go completely bald (I probably will) it’s game over.

You should see a doctor and you can probably address your problem, one way or the other. There are many good solutions including medications, Scalp Micropigmentation or hair transplantation. If I were to see you, I would work to get you to manage your hair loss in a productive way. My consultations are free and you can contact me over the internet at wrassman@newhair.com and send photos along with the email.

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Should I Give Propecia a Try?

Firstly, I’d like to thank you for this site, I’ve gained a lot of information from this site and it has made me feel a lot more positive about my situation. I am 22 year old male and for the past year my hair has been getting thinner and falling out at the front of my head (mid, front) it’s certainly not thinning at the temples, it is completely across the top. My question is, is Propecia right for me? Also, what are my chances? Should I give minoxidil a go too?

Thank you in advance.

You are asking for a personal medical advice which is not appropriate on BaldingBlog. You need to find a doctor for an examination and ask them these questions.

Propecia isn’t for everyone, and without photos or examination (miniaturization study) I couldn’t really begin to tell you if you’re someone that should take Propecia. That is aside from the fact that I’m not your doctor and it is a prescription medication. I’d find a doctor in your area for an exam of your scalp and hair loss. If genetic hair loss is present, Propecia would be a good choice to halt further loss and possibly regrow some of the hair you’ve lost if you have generic hair loss. The drug tends to work best in the crown and top, but it does work in the frontal area as well for many men. Some men choose to take Propecia and use minoxidil at the same time — this is fine, but you will be using both of these medications for the rest of your life, so I like to recommend one at a time, adding the additional one later if the results aren’t what you expected/desired.


2008-07-18 14:57:53Should I Give Propecia a Try?

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Female Hair Loss After Lap Band Surgery

Great blog, Dr. Rassman! Quick question. My Cousin had the Lap-Band surgery in August 2011. Since then she has lost almost 60 lbs. She has also lost almost all of the hair in the front half of her scalp. Does this hair have a chance to return if she supplements with a vitamin or has her Lap-Band loosened so that she can eat more? She never had hair loss before the surgery. Thanks!

Women who lose hair from rapid weight loss may have accelerated a genetic pattern for hair loss that is present. These women may never return to their preoperative hair thickness, but some of it may reverse. If there is no genetic pattern present, then the hair loss may reverse upon balancing her diet.

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Should I Try Dutasteride, and If So, Should I Get a Generic?

Dear Dr. Rassman,

I wondered if you could answer a couple of questions I had about Dutasteride (Adovart)?

In the past 6 months, I’ve experienced a rather significant amount of shedding and what seems to be follicle miniaturization from the crown to the hairline (though there are still hairs in this area and need to do something about it if possible.

For the past 2-3 months I’ve been using DS Laboratories Spectral F7, RS/ & DNC-N, and despite their grandiose claims of these products being the most advanced hair loss treatments available, if anything I have a lot less hair/thinner hair shafts than I did before I started with them. However, I’m not sure if this is because I haven’t used them long enough or that simply that they aren’t efficacious.

The other possibility could be hormonal changes as I’ve got symptoms of BPH (last checkup showed some enlargement but benign) and after reading something you wrote about the effect of hair dye, I started to wonder if the combination of these two factors might be the cause? I noticed in the past year or so when using Herbatint (The supposedly “safe” hair color), my scalp would feel burning/itching that would last a couple of days and I began to think it might be involved in the fallout/thinner shafts.

I’ve taken Finesteride some years ago and finding it ineffective for hair loss, I was thinking that the next step might be to try Dutasteride. So I wanted to ask, do you think it is worth a try and would the generic version be as safe/effective as the original manufacturer’s version? I’m kind of at the last defense and hope this might work.

Thanks in advance for any input you could give me on this…

Respectfully Yours

There’s a few issues that immediately stand out to me. First, I don’t know anything about your medical history or even your age. What did you find ineffective about the finasteride when you took it years ago? How long did you take it?

Second, you’re asking me about whether you should take a prescription medication (dutasteride) that isn’t approved for treating hair loss. That’s going to be something you’ll need to discuss with your doctor. The name brand and the generic should be the same medication, but I can’t say whether you should even be taking it.

Third, if you used a hair dye on your scalp that produced a burning or itching, it might be related. I don’t have experience with Herbatint, but I suppose it’s possible you had a chemical or allergic reaction.

Most importantly, if you suspect you may have BPH, I hope you’re under the care of a urologist. Your doctor may prescribe dutasteride (Avodart) for treating your BPH, which could be beneficial for your hair loss, as well.